diff --git "a/icliniq/valid.json" "b/icliniq/valid.json" new file mode 100644--- /dev/null +++ "b/icliniq/valid.json" @@ -0,0 +1,15529 @@ +{ + "data": [ + { + "id": 19124, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14238, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28123, + "tgt": "I have Still's disease from 15 years. Can I take steroids for bodybuilding?", + "src": "Patient: Hello doctor, I am suffering from Still\u2019s disease from the past 15 years, and I was 13 years old at that time. Now I am 28 years old, and I have no problems from the\u00a0disease since the past seven years. The treatment was with Methotrexate and Medrol (Methylprednisolone). From the past seven years, I do not take any medication. I go to the gym every day, but I do not see any difference. Can I use steroids like Oxandrolone (Anavar)?\u00a0I want better and quicker results in the\u00a0gym, but my concern is my disease. Thank you. Doctor: Hi. I hope it helps you.\u00a0If you have any further query, please ask me. For further queries consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 6320, + "tgt": "What are the ways to get a glowing face?", + "src": "Patient: Hello doctor, I want to glow my face. I am working in sunlight. What should I do? Doctor: Hello. I just read your query. First of all take measures to protect your face from direct sunlight. Always use sunscreen lotion. There are many sunscreen lotions available for men in the market now a days. You can choose a sunscreen lotion between 40-50 spf and with uv protection. Take some amount of sunscreen lotion in your palms and apply it gently over your face and other parts which get exposed in sunlight. Do it regularly and even if there are clouds then also use sunscreen lotion. If you work for longer shifts then repeat the application of suncreen lotion once again in the afternoon. Along with this always cover your head with a hat to avoid direct exposure to ssunlight Drink one glass of water before going outside as it will help in less water loss. Drink plenty of water whole day to avoid water loss from the body. Avoid cold drinks and caffeinated drinks and prefer fresh lemon drink and fruits having high water content like watermelon, etc. After coming home, wash your face with herbal face wash and then use aloe vera gel over face. Take some sandalwood powder and add a pinch of turmeric powder in it and some rose water in it and make a paste. Apply this over face for 10 minutes and then wash it away with simple water. You can use it two to three times a week. It will help you a lot. Use all these measures regularly and you will feel better results soon. three weeks" + }, + { + "id": 3606, + "tgt": "My friend has excruciating knee pain. Please interpret his MRI report", + "src": "Patient: Hello doctor, We are looking for a second opinion on my friend's MRI scan of both the knee joints as he is experiencing excruciating pain just above the patella. He has a sudden onset of severe pain on both the knee joints about two weeks ago. Previously he had a similar episode about two to three months ago and it subsided after resting and painkillers. Doctor: Hi. I viewed the right and left knee MRI images. (attachment removed to protect patient identity). Left knee: The MRI, left knee joint shows a complex tear in the posterior horn of the medial meniscus area and mild left knee joint effusion. There is some fluid between the semimembranous and medial head of gastrocnemius muscles. There is a small area of focal cartilage defect in the upper pole of the patella with mild edematous fat. The anterior and posterior cruciate ligaments are normal. The medial and lateral collateral ligaments are normal. Right knee: The right knee joint shows mild increased signal intensity in the posterior horn of the medial meniscus area and minimal knee joint effusion. There is minimal fluid in the back of the lower thigh and not significant. There is a suspicious strain in the left anterior cruciate ligament interiorly but largely the attachments are normal. The posterior cruciate ligament is normal. There are subtle changes in the upper pole area of the right patella and mild edema. There is mild edema around the bilateral distal quadriceps tendons, but there is no obvious tear of the tendons." + }, + { + "id": 1201, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13464, + "tgt": "Can Unwanted 72 be used if there was no intercourse?", + "src": "Patient: Hello doctor,One day ago, my partner and I had sex. And the next morning she takes Azithral 500 mg. Will this affect her pregnancy? When do the female egg and male sperm actually connect with each other? Doctor: Hello. Azithral (Azithromycin) is safe during pregnancy and is a category-B drug. So, it is not going to harm in any way. Moreover, after intercourse, the sperms usually take 24 hours to fertilize the egg in the fallopian tube if it has already been released. The life of the egg is also 24 hours. So, if there is a conception, still the medicine would not affect the fetus. Regards. For more information consult a family physician online --> https://icliniq.com./ask-a-doctor-online/family-physician" + }, + { + "id": 12214, + "tgt": "Which is the best treatment for advanced keratoconus after using scleral lenses", + "src": "Patient: Hello doctor,I would like to know the best treatment for advanced keratoconus after using scleral lenses as well. Will there be a condition, where I do not have to use lenses like ever? Doctor: Hello. I understand your concern. There are a number of different treatments for keratoconus based on the corneal topographical measures and your visual needs. The best to halt progression is corneal collagen cross-linking (C3R). This procedure causes the development of a lot of chemical bonds inside your cornea stabilizing it, thus preventing it from bulging out further. This procedure can only bring stabilization and will not improve your vision. For vision, we have a number of surgeries and implants, which can improve vision after corneal collagen cross-linking. In case you need more information regarding the specific treatment suitable for your eyes, please send me a scanned copy for your topography reports along with your present glass power and doctors reports. I will do my best to explain the pros and cons and guide you regarding the best course of action." + }, + { + "id": 7123, + "tgt": "Is it advisable to get surgery for slipped disc?", + "src": "Patient: Hi doctor, I am an 18-year-old girl and I have a slipped or bulged disk in my lower back. I have had this injury going on for four months. I have been through physical therapy and that did not work. My doctor was talking to me about surgery. So I researched and found a surgery where they go in and cut the disk off that is bulging out. It is an open discectomy I believe. I was wondering what the risks are. Could I possibly get paralyzed? Are there any cases of getting paralyzed? How long would I be off my feet? Doctor: Hello. Surgery for bulging disc is only indicated if pain in back is servere and not relieved by physiotherapy, then you need fusion surgery or if you have moderate to severe leg pain because of nerve compression causing decreased mobility, then you need discectomy. Chances of getting paralysis after surgery are very low may be around 1 in 100 but other smaller problems after surgery are common. So, if pain is bad and is affecting your day to day activities then only you should think of surgery." + }, + { + "id": 13816, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 1874, + "tgt": "I have chronic ear infection with pain and blockage. Please help", + "src": "Patient: Hello doctor, I have an ear infection for about two years, but now my ears hurt very badly and feel like they are closing up. Please help. Doctor: Hi, Welcome to iciniq.com. The reason for a chronic ear infection can be due to two reasons. 1. There is an abnormal permanent defect in your eardrum (such a hole which has not closed up due to the normal healing process) leading to recurrent ear infection and discharge. In some cases, superadded fungal infection might also be present causing itching and pain. 2. A dysfunction in your eustachian tubes which basically equalize pressure between your nose and your ear. In both scenarios, you will feel blocked ears, ringing sensations, heaviness, and decreased hearing would certainly be there. Follow these steps: 1. You have to maintain adequate ear hygiene not allowing any foreign substances such as outside air or water to enter into the ear and thereby creating a recurrent infection. 2. Do not use q tips as they worsen the existing problem by introducing more disease since the q tips are often not sterilized. 3. Get your self examined by an ent specialist to see what exactly is happening in your ear and the probable cause of the problem. I hope this helps." + }, + { + "id": 25090, + "tgt": "I would like to know more about this condition called myocardial bridge", + "src": "Patient: Hello doctor,I am a 29 year old male. I have a family history of diabetes, hypertension, and heart disease. I have been experiencing intermittent chest, left arm and left shoulder pain/discomfort with periods of breathlessness for about two years now. I have had ECGs done on a few occasions and doctors said its unremarkable and commented that the main is orthopedic or neurological in nature. I have consulted a few reputed orthopedic and neurologic doctors and had subsequent MRIs, X-Rays, EMG and NCV done and all reports were normal. The pain was intermittent meanwhile. For the last three months the discomfort became worse. One doctor advised me to get a Cardiac CT done. The result of that showed a myocardial bridge. I have a history of high cholesterol and was under statins for three years now. They have subscribed a beta blocker as well. I would like to know more about the condition. The report and CT image are attached. Looking forward to your opinion. Doctor: Hello. Myocardial bridging - In your case, one of the heart artery LAD, the mid portion, passes through the cardiac muscles instead of lying on the wall. In the activity, when your heart rate increases due to this problem the blood flow reduce and causes discomfort to you. You try to avoid strenuous activities. With medicine, you will feel better but avoid strenuous activities. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 27936, + "tgt": "Can chewing tobacco reduce mouth opening?", + "src": "Patient: Hi doctor, I can barely open my mouth up to three\u00a0fingers space. Is it bad\u00a0or normal? I have never noticed this before, only recently I happen to see this.\u00a0I chew tobacco.\u00a0Is that causing it? Is it serious? Doctor: Hi. Your problem is very common amongst regular tobacco chewers. I appreciate you got aware, and it is never too late for a new start. So, live an addiction-free\u00a0life.\u00a0Take care.\u00a0Do not worry. You will be fine. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5072, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 19896, + "tgt": "My wife's fitness certificate was put on hold due to low hemoglobin. Can she travel abroad?", + "src": "Patient: Hello doctor, My wife went for a master health checkup. Her fitness certificate was put on hold\u00a0due to low hemoglobin and other blood test parameters. Her hemoglobin was 8 g/dL,\u00a0ESR was 25, hematocrit was 26.8,\u00a0MCV was 62.3,\u00a0MCH was 18.8,\u00a0MCHC was 30.0, and\u00a0RDW was 21.4 %.\u00a0Can you please check these parameters and suggest if she can travel abroad? Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). Revert with more information to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 30874, + "tgt": "Is air travel safe during pregnancy?", + "src": "Patient: Hi doctor, I am 9 weeks pregnant. I had a mild perigestational hemorrhage during the 5th week. After taking medications, there is no subchorionic hematoma. Can I take an air travel of two and half hours to my native at the end of this month as I do not have anyone here to take care of me. Doctor: Hi. For further information consult an obstetrician and gynaecologist online.-->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24457, + "tgt": "What can be done for small solid swelling on the arm that looks like a cyst?", + "src": "Patient: Hello doctor, I have a small solid little thing on my arm that looks like a cyst or wart that I would like to get treated. I thought it to be a pimple so I tried to take it out with a small needle but was afraid to go deep. So, I did not achieve anything and I just made it red. It has grown a bit over a period of eight months and I cannot see a hair or blackhead or head on it. I would like to know what this is and how we can remove it. Doctor: Hi. I need some pictures to help you precisely. I cannot guess it by your description. Most probably, it might be an epidermoid cyst. Let me confirm when I see few pictures of it. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28900, + "tgt": "I have erection problem and feel fatigue. How to stay energetic?", + "src": "Patient: Hi doctor, I am a 39 year old male.\u00a0I have a little diabetic problem. My PP sugar is 210. I have numbness in hands, fatigue, running thoughts, erection problem, indigestion, and gas formation. Now, I am on Feliz 10, Etizolam 0.5 at night and\u00a0Petril\u00a0beta 10 in the morning. If I stop the above medication, then I feel agitated. I do not have the interest in any activity. I feel anger and irritation more often. I also have palpitations and breathlessness problem.How to stay energetic and have good sex? Please advise me the ways to be in a fresh and joyful mood. Doctor: Hi. I can understand your problem. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 17399, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14368, + "tgt": "I am being ignored by people who are emotionally close to me. What should I do?", + "src": "Patient: Hello doctor, Of late I am feeling like an orphan. My mother is always concerned about my sister who got married last year and has an infant. I feel my sister has no time for me and my mother has forgotten me. I give a lot in a relationship but I do not get even a quarter of it in return. Doctor: Hi. I understand you are going through a tough time emotionally. You are very close to your mother and sister emotionally and feel let down by them. You have mentioned that your sister has an infant and your mother is spending more time with her. Probably your mother feels at this point of time your sister needs her more as this being her first child. She may need all the physical and emotional support possible. A baby does take up a lot of effort. So probably your mother and sister do not realize that they are ignoring you and your needs even if they are doing so unintentionally. I would advise you to talk to them openly about it. You can begin by how happy your are about the new addition to the family and how you would love to be involved by the family in the process. Gradually tell them how you have been feeling ignored. You never realize how open communications can really help improve relationships. Every relationship has ups and downs. I am sure you will be able to resolve issues with your mother and sister." + }, + { + "id": 13072, + "tgt": "What diet can I follow for weakness during post pregnancy?", + "src": "Patient: Hi doctor, I am a lactating mother. I feel dizzy and weak. My BP is 100/60. What should I do for this? What diet should I follow? Please guide. Doctor: Hi. Your blood pressure (BP) is absolutely normal. There are various reasons for your tiredness and weakness which are as follows. The wrong position of breastfeeding may cause back pain and tiredness. You should not bend your back while breastfeeding. Put some pillows behind your back and raise the baby to your breast and feed. Tiredness may also be due to blood loss and anemia during pregnancy. During pregnancy, the child takes up a lot of iron from the mother and also during breastfeeding. Check your hemoglobin level and contact me. You may also feel tired and weak due to lack of calcium. For which start taking more milk, curd, vegetables, and fruits. Start taking calcium and multivitamin tablets if needed. Less sleep can also make you tired. It is difficult to sleep with small babies, so sleep whenever the baby is sleeping." + }, + { + "id": 15081, + "tgt": "How can I treat a patient addicted to alcohol?", + "src": "Patient: Hi doctor, My question is regarding my friend. She is an alcoholic. She drinks every single day and mostly when she is alone. She is drunk most of the time, in office, at home. She started drinking approximately two years back. She loves a guy from a different religion and is not allowed to marry him. The guy has stated the same problem regarding marriage. She blames God for this and considers it her destiny to drink and lose contact with her senses and outer world. She thinks she is the worst person is the world. She never wears any makeup, chews her nails, in short, she does not want to look good for anyone. I am the only person who knows about it and I begged her to see a psychiatrist but she is not agreeing. How do I help her? What can be done to make her feel good about herself? Doctor: Hello. First, you need to listen to your friend, her pain, her feelings. Most of the people just want someone to listen. They do not do it to know the solution of the problem but just to pour out the stress and internal conflict from their mind. After two to three sessions of listening you can slowly start making her understand when her mind is light after ventilating things and is more receptive. You need to tell her that alcohol is not the solution of her problems. Alcohol would lead to addiction disorder and it would be harmful to her physical and mental health both. Running away from any problem does not solve it. You can then convince her to get psychatric consultation, if she finds it hard to go to some one and facing them, online chat consultation is the solution. If she needs my help, I would be happy to help her." + }, + { + "id": 21157, + "tgt": "Kindly suggest treatment for itching near sensitive area leading to color change", + "src": "Patient: Hello doctor, I have itching near sensitive area, skin color changed nearby, due to itching. There are rashes which are painful at times. Kindly suggest an immediate cure. Doctor: Hi. It is due to fungal infection. Follow the mentioned treatment: Local application of antifungal dusting powder Clocip (Clotrimazole) during daytime near an inner region of the thigh. At night time, apply Clocip-B ointment in the inner area of the thigh. Maintain personal hygiene." + }, + { + "id": 8760, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7873, + "tgt": "Are the medicines I am taking for fungal infection correct?", + "src": "Patient: Hi doctor, I am an i-phone application developer. I am suffering from fungal infection for the past one year. It is like ringworms. I am so scared. I am currently on Syntran 200 mg, Histafree 180 mg, Hicope and Onabet B cream. Please help. Doctor: Hi. You have mentioned using Panderm and Terbinaforce plus cream. Both of them contain steroids and lead to worsening of fungal infection rather than cure. You should stop using them immediately. You have not mentioned the duration of use of Syntran capsule and Onabet B cream but if you are not having benefit after 10 days of use then you can consider resistant fungi and change the medicines. Continue with Hicope (Hydroxyzine) and Histafree (Fexofenadine) for itching. You can apply Luliconazole cream on the affected area once daily and take tablet Terbinafine 250 mg once daily for two weeks and then revert back. Also keep your soap and towel seperate. Keep your body dry, stay in cool and airy environment and wear loose cotton clothes. Wish you speedy recovery." + }, + { + "id": 3113, + "tgt": "Does raised WBC count mean leukemia?", + "src": "Patient: Hello doctor, I am 24, a male, recently I had some intense shoulder pain and a full panic attack. I suffer from panic attacks and depression, I went to the er and I had a 21000 total wbc count, chest X-ray, abdominal ecography and urine tests all were okay, the rest of the cbc I believe was okay since the er doctor was not concerned and gave me some painkillers for the shoulder, after 1 day I went back because I was worrying for that high wbc count and this time it was 15000 wbc but again I did not see the rest of the cbc, and then I went back a week later and the wbc was 11.750 with 38 % lymphocytes 40 % is the limit it says and platelets were 350 within normal rangeand the rest of the cbc was normal, clinically I feel good but as I have depression I cannot stop worrying about the wbc and I am scared it might be leukemia. I had a head CT scan 4 years ago and I read some inconclusive studies that it might slighty increase the chance of leukemia. Please if you can answer. Doctor: Hello. This pattern in which wbc has behaved, does not fit into leukemia. Leukemia is an uncommon cause for wbc elevation, other common causes are infection, steroids or any bodily stress can lead to this. It's not expected to go down in leukemia, and counts are usually much higher than this. Also, you are asymptomatic. So does not appear like a leukemia to me. You can get your count repeated after a week or so and also request to do peripheral smear to look for morphology of the cells. So, does not look like a worrisome to me. Hope this helps you and get back if you have any doubts." + }, + { + "id": 21949, + "tgt": "My mother's BP is not under control from the last few days. What should I do?", + "src": "Patient: Hello doctor, My 60 year old mom is a diabetic. Her blood sugars are 100 in fasting and 140 in random. She is also hypertensive. Her BP is usually under control, but from the last few days, it shot up to 180/80. She is taking Tenormin 20 mg. Kindly tell me what I should do. She is feeling well otherwise, and all her blood reports are also normal. 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": 17531, + "tgt": "What is PEP therapy for HIV?", + "src": "Patient: Hello doctor, I had an exposure with a call girl with protection. However, during intercourse, the condom broke. I am worried about HIV. Could you please guide me regarding what kind of tests I should undertake. Also, I would like to understand how many days later I should go for the test. As on today, it has been\u00a024 hours since exposure. Doctor: Hello. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 31046, + "tgt": "Despite being shortsighted, I can see better without glasses. How?", + "src": "Patient: Hi doctor, I am 68 years old. I am moderately shortsighted, but still I can see better without my progressive glasses. How is it possible? I have been told that I would not need glasses in the days of less reading. I can go for hours in the morning before I realize that I do not have my glasses on. I can see better in bright sunlight without any photochromic lens and sunglass clip ons. This applies to road sign reading and everything. I can often see television better within 10 feet or so without glasses. But, I definitely need my glasses at night to see well. Doctor: Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 12511, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 65, + "tgt": "I get recurrent sore throat with swollen tonsils filled with pus. What could this be?", + "src": "Patient: Hi doctor, I have been dealing with a recurring sore throat for the past couple of months. My tonsils get sore and swollen with pus and usually, I have a canker sore-like lesion on them as well. I get fatigued with body aches. I took tests for mono and streptococcus but I had neither. I am currently taking Escitalopram and generic Yaz birth control. Doctor: Hello. Now if you are having symptoms at present, then you will need an antibiotic course for it, and treatment of choice is Amoxicillin clavulanate combination for five days. You should also have Betadine gargles four times a day for five days. Presence of pus does mean it is likely a bacterial infection, may not be strep but other bacterias. Now regarding the preventive aspect, firstly there is no reliable way of preventing it other than tonsillectomy. So you should consider this option if this is becoming troublesome for you. Now some points which would help to catch the infection are maintaining hand and oral hygiene, avoiding too cold foods which usually precipitates the infection. You should try to identify the triggers which have precipitated the infection last time like cold foods, street foods, or other triggers. You should consider the use of Chlorhexidine mouth wash on a regular basis. Next thing, you should have Betadine gargles with you. With the earliest symptoms of sore throat, you should start gargling four times a day which would prevent the progression to frank infection. If your diet is not good then you may consider having a course of multivitamins for two weeks, otherwise not necessary. I hope this helps." + }, + { + "id": 2504, + "tgt": "Can low dose of human growth hormone lead to type 2 diabetes?", + "src": "Patient: Hi doctor, I have prediabetes (5.8 fasting blood glucose). Can low doses of human growth hormone used for bodybuilding lead to type 2 diabetes? My mother has type 2 diabetes mellitus. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 31053, + "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": 27056, + "tgt": "Can there be on and off chest pain after angioplasty?", + "src": "Patient: Hi doctor, One of my uncle had heart attack. He was hospitalized later and treated with angioplasty. He was stable at hospital and discharged last month. But, it seems he has pain in the middle of the chest. It just comes and goes. Is this pain common after the angioplasty? If so, how long it prevails? Doctor: Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 16431, + "tgt": "Are my teeth discolored due to cavities?", + "src": "Patient: Hello doctor, Recently I have seen some discoloration on the side of my teeth, especially back towards my molars. However, I do not feel any pain, aches, or sensitivity. Is it a cavity? I am not sure what I should be looking for if I have a cavity. Doctor: Hi. I have gone through your question and I can understand your concern. Yes, if it is brown or black that means it is in the initial stage of the cavity. It takes a year or two to start symptoms like sensitivity or lodging of food in these cavities. You need to keep your teeth clean through brushing twice daily. If you can upload a picture here so that I can tell you that if there is any immediate treatment or filling needed. The proper way to address the problem is to get a dental filling done (restoration)." + }, + { + "id": 24794, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7262, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 25478, + "tgt": "Are these patches behind the ear and on the back of head due to tinea capitis?", + "src": "Patient: Hello doctor, Do you think I have tinea capitis? I am attaching my shaved head photograph. I am currently using Ketoconazole 2 % shampoo. Doctor: Hello. I saw your clinical picture (attachment removed to protect patient identity). Yes, it is looking like tinea but not tinea capitis. It is tinea corporis (corporis - body parts) spreading on to your scalp. There is a round rash with active edges and clear center on your back of neck extending on to your scalp. I mentioned it is \"looking like\" because even seborrheic dermatitis also looks similar. Usually, seborrheic dermatitis is seen behind the ear, eyebrows, scalp, and neck sometimes. Scraping from the rash and KOH mount under the microscope is necessary to confirm the diagnosis. Seborrheic dermatitis and tinea both are fungal infections but caused by different fungus. Seborrheic dermatitis is severe dandruff involving facial skin and neck in simple words. I would suggest you continue using Ketoconazole shampoo, every day to wash your scalp. Use Miconazole gel, apply over the affected area, over the neck, and behind the ears twice a day for three weeks. This helps for both the fungus. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23664, + "tgt": "There is a pressure feeling in the bottom of my throat. What could it be?", + "src": "Patient: Hello doctor, I have been suffering from severe health issues since six months. My main problems include difficulty to burp, fatigue, pressure feeling in the bottom of my throat for which I have done gastroscopy which yielded no results. Also, I have done an MRI and barium swallow test. The barium swallow clearly shows an air bubble, which I am not able to burp out. This bubble is in the same location where I have the pressure feeling. I have overlayed the MRI and barium swallow, which shows the air bubble that is stuck underneath my thyroid. Can you please have a look at my thyroid MRI images and tell me if there are any anomalies. If there are no anomalies then what other things could be preventing the gas to pass my neck? I have attached all the images for your reference. Doctor: Hello, Welcome back to icliniq.com. I just read your query and saw your pictures (attachment removed to protect patient identity). Hope you find my advice beneficial. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 11094, + "tgt": "I have been having odd bowel movements. Please help", + "src": "Patient: Hello doctor, I am a 17 year old female. My weight is 140 kg and height 5'4\". I need your guidance and advice on something that has been going on for a very long time. In the past, I have been a vegetarian, paleo, vegan, etc. And I am currently a vegan because I feel it is the right thing to do. I eat extremely well, always have fruits and/or vegetables with every meal. I am a very conscious and intuitive eater. However, for a very long time now I have been having odd bowel movements. I have rabbit pellet-like stools, and sometimes I never make a bowel movement in a day. It is becoming an issue because for the past few months I have had this problem. I have been feeling extremely bloated and uncomfortable. I never feel hungry and constantly have this fullness feeling and assume that it is because of the problem with my bowel movements. And maybe my bowels are not clear. It is very uncomfortable because I enjoy eating and want to eat and exercise. However, with this constant feeling, I do not really enjoy eating or exercising. I wake up every morning with a bloated feeling in my stomach. I do not know what to do and how to fix and stop this issue and start having normal healthy bowels. I need some advice and really appreciate that you will take the time to help. Doctor: Hi. It is IBS (irritable bowel syndrome). It is a benign disorder, requiring only supportive management to regularize bowel habits. This disorder occurs in many people these days (10 to 30 % population are affected by this). This condition is aggravated by low fiber intake. Advice: It will take time for this disorder to heal. Consult a medical gastroenterologist online for further help --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 24716, + "tgt": "What are the treatment options for Graves' disease when trying to get pregnant?", + "src": "Patient: Hello doctor, My sister is 32 years. After her second birth, she got the problem of diffuse toxic goiter what is called Graves' disease. She is on medication for the last six years. She is on Carbimazole. But, it is not effective as when she stopped taking the medicine she suffers again from the symptoms (heart rate and sweating). The doctor advised her to get treatment by radioactive iodide. But she is worried this can lead to infertility. So, the other choice was to do a surgery to remove the thyroid gland. But, she will be on Thyroxine for the whole life. I wonder if this is the only choice she has. And, if this is the case, what is the best for her as she wants to get pregnant and she is breastfeeding now. Note: The thyroid gland is diffusely enlarged with increased tracer uptake and homogeneous distribution. No definite focal lesion seen. 20 minute Tc uptake = 5.2 %. Thank you and looking forward to hearing from you. Doctor: Hello. Graves' disease treatment options are the following. Therefore, radioiodine ablation is the best and easiest treatment. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 7057, + "tgt": "I have a small hard bump on my gum after a tooth extraction. What to do?", + "src": "Patient: Hello doctor, I am 23 weeks pregnant. I had my lower right molar extracted almost two weeks ago and I have noticed a small hard bump on my gum where the tooth was removed. It is causing irritation and it is causing my gum to become sore again. My gum was swollen up until four or five days ago. The tooth that was removed was extremely infected and had caused my gums to become swollen as well. The bump has been there since the tooth was removed and has not changed in size or discomfort level. Doctor: Hello. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 22568, + "tgt": "I have swelling in foreskin and pain while urinating. Is it balanitis?", + "src": "Patient: Hi doctor, I think I might have balanitis. Slight swelling in my foreskin and lot of pain while urinating also there. Redness and itchiness along with slight ulcers on the foreskin. Kindly prescribe. Doctor: Hi. Can you upload the pictures? Any history of diabetes? Any whitish slough over the penis? For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1116, + "tgt": "Could you please help me lighten the darkness around my lips?", + "src": "Patient: At the ends of my lips i see it is little dark in color so i applied honey and sugar mix on the dark area.. it now became even more darker .. so i started applying neutrogena fine fairness cream for lightening the dark color.. after applying the cream my entire skin started becoming red and i also have little burning sensation so i started rubbing with ice cubes and i also applied aloevera gel and also boroplus antiseptic cream but still i could see my skin red and little burning sensation is still present. Could you please tell me any home remedy for this or any ointment which could reduce burning sensation and lighten the darkness around my lips Doctor:" + }, + { + "id": 20986, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 29890, + "tgt": "Please recommend a treatment option for the blood clot in my finger", + "src": "Patient: Hello doctor, My finger was pressed between doors around 15 to 20 days ago and blood was clotted in that area. Please refer to the attached pictures. But, since last week, it looks like in the picture. Doctor: Hi. I have gone through all the data posted. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 26961, + "tgt": "I have a recurring rash, but on different places every time. What could this be?", + "src": "Patient: Hi\u00a0doctor,I have a\u00a0skin rash on my legs or arms all the time. There is only one rash at a time and at different places every time. What could this be? I have had this issue for at least 10 years and maybe more. Doctor: Hello. I have seen the image (attachment removed to protect patient identity). But, please let me know the following: Please send few clear images of the lesion, one in the close-up view and the other involving the body part affected. Revert with more information to a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 28113, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24883, + "tgt": "How can I cure my lower back pain due to weight-lifting?", + "src": "Patient: Hi doctor, I have lower back pain. I believe it occurred when I was lifting stuff in the house. I am 30 years old, 170 cm tall and weighs about 90 kg. Please advice. Doctor: Hello. You have caused sprain of muscles or a ligament of lower back due to trauma which is causing pain. You need to start NSAIDs and muscle relaxants for a few days and if possible an X-ray LS spine (lumbosacral) to look for bone architecture. Avoid forward bending and weightlifting. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 12962, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 168, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 17903, + "tgt": "How long will it take for my mother to recover from chikungunya and MG?", + "src": "Patient: Hi doctor, My mother is 80 years old. She has been having myasthenia gravis for the last 10 years and it has been under good control. She took only Distinon tablet three times a day till last month. One month ago, she had a viral fever. She was admitted in hospital for 10 days and the doctors treated her for precrisis MG and chikungunya. She was discharged after treatment. Since last three weeks, she has been in bed with continuing physiotherapy, but the recovery is taking time.\u00a0At the time of discharge, she was advised with the following medicines, which we have continued till date.\u00a0Distinon increased to four times a day,\u00a0Azoran once daily and Tilstigmin (Neostigmine) thrice daily. Do we need to continue with the medicine? Or should we reduce the dosage? Till when she needs to continue it? Would she come back to her old dosage soon? Lastly, how much is the recovery time for a chikungunya along with MG in an old patient? Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 16657, + "tgt": "I have TGL 530. Do I need to go for an angioplasty?", + "src": "Patient: Hi doctor, I have TGL 530. When I consulted doctors, many opinion like angioplasty were given. Do I need to go for an angioplasty? Without medicine, food controller, and exercise, can I reduce TGL to 60 to 170? Doctor: Hello. I guess you did not have any chest pain or any shortness of breath. Need for angiography and angioplasty depends not on the lipid level but on other tests like ECG and echo which helps to predict the possibility of blockages, and whether you had any chest pain or not. Also, the need for angiography depends on troponin level as well which is a marker of heart attack, which is elevated there (attachment removed to protect patient identity). So if it is truly elevated, then you will need an angiography. So overall, you need to undergo ECG, echo as well and if they show any abnormalities, then you will need angiography. If already undergone, then please upload here. If normal, then you will need stress tests like stress thallium or CT coronary angiography. Next, you need to be on medications for both deranged lipid profile like Rosuvastatin, Fenofibrate, maybe Aspirin and for deranged sugars. Without medications, unlikely to control these derangements, so should get started on medications. Need to have a healthy lifestyle like low calorie, sugar, fat and oily diet. Regular exercise like walking or brisk walking according to your capacity. Need to achieve weight loss." + }, + { + "id": 28647, + "tgt": "What is your opinion about my right-sided abdominal cramps?", + "src": "Patient: Hi doctor, The following symptoms started about four hours ago. I am experiencing cramps on my right side, near my hip bone. I feel them more in the front but at times, can feel it in my back. At first, the cramps were minutes apart, but now they are roughly 30 seconds apart. I am a 43 year old female. My height is 5'4\" and weight is 140 lbs. I am not having any sort of bathroom issues. I have not had a menstrual cycle in the last three years due to uterine ablation. Kidney stones do run in the family. What is your suggestion about my cramps? Doctor: Hi. Previous chronic gynecological disorder or chronic GIT disease (gastrointestinal tract disease). 1. CBC (complete blood count). 2. Abdominal ultrasound. 3. Biochemistry test includes CRP (C-reactive protein), ALAT (alanine aminotransferase), ASAT (aspartate aminotransferase), GGTP (gamma-glutamyl transpeptidase), etc. 1. Gallstones. 2. Kidney stones. 3. Oophoritis. 1. Salpingitis. 2. Oophoritis. 3. Gallstones. 4. Kidney stones. pain killers, investigation and physician consultation. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19654, + "tgt": "Kindly share your opinion about my ventricular ectopic beats and VT", + "src": "Patient: Hi doctor, Recently, I had a Holter monitor, which showed 7000 ventricle ectopic beats and a few short runs of VT, only four beats or less than that. My doctor has referred me to a cardiologist. When I asked if it is dangerous, she said no and said that I could exercise. Is that true? I am extremely worried. 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": 17395, + "tgt": "Is the value of Homocysteine-14. 86 too high to take Ecosprin?", + "src": "Patient: Hello doctor, My wife is 27 years old and 10 weeks pregnant now. Her last month period date (LMP) is 13/06/2015 and she had natural conception. This is her first pregnancy and she was operated for left ovarian dermoid cyst and left ovary was removed in the February 2013. As per the blood test report done on 3/08/15, her homocysteine level is 14.86 umol/L.\u00a0She is taking the following tablets as of now: Tablet MCBM 69 1-0-1 from 3/8/15 till date. Tablet Duphaston 10 mg 1-0-1 from 3/8/15 till date. Thyronorm 50 mcg 1-0-0 (before food) from 7/8/15 till date. Also she was advised to take one Ecosprin tablet 75 mg (0-0-1) after food to avoid blood clotting and miscarriage, during our visit to the doctor on 18/8/15. Please advise on the below aspect: Is the value of Homocysteine (14.86) too high to take Ecosprin tablet now in the first trimester of pregnancy? Is MCBM 69 tablet sufficient enough to take care of Homocysteine level? Doctor: Hi. I have thoroughly gone through your case and can well understand your genuine concerns. MCBM 69 is the tablet used to aid in production of blood products and also to prevent any suspected neural tube defect in baby. It contains multivitamins, for example: Mecobalamin, Pyridoxine and Folic acid. This will help your wife to improve her hemoglobin levels. Ecosprin is pregnancy category C and D and usually dangerous to prescribe in last three months of pregnancy and lactation, as it may be a danger to the developing baby then. We may still prescribe it in first three months of pregnancy, if the benefits overweigh the risks. Homocysteine levels are not so correlated to prescribe Ecosprin tablet. Consult back the prescribing physician for time period for which he prescribed it for your wife and exact indication why he had prescribed it. Homocysteine levels test is also advised in cases of homocystinuria. Homocysteine levels also rise in cases of decreased estrogen levels. And your wife has got her one ovary removed, so she has low estrogen and high homocysteine levels may be due to that. 14.86 is not very high levels of homocysteine, but you have to keep a check and do serial tests to keep an eye if the levels are going up or low. Homocysteine levels in plasma may also increase in hypothyroidism, and in deficiency of folic acid, vitamin B6 and B12 deficiency. Your wife seems to be hypothyroid as she is on thyronorm. Thyroid profile. Comprehensive metabolic profile. Serial serum Homocysteine levels. Do not stop taking any medications without actually consulting the treating physician. He has all the case details and have done complete physical examination too. Get back to an internal medicine physician online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17141, + "tgt": "Can my gallbladder stones be dissolved without surgery?", + "src": "Patient: Hi doctor, Few soft echogenic calculi with sludge are seen in my gallbladder lumen,\u00a0one of which measures approximately 14.1 mm. What should I do to dissolve them without surgery? Doctor: Hello. For further queries consult\u00a0an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7187, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 1522, + "tgt": "I am 11 days late, and I started spotting yesterday. Is there any possibility that I am pregnant?", + "src": "Patient: Hello good morning, This is not covid related. I just want to ask something since I cannot go out for check up. I am delayed for 11 days and yesterday I started to have spotting. It is unusual to me since I know if I have my period. I don't feel any cramps yesterday and even today. The flow is not heavy. I can feel dizziness sometimes however, the result of my PT was negative. Is there any possibility that I am pregnant? My husband and I are hoping to have a baby. Doctor: Welcome to icliniq.com. As the pregnancy test is negative it's less likely to be pregnancy.... however inview of false negatives with preg card, do a blood test called serum beta hcg to confirm it..... sometimes cycle can be delayed due to hormonal changes, stress, increase in wt, alteration in the diet pattern ,hypothyroidism etc.... .. if this irregularity continues in subsequent cycles ultrasound pelvis is required to look for the cause... (note - if it's not possible to get blood test done, due to lock down repeat the urine pregnancy test right in the morning (first morning urine) ).hope the suggestion is useful... regards n wishes for u to conceive soon. delayed cycle- hormonal serum beta hcg, TSH, usg pelvis( if irregularity continues) hormonal to review with beta hcg if any queries...." + }, + { + "id": 26382, + "tgt": "Will drumstick leaf soup reduce the amniotic fluid or harm the baby in any way?", + "src": "Patient: Hi doctor, I am five months pregnant. I am taking one glass of drumstick leaf soup daily. My neighbors\u00a0tell me it will reduce the aminotic fluid. So, I am confused. Please give me a good suggestion. 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": 16583, + "tgt": "Vaccinated dog bite my daughter. Is anti-rabies vaccine needed?", + "src": "Patient: Dear Doctor, My daughter is 5 years old. A vaccinated dog scratched her right hand with its teeth. There is no skin damage but deep red mark is visible. Is anti-rabies vaccine optional or compulsory for her? Doctor: Hi, Thank you for your query on icliniq.com. Let me explain the seriousness of the deep red marks simply : Visible deep red marks could mean a very small wound but it is still a large door for rabies virus to enter. If rabies has once developed, then it has no treatment. Prevention by anti-rabies vaccination is the only available treatment in a case of dog bite. Anti-rabies vaccine, available now are very safe. I advise you to give her the complete schedule of anti rabies vaccination after consulting a doctor immediately. Hope I have answered your query. For further clarifications regarding the vaccination schedule, consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 25780, + "tgt": "How can these boils on my face be treated?", + "src": "Patient: Hello doctor, I am a 31-year-old female. For the past one month, I have got these boils on my face. Ten years ago, I had the same issue and got treated. It is a kind of acne that is what the doctor had diagnosed at that time. At present, I do not take any medications for the same.These are the same kind of boils that I have been getting on my shoulders too and they are brown in color and not skin color. In the past, I used to apply Clear Gel, Sofradex and Cetaphil face wash and had been prescribed two other medicines. I have attached pictures for your reference. Doctor: Hello. I saw your clinical pictures (attachment removed to protect patient identity) You have lots of closed comedones on your forehead. Yes, it is acne. There are two types of comedones. They are closed comedones nothing but whiteheads and the other are open comedones which are the blackheads. Closed comedones should be removed, we call it comedone extraction. For this procedure, you need to meet your dermatologist. The one near your right lower eyelid in the picture looks like milia. The picture is not very much clear, hence I have mentioned it \"looks like.\". A milium is a cyst, forms around eyes because of friction and rubbing. It appears whitish in color. It can be removed the same way as closed comedones or it can be closed comedones with enhancement of light on picture making it look like milia. Comedone extraction is the best treatment until you visit your dermatologist for this procedure. I suggest you start using Deriva-Cms (Adapalene Topical, Clindamycin Topical) MS gel for these comedones in the evening You should apply a very little quantity like the size of a pinhead. You should apply only on the top of each comedone at 7 p.m. Make sure it does not touch the skin. Wash your face at 10 p.m. before sleeping. Acne can be seen on shoulders, chest, arms as well. You have acne on your shoulders, which is leaving pigmentation. Use Deriva-Cms gel on shoulders also. Cetaphil Gentle Cleanser face wash, wash your face four times a day. I would like to suggest a few skin care tips here too. Do not touch your comedone. It will leave pigmentation and scar. Use good sunscreen on the face for 30 minutes before going out in sun. Do not use oil for scalp before taking bath, you can use oil after bath. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20501, + "tgt": "My foreskin is tight and not coming down. Please help", + "src": "Patient: Hello doctor, I am 29 years old. I am a male. Though I have been having healthy masturbation since past 15 years or more, the head of my penis is visible only a little bit and the foreskin not fully comes down. Will that situation hamper my married life? Having sex with a condom is possible right? For a long-term situation, shall I look at exercises or eventually get it circumcised? Doctor: Hi. If the foreskin does not retract fully, then it is difficult to perform the sexual activity because it can cause pain and can cause rupture of the frenulum. It all depends upon the severity of the condition. It is advisable that you meet a surgeon in person for an evaluation so that after evaluation he can guide you for further management. He can give you an exact answer about the operation, whether circumcision is required or not." + }, + { + "id": 30752, + "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": 28325, + "tgt": "How do I stop my imaginary life from influencing my real life?", + "src": "Patient: Hi doctor, I am a 19 year old girl. I have a very stupid habit that has caused a lot of problem for me, I have met a lot of psychologists, but I could never talk about my exact problem with them. It seems to be a ridiculous problem, but I ask your\u00a0sincere help. When I was 15 years old, I watched a romantic movie which caused my\u00a0problem, since then I made an imaginary life with an imaginary man in my mind. I have got involved with this problem for years. When I was a child, I had difficulties which I could not solve at that time, so I started fantasizing and tried not to involve myself in real life's problem. But then, there was no\u00a0love in my imagination, I was a very happy successful girl, and I was a famous, respectful person. But after I got defeated at a state level game, I understood that I am not intelligent enough to achieve such goals, I was so depressed with no enthusiasm in studying. I got to know about sex and intercourse, I was confused and hated my gender, I thought of changing my gender. I had depression, and I was so disappointed about life. Then I started to imagine a man who lived with me, and I loved him so much. Instead of facing my life problems, I used to fantasize about him. From last year I have imaginary sex with him. The problem I have is that my life is interrupted by my imagination. I cannot deal with other students, especially boys. I have lost my confidence, do not have the enthusiasm to\u00a0study. I cannot focus when I am in the class, and I do not take any efforts to solve my problem. I just keep imaging a peaceful life with no problems, sometimes when I cannot control my anxiety and stress, I start having sex in my mind. I do not know what to do, and I want to stop this imaginary life. How do I stop this imaginary life and love? I know this man is not\u00a0real, and whenever my imaginary life becomes\u00a0sad, it has an influence on my real life. I currently take tablet Levebel\u00a0500 mg, two tablets a day. Doctor: Hi. Thanks for sharing your problem with me. I can understand your problem. You have given a complete elaborated history regarding your problem. Hope my answer helped you, and feel free to ask whenever you need my help. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 20268, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15765, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18485, + "tgt": "Why am I having anxiety and panic attack?", + "src": "Patient: Hello doctor,I have anxiety and panic attack. I had chest pain and went to the doctor who said that EKG is normal. He prescribed me Zoloft and Buspar. Doctor: Hello. Yes, it could be due to an anxiety spectrum disorder. But do not worry as the treatment is possible. Continue with Zoloft (Sertraline) and Buspar (Buspirone). Medicines usually take around two to three weeks to start exerting the effect. Also, practice relaxation techniques like breath relaxation excercises daily as it will help you relax and ease your anxiety. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 30534, + "tgt": "Is there a risk of getting HIV after flu shot?", + "src": "Patient: Hi doctor, Yesterday, I had my flu shot. The tables were lined with individual syringe shot packages. The lady was not wearing gloves. She swiped my arm, gave the shot and said that I bled a little. She picked up a small piece of tissue like paper and pressed it on me for a few moments. She did not have any cuts or blood on her hands to my knowledge. But now, I got to worrying if I could have gotten HIV from this. What if she had blood from someone else on her finger? Please help.me. Thank you. Doctor: Hi. For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 24206, + "tgt": "Do white spots and stains on genitals indicate lichen planus?", + "src": "Patient: Hello doctor, Is this lichen planus? I also have white spots and stains on my genitals and inside my mouth. I have attached pictures for your reference. I had alopecia areata in the past. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). Yes, it is lichen planus. There will be itchy red to violaceous small bumps over the skin and on the mucosal surfaces like mouth and penis. It will have a whitish lacy pattern. It affects the mouth, genitals, inner aspect of wrists, forearm, outer aspect of legs, nails, sometimes palms and soles as well. Do not scratch. If you scratch you will get new bumps along the line of scratch. This is called Koebnerization. It is an idiopathic condition and the exact cause of this is not known. This is mostly triggered by infections, certain medicines, chemicals, and dental amalgam made of mercury. You need treatment in the form of creams and oral tablets which require blood work before prescribing oral medicines. Kindly meet your dermatologist for your complete physical examination to access the extent of involvement. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4723, + "tgt": "What could be the rashes in my legs causing extreme itching and petechiae?", + "src": "Patient: Hello doctor, I am a 26-year-old female with no significant health history. I have anxiety, and I had hyperthyroidism in the past. I have had an itchy rash for over three months. It started as a small patch behind my left knee. It happened after having a ring shaped rash on my left thigh. I was treated for that with antifungal cream and it went away. This new rash is completely different. I am extremely itchy to the point. It is interfering with my life. There is no obvious rash unless I have already scratched that area. I then get a bunch of small skin-colored bumps. Also, after scratching, I often get petechiae and bruising. The itch is everywhere but my face. I have been waking up wet from sweating even though my bedroom is fairly cold at night. A few times I have checked, I had a small fever of around 99.1. My doctor puts me on antihistamines (Benadryl at night, Claritin during the day) and steroid cream. It has not worked. She recently wrote me a prescription for Prednisone, but I am worried that a skin allergy just is not what I have. I am currently taking Effexor 75 mg, Klonopin 0.5 mg when needed. Doctor: Hi. You do have a bright red colored rash over the legs. Such rashes occur mostly as a response to allergies. Now allergies can be because of food (artificial colors) or even at times because of insect bites. The petechial patch on the shin is nothing but a result of excessive scratching of the skin. You must use a good preservative-free hydrating moisturizer (Cetaphil Restoraderm) in the morning. If the itching is severe enough, there is no harm in taking a short course of Prednisolone. Most importantly, get your blood workup (complete blood count) done. You can get back to me after the blood work is done." + }, + { + "id": 15368, + "tgt": "As I faced two miscarriages, I had thrombophilia panel test. Is there anything suspicious?", + "src": "Patient: Hi doctor, I am a 36-year-old female. I had two chemical pregnancies this year, and I am childless. Due to my age, I decided to investigate more. The thrombophilia panel test results recommended me to see a hematologist. I have positive results (heterozygous) for MTHFR C677T, PAI 4G by 5G, AGT M235T, factor XIII Val34Leu, and fibrinogen 455 G by A. Will I need special treatment for a future pregnancy? Please help me. Doctor: Hi. I have reviewed your case. It seems that you had two miscarriages. So, you have to know a little detail about your condition and to understand thrombophilia. The risk of abortion is none to minimal in normal pregnancy whereas intermediate and high in heterozygous and homozygous mutation respectively. In your case, as you have twice pregnancy failure, I have two recommendations. Try to do APLA test (antiphospholipid antibody workup) which is just the extension of thrombophilia work up. During future pregnancy, usually in your case, we need to give some medications which can maintain your blood flow, and it can prevent the micro clot formation in the placental blood vessels, and hence the chances of abortion will get decreased. These drugs are needed to be prescribed by your hematologist (low molecular weight Heparin and Warfarin). You can discuss with your hematologist regarding the test suggested and about the drugs that may help you in future pregnancies." + }, + { + "id": 19103, + "tgt": "What is the treatment for chalazion?", + "src": "Patient: Hi doctor, I have chalazion in my right eye for the past eight months. What should I do? Please tell me. Doctor: Hi. For further doubts consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 21638, + "tgt": "How can I get rid of male breasts?", + "src": "Patient: Hello doctor, I wanna get rid of man boobs. What should I do? I do not even have time to go to the gym. Doctor: Hello. Once established these will require surgical excision. This can be done through the infra-areolar incision or liposuction. You can try to lose weight and go to the gym to improve your pectorals to see if that is acceptable to you. Otherwise, surgery is the only option. For more information consult a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 26447, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 30364, + "tgt": "Please check my son's bilirubin report and advise us", + "src": "Patient: Hi doctor, I just\u00a0want you to check the report of my son, who is 3 days old. Kindly check the report and tell me about his health. Is everything fine in the report? Doctor: Hi. I can understand your concerns.\u00a0I have seen the report that you have sent (attachment removed to protect patient identity).\u00a0 For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 26305, + "tgt": "How can dengue be treated in my 8-year-old child?", + "src": "Patient: Hello doctor, My 8-year-old child is suffering from dengue fever. She has been having temperatures of 101 degrees in the nighttime for the past five days. Yesterday, her blood count was normal. But, today, her blood count is 12,000. I am very afraid. Please suggest any treatment. She is on NS i.v. only. But, she does not like to drink any liquid items either. What should I do? Doctor: Hello. For more information consult a\u00a0paediatrician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 4517, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 27482, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 20447, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 16646, + "tgt": "I am possessive with my girlfriend and feel insecured about her. Why?", + "src": "Patient: Hi doctor, I feel irritated on deep thinking about people who are cheating\u00a0me. I am possessive with my girlfriend and feel insecured about her. I am getting anger for very small reasons and answering in very serious mode.\u00a0I need mental relaxation for myself. Please help. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 1293, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 5728, + "tgt": "A 28-days-old baby is not crying. Is it normal?", + "src": "Patient: Hello doctor, My baby boy is not crying. He is 28 days old. Although he cried little after birth. He used to sleep all times about five days ago. We were unable to feed him. Four days ago a tube was passed from nose to feed him. Now he opens eyes and has started moving his arms. But still he is not crying or making some noice. Doctor: Hello. The condition which you have described is called birth asphyxia, where in a newly born baby does not cry at birth and requires some kind of assistance to breathe. Such babies may have damage to the brain, heart, kidneys, etc. The extent to which it effects the body organs, depends on the severity of the disease. If your baby is still on tube feeds at one month, the damage to the brain is extensive. Your baby would require MRI brain (no radiation effect) to know the severity of injury. There is possibility he might not attain some functions and might not do his daily activities by himself. He might require gastrostomy for establishing feeds, so that you can feed him at home by yourself. He would later on require neurorehabilitation." + }, + { + "id": 10600, + "tgt": "I have a red dot on my penis head. Could it be herpes?", + "src": "Patient: Hello\u00a0doctor, I had a UTI two years ago that went untreated which resulted in the problem. I now have a permanent red dot on the head of my penis. No pain, bump or itching has ever come from the said dot. It has not increased in size in over a year. I have been using Kermatazole on the penis head for over a year now when the redness gets brighter. I take comprehensive STD tests every four months. The readings are always the same and the results negative. Now, I am worried that I have tested as an early case of herpes II simplex (genital herpes). I have performed two HSV2 IGG quant tests this year. Four months ago, I tested with a reading of 0.076. This month, I tested with a reading of 0.232. I had several different sexual partners during this period with unprotected contact, but no unprotected penetration, including two days before the most recent test. Should I be worried I contracted genital herpes? Doctor: Hello. I understand that you are greatly concerned about having early genital herpes. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 3367, + "tgt": "Husband has beta thalassemia trait and wife is not a carrier. Can there be safe pregnancy?", + "src": "Patient: Hello doctor, I have done a pre-marital test with a prospective groom and he has beta thalassemia trait and I am not a carrier. Is it safe for pregnancy and child? His hemoglobin count is 13.1 and HbA2 is 5. How safe is this for child's health? Doctor: Hello. Following is my opinion for your asked question. If you are not having beta thalassemia minor then no need to worry. Your future child can have thalassemia minor. But no need to worry for trait of thalassemia minor. Thalassemia major is the dangerous one in which life span is reduced. But as your report is normal as per history there is no chance of thalassemia major in your future child." + }, + { + "id": 22436, + "tgt": "Why is there still bleeding after 12 days of taking Mefigest pills for abortion?", + "src": "Patient: Hi doctor, My wife used Mefigest pills for the abortion of one-month pregnancy but she is still bleeding up to 12 days and I am not with her right now to take her to a doctor. Which medicine or precaution will help her? Please reply. Doctor: Hi. If she is bleeding moderately after 12 days, she needs to and see a Gynaecologist and get an ultrasound to see if there are any products of conception left behind inside the uterus. If there are, then she needs to undergo a dilatation and curettage which is a minor surgical procedure to empty the uterus. If the products are left behind, they can get infected too. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29392, + "tgt": "Are there any tests to confirm IBS?", + "src": "Patient: Hi doctor, I have extreme upper abdominal pain or pressure feeling after eating. It causes nausea and vomiting within minutes after eating or drinking anything, including water sometimes.\u00a0I have had several CAT scans, barium x-ray, two endoscopies, an EKG, a CAT scan of my brain and tons of blood work including endoscopy biopsy. Everything is apparently fine besides random high blood pressure and it is controlled with blood pressure medicines and an instance of higher, but not extremely high liver enzymes. They also found a small sliding hiatal hernia, which they say is not inflamed and would not cause this.This started after excess vomiting during my pregnancy. I ended up being diagnosed with pre-eclampsia that turned into HELLP syndrome. I had really high blood pressure, protein in urine and high liver enzymes. I delivered my baby through emergency C-section before two months. Before leaving the hospital, I\u00a0ate a meal again and ended up with vomiting. They said that it was due to gas bubble. After going home, my symptoms got worse each day causing me to go to the ER. I eventually ended up getting my gallbladder removed three weeks ago and was great for three days on Oxycodine. I have since been hospitalized\u00a0four times where each time they did testing, gave morphine for pain and never find anything in the ER. They discharge me without solving the issue. I am currently admitted by my gallbladder surgeon and going home tomorrow after four days because they say there are no other tests at the time. I am scared and really want some help. Morphine or any pain medicine for that matter is the only thing that helps once it kicks in. If I go home, I will be back in the ER within three days with dehydration because without IV my symptoms get worse each day to the point of extreme dehydration. I must also state that since the four days in the hospital I have extremely improved, but this has happened before. The only reason I think I am improving here is because the pain medicines allow me to eat small portions (liquid diet). Without the pain medicines, the pain will never go away. I also threw up blood that looked like coffee grounds about three times or so, but they said it is normal because of the amount of vomiting I am having. If I am not in the hospital, the pain and nausea become so bad and I vomit every 15 minutes and end up going to the ER from the pain and fear of dehydration. I have a history of GERD and was on Nexium for a whole year and still on it. I am currently prescribed Klonopin for anxiety from all the stress, BP medicine as needed and Oxycodine as needed for when I do try to eat or drink while in the hospital. I was recently removed from Morphine, which I was on for 3 days. Sometimes eating anything will immediately return my symptoms while other times, I can eat a few bites and feel fine. The pain is in my upper middle abdomen and middle chest. It radiates directly to my back, between my shoulder blades and behind my stomach. Do you have any other suggestions or tests or any possible things to check for as well?\u00a0Please help with my upper abdominal pain and vomiting. 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": 28047, + "tgt": "Does nutcracker syndrome cause stress and depression?", + "src": "Patient: Hello doctor, I am a 21 year old\u00a0student. I recently found that I have nutcracker syndrome. I\u00a0fear that it will affect my mitral valve prolapse or cause some damage to the\u00a0heart, leading to stress and\u00a0depression. Doctor: Hello. Hope this helps. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7448, + "tgt": "I am not able to have physical relationship with my fiance. Please help", + "src": "Patient: Hello doctor, Lately, I have been aroused and sexually attracted to my fiance in my head, but when we start to fool around, I feel like I do not want him to touch me. Like he is a family member and not my fiance. We have also only fooled around maybe 10 times in the past year. We have been together for two years. Doctor: Hi. Your query shows that you are experiencing mixed kind of emotions and need some help. The reported problem is different than the one you are going through. There is more to it which needs attention. The relationship is yes, a problem at present. That may be because of what you had been dealing with. It happens when we struggle with something, it takes time to come back in a normal routine. Also, you need to discuss openly with your partner if you have any questions in your mind about his life. Without them being cleared, your mind would be preoccupied." + }, + { + "id": 7969, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 26400, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28580, + "tgt": "Please suggest some permanent cure for recurrent reddish spots on the back of my leg", + "src": "Patient: Hi doctor, I have some reddish spots particularly in the back of my leg, which is growing, itching, and spreading on my skin. If I apply Candid B solution regularly, it gets reduced and disappears. However, if I stop using this solution, it starts growing back. What is this? Please suggest some permanent solution for this. Doctor: Hi. \u00a0Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14446, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 13018, + "tgt": "What is causing burning pain in penis with yellow colored urine?", + "src": "Patient: Hello doctor,Burning penis (pain), urine color yellow, smell like fish or ammonia. Whenever I eat hot food or hot drinks sometimes the burning increases. I feel a little better whenever I drink water. Please give me medicine for the above problem. Doctor: Hi. You can have acute urinary tract infection. For that, you can investigate with urine routine microscopic examination. If pus cells and bacteria present then urine culture can be done for further work up. It is advisable to drink lots of water and fruit juices. Avoid the intake of excess spicy foods. You can revert back with urine routine microscopic report once done." + }, + { + "id": 5339, + "tgt": "What are the ways to cure plagiocephaly in a baby?", + "src": "Patient: Hello doctor, My baby is 2 years old and has plagiocephaly. Can it be cured normally? Doctor: Hi. Plagiocephaly or flat head syndrome is caused when baby is kept in supine position most of the time. This usually occurs when the baby is small and it gets corrected by changing position of head frequently. In your case, the age of child is 2 years so most of the sutures in head are fused and skull bone has also formed. If plagiocephaly has persisted for so long then it is a bit unlikely that it will resolve now. However, for better judgement, I would like to see some pictures of head of child and an X-ray of head to look for sutures." + }, + { + "id": 27295, + "tgt": "My husband has not had a bowel movement in two days. Why?", + "src": "Patient: Hello doctor, My husband has not had a bowel movement in two days. His urine is close to brown. When he lays down, there is a pressure on his head. When he stands up, he is dizzy and off balance. He drank close to a gallon of water yesterday and did not have the bowel all day. He did go it once but, it was dry heaves. This has been going on for about a week. He is type 2 diabetic. Doctor: Hello. Your predominant complaints are constipation, giddiness on standing and discoloration of urine. Let me explain each. I would strongly recommend getting your BP and serum electrolytes checked preferably in the ER. Regards. For more information consult an\u00a0internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1907, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 15865, + "tgt": "Kindly tell me the best medicine to cure prostate enlargement", + "src": "Patient: Hello doctor, I have the condition of enlargement of the prostate for the last over five years. I am 53 years old. I am taking capsule Urimax 40 mg once in a day and I am able to manage the condition. However, it seems that of late, my libido is negative and the sex life is absolutely zero. Though sex at this age is not important but sometimes for the sake of feeling that you are not 70 years male one desires to feel with a certain enthusiasm. So could you please let me know that whether the prostate enlargement and the Urimax is having a fallout on my libido and poor sex life? Is there any mild medicine for the treatment of this condition which is not having any side effect and is not habit forming and has no withdrawal symptoms if the medicine is discontinued after use? Doctor: Hi. I have gone through your query. The symptoms of BPH (benign prostatic hyperplasia), if severe can have a negative impact on the sexual drive of the person. The medication that you are currently taking, does not have any effect on libido but itself. That said the most likely reason in your case must be reduced testosterone levels, which can be checked. If reduced, you can be given supplemental testosterone. Also, if your symptoms of BPH are not very severe, there are medications that improve erectile function which are effective for early BPH as well. You can consult with your treating urologist for changing your medication and see if there is an improvement." + }, + { + "id": 19589, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28226, + "tgt": "Can cocaine cause elevation in LFTs?", + "src": "Patient: Hi doctor, My recent ALT is 90 and AST is 86. I used cocaine two days before the blood test. Can it cause an elevation in LFTs? If so, how long of an abstinence period would be needed to get LFTs back down to normal levels? Doctor: Hi. Revert back with the answers for the above questions to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician\u00a0\u00a0" + }, + { + "id": 7529, + "tgt": "Swelling on head of penis after masturbation. What is it?", + "src": "Patient: Hello doctor, I am a 25 year old male, unmarried and had no physical relationship yet. Earlier, I have got circumcision. Now swelling of penis head is present. The swelling is more prominent on the left side but difference can be seen on all sides.\u00a0I believe this happened two weeks ago, but I noticed it before a week or so because the swelling or bulging is not actually painful by itself. The cut of the pee hole has swollen from below and looks like a beak.\u00a0Thick transparent liquid seeps out consistently.\u00a0On pressing the swollen area on the sides, hardened veins are felt. When I noticed it first time, the veins were very hard and lumpy. It is a little less right now and swelling is also comparatively less than before. Due to constant attention and pressing, there is slight piercing feeling in that section but this disappears after rest.\u00a0There is slight discomfort, maybe because I have constant attention about it.\u00a0Voluntary erection has become difficult but happens fine by itself sometimes and in sleep. I feel there is reduced stiffness and duration.\u00a0There is no pain or obstruction during urinating or other discharge.\u00a0Please help. Doctor: Hello. Kindly answer these questions, so that I can help you better. Revert back with the information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13952, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 14389, + "tgt": "My sister got dengue fever for the second time. Is she in danger?", + "src": "Patient: Hi doctor, My sister has been suffering from dengue for the past four days. She has got this fever for the second time now. The first time being eight years ago. Her platelet count today is 2.6 lakhs, PCV is 34 and WBC TC is 1900. She is being given saline along with Sumol, Ondem, Levazeo and Milk of Magnesia. She is still having fever of above 102 degrees Fahrenheit. Is her life in danger? Doctor: Hello. I had gone through all the data posted. Dengue is a common viral illness. The difference is there will be profound dehydration, so keep her well hydrated. Let the saline be there and if she does not have vomitings, then give her fruit juices, ORS packets (oral rehydration salt) mixed with water for 3 to 4 liters per day. Give her soft diet to keep stools soft and monitor for any bleeding manifestations, which usually occur if platelet count is less than 20,000. From the reports that are posted, she is holding on and continue all the medications. Dolo 650 mg (Acetaminophen) to be taken according to body weight and age three times a day and keep doing tepid sponging. Consult your doctor, discuss with him or her and take the medicine with consent. Kindly do liver function test and repeat malaria test by doing peripheral smear method. Send me all report and WBC (white blood cells) showing the percentage of lymphocytes and neutrophils of all days; so that we can guess how many more days we need to wait. As for now, her condition is fine. We need to continue the same treatment and rule out the other causes of fever if any mainly malaria as it can mimic dengue. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 28299, + "tgt": "I have prehypertension and right-sided chest pain. What is the cause?", + "src": "Patient: Hello doctor, I was diagnosed with a\u00a0prehypertensive blood pressure of 130/80 mmHg last year. So, I am taking Telma 20 mg every morning since.\u00a0I have reduced the intake of salt and oily food, and I did all the tests like 2D echocardiogram, kidney, urine, and blood tests, and all my reports were normal. I exercise every day for 30 minutes and do yoga. But, whenever I check my BP, it is always 130/80 mmHg. Four months back, I got a lipid profile and ECG done, those reports were also normal. But, I have pain on the right side of my chest, when I move my body from right to left. I took Rabeprazole and Dolo for three days, and the pain went away. The pain came back after a couple of days. What to do? Doctor: Hi. Thanks for your query. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 5813, + "tgt": "Will I get STD just by a touch?", + "src": "Patient: Hi doctor, I had a sexual experience with a massage worker.\u00a0I am not sure exactly, but she seemed to kiss or maybe spit on to the top of my penis during a hand job. Later she rubbed her vagina across my penis. I moved away but it is completely possible that the end of my penis touched her vaginal lips or opening. She seemed wet. This happened twice, maybe three times, for very pretty short moments before she understood it I did not like it. This was the only exposure, no intercourse, oral or vaginal.\u00a0I have been a little stressed, even though I believe the risk is low. It has been about 62 hours since the experience and I have very minor symptoms. They could be just in my head. I have noticed over the last 24 hours a very mild sensation at the end of my penis when I pee. Once the flow gets going I do not really notice. It was not present at all in the morning when I woke up.\u00a0In the last 12 hours I have a mild discomfort in my left testicle, but it comes and goes. I have had just a little trouble with the food here and today had some gut pain. So, the testicle may be just some discomfort from that or stress. It does not feel swollen, but I am not usually paying so much attention to my body. My questions are:\u00a0What am I at risk for and how likely? Do you have any concern over my symptoms? My wife will visit in less than two weeks. Is there anything I can do to be proactive in that time?\u00a0Thank you for reading and in advance for your help. Any extra detail you can provide to your thought process would be greatly appreciated. Doctor: Hi. For further information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 1426, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 27282, + "tgt": "I am a pacemaker-dependent individual. What are my chances of survival?", + "src": "Patient: Hello doctor, I will try to be brief. I am a 49 year old\u00a0female who has been pacemaker dependent for several years. Due to cardiomyopathy EF of 30 %, BNP of 186, and a cardiac event resulting in high troponin. I eventually was switched to a biventricular pacemaker/defibrillator. I had an echo last week (three months post implant) and was happy to hear that my EF is now 50 %. However, I continue to get edema and dyspnea all the time, and my BNP is now up to 490. Can you help me understand what this means? Doctor: Hello. I understand your concern. Although your ejection fraction is now 50%, your BNP (brain natriuretic peptide) value is high which is the reason you are experiencing edema and dyspnea. Increased BNP causes a fluid and pressure increase in your heart, which in turn manifests as edema and dyspnea. It simply means you are still having a heart failure. It is very good that your pacemaker was switched to a biventricular one. In my practice, we use beta blockers and ACE (angiotensin-converting enzyme) inhibitors in combination more aggressively in similar situations. I sincerely do wish you a quick recovery. Best regards. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 24590, + "tgt": "How can polydipsia and TD be cured in a manic-depressive patient?", + "src": "Patient: Hello doctor, I was diagnosed as manic-depressive (now bipolar 1) 43 years back. For many years I was on Lithium and then subsequently on Haloperidol. Then, I switched over to Valproate 18 years back. The results of the Lithium and Haloperidol were polydipsia and TD. TD was treated with Quetiapine, and over many years it almost got eliminated. Polydipsia was treated with Amiloride HCTZ and Telmisartan. So, now it is reduced to three liters daily. Now, I am on Lamotrigine and Oxcarbazepine. There are no side-effects. For sleep, I use Melatonin and Asenapine 2.5 mg. Can you recommend a better treatment protocol which I can try out for all the four problems?. Doctor: Hi. How many episodes you had in the past? Why are you taking medication for the last 43 years? For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 16367, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 30577, + "tgt": "Will erection problem persist after discontinuation of antidepressant?", + "src": "Patient: Hello doctor, I am 23 years old and I am on Citalopram, Buspirone, and Valium. In the past few weeks, I have stopped taking Valium. I am taking only 2.5 mg to wean off and just today I discontinued the Citalopram as well after gradually cutting down from 40 mg to 10 over the last two weeks. I still take 15 mg of Buspirone two times a day. In the past, maybe two years or so I have noticed it is more difficult to achieve and keep an erection. I do not seem to get a full erection like I used to. I do not really wake up with an erection in the morning except sometimes when I have to pee. But, that too not a full one. Also, I have difficulty in urinating to where I feel as if I never really empty my bladder and I always feel the urge to urinate. This makes me ejaculate quicker and makes it hard to sleep at night. I have had physical checkups and blood work and they told me everything is normal and it must be the medication. But, when I searched on the internet, I noticed a few reports of people that they have never recovered sexual function after taking antidepressants and it made me very concerned. I also smoke marijuana daily and I have been smoking for almost 10 years. To the contrary, it has never given me problems with my erection. I would like to know if there is any valid claim that this could persist after discontinuing the medication. What I can do to fix it? Even, Cialis does not seem to have the desired effect on me. Please help. Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 10792, + "tgt": "Can I take Carisoprodol as I am allergic to Ibuprofen?", + "src": "Patient: Hi doctor, I am allergic to Ibuprofen. Can I take Carisoprodol? Doctor: Hello. For further information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 14887, + "tgt": "Why is there numbness in face, arm, and hand on one side?", + "src": "Patient: Hello doctor, I have numbness in my right side of the face and right arm and right hand. Blood pressure is normal. Doctor: Hello. Is it sudden onset or gradually develops from last many days. If it is gradual and it is there since long time period, then it is most probably spondylosis both cervical spine. It is a spine problem where you get numbness, pain, and other symptoms due to compression of nerves between spine. Do you have any history of trauma to your spine, does this pain increase on neck movement, is it associated with tingling, needles and pins sensation, if yes then it further supports the diagnosis. You will need vitamin D level, X-ray cervical spine, spine AP/lateral view and further may need MRI if X-rays are not informative. The treatment for this is physiotherapy to release the nerve compression, traction, cervical collar, medicine and if none helps, then surgery. Till the time you can have tablet Neurobion forte once a day which is a nerve vitamin. You need to visit a neurologist for all these investigations. If the problem is suddenly and of short duration, then it can be a minor stroke and needs further investigation." + }, + { + "id": 20792, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 7666, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 22895, + "tgt": "My sex organ is not getting tight. What can be done?", + "src": "Patient: Hello doctor, I am 26 years old. From childhood, I have the habit of masturbation but due to excess of it, my sex organ does not get tight like earlier and size is also small. Please guide me so that it would not affect my married life. Doctor: Hi. Excessive masturbation is not a good habit, it is like an addiction. So you should limit the frequency of it. You can do it once or twice weekly. But I want to clarify that masturbation never causes a change in the size of the penis, also not known to cause erectile dysfunction. Excessive masturbation causes psychosexual dysfunction, which can affect sexual life. And it is a common condition. So keep masturbation in limit. Decrease the frequency gradually. Try to distract your mind (by taking cold water, deep breathing, talk to family members, and listening to good music), when you have urge of doing masturbation. Follow a healthy lifestyle. Do daily exercise, take healthy food, follow the routine of the day, have good sleep. If you control it, definitely your sexual life will be satisfactory. Best wishes. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 21, + "tgt": "I am 28 years old and my weight is only 48 kg. What should I do to increase my weight?", + "src": "Patient: Hi doctor, I am 27 years old. My weight is 48 kg, and height is 5.8 feet. I am a pure vegetarian. I need to increase my body weight. I am suffering from psychological problems like anxiety. I am not diabetic, BP is normal. I do not smoke and drink. Please suggest foods to increase weight, immunity, and fertility. Kindly advise. Doctor: Hi. How is your eating habits? Your total calorie intake should be around 2200 cal/day. This will include all three meals with a snack in the evening. You can drink any protein supplements at that time. Include ghee two to three teaspoons a day. Cheese or paneer weekly thrice. Exercise every day for 45 minutes to 1 hour. Simplest is brisk walking. Your appetite will increase with exercises. All fruits and vegetables are allowed. Take milkshakes, lassi, protein supplements after your exercise. All kinds of dals and whole pulses are allowed. Whenever you are eating high protein diet follow that by light food. For example, if you are eating channa for breakfast, eat a light lunch. Gradually increase your intake. If you follow my diet, definitely your immune system will become good. Weight gain will happen slowly. Meditation is good for psychological problems. Concentrate on positive things in life. Do not worry too much about your weight. If your overall health is good, it is a very positive sign for you. Follow up after two weeks." + }, + { + "id": 16335, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29290, + "tgt": "My legs are itchy and red. Is that due to insect bite?", + "src": "Patient: Hi doctor, Something appears to have bitten me on my legs. The skin is very red, and when I scratch, the area around it gets small red dots. It is incredibly itchy, and heat makes it worse. When I put ice on it, it feels better. I can feel a tiny lump in the centre of the round red bite, and it pains when I touch the lump. It happened yesterday night. I have had this happened on my ankles before, but not to the same intensity. I am currently only taking Iron supplements. Doctor: Hello. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24245, + "tgt": "How long does a patient with hepatopulmonary syndrome last if not treated?", + "src": "Patient: Hello doctor, What is hepatopulmonary syndrome? How long does a patient with hepatopulmonary syndrome last if not treated? Do patients with hepatopulmonary syndrome get treated easily? Doctor: Hello. I understand your concern. Hepatopulmonary syndrome is a syndrome of shortness of breath associated with hypoxemia (low oxygen levels in the blood of arteries). This is caused by vasodilation of blood vessels in the lungs in patients with liver disease. If liver transplant takes place, the survival rate for five years is 74 %. If no liver transplant, the survival rate is very low. Liver transplant is the key treatment for these types of patients. All the best. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 4429, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 173, + "tgt": "I have Carpal Tunnel syndrome with pain in my hands. Please help", + "src": "Patient: Hello doctor, I am a 17-year-old female. I was diagnosed with Carpal Tunnel syndrome last year but the pain started before that. At that time my hand only hurt when it was bent to a certain position, and it hurts when I am on my fours or when push-up position. It did not hurt when my hand was squeezed or doing hand exercises. The doctor prescribed me with Etoricoxib (Arcoxia) 60 m which I took twice a day for a week and told me not to move my right hand. I tried not to use it as much as possible but since it was school time, it required me to use my hand. After the medication was over, I was not able to come back to the hospital (even though I was told to if the pain did not go away) and talk to my doctor about the condition of my hand. Now, my hand, specifically the palm of the thumb, started to hurt even if it was not bent or I am in a push-up position. It is more painful when it is squeezed. Our place is quarantined and I am sure getting appointments will be hard during this time, so I am trying to relieve the pain at home. But still, I want to have some instructions from the professional. I have 10 Arcoxia pills here at home, should I take it to relieve the pain? Should I follow the initial instructions of my doctor and take it twice every day or just take it whenever I feel pain? What should I do? Doctor: Hello. Please take the pain killer Etoricoxib only if you feel pain. Try to apply a wrist support belt. It will help your wrist to keep in position. Carpel tunnel syndrome. MRI (magnetic resonance imaging) of the wrist. Nerve compression. Carpel tunnel syndrome. Tablet Etoricoxib 120 mg 1 tablet for 10 days, GABA 200 mg one tablet for one month, Rabiprazole 20 mg one tablet for 10 days, Meco OD 1500 microgram one tablet for one month. Do not lift heavy weight. With MRI report." + }, + { + "id": 25389, + "tgt": "Which product is safe for my skin to look lighter?", + "src": "Patient: Hi doctor,I would like to know how and which product is safe for my skin to look lighter. My facial skin does not look like how it used to, and I do not like it. Please help. Doctor: Hello. After 30 years, skin starts to lose its elasticity, and during winter because of dryness, skin looks dull. I would suggest you try: For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 13447, + "tgt": "Is there any possibility to get protein toxicity from protein shake?", + "src": "Patient: Hi doctor, I had a protein shake for three weeks, around five scoops a day. Since then I get a pulsation in my buttocks and legs. This also causes dizziness most of the time. If I eat too much this problem gets worse. Drinking a lot of water helps but it is not sorting out the problem. I was advised to see a toxicologist for this problem as someone said to me that it could have given me protein toxicity. Anything I eat with high protein like chicken, lamb, fish, etc., makes this problem go worse. I also tried to stop eating that for a bit. It did help a little but again it did not sort out the problem. I have tried taking Detox as well. I am suffering through this problem for the last one year. I have been running around my gp. I am really fed up with this problem. All blood tests were done and everything normal. I have also tried taking vitamin C it did help a lot. But I experienced some pains around my kidney area so I stopped taking that too. This shake has definitely done something to me and nothing was helpful. I have tried a lot to find a toxicologist because I think who is the right person to help me with this issue. Could you please suggest me the correct medication for this problem as it is messing me up and stopping me from work as well? Please help. Doctor: Hi. After going through your question I feel that you are really worried about the ill effects of protein shake. Let me assure you that a protein shake is perfectly safe even if you have taken in large quantities as mentioned. The fact that even after three weeks it has not altered your renal function or liver function itself is the proof that you need not worry about the toxic effect of the protein shake. Drink plenty of fluids and try to cut down fried food and junk food as your body mass index - BMI is high. Just bring down your weight. It will ease your problem a lot. Do not worry. You will be all right." + }, + { + "id": 7280, + "tgt": "I am getting clots but no periods after using abortion kit. Is this normal?", + "src": "Patient: Hello doctor, Today I got clot after using abortion kit, but no periods. Before going to the doctor, I got two days period in that also I got clots. I am unable to understand my situation. Please help. Doctor: Hello. Following the intake of proper dosage of abortion kit, complete abortion occurs in more than 95 % of cases. Bleeding following consumption of abortion kit is variable, sometimes heavy with passages of clots, tissues sometimes it may be like menstrual bleeding. The bleeding may persist up to two weeks. You must get a USG lower abdomen done to exclude any retained pregnancy of conception." + }, + { + "id": 11583, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30914, + "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": 2630, + "tgt": "I am unable to focus on anything with anxiety and depression due to family problems. Please help", + "src": "Patient: Hi doctor, I am constantly unable to focus on anything in my life. My brain just seems like damaged. I feel alone, depressed, sudden anxiety attacks, shivering, numbness, extreme mood disbalance, fatigued, extra exhausted, strange short feeling in which I feel very bad for myself like guilty of anything. My mother always curses me and my brothers. Our family is wealthy, educated but my mother and father have some domestic issues which have never ever been closed even I have become 18 years old. I do not want to kill myself but I do not have any light ahead for living. I am not able to describe each and everything right now. I need to contact a psychiatrist or psychologist for better consultation. Doctor: Hello. 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 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. T. Nexito 10 mg (Escitalopram 10 mg) daily one at night after food." + }, + { + "id": 29588, + "tgt": "My 3 year old baby has a lump in the neck. What to do?", + "src": "Patient: Hi doctor, My 3 year old child has a lump on the right side of his neck. We had observed this a few months back and it has increased a little in size right now. At present, he is having fever since two days. The pediatrician has advised to control temperature through medicines for three days and then if required; then we can go for the blood test. But, our concern and worries have increased due to the lump. Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 26013, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11795, + "tgt": "I have shortness of breath on exertion with muscle weakness. Why?", + "src": "Patient: Hello doctor, I have shortness of breath on exertion and episodic mild muscle weakness for about one year. It worsens with fatigue and particularly ptosis. Kindly help. Doctor: Hello I saw the chest x-ray posteroanterior and lateral views (attachment removed to protect patient identity). The findings are, 1. There are mildly prominent lung markings in the bilateral mid and lower zones. The upper zones are clear bilaterally. 2. There is no pleural effusion. 3. The cardiac size is normal. 4. The retrosternal space is normal. 5. The posterior costophrenic recess is free. The above findings can be due to mildly hyperactive airways. HRCT chest scan may be done if there are abnormalities in lung function tests. Please avoid any pollution area or dust exposure. For muscle weakness and ptosis, please get tested to know if you are having myasthenia gravis, the most common cause for ptosis and muscle weakness." + }, + { + "id": 4243, + "tgt": "How to get rid of pubic lice?", + "src": "Patient: Hello doctor, I am facing problem of pubic lice. Please provide effective cream and lotion for it. Thank you. Doctor: Hi. We are here to help you. Revert back after seven days to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10867, + "tgt": "What can I do when my penis discharge some fluid when my partner touch or hug me?", + "src": "Patient: Hello doctor,I am 21 years old with weight 58 kg, and height 5'7\". My penis size is 6 cm in normal, in erect it is 12 cm. Is this normal? What are the normal sex and ejaculation time? I feel very uncomfortable when I meet my girlfriend or talk with her in the phone about some hot topic because my penis becomes erect when she touch or hug me, and there is a seminal fluid is a discharge. What can I do for these problems? Doctor: Hello. I can understand your concern about your symptoms. Many research says the average length of a flaccid penis is 3.61 inches, while the average length of an erect penis is 5.16 inches. Few studies recommended flaccid penis length of less than 1.6 inches or an erect penis of less than three inches should be considered for treatment. Pre-ejaculatory fluid when you are with your partner is normal. Considering your age, you will be fine in a few days. Normal sex time can be from 3 to 20 minutes, depending on the experience and stamina." + }, + { + "id": 17800, + "tgt": "My eye power is -9 on left and -3 on right. Objects double and get dizzy. How to improve?", + "src": "Patient: Dear Doctor, My eye power is -9 on left and -3 on right. I feel very uncomfortable wearing eyeglasses.\u00a0\u00a0When I see, objects double and get dizzy. How to improve? Age - 17 years/ female. Doctor: Hi. Consult an eye care ophthalmologist online for follow up --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 11458, + "tgt": "Hb is 8. 7 during pregnancy. Should blood transfusion be done?", + "src": "Patient: Hello doctor,My wife is pregnant. Her hb level is 8.7 and delivery due date is 4th may. The doctor suggested blood transfusion. Is it necessary? Doctor: Hello. Yes, it is extremely necessary to transfuse her blood otherwise you may pur her life on risk during delivery. Kindly do not delay in making this decision as delivery may occur any time now because she has already completed her term. Low Hb may cause heavy bleeding during childbirth which if become uncontrolled may even lead to death." + }, + { + "id": 29894, + "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": 11559, + "tgt": "What is the reason for burning discomfort in my legs, buttocks, arms, hands, and lower back?", + "src": "Patient: Hello doctor, I am a 46-year-old female. I have burning discomfort in my legs, buttocks, arms, hands, and lower back for six days. There is no weakness, no tingling, no numbness, no confusion, and no stroke symptoms. My friend told me that I might have multiple sclerosis. What could it be? Doctor: Hello. I would like to know some more details about your symptoms, 1. Did you have burning sensations over the whole body below the neck at one time? Or had uneven patchy distribution? Or the location of burning sensation was varying with time like, sometimes at legs, sometimes at arm and sometimes back? 2. Do you have any neck pain or lower back pain? 3. Did this burning sensation start suddenly? Or it gradually progressed and is it persistent? 4. Is there any particular position of body or activity in which this burning increases, during walking, neck flexion, and forward bending? Or any specific situation like stress or anxious state? 5. Have you any urinary symptoms like urgency, frequent urination or urine incontinence? 6. Do you have a history of a burning sensation or other neurological problem? 7. If burning is episodic, how long does it last? And is it also associated with palpitations and breathlessness? 8. How is your sleep? And how is your mood these days? 9. Have you any other medical problem too, like diabetes mellitus or a heart problem?" + }, + { + "id": 27768, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18789, + "tgt": "Is BUN to creatinine ratio normal in my reports?", + "src": "Patient: Hello doctor, Can you please have a look at my reports. Is my BUN to creatinine ratio normal? I am diabetic and I have been taking Glykind-M, half a tablet every day. Doctor: Hello. 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": 19232, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 20927, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 25461, + "tgt": "Are immunochromatography test results after 28 days of exposure conclusive?", + "src": "Patient: Hello doctor, I have had HIV 1 and 2 antibodies test to detect antibodies antigens p24, Gp41 and Gp120 of HIV immunochromatography after 28 days of unprotected vaginal sex and results are nonreactive. Does it mean I am safe from the virus? I am now two months past and I have no symptoms as such. Doctor: Hello. This HIV (human immunodeficiency virus) screening test involves antibody and antigens accurately and detects the majority of those infected at four weeks whereas its sensitivity increases between 99 and 99.9% at six weeks. So most HIV specialists consider the results of this test conclusive at six weeks. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 18086, + "tgt": "Is flattened T wave something to be worried about?", + "src": "Patient: Hello doctor, Recently, I have done some cardiac tests like ECG, 2D echo, TMT and serum electrolytes at my regular consultant. Four months ago, I got blood pressure 140/100. So, my regular consultant suggested I use Telvas CT 40 tablet (only half tablet at morning) daily. Recently, I got gastric problem. So, I went to my regular consultant and he suggested I use Pantop IT 40 mg and I went after 10 days for review and I have done the cardiac tests as mentioned earlier. My actual problem is when the ECG was done, the diagnosis report mentioned flattened T wave (I, V4, V6). Previously, I have done ECG last year but the diagnosis shows normal ECG. Now, it changed. Because of this, my doctor suggested me to do other tests like 2D echo, serum electrolytes, and TMT. Finally, he told me that all the reports are normal. There is nothing to worry but still, I am worried about my reports. Can you please check the reports and suggest me? I smoke one cigarette every day and drink 180 ml of brandy every week. Doctor: Hello. Yes, there are changes in the ECG (attachment removed to protect patient identity). But, your evaluation is normal including echo and treadmill test. Now, the changes in the ECG are likely due to high BP and not any blockages. I guess you do not have any symptoms like chest pain or chest heaviness on exertion or during the treadmill test. So I do not think there is anything to worry about now. Is your blood pressure well controlled? You have to check your BP frequently, thrice a day at least for a week so as to know the pattern of BP. Have a low salt diet. It is important that gradually you quit smoking because smoking is much harmful than alcohol and alcohol occasionally is acceptable but not smoking. 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": 19085, + "tgt": "Could Sysron NCR and Predmet induce periods?", + "src": "Patient: Hi doctor, I got married before seven years and till I do not have a baby. My periods are regular in an interval of 28 days. For this month, I did not get my periods yet. But, my urine pregnancy test was negative. My doctor suggested me to have uterine fibroids and she gave Sysron NCR and Predmet 16 mg for 3 days. But, still I did not get periods. So, please suggest me what problem I have. And why she gave those tablets to me? Please explain. Doctor: Hello. 1. PCOS (polycystic ovarian syndrome). 2. Steroid induced. Get the blood test done. Serum FSH (follicle stimulating hormone), LH (Luteinizing hormone), TSH (thyroid stimulating hormone) and prolactin. For further information consult an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12837, + "tgt": "Other than veneer, is there any solution to treat brown stains on teeth?", + "src": "Patient: Hello doctor, I went to the dentist. I have dark brown stains on my teeth. He said it is from drinking fizzy drink and the only way to fix it is veneers. Is this true? Doctor: Hi. Yes, these are now internal stains that cannot be simply removed through scaling. One of the causes for these kinds of stains is fizzy drinks, others may include taking Iron supplements for long, or may be due to the use of extra fluoride in water during childhood like the use of salty water in some part of your age, use of alcohol, smoking or tobacco. All these may lead to these internal stains. Treatment options for these are composite veneers like economical or veneers of zirconia which are expensive but very good in aesthetics. No need for capping is there as staining is just around gums area (attachment removed to protect patient identity). Feel free to ask if you have any further questions regarding it. Stay happy and blessed. Take care." + }, + { + "id": 6976, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 12308, + "tgt": "Why is there pain in hands and feet with fever?", + "src": "Patient: Hi doctor, My 4 years son had a cough for two days. Now his cough is fine but now he has a high fever on the head side but his hands are ice cold. He is telling pain sometimes in hands and some times in feet. What is the cause? Please explain. Doctor: Hi. From the description, it seems your son is having an upper respiratory infection. If he is playful and active in between fever it may be a simple infection which will subside by its own. You can give Paracetamol during the fever spikes. If his fever is lasting for more than three days, then you have to do a blood test including complete blood counts and may go for antibiotics after consulting a doctor in person. Pain can be part of the infection." + }, + { + "id": 11401, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 16257, + "tgt": "Kindly tell me whether surgery is needed for anal fissure", + "src": "Patient: Hello doctor, I am feeling severe pain when I pass stool. Also, have a couple of blood veins flowing out in the anus. I visited a hospital, the doctor said I had cut which is called fissure. Should I go for surgery? But I do not want to. Is there any way that with medication or any other way it can be cured? Doctor: Hello. I have gone through your complaints. Looks like you have a fissure in the anus. You need to understand one thing. It is not going to heal unless you stop straining while passing stools. As it is a wound at the passage it causes your anal sphincter to go into contraction in pain further causing you to strain and it becomes a cycle. You need a high fiber diet. You can supplement with psyllium husk powder. Also, there is a procedure where dilatation of the anal canal is done to help relax the anal sphincter to facilitate wound healing thus avoiding surgery." + }, + { + "id": 7258, + "tgt": "I am feeling lightheaded and dizzy. Is it because of high BP and triglycerides levels?", + "src": "Patient: Hello doctor, I am a 31 year old male, and my query is related to high BP, light-headedness, and high lipids. Let me first share a background and then I will come to the problem. I am over 6 feet tall, and my weight presently is about 113 kg. I smoke cigarettes regularly, around 6 to 7 every day, for the past 12 years. I consume alcohol rarely, perhaps once every month or once in two months. I do not exercise as such, but I do walk few kilometers at a stretch sometimes, perhaps once in a week or once in two weeks. Apart from that, I walk a little less than a kilometer almost every day. I have a desk job, but I do move around at brief intervals. I barely need to go out in the sun and stay indoors in AC mostly. I normally have home cooked food for breakfast and dinner. However, I take lunch outside. Apart from this, I normally eat out about once a week, and the food is oily and\u00a0spicy. I had been diagnosed with low vitamin D around six months ago, following which I had taken Uprise D3 60K once a week for three months on my doctor's prescription. Now, coming to the problem, end of last month, I had a severe headache, which felt like a constant banging inside my head in the night. This headache disappeared when I woke up next morning. However, since then I had a feeling of light-headedness, particularly, while staring at the computer, walking, etc., but not while lying down. I did not feel any weakness. There was no fever, nausea, and dizziness. This feeling of light-headedness lasted for about 4 to 5 days, which subsided and gradually went away. I visited a doctor within a couple of days after this headache, and he asked me to get a lipid profile, creatinine, TSH, and a brain CT scan done. All the results were normal, except LDL was 84, HDL was 37, and triglycerides were 292. It was also found that I have high blood pressure (140/100 mmHg). I was not prescribed any medication on that day for triglycerides but only Amlokind 5 for high BP. I was asked to totally avoid oily, spicy food for 10 days and then have another lipid profile test. I did so, and after 10 days my triglycerides level was found to have dropped to 192 with LDL and HDL having very negligible change. My BP had gone back to 130/80 mmHg. What may have been the cause of such high triglycerides, BP, headaches, and light-headedness? Kindly share such causes also, which are relatively uncommon or rare. Could either of the high BP or high triglycerides have caused the feeling of light-headedness? Can triglycerides be elevated on their own or there must be some underlying cause? If so, what may be such underlying causes? Look forward to a clear and prompt response at the earliest, please. Doctor: Hello. First of all, thank you for the beautiful history. Thank you. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17097, + "tgt": "Should my fiancee take Primolut N to get her withdrawal bleed?", + "src": "Patient: Hi doctor, I had protected sex with my fiancee, but the condom leaked. She had an\u00a0I-pill within two hours. It was just after her period cycle. She had spotting after a week which lasted for a day and again after 15 days. It\u00a0has been 17 days now since she missed her regular period date. We took a urine pregnancy test on the 5th and 11th\u00a0day of missed periods, and it was negative. Is there any chance of pregnancy?\u00a0Should we consider taking medicines to avoid any possibility of the\u00a0pregnancy and get her periods back? Please suggest something as she is very scared with her periods getting delayed and considering pregnancy. She never had her periods delayed before this. When can we expect her\u00a0periods to come? Doctor: Hi. For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14752, + "tgt": "What can be done for feeling dizzy often?", + "src": "Patient: Hi doctor, I am 29 years old. My problem dates back a few years from now. If I am working sometimes I do not get to eat anything maybe have a cup of tea while working. Then I start feeling quite dizzy. I get water and it is still there for quite a while. It goes for 10 minutes or so after eating. ECG and echo, thyroid, BP are normal. Fasting glucose is 5.6. What is this and how can I stop it? Doctor: Hello. Firstly, I would like to reassure you that, there is nothing to worry about. Secondly, the reason for your current trouble is pretty much explained in your history itself. No matter how hard your job is and the pattern of your work goes, it is mandatory to ensure a proper diet. By diet, I mean, you need to do the following. Make sure you drink enough water daily, at least 8 to 9 glasses of water a day. You need to make sure you have food every four hours. Again, I would like to repeat, regardless of the kind of work you have, keeping healthy is very important. As you have not mentioned your height and weight, I am assuming you are within the normal BMI range. You need to make sure each time you eat, each meal should be inclusive of a protein source, a carbohydrate and a fat source, like for breakfast, whole wheat bread, egg, vegetables, and just a teaspoon of peanut butter or tahini. Include fruits in your desserts after dinner. In the morning hours, soon as you wake up, it is normal to have a low glucose in blood that makes you go dizzy if not compensated well. Therefore, it is important to not skip breakfast. I would recommend making it a little snack instead of a breakfast within the first hour of waking up, like a whole banana, followed by a proper breakfast later in the day. This would ensure normalization of blood glucose level in the morning hours. Before having anything in the morning hours, the minute you wake up, you should make it a habit of having at least 2 glasses of water, with or without lemon in it. It acts as a detox helping flush out the toxic metabolites from your body. It is okay to have tea or coffee along the day. But make sure, you also include a lot of plain water too apart from the beverages. Keep yourself active in the day, through yoga, hiking or workouts or any other physical activity. It helps keep you alert and stimulate blood circulation to fight any dizziness. Having said that, I would like to say that you are fine, just make these changes in your diet and you would be good to go. Stay healthy, happy and positive." + }, + { + "id": 18199, + "tgt": "How many days does it take to get periods after Deviry course?", + "src": "Patient: Hello doctor, I was on a course of Deviry 10 mg for 5 days as I missed my period last month but I am not pregnant. How many days does it take to get my period now? Doctor: Hi. It will take a week or so to get back your periods. So relax and do not worry. Do not take any medication without an expert advice. 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": 9722, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 11981, + "tgt": "Is it safe to apply antifungal cream on the tip of penis?", + "src": "Patient: Hi doctor, I have been itching on my tip of the penis, which also becomes red due to itch. Is it safe to apply any antifungal cream on the tip of the penis? Please suggest some good antifungal cream. Doctor: Hi.\u00a0 I have read your query in detail and do understand your concern. This could be due to fungal infection or due to dermatitis. You may safely apply antifungal cream over this lesion. I suggest Sertaconazole cream, an antifungal cream, which can be applied over this infection. Consult your doctor, discuss with him or her and apply with consent. Revert back after one week to a dermatologist online ---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24512, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 2439, + "tgt": "Why do I have some discomfort in throat following cold?", + "src": "Patient: Hi doctor,I am 20 years old. I had a pretty bad cold three weeks ago. The cold seems to have subsided, but my lingual tonsils seem to be enlarged. I also have little bumps on the back of my throat. I have drainage in the bottom of my throat as well. Also, a few\u00a0patches of white under my right tonsil. I do not seem to have any painful symptoms, except once in a while my thyroid or Adam's apple presents discomfort. But, nothing painful though. I will include pictures if that is an option. I had an appointment with an ENT and he said everything looked normal. Just curious as to why this has not subsided or showed any real signs of recovering. It had been occurring for about three to four weeks. Thank you. Doctor: Hi. Lingual tonsils may get enlarged during an episode of upper respiratory tract infection. Also with details you have provided it appears that you have some remnant inflammation in your upper respiratory tract. That is causing the granular pharyngitis, tonsillitis and mucus drip down the throat. I suggest you take the following medications. Tablet of Trypsin-Chymotrypsin combination that acts as anti-inflammatory twice a day before meals, with Acetaminophen tablet as and when needed, with steam inhalation and Chlorhexidine mouth gargles. Continue this for five days. I also suggest you a tablet of Omeprazole once daily before breakfast for two weeks. If still your symptoms do not subside, then we need to do a throat swab and an endoscopy. 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": 27657, + "tgt": "I feel gas in my stomach and pass too much gas. Should I worry?", + "src": "Patient: Hello doctor, I experience gas in my stomach quite often. I then pass gas throughout the day. If I take antibiotics, it stops completely until the duration of the course. I wish to get cured completely. I was diagnosed with inactive gastritis and have been given PPI for two months but I\u00a0still experience the issue. Doctor: Hello. You are most welcome to ask further queries. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30085, + "tgt": "I feel a sudden change in heartbeat. Will Potassium tablet help?", + "src": "Patient: Hi doctor, Can a normal person take Potassium Chloride (99 mg) tablet for good working of the heart? I sometimes feel a sudden change in my heartbeat. Will this tablet help to rectify that?\u00a0What are the side effects of the above mentioned tablet? I have started taking it just three days before and I did not see any improvement. Doctor: Hi. Revert back with the reports to a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 18255, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 677, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 23063, + "tgt": "How can a headache, body pain, and unwell feeling in the stomach be treated?", + "src": "Patient: Hello doctor, I have got a headache, body pain, unwell feeling in the stomach, fatigue, mild fever which is coming and going for five days. I had got typhoid fever two years ago. Currently, I have taken three pills of Ciprofloxacin 500 mg. What should I do? Doctor: Hello. It seems you are having a viral fever. I suggest you take tablet Dolo (Paracetamol) 650 mg thrice daily for three days. You can also take a combination of Pantoprazole and Domperidone once daily for three days. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You should drink plenty of fluids and eat soft and bland diet. There is no relationship with typhoid you had previously. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 26562, + "tgt": "I have a skin disease with itching in hands and legs with hair fall problem. Give me advice and details related to the disease", + "src": "Patient: Dear Doctor, I have skin disease with itching in hands and legs along with heavy hair fall\u00a0problem.\u00a0I have attached my medical report and prescription (attachment removed to protect privacy). Give me advice and details related to the disease. Also I need more details about the prescription. Doctor: Hi. Your biopsy shows hansen's disease or leprosy in common language. To help you better, I need a few photos of the lesion and few more details. Also kindly answer the following questions: For the hairfall you can start tablet Follihair." + }, + { + "id": 29784, + "tgt": "Following radiation therapy, my mother's skin has become black. Why?", + "src": "Patient: Hello doctor, My mother is 55 years old. She was diagnosed with right breast carcinoma around 1.5 years back. She was treated with eight sessions of chemotherapy and then, surgery (mastectomy) and again, 25 sessions of radiation therapy. She got the last dose of radiation therapy around four months back. Her skin has become black like burnt skin and it was like that since the last dose of radiation for almost a month. Her black skin has started to rot and it is coming out like blisters.\u00a0There is burning sensation around that area and it pains like a prick. Is it a normal side effect of radiation therapy? We are giving her pain relievers and dressing the wound daily. What should we do to heal the wound completely? Doctor: Hi. I understand your concern. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 26214, + "tgt": "Does regular alcohol intake affect the HIV antibody test results in any way?", + "src": "Patient: Hello doctor, Does regular intake of alcohol, say 150 ml daily, affect the HIV\u00a0antibody tests. If so, can I go for RNA PCR test in such cases? Doctor: Hello. For more information consult\u00a0an HIV AIDS specialist online --> https://icliniq.com./ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 11647, + "tgt": "How to get rid of brain fog?", + "src": "Patient: Hello doctor, I have brain fog like symptoms, chronic worry and stress issues for more than one year. What can be done? Doctor: Hello. Fog like symptoms as you have mild cognitive impairments, cloudy thinking, and judgment impairment, these all are due to generalized anxiety disorder. Kindly consult your doctor, discuss the suggestion and take the treatment with concern. 1) Tablet Fluotexine 20 mg once daily. 2) Tablet Tryptomer (Amitriptyline) 25 mg once a day in the evening for two months. 3) Need behavior therapy with a local psychiatrist. If you have more queries, contact me." + }, + { + "id": 17507, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 8438, + "tgt": "What should I do to remove the dark forehead complexion?", + "src": "Patient: Hi doctor, My face is not as fair as my body. There is a huge difference between my face and body. My forehead is much darker than my face. It may be because I do not take care of my face. What should I do to get fair skin? Please suggest. Doctor: Hello. I read your concern and by the sound of it, it appears that you have developed a lot of tanning on your face. There are few steps that you can take to get a fair skin If it does not help, consult your dermatologist to get a combination of advanced treatment with Q-switched lasers and peels. Follow up after three weeks to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26439, + "tgt": "Is 'bleeding 12 days after a pill' due to regular period or a withdrawal bleed?", + "src": "Patient: Hello doctor, A 25 year old girl with a known complaint of PCOD since a month had unprotected intercourse on the 18th of last\u00a0month. It was her 14th day of menses. She took Unwanted-72 within one hour of the\u00a0act. She had bleeding on the 30th. The bleeding lasted for three days. Now, the\u00a0question is, was that her regular periods or something else? Is she pregnant?\u00a0She is taking\u00a0tablet\u00a0Normoz. Doctor: Hello. For more information consult an obstetrician\u00a0and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1624, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 27553, + "tgt": "A recent sleep study showed 14+ sleep fragmentation in an hour. What to do?", + "src": "Patient: Hi doctor,I am a 46 year\u00a0old female, who weighs 170 lbs and is 5.4 feet tall. I have symptoms of chronic fatigue.\u00a0I had a sleep study recently that showed I have intrusion in every stage of sleep, and I have sleep fragmentation that occurs 14+ times an hour. My sleep doctor did not seem to think this would make me tired. He said the body has a way of recovering from that and getting enough sleep. I was diagnosed with idiopathic hypersomnia without known cause to my fatigue.I have been tracking my sleep with a fitness watch. When I fall asleep, which does not take long, I enter stage 3, that is, slow wave sleep, within 5 to 10 minutes. Can going into a\u00a0deep sleep that quickly indicates a problem or contributes to fatigue? I also will fully wake up during the night (go to the bathroom) but go back to sleep and hit REM within five minutes. I heard that is normal during the night, right? Doctor: Hello. Thank you. For more information consult a sleep medicine physician online --> https://icliniq.com./ask-a-doctor-online/sleep-medicine-physician" + }, + { + "id": 13508, + "tgt": "Is it advisable to use Glutathione for skin whitening?", + "src": "Patient: Hello doctor, I am 21 years old female. I want to use Glutathione for skin whitening. So I want to know whether 1000 mg Glutathione is safe for the body or not? Will taking 1000 mg Glutathione daily show any side effects? If yes, then what type of side effects it will be? Will it affect my menstruation? Well, my health is good. Sometimes, my heart feels uneasy and my knee aches a bit but apart from that I am fit. Doctor: Hi. Glutathione is a natural product and for maximum efficacy, it is given intravenously. However, it is impractical to get intravenous every day hence oral Glutathione is given widely. Ideally, it is given 500 mg twice daily but 1000 mg per day can also be given along with Vitamin C. The side-effects are minimal when taken orally. Though FDA has not approved this product, it is widely consumed in some parts of the world. But remember one thing before you start the treatment, this effect will be present until the pills are consumed. Once you stop, you will return to your normal color." + }, + { + "id": 22576, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 5076, + "tgt": "I have the feeling of being abandoned by my friends. Please help", + "src": "Patient: Hello doctor, I am a 21-year-old female. I stay at my institute's hostel. Ever since I left my home and went to my hostel, I have experienced some issues like fear of abandonment, loneliness, and insecurities. All these all started in my first year of college life when I started feeling left out among other girls. My roommate was not of good nature. She would spread rumors and talk behind my back to distance me from other hostel mates. I was not able to move on from that feeling. I made some friends at the end of my first year. They are also friends with my roommate. I changed my room in my second year. I will be joining the third year of my college in about eight to nine days. There are a few good friends I have and I do not want to lose them. I fear even they will leave and I will be left alone without anyone. I fear to the point that their interaction with a specific person might ruin their friendship for me. My parents do not allow me to go for college trips. I fear if my friends go out with other people for a trip, they will become acquainted with them and will give me less time or leave me alone. There are many nights I cried, and I need someone to be there with me at all times. I cannot even study properly. In a few days, I will begin my third year at college. I am very scared I do not want to go back there. I want to stay at home. I still have two more years in my college life. Please help. Doctor: Hello, Welcome to icliniq.com. I read about your problem. This kind of problem is common in your age group people. You have depressive symptoms due to which person has more negative thoughts. It happens because of some chemical changes in the brain due to which the brain has difficulty in removing stress. It is a kind of illness and needs treatment. The treatment includes medicines (antidepressants) and regular counseling sessions. It would be better to give medicines to you after more evaluation. Either you seek treatment from a nearby psychiatrist or you can have an online consultation with me or any other psychiatrist on icliniq.com that would be better and safe in your situation. We will help you out. Until then try to cut the train of thoughts by exercises, yoga and following your daily routine." + }, + { + "id": 27130, + "tgt": "What can be the cause of breathlessness when climbing stairs?", + "src": "Patient: Hello doctor, I have been suffering from a problem of breathlessness when I climb stairs. I got an\u00a0angiography done two years back. The concerned cardiologist said there is no problem except for a sluggish blood flow. He recommended Ecosprin for two months. But the problem persists. Doctor: Hello. For further queries consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 23386, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 3997, + "tgt": "I have been having neck pain since I met with an accident. Please help", + "src": "Patient: Hi doctor, I involved in a car accident seven years ago. I have been having problems with my neck ever since. I recently consulted an orthopedic specialist and had an MRI done last week. The results are as follow:\u00a0Multilevel degenerative disc disease with straightening of lordosis. Multilevel bulging and spondylotic ridging with superimposed disc osteophyte complexes at C4-C5 and C5-C6, central herniation at C3-C4 and multilevel luschka hypertrophy with foraminal encroachment. Currently, I am taking Aspirin, Lisinopril and Hydrochlorothiazide, Omega 3 and also Synthroid 0.55 mcg.\u00a0I want to know how to deal with these issues? What to expect for the future and which type of exercise to avoid in order to maintain a normal life? Please suggest. 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": 13273, + "tgt": "How can I control anger and anxiety?", + "src": "Patient: Hello doctor, I have a problem controlling my anger and anxieties which leads to erratic, eruptive behavior. It is hard to let bad things go for me. My expectations from others are very high and that leads to making them feel bad for not doing enough. Doctor: Hello. Could you please provide more details about the problem? Do you think that the anger issues are persistent since years or are these issues occurring in episodes? Like you become irritable and have anger outbursts for a few weeks and then you are totally alright? The repetitive anger outbursts could occur in some mood disorders like bipolar disorder. But other symptoms like stubbornness, increased activity, the risk-taking behavior, decreased need for sleep, disinhibited behavior, etc., are also seen. These symptoms usually occur in episodes. This could be due to intermittent explosive disorders. Episodes of anger outbursts are seen usually and sometimes after that, individuals feel guilty because of their behavior. Even atypical depression can present with irritability which cannot be explained. Low mood, sensitivity to rejection, anxiety, etc., are seen. You should visit a psychiatrist for evaluation and treatment. Drugs like Sodium Valproate can be used for controlling mood and will reduce the anger episodes." + }, + { + "id": 27464, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20165, + "tgt": "Why is my 6 year old daughter experiencing diffuse hair loss?", + "src": "Patient: Hello doctor, My 6 year old daughter has been experiencing diffuse hair loss from the past few weeks. The hair loss is at least double than normal, in the 200 range, and it falls extremely easy from her head. It is not patchy and I can find no bald spots, her scalp looks healthy. So far, the loss is not noticeable. Her iron, thyroid, and blood count, are normal. The week before this started we were on vacation. She spent the week in the sun and pool. Her scalp did receive a minor burn that peeled, but it healed quickly. Three months ago, she used a lice shampoo. Nothing else in her history explains this. She does have minor eczema and seasonal allergies. Any idea what is going on and when it will stop? Doctor: Hi. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28705, + "tgt": "I have white debris on the inner side of my cheeks. Is it possible to scrap it off?", + "src": "Patient: Hi doctor, I have white debris on the inner surface of my cheeks, where teeth rub the cheeks and lower lip. Is it possible to scrape off this debris?\u00a0Today after brushing and cleaning the debris, I had bleeding from my mouth. On examining, I found two fissures inside my left cheek, the whole left cheek feels sore and also some parts of my tongue feels sore. The bleeding has stopped. I want to know if these are just sore that will heal, or are they dangerous? Doctor: Hi. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 4994, + "tgt": "There is a red rash on my inner thigh. What is it?", + "src": "Patient: Hi doctor, I have a reddish rash on my inner thigh since 2 months. I have attached a picture for your reference. It is annoying me a lot. Please help. Doctor: Hi. I have reviewed the attached photographs (attachments removed to protect patient identity). According to me you are affected by ringworm infection. I would recommend you to take tablet Terbinafine 250 mg once daily and apply Sertaconazole cream on the affected area twice daily. Continue this for three weeks and revert back. You will definitely notice some improvement. But, do not stop the medicine on your own as recurrence is the most common issue with this condition. For itching take tablet Levocetirizine 5 mg once or twice daily depending on the intensity of itching. Besides this, keep the area as dry as possible. Avoid sharing of soap and towel, wear loose cotton clothes and stay in cool and airy environment. Ringworm. Tinea cruris Revert back after three weeks to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20580, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30719, + "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": 9899, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 17650, + "tgt": "Why am I having egg burps and what can I do to get rid of them?", + "src": "Patient: Hi, Why am I having egg burps and what can I do to get rid of them? Doctor: Hi. Get tested for Fasting Blood Sugar, Liver Function Test (LFT) and revert back to a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 22627, + "tgt": "I often panic for no reason. How can this be managed?", + "src": "Patient: Hi doctor, I am usually getting panic for no reasons for past two years and had therapy sessions. I get panic for extreme fear of losing control, sickness and death, low blood sugar, low blood pressure. I eat my meals regularly, but, I feel like I have not eaten food for the whole day. But, I do not feel hungry and I am just feeling weak. The panics come on and off throughout the day. Sometimes I get panic when I wake up and when I am taking my breakfast late in the morning. I honestly feel like I am suffering from OCD. I tried to increase the sweetness and salt in my diet but there is no change. I am not taking any medicines. I feel like very mild dizzy, dry throat feeling like there is a ball in my throat, fast and hard breath, fast heartbeat with the feeling of a stone in my chest, feels like I am in a race or I am drowned into the sea, extreme fear, stress, with chills and shaking. There is no fever, pain, nauseation present. Doctor: Hi. I have reviewed your query and I can understand how you are worried about the issue. Feeling weak, fear of losing control, sickness, death fear, the feeling of low blood pressure and low blood sugar levels, all symptoms seem to be due to anxiety. Feeling mild dizzy, dry throat feeling like there is a ball in your throat, fast and hard breath, fast heartbeat and feels like there is a stone in your chest, feels like your in a race or you are drowned into the sea, extreme fear, stress, chilled and shaking, no fever, no pain, no nauseation, these all, are the common symptoms of anxiety. Changing salt and sugar levels in your food will not help you to get relieved from this problem. Please take regular meals and it is just a disease which needs evaluation and proper management according to the diagnosis made by a physician. If you are under treatment and you are on a regular visit to your physician, he can adjust the dose of medications if needed. Please ask for PCP (Phencyclidine) when referred to a Psychiatrist and ask him to add some medications for the proper management of anxiety. This problem can be managed only with proper evaluation and management by a Psychiatrist. So proper and timely follow-ups are very important even when you are not feeling good after taking medicines for anxiety. Antianxiety medications take time to have improvement in your condition. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 8722, + "tgt": "My diabetic husband smells of alcohol. Could he have ketosis?", + "src": "Patient: Hello doctor, My husband is a type-2 diabetic. He takes Metformin, Januvia, and Zoloft. He smokes marijuana and cigarettes. He has been on the strongest nicotine patch for the past week, but still smoking occasionally. Twice in the past week, he smelled strongly of beer or alcohol and I thought he had been drinking. He swears he was not. I am concerned he has symptoms of diabetic ketosis. He has been acting very angry and irrational. Could this be a result of using the patch and smoking? Is the alcohol smell something to be concerned about? Should he be seeing his doctor? Is it safe for him to be driving with our children in the car? If it is symptoms of ketosis does it just go away or get worse over time? Doctor: Hello. I just read your query and from what you have mentioned, it appears that your husband has diabetes and he is trying to quit smoking. Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 12050, + "tgt": "I am planing to go for liposuction for weight loss. My weight is 78 kg", + "src": "Patient: Hi doctor, I am planning to go for liposuction\u00a0to lose weight. My weight is 78 kg and height is 5'3\". Kindly suggest. Doctor: Hi. Your calculated body mass index (BMI) is 30.4 kg/m2. Generally we perform bariatric surgery to achieve permanent weight loss for any patient whose BMI is 30 kg/m2 or above. Liposuction is not a treatment option for weight loss. It is a cosmetic procedure for body shaping. There is a set point for fat storage for everyone. This is not altered by liposuction. Weight loss by liposuction, diet control, exercise, naturopathy, amway, herbalife, etc., is temporary, as all these methods do not have any effect on set point for fat storage. So, any fat that is removed in liposuction will reaccumulate over a period of 6 months to two years. Those who can reduce weight by diet control and exercise does not need liposuction and those who cannot reduce weight by above methods will not reduce even after liposuction. Bariatric surgery provides permanent weight loss as it lowers set point for fat storage. If you are looking for permanent weight loss then bariatric surgery is the only scientifically proven method for that." + }, + { + "id": 18775, + "tgt": "How can stomach problems be treated after having had a gallbladder surgery?", + "src": "Patient: Hello doctor, I\u00a0am a 27-year-old female who is 5 feet 3 inches weighing 140 pounds. For the past four\u00a0months, I\u00a0have been dealing with stomach problems such as diarrhea and bloating and lack of appetite. It did turn out that my gallbladder was functioning at 18% and just last week I\u00a0had a laparoscopic surgery and had it\u00a0removed. I have\u00a0never had stomach problems in my life and they do not run in my family either. The only family medical history is heart disease. Anyways, I\u00a0am a bit paranoid. I\u00a0have never had issues with my stomach and it has been a week since the surgery and I still do not\u00a0have a great appetite. I have problems with my stools too. In the morning they are horrible then later\u00a0I have semi-solid stools. I would probably have to go two more times and I find yellowy diarrhea. In the harder stools, I have noticed little red spots that make me nervous. What can these red spots be? The surgeon told me that everything looks good. But, can there be cancer or Crohn's? I have not been eating any items red in color. I actually still have quite a healthy and a low-fat diet. Please help. Doctor: Hello. I went through your detailed summary. Hope your queries are cleared. For more information consult a\u00a0medical gastroenterologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 16899, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13721, + "tgt": "Why are there burning and itching in vagina with milky discharge?", + "src": "Patient: Hello doctor, I am currently not taking any medication. I am 23 years old, 4'11\", 115 pounds. There is burning, itching, and passed some discharge, milky like discharge on the inside of labia minora, just thin layers being wiped off, small like cuts or something are there along with redness, burns when I pee too. I was on Ciprofloxacin for UTI about two weeks ago and Fluconazole for yeast infection. I did not finish antibiotic, still have six pills left. I did not take and only took one yeast infection pill instead of two. I just took it again because I started having this problem again after my period ended. However, I have had a new sex partner within that time frame and do not know if I am fine. I bought one of those vaginal infection kits to test and the stick stayed yellow. It never changed blue or green which meant normal acidity. So, should I still worry about STD or does this sound like recurring yeast infection and UTI? Doctor: Hello. I have seen the case summary. I think your fungal infection of vagina and UTI are still not resolved as I can see you having so much of fungal infection (attachment removed to protect patient identity) plus you have not taken your antibiotics properly. So get urine routine examination and culture again and get blood sugar fasting also. We can also get a high vaginal swab for culture and sensitivity if the infection is not getting resolved. As you are having recurrent infection plus get your partner tested for semen culture and clinical exam to rule out STD as the male partner are usually carrier and do not exhibit symptoms in some infections. Candidal infection. Urine routine and culture, fasting blood sugar, get high vaginal swab culture. For the partner, urine routine culture, semen culture. UTI, vaginitis. Will start antibiotic after the culture report. For vaginal infection use Clotrimazole vaginal pessary daily for seven days. Apply antifungal with steroid combination cream locally to relieve itching and burning of private parts. Just clean your private parts with normal temperature water and do not let it remain wet." + }, + { + "id": 3787, + "tgt": "I have Schamberg's disease with dry scalp, redness and fissured tongue. Please help", + "src": "Patient: Hi doctor, I have Schamberg's disease, dry skin on face, ears, scalp, and mustache, redness on face, steroid induced erythema, geographic tongue, and fissured tongue. Please help. Doctor: Hi. Schamberg's disease is a progressive pigmentary dermatosis which basically involves lower legs. Have you consulted a dermatologist earlier? Please send images of body parts involved and revert back. Also, are there any associated symptoms?" + }, + { + "id": 6885, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14457, + "tgt": "Please suggest medicine and diet plan for high bilirubin levels", + "src": "Patient: Hello doctor,I am a 34-year-old male. I am suffering from jaundice. Last week my eyes have turned slightly yellowish and after that, I had my blood test and hepatitis test. Tests show positive, bilirubin levels are 10 mg/dl. Can you suggest me medicine and diet plan? Doctor: Hello. I went through your post. You have possibly hepatitis which needs to be checked for the type of hepatitis. So viral serology needs to be done. Regarding diet, you have to take vegetables, fresh fruits, and avoid oily and fatty stuff. Most of the hepatitis is self-remitting and resolve of its own so only supportive treatment is given. The medicines are given only if hepatitis persists after six months. For time being you take Dolo 650 (Paracetamol) if there are fever or body aches otherwise no treatment is needed just have to watch for altered consciousness. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1607, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 7575, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 9770, + "tgt": "Had unprotected sex but there was no ejaculation. Is there a chance for me acquire HIV?", + "src": "Patient: Hello doctor, I am 27 years old heterosexual male. I am married and have a three months old baby boy, I never had sex before my marriage neither outside it, but yesterday I went to a massage center which including massage with oil, sona, steam room and then moroccan shower by the lady. During the shower she did touch my penis and kissed me but the kiss without tongue, and it was like a pure kisses then she started rubbing her buttocks along my penis one thing led to other she inserted my penis inside her for about 10 to 20 minutes and I removed it for a few seconds then I inserted back again for few second maybe less than the first time or similar then I removed it and immediately washed my penis pretty good for a while, no I am so afraid for my self and my wife. And I cannot hold not having sex with my wife for any time longer. 1. I asked the girl she said she always get tested every six months and she said she is clean, but I cannot believe. 2. I did not ejaculate, and neither she and I am circumcised, and all the time I was cover in oil and soap, she was also (I do not know this bad or good). 3. I cleaned my self (penis) repeatedly and immediately. 4. Please tell me what to do. I am so afraid. Doctor: Hello. The answer to your question based on the various things that unprotected sexual act without ejaculation still puts you at some risk of contacting HIV as you do not know the other person status. But the good thing is that you are circumcised and there is ample evidence that male circumcision reduces the risk of heterosexually acquired HIV infection in men by approximately 60 % (world health organization (WHO)). WHO and UNAIDS (The Joint United Nations Programme on HIV and AIDS) even recommended\u200b it as an efficient intervention for HIV prevention. In case there are no tears or fresh open wound, chances are very low. However, I do suggest you undertake HIV rapid test now and if negative then a repeat HIV test at three months and then at six months. Take precautions for the future. I hope your query is answered, but if you still have, please revert." + }, + { + "id": 16456, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 8033, + "tgt": "Will I get rabies infection through mild scratch?", + "src": "Patient: Hi doctor, I am a 35 year old male. While I was walking in road in possession, two dogs were behind me. When one dog tried to cross me and its front left leg touched my right foot toe. I saw nothing in my foot initially and it happened around 9 AM. At 10 AM, I washed it with soap and I saw a line of 3 cm thick. It resembled the line when we rubber our dry skin. This line disappeared after a wash with soap. Then I saw a skin tag on that line. After that at 11 AM, I rubbed alum on that place but no sensation of burning felt by me. I have a doubt whether the microscopic scratch is covered by alum. Then at noon I used after shave lotion on my foot to check scratches but do not feel any burning sensation. My doubts are as follows. Can scratch without bleeding after washing with soap get sensed by after shave lotion? Why lemon juice cannot create any burning sensation? Is there any break in my toe? Can potash alum find any microscopic scratch that is not visible in bare eye? Can dog claw carry rabies virus? Will I get rabies virus through this scratch? Am I too late to apply the above skin irritant to wash it? Please help me. Doctor: Hi. From what you have written, I feel that you have a grade one scratch. Since no bleeding was there, you need not worry. Usually claws do not contain any virus, but cannot always be sure. I suggest you to get a prophylactic vaccination done for rabies. Usually, dose of three. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 17664, + "tgt": "Will I recover from vocal cord paralysis eventually?", + "src": "Patient: Hello doctor,I have had vocal paralysis over four months now from a fist fight from strikes to my throat. One doctor says it will take a year and another told me some people never recover. Will I eventually recover because I cannot speak well and it is making everything harder? Voice is raspy and breathy and takes a great effort for me. Will it eventually heal? I am a type 1 diabetic and taking medications for the same. Doctor: Hi. I understand your concern. You are having unilateral vocal cord palsy. As sufficient time had passed but need not worry. You should consult a good speech therapist and try a full course of speech therapy. You may get relief but if no satisfactory result comes then finally, a phonosurgeon may do thyroplasty. Thyroplasty usually gives a good result. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 22382, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 1609, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25848, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30920, + "tgt": "Do I need to worry about panic attacks and irregular heartbeats?", + "src": "Patient: Hi doctor,I feel as if I am getting irregular heartbeats. I had suffered from panic attacks quite a few times in the last six months. Since then, I have been having these irregular heartbeats. Although, I have not had a panic attack now, the heart still beats irregularly and it occurs throughout the day. Do I need to worry? Doctor: Hi. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25415, + "tgt": "What is there head numbness in a thrombosis patient?", + "src": "Patient: Hello doctor, My wife has a high platelet count consistently for two years. She has numbness in her right leg which used to be intermittent earlier but is now regular. We checked her ESR which is also high at 30. The problems she is facing now is numbness in head, headaches, stressed eyes, feels low on energy, and is kind of depressed. One doctor suggested she have a vitamin B12 injection to get out of this depression. Can anyone help us in this? I have attached photographs for your reference. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). Her lipid profile is deranged with high cholesterol levels, her vitamin B12 levels are normal although towards the lower end of normal, and her vitamin D levels are borderline and could very well reach insufficiency levels if not treated. Her T4 levels are also slightly elevated. The normal range for the platelet count is usually taken as 4.5 lakhs per cu.mm so that is within normal limits. I would advise that your wife reduce her intake of fatty foods and oil intake to a minimum. Try to eat more healthy food with more protein intake. Incorporate daily exercise for at least an hour. Take calcium and vitamin D tablets twice a day for at least three months. Consult your specialist doctor, discuss with him or her and with their consent take the medicines.Consult with an endocrinologist regarding the elevated T4 levels. Take foods rich in vitamin B12. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 23301, + "tgt": "I took I-pill thrice in the last one week and now have delayed periods. Why?", + "src": "Patient: Hello doctor,My husband and I had unprotected sex multiple times on the 7th, 8th and 14th. I took an I-pill on the\u00a08th, 9th and 15th morning, within 12 hours of intercourse all the three times. I did not get my periods on the 13th as expected. Is there a chance of pregnancy? Today is the 20th and I still have not got my periods. How long should I wait to take a pregnancy test? Doctor: Hello. You need to understand that these are hormonal medicines and meant for emergency contraception and not for routine use as they can disturb and disrupt your cycles and can cause irregularities in your periods and even lead to ovarian failure. You cannot consecutively take them so many times. Further, you were in your safe period. So, why did you take the I-pill in the first place, that too for three consecutive days? You are playing with your health. Even having sex multiple times a week will deplete your body. Now, your periods will be delayed for a long time, even up to three weeks. Avoid contact till you get your periods. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17316, + "tgt": "I got three blisters under my foreskin after unprotected sex. What to do?", + "src": "Patient: Hello doctor, I had unprotected sex two weeks ago. From the last two days, I am having\u00a0pain and irritation while urinating. I took four tablets of Azithromycin 250 mg, three days ago. Then I took Doxycycline 100 mg, a day back. I do not have pain during urination now. But, I have three\u00a0blisters or red dots under my foreskin, and it pains when I touch. I am applying Candid cream on it from two days. I am attaching a picture of these spots. Doctor: Hi. I have seen the attached picture (attachment removed to protect patient identity). For further queries consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26697, + "tgt": "How effective is a bone graft from the pelvis for nonunion from bunionectomy?", + "src": "Patient: Hello\u00a0doctor, How effective is a bone graft from the person's pelvic area for a non-union from a bunionectomy? This is regarding the first metatarsal of my left foot. I had two previous bone grafts for non-union after bunionectomy. The bone was not taken from my body. I have had bunionectomy in both feet. The right foot was successful. The left foot still has the nonunion. I went to an orthopedic surgeon who said that a bone graft from my pelvic area would work. Doctor: Hello. For more information consult an orthopaedician and traumatologist online --> https://icliniq.com./ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 23248, + "tgt": "Is the bleeding after unprotected sex due to pills or pregnancy?", + "src": "Patient: Hello doctor, I am a 24-year-old girl with 45 kg weight and 5 feet height. My period is regular every time. I had my last period 20 days back and lasted for six days. I had unprotected sex the very next day even though, it was not successful as we did not do it great and he did not cum inside me, but for precaution, I took I-pill before 12 hours and on the next day we tried again with a condom, and we were not much successful this time too. But a week back I got food poisoning, and I had vomitings and loose motions along with that I saw bleeding but not the regular one that I get during periods and today I am still seeing traces of blood coming out. I am worried about why is this happening to me? Is it to be worried or is it a side effect of taking I-pill? Please advice. Doctor: Hi. Yes, you are right. It is because of I-pill. It is called withdrawal bleeding and your period can be irregular for two to three cycle. Drink more water. And it is not pregnancy. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5320, + "tgt": "My son has Graves' disease. Which is the better treatment option, surgery or radio-iodine?", + "src": "Patient: Hello doctor, My son is 19 years old and has been diagnosed with Graves' disease. He had it for nine months. He is now on 2.5 mg of Methimazole and his TSH, T3, T4 are stable. I know the disease never goes away but he is a college athlete and we need his energy back and more stable environment health-wise. One endocrinologist was saying surgery because he is an athlete and the other says radio-iodine. Not sure with sports which one is better. Please let me know which one works better for Graves'? My worries on radio-iodine are, infertility? He is only 19 years old, will it cause other cancers? Will he go bald or teeth get damaged? How much radio will he need? How often do people need two rounds? With surgery, he does not want a scar. But I am concerned about having hyperthyroidism after. What would you do surgery or radio-iodine? Please answer my concerns about both procedures. Doctor: Hello. I would suggest radio ablation is the better option if he is a non-smoker, if he has no eye signs, and if the gland is not very large. As far as your worries are concerned, 1. Fertility is no question. Yes, we suggest avoiding a baby for six months, but your son is too young to father a child. 2. Radio iodine is very specific for thyroid, so no other organ is affected. 3. Again baldness and teeth are not affected as it is not radiation therapy. It is in the form of a tablet and gets absorbed in the thyroid gland. 4. Radio ablation dose will be judged by his thyroid activity and thyroid weight. It will be around 10 millicuries. 5. In case of recurrence, or very active gland, or underdosing there can be a failure requiring repeat dosing. Surgery is not recommended until the gland is big enough to cause compression of the trachea or esophagus causing difficulty in breathing or swallowing of food." + }, + { + "id": 29771, + "tgt": "When should I do rehabilitation exercise after hip bursectomy?", + "src": "Patient: Hi doctor, I am a 32 year old woman. I am overweight, but definitely on a diet.\u00a0I had my right bursa removed before three months and then the left bursa was removed last month. The physiotherapist came around the first time and said that there was no need for physiotherapy. I took it upon myself to get hip bursectomy rehabilitation exercises from the internet. How long should I do these exercises? I find my lower back hurts terribly only on the left. Why? Doctor: Hi. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 28175, + "tgt": "Why am I getting upper central chest pains at 3500 m altitude?", + "src": "Patient: Hello doctor, I am a 37 year\u00a0old female with a\u00a0history of asthma and SVT. I am currently at 3500 m altitude, and I am getting upper central chest pain on inhalation, which is much worse going uphill. I do not have any other altitude symptoms or shortness of breath. What could cause this? I am currently taking Levlen and Diamox. Doctor: Hello. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 177, + "tgt": "After a deep filling in upper molar, my husband has got swelling and pain in gums. Please help", + "src": "Patient: Hi doctor, My husband had a deep filling in his upper second to last molar (left side). About several hours later, he started having discomfort and taking Tylenol and Ibuprofen interchangeably. Now, it has been the second day with severe pain and his cheek is swollen. And the gum over the tooth is in pain but not swollen, and it is a throbbing type of pain. We have no access to the dentist. Please help. Doctor: Hello. In this condition the tooth should not be filled and instead, root canal should be done. As the filling was near the pulp, pulpal irritation is causing the pain. Take tablet Amoxiclav (Amoxicillin and Clavulanic acid) 625 mg one tablet twice daily for five days, Zerodol SP (Aceclofenac, Paracetamol, and Serratiopeptidase) one tablet twice daily for five days, capsule Pan D (Pantoprazole) twice daily before meals for five days, Betadine mouthwash gargle in lukewarm water. If nothing is available right now warm saline gargle will also help for the time being. Take the medication, your husband would be relieved. Do not worry, but I will advise to get the filling out by your local dentist. And your husband needs a root canal. Kindly upload an image of the tooth along with the affected area. Treatment was not done properly. Should have gone with a root canal. Removal of filling and root canal procedure. Upload an image and x-ray available. Your husband will be fine once he gets the medication. But as you both are travelling even warm saline gargle two or three times will help." + }, + { + "id": 20059, + "tgt": "Pregnancy tests were negative, but I passed blood clots. What could it be?", + "src": "Patient: Hello doctor, My period usually comes on the 6th every month, but I did not get my periods of this month. In fact, I forgot it because I did not have any usual cramps like I would. I started feeling weird and having a few pregnancy like symptoms such as nausea, fatigue, headaches and my nose started to get sensitive. A few days passed and I still had no cramps or period. I took two pregnancy tests and they were negative. I went to my gynecologist and had one more pregnancy test. That too came back as negative. I did have problem of UTI and I am now getting treatment for that. I started spotting a day after and the blood went from brown to bright pink to red. Then it started getting heavier, but no cramps. Then I went to the bathroom and a blood clot passed through my urine and the toilet bowl filled with blood. I do not really have the pregnancy symptoms as much as I did before, but what could this be? Doctor: Hello. As the pregnancy tests were negative even after eight days post missed menses, it ensures that you are not pregnant. The symptoms you had were common PMS symptoms (premenstrual syndrome), which subsides slowly once the menses start. There is a possibility that a large endometrial chunk would have got passed out during the start of the flow due to delayed menses this time. So, just allow the menses to continue and you should be fine. The chunk was definitely not a gestational sac or pregnancy, as the pregnancy tests were negative. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26556, + "tgt": "My 2-year-old son has difficulty in speaking. Does he need counseling?", + "src": "Patient: Hello doctor, My son is 2 years old. He can only say a few words like mama, baba, nana, gugu, etc. He cannot even clearly speak his mother tongue. However, he can\u00a0clearly point a thing when asked. He can also recognize his closed relatives. We have tried to teach him more words like didi,\u00a0pisi,\u00a0etc., but all in vain. Can I know where the problem is? Does he require\u00a0counseling? Doctor: Hello. For more information consult an audiologist online --> https://www.icliniq.com/ask-a-doctor-online/audiologist" + }, + { + "id": 23254, + "tgt": "Why do I repeatedly get skin infection with itching on my wrist?", + "src": "Patient: Hello doctor, I have got this skin infection on my right-hand wrist, and I have attached the picture. This has happened five to six times. Last time it happened due to tying thread in hand. This time, I do not know. Last time, the doctor said to have Clavam 625 after Mometasone plus Sertaconazole cream did not help. This time I have taken seven tablets of Clavam, but this is also not helping. It is slightly itching. Please let me know why this skin infection keeps happening to me? Doctor: Hi. I saw your clinical pictures (attachment removed to protect patient identity). I am listing the possibilities in the order of highest probability: I would like to know: Are you getting this lesion at the same site every time? How does it start? Did it start with blisters and then get filled with pus? Is it painful? Is there complete resolution of lesion when you use medicine? Did you have any trauma or injuries at that site like thorn prick or injury with wooden objects? Any contact with nickel metal in that sacred thread? Do you have similar lesions anywhere else in the body? Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15247, + "tgt": "I have got black stools along with fluctuating appetite. Please help", + "src": "Patient: Hello doctor, I have got black stools along with fluctuating appetite, stomach pain, and diarrhea and general run-downness including being freezing. Do I need to worry? Doctor: Hi. I have gone through your query and can understand your health concern. Black colored stools could be due to many causes. It could be due to some medicines like Iron supplements or NSAID analgesic or antiplatelet drugs, etc. If you are taking any of these drugs, stop them. Yes, you need to worry as black colored stools are indicative of bleeding in the gastrointestinal tract also. I suggest you consult a physician as early as possible. You need an ultrasound of the abdomen and pelvis and certain other investigations if required." + }, + { + "id": 29643, + "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": 3644, + "tgt": "Though the lump in my breast decrease on antibiotics, it is still tender. Could it be cancer?", + "src": "Patient: Hello doctor, I am a 25-year-old female. My BMI is 22, I am a non-smoker with no ongoing conditions like diabetes. I am not breastfeeding and have never been pregnant. I developed mastitis very suddenly about three weeks ago, by that evening I was in A and E with a lump the size of an egg in one breast. I was prescribed Cocodamol and 500 mg Flucloxacillin a day. After the first course which was 10 days, I saw the doctor again as the lump had reduced to the size of a large grape but was still painful, I often had fevers and I felt unwell. Doctor put me on another seven-day course of Flucloxacillin and booked a breast cancer screening. I just finished my second course and I am still in pain, with lump still the size of a small grape, and still feel ill and feel like I am getting worse again. Breast is back to being red and swollen. My only option to see a medical professional before my breast screening is to wait for several hours at an urgent care clinic after work. Should I try and get more antibiotics? If so should I insist on getting a different kind? Also please be honest, I know there is a chance it could be IBC but as a young, healthy, childless woman, is it actually likely that I should prepare for bad news or not? Doctor: Hello. Let me assure you that there are no cancers which come suddenly and settles with antibiotics. One breast cancer which progresses over a few period is inflammatory carcinoma of the breast but it does not come in days and settle with antibiotics. You have a breast abscess that settled with antibiotics and some times a part of it gets walled with fibrous tissue were antibiotics do not reach it is called antibioma. I would suggest you take Linezolid 600 mg twice a day as there are chances of resistance to Flucloxacillin." + }, + { + "id": 2323, + "tgt": "Lately, I feel chest and back pain 1 to 2 hours after I eat or at night. Please help", + "src": "Patient: Hi good morning. I am 41 yo ,female, with partner, H5'6\"; W 65 kgs. I would like to consult about the chest and back pain that i am feeling lately. Chest and back pain usually happen 1-2 hours after i eat or at night. No fever. The pain usually take 15 minutes or longer. I felt like i'm being choked by the air in my esophagus and my stomach bloated. When i take antacid like kremil-s chewable or omeprasol i felt a bit relieved but still too much gas in my stomach. My bp is normal. Is there any alternative medicine that i need to take? I have no allergies to medicines. Hope to have meds that are not harmful to liver as I am diagnosed as HepaB asymptomatic or HepaB carrier. Thank you in advance for your help. God bless Doctor: Hello Sorry to hear that you are suffering from chest and back pain. If it's happening after eating then probably it's more of a stomach issue. As your query goes regarding alternative medications apart from Omeprazole and kremil syrup we can definitely change to lansoprazole which is similar to Omeprazole but slightly stronger. Dosage would be 30 mg twice a day for 7 days. There are other things that I would like to discuss. As obvious the above medications are for symptomatic relief but we need to find the root cause of the problem. Possibilities include gastritis, H pylori infection( a type of bacteria affecting stomach), ulcer in the stomach or upper part of small intestine. To rule out any of these you would need to see a Gastroenterologist who can then do an endoscopy and get a tissue sample from your stomach to check for H pylori. I know that you might be afraid of these tests but there is nothing to worry as the procedure is usually painless and done as a day care so that you don't have to stay in the hospital. Atlast maintain a healthy diet. Reduce spices and carbonated drinks in your diet. Some aerobic exercise like yoga should also help. All the best. Take care. I hope you get well very soon." + }, + { + "id": 27717, + "tgt": "I injured my foot during a fall. Should I get it checked?", + "src": "Patient: Hello doctor, I injured my foot during a fall in a creek, a month ago. There is no bruising or swelling. The pain is on the outside of my foot, on the top. It has been getting worse. I am unable to walk or stand for long periods of time. I have been taking Ibuprofen, putting ice on it, and resting. I am unsure if I should head to the emergency room for an X-ray, or wait for two to three weeks for an appointment with my regular doctor. Doctor: Hello. Sorry to hear about your fall. Revert with more information to a\u00a0physiotherapist online --> https://icliniq.com./ask-a-doctor-online/physiotherapist" + }, + { + "id": 27262, + "tgt": "What could cause an unsteady gait in a toddler?", + "src": "Patient: Hello doctor, My daughter was a late walker. She started to walk when she was 18 months old. Now, at 20 months, it feels like she is still very unsteady and her gait is weird. I have attached a link to a video of how she walks. Please see it. Is there a real reason to be concerned or is it normal after two months to be like this? She was born at 39 weeks with an undetected intrauterine growth restriction. Her birth weight was 2.3 kg. Doctor: Hello. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 2879, + "tgt": "My 3-year-old daughter has skin allergy in face. Please suggest ointment", + "src": "Patient: Hi doctor, I have a daughter of 3 years old. Recently since four days, I have noticed on her face a small patches more of like skin allergy. I am attaching her picture which shows her allergy on the left upper lips and cheeks. Kindly advise ointment for her, as we live out of the country. So you are requested to prescribe an ointment. I have used Derma due ointment and even virgin coconut oil but there is no use. Doctor: Hello. I have seen the pictures. (attachment removed to protect patient identity). This seems to be a type of Sun-induced dermatitis commonly present in children. Apply sunscreen like Photostable regularly twice daily over the face eg, at 8:00 AM and 12:00 PM. Apply any moisturizer repeatedly. You can apply Mometasone or Hydrocortisone cream over the lesion once-daily for 10 days only and then stop this cream." + }, + { + "id": 10080, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 9440, + "tgt": "Complaint is hematuria with enlarged prostate. Which investigation will help to rule out cancer?", + "src": "Patient: Hello doctor, I am a 65-year-old with a very enlarged prostate (approx 100 ccs). I had periodic hematuria. PSA has vacillated between 2.7 and 5. Blind biopsy negative. I had two prostate MRI six months apart, one designated pirad 1 and the second pirad 2. I am on flow max and Finasteride. Based on MRI and favorable PSA density, my urologist thinks the likelihood of me having significant prostate cancer is low. How likely is it that the MRI could have missed significant cancer? Doctor: Hello. With your description, it is obvious that you have a large prostate with lower urinary tract symptoms, which you are on treatment with Finasteride for more than six months. With this scenario, PSA (prostate-specific antigen) should be read as twice the value that is reported as Finasteride more than six months masks PSA by half. In that sense, you have a quite significant rise in PSA. However, two biopsies were negative, with no significant pirad (prostate imaging reporting and data system) value, favorable PSA density proves that there is hardly any chance of you being harboring a significant prostate Ca. However, you need to undergo regular screening for the same because of PSA. PSA alone is not taken as a good predictor of cancer, as it is secreted by tissues other than prostate. In your case, a comprehensive evaluation is clearly in favor of benign disease. Please get back to me in case you have any more queries." + }, + { + "id": 25521, + "tgt": "What do my MRI reports suggest?", + "src": "Patient: Hello doctor, I am diabetic and hypertensive and have neuro problems. I want you to look at my MRI reports and advice me accordingly. I have attached the reports. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). The MRI (magnetic resonance imaging) report says that there are chronic ischemic changes suggestive of small vessel ischemia. These changes are usually seen in people with underlying diabetes and hypertension and represent longstanding nature of two conditions. The only way to prevent further progression of the changes is strict control of diabetes and hypertension. These changes in the brain will not lead to any disability. However, you should understand that you are at increased risk of stroke and hence strict control of diabetes and hypertension is essential. For more information consult a neurosurgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 25228, + "tgt": "My hair is thin at the crown. What can I do to make it full again?", + "src": "Patient: Hello doctor,I am a male 21 years old. My hair is thin in the front and at the crown of my head because I believe I damaged it from twisting and pulling my hair for years. My question is what can I do to promote new growth of hairs in my scalp that will fill in the thin spot in my head and make it full again? Doctor: Hello. From your description, I feel you are going through traction alopecia. Yet, I would be more comfortable making a precise diagnosis if I had seen your clinical picture. Tractional alopecia is common when you tie a tight high pony every day. I would suggest you stop wearing a high tight pony, stop using hair bands, start using loose clips or leave your hair free. Hair is basically made up of protein. So, to increase your hair growth, you need to consume more protein. Make sure your meal is full of protein like grilled chicken, fish, spinach, lentils, and egg whites. Avoid hot straighteners and blow dryers. Take multivitamin supplements which include calcium, biotin, selenium, iron, sulfur, and zinc. These are essential hair nutrients. Hope this piece of information is helpful for you. 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 make a precise diagnosis and recommend you FDA-approved treatment. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 29590, + "tgt": "Kindly advise on the dose of Levothyroxine as I had a severe reaction for Nature-Thyroid?", + "src": "Patient: Hi doctor, I was switched to Nature-Throid. Within nine days, I had a severe reaction. It caused panic attacks at night, waking up in sweat and insomnia. Then, my naturopath took me off and said to go back to my Levothyroxine. I take 88 mcg daily and 25 mcg once a week. I just realized\u00a0that I forgot to take the 25 mcg dose since stopping the Nature-Throid. I am just now stabilizing my sleep again and I am still waking up once at night panicking and overheated. I have next appointment\u00a0after a week. Should I just wait until I see her or should I take missed once weekly 25 mcg dose? Doctor: Hi. Revert after four weeks to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 7815, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 16924, + "tgt": "I would like a feedback on my semen analysis report", + "src": "Patient: Hello doctor,I would like to get a feedback on the semen analysis report. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 2888, + "tgt": "Can ectopic pregnancy be detected on a transvaginal ultrasound?", + "src": "Patient: Hello doctor, Can an ectopic pregnancy be detected on a transvaginal or simple abdominal ultrasound, if I am in two to three weeks of pregnancy? What are the chances that an ectopic pregnancy miscarries spontaneously? In case of rupture to the fallopian tube in the ectopic pregnancy, does the pregnancy ends on its own? Or does it keep growing? I read that in an ectopic pregnancy HCG levels grow at a lower rate than they would in case of normal pregnancy. I got a positive HCG urine test a full week after my missed period. Is it possible that the pregnancy is ectopic? (I kept testing on the day of the missed period and two days later but it came up negative). What are the chances of the success of Methotrexate injection in ending an ectopic pregnancy? Doctor: Hi. Transvaginal ultrasound can detect ectopic as early as two weeks, much before TAS (transabdominal sonography). Ectopic pregnancy always terminates as miscarriage, but inside the abdomen with profuse bleeding intraabdominally that can be life threatening. Pregnancy ends on its own in case of ruptured ectopic along with it, it can end life too. HCG levels are low in ectopic, but they are enough to turn a urinary pregnancy test positive. In fact UPT (urine pregnancy test) cannot decide if pregnancy is ectopic or intrauterine. Methotrexate can manage an ectopic pregnancy, but chance are that it can also deplete ovarian follicle reserve which may lead to infertility." + }, + { + "id": 31019, + "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": 13549, + "tgt": "How can I treat the small painless bubbles on the arm?", + "src": "Patient: Hello doctor, I have these small painless bubbles on my arm for a long time now (almost two years). First, there were not much but now they are spreading all over my arm slowly. It makes me uncomfortable in wearing short sleeve clothes. Please help me. Doctor: Hello. These are comedo or blackheads (attachment removed to protect patient identity), are small bumps that appear on your skin due to clogged hair follicles. These bumps are due to the production of too much body oil, the buildup of the acne bacteria, irritation of the hair follicles when dead skins cells do not shed on a regular basis, undergoing hormonal changes that cause an increase in oil production, taking certain drugs, such as Corticosteroids, Lithium, or Androgens. Choose oil-free lotions, and sunscreens to avoid making your problem worse if you are using some. You should once visit the dermatologist for examination. These are treated with Benzoyl Peroxide lotion 2.5 % applied two times a day. You need a wash and keep your skin clean and oil free. Exfoliating scrubs dead skin cells and can help reduce blackheads." + }, + { + "id": 8826, + "tgt": "I feel like something is stuck in my chest. Is it due to an inflamed esophagus?", + "src": "Patient: Hello doctor, I am a 27 year old male, and I feel like something is stuck in my chest for about a week now. And this feeling is not going away. It is very uncomfortable, and I am scared about having cancer. I have been to a\u00a0doctor, and he says I have an inflamed esophagus, but medicines are not helping. Doctor: Hi. Greetings of the day. Yes, it could be inflammation of the esophagus because it has an acute onset. Other possibilities are an esophageal stricture, causing narrowing of the lumen and pain while swallowing. There are various causes of inflammation and stricture of the esophagus, for example, reflux of acid from the stomach, ingestion, secondary narrowing due to a growth of some mass causing compression over the esophagus. One group of motility disorder also causes problems in the esophagus, for that we need barium study and manometry study. In this situation, liquids will cause more problems than solids. So, for that, we need to plan investigations for various etiologies. I suggest you get the following tests done. An endoscopy will be required for the same, and that will give a more clear picture of the esophagus. A biopsy can be taken by this modality, we will do it after the initial reports. For treatment, I suggest you try taking tablet Pantoprazole 40 mg, once a day. Take semisolid food rather than solid. Revert with more information to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 20367, + "tgt": "Do HIV antibodies disappear after a period of time?", + "src": "Patient: Hello doctor, I need a help. I was involved in a risk a few years ago. The only reason I was aware of this risk is because of chronic diarrhea I have been getting. I did the rapid antibodies HIV 1-2 test at a clinic and there were no antibodies found. This test was done possibly a year and a half to two years after possible exposure. I am thinking there were no antibodies present in the system or have disappeared. I also went to a clinic for blood work but I have not heard back from them in over a month and I am getting really nervous because I do not know how long exactly before I would hear a response from the doctor. Do antibodies disappear and how long would I have heard from the doctor if something was present? Please help. Doctor: Hello. Your test is negative. Now go for stool culture and sensitivity test. It will tell you which medicine you may respond to. So treatment is easy. Go for western blot test before going for fourth-generation CMIA kit test for HIV. This test may tell you the truth. Till then, Bifalac sachet you can take two to three times a day. Tablet OZ (Ofloxacin, Ornidazole) two times a day after food for five days." + }, + { + "id": 4650, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7036, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 19884, + "tgt": "Suggest ayurvedic treatment for vision problems and fibrocystic mastopathy", + "src": "Patient: Hello doctor, I am 61 years old and I am 165 cm. I weigh 55 kg. I was found to have the small formation of microcalcinates in the left mammary gland. It was operated and cancer was not found. Diagnosis after surgery was fibrocystic mastopathy. Could you recommend treatment for preventing this problem in the future? In addition, I have a problem with the retina of the right eye. \u00a0I am currently on\u00a0Enalapril, Aspirin, Lutein Complex (for eyes), Isotine\u00a0Eye Drop, and urea and blood test are normal.\u00a0Please, could you recommend ayurvedic therapy to at least suspend the process and improve my vision?\u00a0Currently, in the right eye I am -5/5 and on the left I am -5. Kindly suggest ayurvedic treatment. Doctor: Hello. Regards. For more information consult an\u00a0ayurveda specialist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 22873, + "tgt": "I took I-pill within seven hours of sex, but period is late. Am I pregnant?", + "src": "Patient: Hello doctor, I had sex two weeks back. My partner used a condom. But, we had a doubt that the condom might have torn. Hence, l took an I-pill within seven hours of sex. I am not sure of bleeding after taking I-pill, but there was some white fluid discharge for few days. My menstruation cycle was very regular. But, this time l had missed it, which was due two days back. Is this normal? Am I pregnant? What should I do? Doctor: Hello. Chance of pregnancy is almost nil. The period may be late due to the pill. So, wait for a week and then do a urine pregnancy test to confirm or exclude pregnancy. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20966, + "tgt": "I am hard of hearing due to piston in ear. What is the treatment?", + "src": "Patient: Hello doctor, I got a piston in the right ear 30 years ago. I am 58 years old and 84 kg weight. I feel hard to hear now. I have attached my recent audiogram result details for your reference. Doctor: Hi. From the available information, it seems to me that you might have a condition called otosclerosis. Otosclerosis is a condition in which there is abnormal bone growth in the ear which prevents the sound vibrations from being conducted adequately from the external ear to the inner ear. This can be confirmed with a test known as a tympanogram. Once it is confirmed, you might have to undergo a revision surgery which is done by a surgeon. In most cases, it improves the hearing considerably. If it does not improve with this, you might have to opt for a hearing aid. For further information consult an audiologist online --> https://www.icliniq.com/ask-a-doctor-online/audiologist" + }, + { + "id": 13282, + "tgt": "What is causing delay in periods?", + "src": "Patient: Hello doctor, I am 18 years old female, 137 lbs, and on no medications. I have had irregular periods since I was 13. The longest I have gone without a period was three months. I have had multiple negative pregnancy tests. I have not had my period since last month and I am not pregnant. I am worried about my health although this has happened before. Doctor: Hi. Please answer the following questions: 1. Putting on weight, and unable to lose that? 2. Acne? 3. Facial hair increased? 4. Hair loss? 5. Thick hairs on chest, back, thighs, arms, belly? 6. Any known hormonal issues? 7. Any long-term medication taken? 8. Sedentary lifestyle? 9. Are your parents diabetic or prediabetic? First few years of menarche can give you irregular periods, and that is normal as your hormonal axis is not matured enough to have a cycle, but by 15 years, it should generally be fine which in your case is not. You could be suffering from some hormonal imbalance. Work out the following: 1. A balanced diet containing loads of yellow fruits and green vegetables. 2. Regular physical exercise for 30 minutes to keep heart rate above 100 during the activity. 3. Add cinnamon and turmeric to your diet. These small changes can bring a lot of difference. Do it for the next three months. I can assure, you will feel the difference in a month but continue it. You also need to get USG pelvis done to rule out polycystic ovarian syndrome." + }, + { + "id": 29357, + "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": 688, + "tgt": "I have a painless lump in throat at palatoglossal arch. Could it be cancer?", + "src": "Patient: Hello doctor, I am a 23-year-old male. I have been feeling a lump in my throat for quite some time now. Upon inspection, I found it is located on the palatoglossal arch on the base of the tongue. It is painless and does not cause any problem while swallowing food or liquid but there is a feeling of irritation sometimes. I quit smoking for four years now and consume alcohol moderately. I have attached the pictures of the lump, I am afraid it is cancerous. Doctor: Hello. I have seen the pictures. (attachment removed to protect patient identity). The growth is just a small salivary gland papilla. Your symptoms seem to be due to reflux laryngitis and not due to the growth. I will be give the treatment for reflux laryngitis but if you have any symptoms like postnasal drip, nose block, or headache in the morning, please revert back. Treatment for reflux: 1) Avoid spicy and very hot food items and dairy products. 2) Drink plenty of water. 3) Take dinner at least two hours prior to your sleep. 4) Tablet Pan 40 (Pantoprazole) twice daily on an empty stomach for one week. 5) Do not do gargling." + }, + { + "id": 10393, + "tgt": "Kindly suggest treatment for urticaria", + "src": "Patient: Hello doctor, I am a 25-year-old male. I am suffering from urticaria for a long time. I did not remember exactly how long but it has been approximately four months since I am suffering from this issue. My father and brother also had suffered from this, but only once or twice, but for me, this is a normal thing. My skin has become so much sensitive that even soft rubbing can cause redness, itching, and swelling. I had not taken any treatment yet because I was told that this would be cured automatically within a short span of time. But in my case, it is getting worse day by day. Doctor: Hello. You have new-onset urticaria. Since it has gone on for longer than six weeks, it is now considered chronic urticaria. It is a common condition. Most people will experience at least one episode of urticaria during their lifetimes. There are many causes of urticaria such as 1. Infections-viruses, bacteria, and parasites 2. Drug allergies. 3. Food allergies. 4. Insect bites or stings. 5. Physical causes like exposure to cold. The exact cause cannot be identified in about 50 % of the cases. Please try to see if you have changed any cosmetics (hair dye, creams, powders, soaps, shampoos, deodorants, etc.). Have you started any new medicine or supplements (including herbal, over-the-counter, etc.)? Any recent change in your occupation, use of latex, etc. Any urine infection-burning urine etc. Any use of food colors?If no answer can be obtained, I suggest checking a complete urine examination. Also, I would try a course of de-worming treatment. Albendazole chewable tablets (brand name Zentel) 400 mg. Take it in two doses. The first and second dose should be separated by a week. Take after food, only two doses are required. For symptom relief, try antihistamines. I suggest a non-sedating anti-histamine taken once a day in the morning.If this alone helps, fine, if not, take a different antihistamine at night. Take them daily for a few weeks and then start cutting back slowly and observe. If your itching and urticaria do not respond to anti-histamines, you may need to take corticosteroids." + }, + { + "id": 22138, + "tgt": "My period is three days late after IUI. Is there any chance of pregnancy?", + "src": "Patient: Hi doctor, I took Letroz 2.5 mg for 10 days. From day-2, I had two follicles of 2\u00d72.3 and 1.7\u00d71.8, at 13th day injected with Fertigen 5000. After 33 hours, I had IUI where my husband's sperm after washed 21 million, 33 % motility. I am taking Progesterone 200 for 14 days. Now my period is late by three days. I did a home pregnancy test, it was negative. I have pain in one side (pelvic pain). Is there any chance for pregnancy? Doctor: Hello. Your period is delayed by three days. The urine hCG card test gives a conclusive result only after one week of delayed periods. So, if your period is delayed for one week, then a urine hCG card test is advisable to rule out pregnancy. If you want to rule out early, then a blood hCG estimation can be done. If pregnancy is negative, then for pelvic pain, per speculum examination and USG scan are advisable for further work up. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 9133, + "tgt": "Please check my sperm analysis as I am planning to have a baby", + "src": "Patient: Hello doctor, We are planning to have a baby. I have carried out a routine test for sperm analysis and want to confirm if the results are normal? 1. Volume is 4 ml. 2. Color is pearly. 3. Viscosity is fluid. 4. ph is 8.5. 5. Sperm concentration is 62.6 * 1000000/ml. 6. Total spermatozoa: 250.2 * 1000000. Doctor: Hello. I have gone through the reports. Your counts are fine with motility more than 30 % and immotile less than 10. Ideally, the counts more than 15 million are considered adequate as per WHO standard now, earlier it was 50 million. Also, there is no evidence of any infection as leucocytes are less than one. So broadly speaking, there is no male factor infertility, and you are fine to try to plan a child naturally." + }, + { + "id": 30757, + "tgt": "Will expired condom lead to pregnancy?", + "src": "Patient: Hi doctor, I had protected sex with my girlfriend. Unfortunately, it was an expired condom. But, we had no problem with the condom. Now, my girlfriend has missed her periods. So, please give me your suggestion. Doctor: Hi. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 29211, + "tgt": "Please suggest treatment for hematuria", + "src": "Patient: Hi doctor, I am a 76 year old male. I have hematuria for the past two months. My prostate was normal in the USG report and the culture report did not show any growth of microorganisms. I took Levofloxacin for 10 days, but now my doctor prescribed\u00a0Tranexamic 500 IV. I am also suffering from a lumbar problem and currently taking the following\u00a0medicines. Cilacar 10 mg, Amoxy Plus, and Repace 50 mg. Please suggest treatment for my problem. Doctor: Hi. For further queries consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 20038, + "tgt": "I feel pain in breasts when they are pressed. Why?", + "src": "Patient: Hi\u00a0doctor, I am 24 years old. Since a week or so, I am having pain in my breasts when they are pressed hard or pressed suddenly. Is it something to worry? What to do? I think once it was pressed too hard by my partner and so it started paining. Please help. Doctor: Hi. I do not think it is much to worry. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4968, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 29155, + "tgt": "Is Cerazette a reliable source of contraception?", + "src": "Patient: Hi doctor, I had sexual intercourse 31 days back and took three\u00a0pregnancy tests until today morning, which were all negative. One week after sexual intercourse, I started taking Cerazette as I do not want to get pregnant, and on the same day, as it was due, I got my periods. But now am worried if that could have been an implantation bleeding. The bleeding lasted for around a week and was pretty light which is unusual. I do not know if this is because of the mini pill that I took. My next period is due in a week. Should I take a pregnancy test again, as I feel that I will not get my periods again because of the mini pill? Can Cerazette affect the result of the pregnancy test? Is Cerazette a reliable source of contraception?\u00a0I have had protected sex ever since then. I have been told not to worry, but I just cannot stop thinking about it. Doctor: Hi I do not see any reason for you to worry. Implantation bleeding is usually light blood or pink in color, but you had proper bleeding, just lesser in quantity if I am right. Till now you have not got a positive pregnancy test too. If you think you got pregnant that day, your pregnancy would have grown all these days, and now the test would have been strongly positive. Cerazette (Desogestrel) is good but not the most efficient of the oral contraceptives. And, it does not affect the results of a pregnancy test. I would suggest you try any of the following contraception methods after consulting your specialist doctor. If you still want to rule out the pregnancy, then get a serum hCG (human chorionic gonadotropin) blood test which can diagnose even the initial stage of pregnancy. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8916, + "tgt": "Does my scan for PCOS indicate any cyst?", + "src": "Patient: Hi doctor, I am a PCOS patient. I did not take any ovulation induction agent for this cycle. I went for a scan yesterday and the doctor said I had one follicle, but the follicle was very weird looking for me as most follicles I have seen on scans are well rounded and defined. Please I will like to know is this a follicle or he just measured one of the cysts in my ovaries. And is it too late to take any medication for ovulation induction? Doctor: Hello. It does not look like a follicle. The hypoechoic shadow does not really even look like an ovary. The shadows are non-specific as I believe this is an abdominal scan because for follicular monitoring transvaginal scan is a must. The picture is not clear though (attachment removed to protect patient identity). On day 12, there is no point starting ovulation induction now. You may start from the next cycle." + }, + { + "id": 19606, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 2296, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 2365, + "tgt": "I have intermittent, dull, chronic left abdominal pain below ribcage. Can Pradaxa intake cause this?", + "src": "Patient: Hello doctor, I have been experiencing upper left abdominal pain just beneath lower ribcage and on the opposite side in the back. I have intermittent, dull, and deep chronic pain. I am 43 years old, nonsmoker but consumes alcohol (not for the last four months). My blood pressure is 120/80 mm Hg. I am currently on Omeprazole 20 mg daily (one month). I am diagnosed with pneumonia and pulmonary embolism. It is confirmed by chest CT. I was prescribed Pradaxa for three months (stopped taking medication on Mark 26). I have a history of acid reflux, sleeps on a 6-inch wedge pillow to manage the symptoms. Tests I underwent are: Abdominal CT with contrast: unremarkable, mild diverticulosis, not considered relevant to pain. Chest CT with contrast: unremarkable, PE and pneumonia cleared. Blood tests all normal, no sign of pancreas or kidney trouble. My primary care physician suggests pain is associated with PE. My pulmonologist says it is very unlikely to be associated with PE and recommends to confer with a gastroenterologist. Could this be an ulcer or some other issue within the stomach or GI tract? Perhaps caused by the Pradaxa medication? Would the abdominal CT have uncovered peptic cancer or other serious GI issues? What further testing would you recommend? Should I wait to see if things get better or act soon? If it is safe to wait, how long should I give it? Doctor: Hello. I must appreciate the detail history you provided which is very helpful in diagnosing your condition. After reviewing your history, in my opinion, this pain is not related to pulmonary embolism. It looks like to be associated with some gastritis and stomach issue. Now coming to your queries, the CT Abdomen has ruled out serious abdominal issues such as malignancy but it could not rule out peptic ulcer disease. You can just wait for it and take the medications which I am prescribing. I do not think that waiting is going to cause any further issues as it does not look like to be something serious. Take the following treatment for two weeks and if no improvement then we can consider EGD. None at the moment. Gastritis. Peptic ulcer disease. Esophagitis. Gastritis. Continue Omeprazole but increase it to twice daily before meals. Syrup Gaviscon (Alginate) 10 ml three times daily after meals. Both these for two weeks. If no improvement will consider EGD." + }, + { + "id": 15045, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18402, + "tgt": "There is a white patch on my baby's back. Is this vitiligo?", + "src": "Patient: Hello doctor, I have an eight month old baby. There is a white patch on her back. It has been there without any changes since 3 months. Is this vitiligo? Doctor: Hi. I have seen the white patches of your baby in the attached pictures (attachment removed to protect patient identity). This is not vitiligo, because 1. Vitiligo will be depigmented and not hypopigmented as in your case. 2. Vitiligo is very rare in infancy. 3. Vitiligo is almost always progressive before coming to a stable phase (in most cases). So, it can be nevus achromicus or nevus depigmentosus. To differentiate between the two conditions, clinical examination and Woods light examination is required. Revert back to a dermatologist online for further follow up -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19033, + "tgt": "What test should I do to know the reason for tingling sensation?", + "src": "Patient: Hi doctor, I have been suffering with tingling and needling sensation in my feet from the last one and a half year. It may be peripheral neuropathy. If it so, then what is the treatment for it? Which tests should I undergo to diagnose the reason?\u00a0I had 10 vitamin B12 injections before two months. I had one for every three days, but it did not help me. 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": 17586, + "tgt": "Kindly advise if I should get my tooth extracted", + "src": "Patient: Hi doctor, I had a lump approximately 3 cm away from the bottom of the tooth on the outer portion of the jaw. It was approximately 2 cm in diameter. After cleaning with salt solution, my doctor prescribed Lincomycin 500 capsules thrice daily for five days. As there was swelling on some portions of bottom jaw, he did not extract the tooth. But, he tells that he will extract the tooth as soon as the swelling subsides. He said that there is an infection in the tooth and left the tooth hole open. Subsequently, I consulted my local doctor yesterday evening. While examining and dressing my tooth and pressing the lump about one tablespoonful of pus got discharged through the upper portion of the tooth hole. This quantity had accumulated during the last five days after the last dressing.\u00a0I am very much worried and nervous over the local doctor's treatment after he has spoiled the tooth by overdrilling into the jaw. Due to worry, I am spending sleepless nights. I am also highly underweight and only 40 kg.\u00a0Based on the above facts, kindly advise whether I continue with the treatment and get the tooth extracted or not. Doctor: Hello. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 5038, + "tgt": "Is there a need for upper GI endoscopy for persistent abdominal pain and blood in stool?", + "src": "Patient: \u200bHello doctor, I have been seeing a PCP for a couple of years following my former doctor's retirement. I saw him last time for minor but persistent abdominal pain and blood in the stool which stopped after stopping low dose Aspirin three times a day for one week. He sent me for a CT which revealed a number of things and referred me to a GI specialist who suggested an upper GI. The technician said it would cost me more and waiting for getting my insurance. My question is should I get a second opinion from a new PCP for changes in diet, antibiotic for H. Pylori and other interventions before going to the expense of Upper GI or get a second opinion from another GI specialist about my condition? I am currently taking Sertraline. Doctor: Hello. I had gone through all the details that are posted. The causes for persistent pain in the left lower abdomen were not answered by PCP or your CT (computed tomography) abdomen. Normally if there is frank blood in stools we need to do proctoscopy or sigmoidoscopy or colonoscopy to look for lower gastrointestinal causes. If there are black colored stools then we suspect upper GI pathology (ulcer). So we go for upper GI endoscopy to look for the bleeding cause. Aspirin and Naprosyn may cause gastritis and ulceration which might be the cause they wanted to look for on upper GI endoscopy but it will not answer your blood in stools. CT abdomen has shown multiple things. Mainly important are: 1) 8mm nodule in the right lung middle lobe which needs further characterization. 2) Multiple hepatic cysts were mentioned but characterization was not done. Is it a hydatic cyst or what kind of cyst needs mention? 3) Left non-obstructive renal calculus and a renal cyst. Again characterization of the renal cyst was not done whether benign or Bosnaik's grade? This renal thing is the one that fits into the location of your persistent left lower abdominal pain. For gastric ulcer pain, you can take Esmoprazole or Pantoprazole. If you get UGIscopy we need to look for ulcer and take a biopsy from that and send for histopathology to look for H.Pylori in it. If it is positive treatment is for two weeks only, so do not use antibiotics for H.Pylori. Avoid spicy foods, NSAIDs (nonsteroidal antiinflammatory drugs), and alcohol which will help to reduce acidity. Kindly consult a new PCP, discuss these issues with him and then decide on further evaluation and management. I hope this helps." + }, + { + "id": 12377, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 16806, + "tgt": "Is it true that the size of stone increases after ESWL?", + "src": "Patient: Hello doctor, I had my ESWL done 14 days ago. I was not completely sedated and felt some pain so I was shaking a bit. The day after ESWL, I started feeling severe pain in kidney, irritation and burning in stomach. Pain was dealt with but burning in stomach continued and I was constipated too. Due to the above reasons I got admitted in a Gastro hospital for 4 days. They told me it was a case of gastritis. When my condition got better, I was discharged. I visited my urologist and he suggested for inserting stent as I had blockage. He suggested it for pain relief and easy passage of stones, so I had it inserted. I feel very little pain now after stent. But, the problem is that I am still constipated and mild burning in stomach. Is this a kind of complication after ESWL? I\u00a0had ESWL for a 10 mm stone which was broken into fragments. But, after that I had an ultrasound and was diagnosed with an 11 mm stone which was never present before. When I asked my urologist about it, he said that it is not a complete stone but fragments looking enlarged. Is it true? Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 15785, + "tgt": "How to treat endometrial hyperplasia with atypia?", + "src": "Patient: Hi doctor, I am 56 years old female. I have heavy bleeding, and my endometrium is bulky. It is 15 mm. I have placed Mirena before four years, and I have removed it before two months. My doctor did a biopsy, and the report came as hyperplasia without atypia. Please suggest. Doctor: Hi. Please say whether you had any menopausal or perimenopausal symptoms. Please mention whether you had irregular bleeding or scanty periods or whether there is a stoppage of periods. You have placed Mirena before four years. You can also have side effects. The side effects should be subsided. Hormonal effects can also cause heavy bleeding or unscheduled irregular bleeding. Mirena is advised in endometrial hyperplasia with atypia. It usually gives scanty cycles, and there is a reduction in menstrual flow in some patients. In some patients, there is an increase in endometrial size after a long time due to a hormonal effect. In this age, it is better to have a total abdominal hysterectomy and bilateral salpingo-oophorectomy (removal of ovaries due to a risk of ovarian cancer). Please mention the history regarding obesity, family history of cancer, diabetes, and hypertension. All the factors should be followed when you are planning to have a total abdominal hysterectomy and bilateral salpingo-oophorectomy. Please give a detailed history. For symptomatic relief, I suggest you take cyclic Norethisterone 10 mg from 4th day to 25th day for three cycles. You can take it for six cycles. You can have this for heavy periods and during unscheduled bleeding. For pain, you can take tablet Ponstan 500 (Mefenamic acid) for eight hours from the second day to the fifth day. If the bleeding is heavy, you can also take tablet Tranexamic acid 500 mg for eight hours along with Ponstan from the second day to the fifth day. Both these tablets can be stopped if you are asymptomatic. Check your complete blood count and thyroid function test also. Please decide for having surgery soon as you cannot take hormones for more than six months. Have a healthy diet and iron supplements. Have a walk daily and maintain a healthy BMI (body mass index)." + }, + { + "id": 13231, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 26908, + "tgt": "Why is there a burning sensation in my anus while defecating?", + "src": "Patient: Hi doctor, I have a burning sensation in my anus while defecating. Please help. Doctor: Hi. Thank you. For further queries consult a naturopathy specialist online --> https://icliniq.com./ask-a-doctor-online/naturopathy-specialist" + }, + { + "id": 4071, + "tgt": "Why do I have impaired balance when I shake my head?", + "src": "Patient: Hello doctor, I am a 51 year old male. I have never had any medical condition prior. I spent a very cold day outside and woke up the next day with a feel of dizzy (like I am drunk), queasy and tired. There is no pain, cough or discharge. When I move my head from side to side my balance gets impaired. I also have constant ringing in my left ear. It has been more than a week with no improvement. Please help. Doctor: Hi. Your problem seems to be due to inner ear infection leading to impairment of balance on head movements and ringing sensation in ear known as tinnitus. You need ear examination and complete vestibular functions assessment and evaluation by an ENT (ear, nose and throat) specialist. This is to sort out other differentials like Meniere's disease (inner ear disorder gives feeling of spinning), benign paroxysmal positional vertigo (BPPV), low blood pressure, anxiety, many medications, migraine, overheating or dehydration, poor blood circulation. Take Betahistine, an anti-vertigo and Benadryl for the relief after consultation with an ENT specialist. Revert back after the tests to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16534, + "tgt": "Can I take I-pill five times in a month?", + "src": "Patient: Hi doctor, Can I take I-pill for five times in a month? I hope there will not be any major side effects because I am not taking any other contraceptive pills. Also, I do not want to use a condom. I\u00a0read that the contraceptive pill should be started on the first day of the periods and taken one pill daily for 21days. But, my periods got over before 15 days. Can I start the contraceptive pill for 21 days from today? Doctor: Hello. You are already in your fertile period as on date and likely to have ovulated already. If you have been involved with unprotected sex, then you should take an I-pill within 72 hours of the intercourse and need not repeat the I-pill every time you have sex in this cycle. One I-pill shall be enough because in the next five to seven days post I-pill intake you should receive your withdrawal bleed and that would indirectly ensure that you are safe from getting pregnant. It would mark the start of fresh cycle and then you can be started on low dose oral contraceptive pills from day 2 of your fresh cycle, which would be the day 2 of the withdrawal bleed following I-pill. I-pill does have side effects and it can cause irregularity of your next two to three cycles making the cycles scanty or heavier. More than one I-pill in a month should be avoided and it should only be used for emergency contraception purpose and not otherwise. You may also consider female diaphragms or cervical caps if you do not prefer male condoms for protection. These are female condoms, which are safe as well and act as a barrier contraceptive. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14459, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1204, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 16820, + "tgt": "Is laparoscopy needed for retention cyst in the ovary?", + "src": "Patient: Hello doctor, I am a\u00a033 year old woman weighing 56 kg and 5 feet tall. We are trying for a baby for more than a year. Recently I underwent treatment and have completed two cycles of Clomid with no positive outcome. I had another unsuccessful try at IUI along with Clomid. From the\u00a0last couple of\u00a0months, I am taking L-Thyroxine and Cabergoline tablets for high prolactin treatment. I had a regular menstrual\u00a0cycle except from the past year where I gained 5 kg. This week I went for a\u00a0scan on the\u00a0second day of my menstrual cycle, and the doctor noticed a retention cyst of 6.4 x 3.7 cm in my left ovary, for which the doctor suggested laparoscopic surgery.\u00a0Do I need laparoscopy? Can medicines cure it or can the cyst disappear on its own? I have attached my reports, kindly suggest what should be done. Doctor: Hi, Welcome to iclinq.com. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4876, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 12376, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 7558, + "tgt": "Is it safe to drop down Mirtazapine and Xanor at the same time?", + "src": "Patient: Hello doctor, I was taking 30 mg Mirtazapine for 10 weeks before being told by the doctor to take 45 mg three weeks ago. I have now been told to drop it back to 30 mg a day. I also have been taking Xanor 0.25 mg for past six months. For the first two weeks, I took two tablets a day then was told to increase to three tablets a day which I did for two weeks. Now the doctor says to drop down to 1.5 tablets a day (in two daily doses). My question is that is it smart or safe to drop both of these medications down at the same time? I have had bad insomnia with anxiety. Was given Melatonin 2 mg yesterday to take at night. Doctor: Hello. If he is asking to reduce the doses, then no need to get worried. Mirtazapine has different actions and is a different drug than Xanor (Alprazolam). No need to get worried about that. Even Mirtazapine is a unique drug which has great effects on sleep at 15 to 30 mg doses compared to high doses. So reducing the doses of both drugs simultaneously will not cause any serious effects on you. A slight reduction of sleep due to reduced doses of Xanor will be compensated by melatonin. Melatonin is a drug that has no abuse potential and is safer than Xanor. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 28279, + "tgt": "How to find the reason for shoulder and arm pain?", + "src": "Patient: Hi doctor, I am a 53 year old female. My weight is 54 kg and height is 4'10\". I have been suffering from upper arm and shoulder pain for the past one year, and it increased in the last three months. I cannot lift any weight. I feel pain with movement (forward and backward) of the arm. The arm is stiff while sleeping and the pain increases during sleep. Doctor: Hello. X-ray shoulder- anteroposterior, axial, and true anteroposterior view. Revert with the reports to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 22976, + "tgt": "I am unable to lose weight although I eat less and be active. Why?", + "src": "Patient: Hello doctor, I am a 41 year old female. I am having pretty bad acne, slight periods (almost like spotting), unable to lose weight. I gained 10 lbs extra in the past year. Although I am eating 1000 to 1200 calories a day and I am active, I am not losing. I did some blood and saliva tests and here are the results. Results of the saliva test done on day 19 of the cycle: Estradiol 1.9 1.3-3.3 pg/mL premenopausal (luteal). Progesterone 131 75-270 pg/mL premenopausal (luteal). Ratio: Pg/E2 69 L. Optimal: 100-500 when E2 1.3-3.3 pg/mL. Testosterone 34 16-55 pg/mL (age dependent). DHEAS 5.5 2-23 ng/mL (age dependent). Cortisol 3.5 L 3.7-9.5 ng/mL (morning). Results of the blood test done on day 8 of the cycle: Estrogen, total, serum 359.2 pg/mL. DHEA, LC/MS/MS 198 102-1185 ng/dL. Testosterone, total, SLI. LC/MS/MS 29 2-45 ng/dL. Progesterone. Doctor: Hello. I just read your query and saw each one of your attached reports (attachment removed to protect patient identity). You have more or less normal test results. A slightly low cortisol is acceptable. You certainly have low vitamin D levels and you must take vitamin D supplements 5000 IU daily. Have a 30-minute sun exposure over your hands and feet as well for the same. You are in a healthy BMI (body mass index) range and that is why your body is settled at a particular weight which it finds suitable for you. Besides, doing the same exercises every day will cause the muscles to develop a memory. So, they adapt themselves making it further difficult to lose weight. Try to use different ways of exercising to break the plateau which you have reached in terms of weight. Try alternate high and low-intensity workouts. Regarding your scanty menses, have a pelvic ultrasound done. 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": 7906, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 27545, + "tgt": "Is my husband's BP high due to the tumor in his left kidney?", + "src": "Patient: Hi doctor, My husband has a tumor in his left kidney. He does not have blood in urine, but he has high blood pressure for a while. His BP is as high as 140 to 160/90 to 105 mmHg. The reports I have attached are roughly three months old. Is operation a necessity? If so, then what needs to be done? I want to know a little about the operational details for my knowledge. Why is he having high blood pressure? Doctor: Hello. I have seen the reports (attachment removed to protect patient identity). I think I cleared your doubts. Thanks. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 9485, + "tgt": "What are the negative effects of Pityriasis rosea in pregnancy?", + "src": "Patient: Hi doctor, I am a GP. I\u00a0have seen my GP and he\u00a0thinks I have Pityriasis rosea. I am 30 weeks pregnant and have had Pityriasis rosea as a child. My rash is currently scaly and in lines over my abdomen. My concern is about the adverse effects of this condition in pregnancy. It is hard to ascertain if this is applicable at later gestation or just in early pregnancy. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 26118, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29766, + "tgt": "I am very much worried and get angry for small things. Please help", + "src": "Patient: Hello doctor, My age is 23 and my husband is 29. I am having a 1 year old baby. After my delivery, I had some problems in my family created by my mother-in-law. At that time my husband left his job and so, there was some distance between us. So, I felt very bad and I used to get anger for small things and fought with my mom for silly things. After 4 months, my hubby got a job in a new location. When my baby was 5 months old, my husband asked me to live with my in-laws. I was not willing to go there because of my mother-in-law, so we fought. But, later I agreed to stay with her. But, I faced torture and my mother-in-law scold me for everything. She did not take care of my child and she insults me every day. So, my husband decided to take me and my baby along with him to a new place. My mother-in-law fought very much, but my husband supported me in that situation. Then, I went along with my husband to the new place and got settled there. I was happy and I thought everything was good. I used to get angry for small things and later, I pardon him. One day, we went for shopping and on the way back to home, we met with a small accident.\u00a0I thought a car hit my baby and shouted on the road. Also, I missed my husband's wallet. That incident affected me very much and after that I am not willing to go anywhere. In the meantime, my mother had a problem. She had nipple discharge and so, doctors asked to check for cancer. I was very much worried about that. I cannot able to sleep at night. After so many tests, doctors told that was not a cancer, but duct problem and have to remove that. Then, I had that tension also about my mom's surgery. All these things again made me very depressed. Now, my behavior is not good and I can feel that. Even, I get angry with small things to my husband. I am always thinking about something, mostly my mother-in-law's fight and I am scared of small things. I broke my husband's mobile and feel guilty for that. I do not know what to do. Also, My husband losing control sometimes and in stress. Because of his mom and dad, we are facing this trouble. I cannot share these things with anyone. My friends are thinking that I am leading a happy life. I do not know how to come out of this. I visited a psychiatrist and he said that I have mild depression. But, I do not think so. Please help us. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 14907, + "tgt": "I feel sad most of the time. Do not know, why. Please help", + "src": "Patient: Hi doctor, I feel sad most of the time. I do not know why I am always like this. I am a 24 year old male, and I work as a network engineer. Doctor: Hi. The details you have provided about your problem are very brief. Although, if you have these problems for more than two weeks then you are probably suffering from a major depressive disorder. A major depressive disorder is a condition in which patients develop sadness lasting an entire day for at least two weeks. It also has restlessness, 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 convenient. He will ask you a few more details about your problem including family history. After this, he will decide the further course of action appropriate for you, like medication or talk therapy." + }, + { + "id": 3975, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 23125, + "tgt": "I cry even on little things and loud voice. How can this be treated?", + "src": "Patient: Hello doctor, I cry a lot even on little things on little words, loud voice tears come into my eyes too much. I face worst days of my life. I was happy suddenly everyone at home turns their behavior bad. I am little one of my siblings and my age is 22 years. From my childhood, everyone says I will cry and I start crying. Then I grew up. Now one at home scold me but then I fell in love, they disrespected me and they stopped my education and whom I love was not able to marry as his education is not complete he did not have any job. He was also very aggressive I needed love, care, attention but he fought with me to leave my friends five years. All this continues then now I gave up on him because I cannot bear my family worst behavior with me. He has his job now, he is little changed. He is loving me, we were planning how to make agree both of families for our wedding but yesterday he again talked about that days I broke up with him. But since childhood and these put bad memories in my mind so even on little things tears come into my eyes and everyone got fed up because of the tears. I want treatment of this, please. Doctor: Hello. Repetitive crying spells, mood swings, etc., could be due to some mood disturbance or this could be due to depression. This can be occurring due to some hormonal issue. All these should be evaluated properly. If you have low mood, lack of interest in anything, poor energy, fatigue, tiredness, etc., symptoms then these symptoms are occurring due to depression. Please visit a psychiatrist for opinion and treatment. Take care. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 25085, + "tgt": "Please compare my recent reports with last month's", + "src": "Patient: Hello doctor,I went to the doctor for a physical on 8th. I had blood work done. I went to the ER recently because I was feeling dizzy and tingling. The doctor said I have vertigo and they were not sure of the tingling. I received my blood work from my ER visit and I compared it to my annual exam. Below are the results: Between 8th and now:RBC 5.13 5.35HGB 16.1 16.7HCT 48.5 48.5MCH 31.5 31.2NA 131 141CL 105 97Protein 8.3 8.9SGOT 41 23All other numbers were normal. Do I need to be concerned with these numbers? After my 8th appt, the doctor did prescribe 20 mg of Lipitor (generic), but I stopped taking it after two weeks. I have also had diarrhea. I currently take Synthroid 0.05 mg. My blood pressure was high at my 8th appointment. It had never been high before. Doctor: Hello. I understand your concern. You say you are having vertigo and tingling and taking Synthroid. This makes me think about thyroid issues. So, a thyroid function test should be done. Furthermore, check your blood electrolytes and run urine analysis, and check blood sugar and pressure for a complete checkup. Keep well hydrated. Have your meals regularly, do not skip any. Hope this helps. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 7612, + "tgt": "Why do I have itchy skin with hives after intercourse?", + "src": "Patient: Hello doctor, After sex, I always find myself having strong, clear watery discharge for about four to seven days. Today I found myself having an itchy skin with hives. Could this be a sign of semen allergy? I also experience a burning sensation on the outside of genitals which makes it difficult for us to insert the penis. Doctor: Hello. I can understand your concern. Yes, you may have sperm allergy, that can be easily found by using a condom. Next time use a condom during sex and check whether you have discharge after that. Other cause can be due to 1. Gonorrhea and chlamydia are two of the most common causes of vaginal discharge, early diagnosis and antibiotics will help you. 2. If there is urinary tract infections with increased frequency of urination, irritation during urination, lower abdominal pain then urine culture will help to diagnose these conditions. 3. Urethritis is damage to the urethra from intercourse or masturbation, irritation from a product such as soap, deodorant, or detergent, and it can also occur due to adenovirus, and genital injuries. 4. Candida infection can also cause watery discharge with itching. Smear from the discharge will help you diagnose and start early antifungal medication. 5 Trichomoniasis infection (sexually transmitted infection caused by a parasite) can cause vaginal discharge too, and it can be diagnosed by swab or urine sample. I hope I have answered your query. If you have further doubts, I would be happy to help you." + }, + { + "id": 10398, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 3013, + "tgt": "What causes frequent cramps with vaginal bleeding?", + "src": "Patient: Hello doctor, After two weeks of LMP, I had mild cramps and non-stop light vaginal bleeding, it lasted for three days. I experienced non-stop light vaginal bleeding, once again after this month periods. This morning, I started to have light bleeding again. Given my concerns, I had bloodwork this week; my blood counts are normal; my thyroid, hormones and pituitary gland levels are all normal; and I am not on birth control. However, my urinalysis revealed that my erythrocyte is 25, my leukocyte esterase is 0.3 mg/L, and my eGFR is 88. Plus, my ferritin is 10. Initially, my doctor believed my abnormal bleeding between my periods was due to a hormone imbalance but we now know that it is obviously not the case. Can this be due to gynecological cancers? I am only 32, I am healthy, I am not on birth control, I am not pregnant, I am not on hormones, and the possibility of having cancer makes no sense to me. I would appreciate talking to someone because I am terrified. Doctor: Hi. Overall looks like normal. There is no ultrasound scan which is required if you having irregular bleeding. Secondly there are 100s of hormones producing and out of which we can do tests of few only. So cannot say by 100 % that it is not hormonal issue. Irregular menses can be due to other reasons also like starvation, environmental factors, stress, eating habit. There are some food nutrients which may have effects like hormones or may acts against hormones. Do one ultrasound scan. And may require dilatation and curattage and send endometrium to rule out endometrial cancer. Do drink more water." + }, + { + "id": 27665, + "tgt": "Should I terminate my pregnancy in case of a rubella infection?", + "src": "Patient: Hello\u00a0doctor,I am 18 weeks pregnant. When I was 16 weeks and 5 days pregnant, a few red rashes appeared on my face and I felt a little sick. On the next day, it spread to my hands and the upper part of the body along with a minor fever. So, I went to my gynecologist who referred me to a physician. I was asked to test for measles and rubella and the result was positive for rubella. The lab result read Rubella-IgM-Grayzone (1.23). The rashes faded on the next day and completely vanished one day later. The fever and the body pain went away with the rashes. However, I had minor joint pains until two days later. My gynecologist asked me to repeat the test and I did the second test when I was at 17 weeks and 3 days, and the result came positive for rubella IgM as 15.18. She asked me to terminate the pregnancy immediately. Could you please advise what would be the next step at this stage? Can a defect, if any, not be identified with a scan? Doctor: Hello. For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13616, + "tgt": "Is it normal to have headache after taking Sildenafil for erectile dysfunction?", + "src": "Patient: Hi doctor, I am 37 years old and my weight was 104 kg. I am having erectile dysfunction problem and tried before by using Sildenafil 50 mg tablets. Previously, I did not find any issues with this drug but nowadays, I am getting a headache and lower jaw pulling sense. Please suggest what can I do? Doctor: Hello. I can understand your problem. Sildenafil is a rapid-acting drug and has a short duration of actions. Sometimes, due to hypotension caused by Sildenafil, individuals might develop symptoms like a headache. This could be the reason in your case too. One option to prevent this is to drink plenty of water before taking the tablet. This will prevent fall in BP. The other option is to replace the drug with Tadalafil which is long-acting and less likely to cause such side effects. You can talk with your doctor about this." + }, + { + "id": 27182, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 8096, + "tgt": "What is the cause for back, tummy and waist pain?", + "src": "Patient: Hello doctor,I feel like something is wrong with me. From last week a lot of back pain (not muscular), tummy and waist pains almost like contractions when it gets bad. I get blackouts and feel dizzy when I stand up. And I am not pregnant. What do you think can be wrong? Doctor: Hello. While menstruating, do you have any history of vaginal discharge or lifting heavyweight? These problems look like to origin from uterus. Various possibilities are an infection, fibroid in the uterus, changes in the position of the uterus. If any discharge needs to be treated for an infection, you would need one ultrasound if no discharge or menstruation was present at that time. You can try tab Dicyclomine 20 mg whenever required. Regarding, you blackouts this occurs due to postural hypotension, you need to increase fluid and salt intake and avoid a rapid change of posture. Also, get your blood pressure tested once, because low bp can also cause these symptoms." + }, + { + "id": 23818, + "tgt": "How can skin tags be removed?", + "src": "Patient: Hello doctor,I am male, 42 years old, height is 160 cm, weight is 90 kg. For the past 20 years, I have skin tags in my neck, underarms, nose and around my eyes. No medications are taken till now. Kindly suggest me any tablet or an ointment to remove my skin tags. Doctor: Hi. Go for laser or RF (radio frequency) removal. No such creams and tablets are available and do not use any home remedy as it is only going to harm you. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15704, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5594, + "tgt": "How can dysthymia depression be managed?", + "src": "Patient: Hello doctor, I love myself and think I am a great guy, but feel no one else sees that. I have feelings of pending failure, feelings of inadequacy, fear of rejection, fear of police, fear of persecution, lots of mental ambition but no energy to actually do anything because I am convinced I would fail, near constant nightmares about being in jail often without knowing why or being hunted down by people determined to kill or imprison me again without knowing why. Occasional ED which I attribute to the antidepressants, obesity, cholesterol and sleep apnea, and fear of emotional intimacy and talking about my private self. I have been diagnosed by the VA with dysthymia depression and at a non VA psychiatric hospital after a suicide attempt with PTSD, which the VA says I am not. My research tend to point more towards C-PTSD and I have an inability to trust people especially authority, I often feel as though there is an orchestrated conspiracy against me, but grounded enough in reality to know that makes little sense, but often cannot shake the feelings and have a number of instances in my life that simply reinforce that thinking. I fear criticism and rejection from those I should be closest to like my wife and mother. Desire intimacy but have none, being more emotionally intimate, but not cybersex just erotic conversation, with strangers on the internet because of anonymity. I never use my real name online. That is background information. Anyway my question is about the medicines but it just seems like so much and I tend to distrust the VA doctors but have no other healthcare options. Just looking for someone else's opinion. Doctor: Hi. Yes, you are on right medication. Bupropion is a good antidepressant and very safe although it can cause insomnia, anxiety and dizziness as side effects in few patients but it would decrease on its own. Sertaline is an SSRI drug. As an antidepressant, Sertraline is so potent at stimulating the brain that it can cause anxiety with initial use. But it goes off after some time. Using a Benzodiazepine like Alprazolam for the initial 10 days of treatment with Sertraline. Once you get used to it you may taper the Alprazolam and stop it. Sertraline would continue. You can talk to your psychiatrist regarding this. But you have to comply with medication and you have to reduce your weight." + }, + { + "id": 24736, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 13512, + "tgt": "Is there any ayurvedic medicine that can increase iron level without affecting psychiatric medicine?", + "src": "Patient: Hello doctor, My Hb levels went down because of bleeding piles and I started Iron supplements but it makes my depressive symptoms worse as I am already on psychiatric medicine. Please suggest an ayurvedic medicine which does not interact with psychiatric medicine, for iron boost. Doctor: Hello. I just read your query. See if your hemoglobin level is around 10 then rather than taking any supplements, take diet which is helpful in improving hemoglobin level. If Hb is below 10, then you can take the following medicine: Capsule blossom (Unja) one capsule two times a day with water after food for 10 days. Consult me or a nearby Ayurveda physician regarding improvement and for further management. Bleeding piles Hemoglobin level." + }, + { + "id": 10365, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24562, + "tgt": "I took 500 mg of Levothyroxine. Should I go to the emergency room?", + "src": "Patient: Hello doctor,I took 500 mg of Levothyroxine. Should I go to the emergency room? Doctor: Hello. Excess thyroid hormones intake could cause life-threatening symptoms. Do you have any of the following symptoms? In case you have these symptoms, please seek medical advice in the ER. Some medications like Indral would be required. Watch out for any developing symptoms over the next 24 hours. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20414, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24288, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8795, + "tgt": "What can be done for depression with erectile dysfunction and premature ejaculation?", + "src": "Patient: Hello doctor, I am 38 years old, weight 47 kg. Since childhood, I lack confidence, remain depressed all time, poor concentration and memory, fearful nature. I lack strength, too much exhausted, fatigue all the time, general debility, impotence, premature ejaculation, erectile dysfunction, low sperm count due to excessive masturbation, lack of vitality, alopecia, poor appetite, underweight, negative and unwanted thoughts all time, constipation, poor appetite, and digestion. Please advise. Doctor: Hi. Anxiety for what? When are you much anxious? What do you feel in anxiety? Particular dreams? Favorite season or food allergy? Sleep position? Symptoms of allergy or epilepsy? Head injury? Any symptoms prior to convulsion? Brief details to your childhood (How did you grow up? Atmosphere at home Relationships with parents, study graph, how you deal with new challenging situations, etc?). How do you react in anger and insulting situations?" + }, + { + "id": 26833, + "tgt": "My eyes become reddish and watery when exposed to bright light. Is it due to contact lens?", + "src": "Patient: Hi doctor, I am wearing contact lenses of -2.5 on both eyes. Since last week, whenever I get exposed to bright light (both indoor and outdoor), my eyelids get closed, and it is hard to get it open for a while, which makes eyes more reddish and watery. I have not consulted any doctor, but I have been using ayurveda eye drops.\u00a0I would request you to please guide me for a good treatment. If anything can be done at home, it will be more useful.\u00a0Thanks. Doctor: Hello. 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": 11971, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 9803, + "tgt": "I have flu-like symptoms after the treatment of syphilis. Is this normal?", + "src": "Patient: Hello doctor,Three months ago, I was treated for syphilis with a shot of penicillin and other antibiotics. I was never tested for syphilis. I am a very active gay man who had signs of syphilis, and my infectious disease doctor presumptively treated me by providing antibiotics before I was tested. He told me to get tested as soon as possible, but I have never done. Two days after the antibiotics, my symptoms went away (I had swollen lymph nodes). I also experienced mild flu-like symptoms, which I understand, are common after syphilis treatment. So, I assumed it was syphilis and never got tested. Now I am worried that if I get reinfected, my doctor will not be able to tell. Should I be concerned? Currently under Biktarvy for HIV. Please help. Doctor: Hello. I understand that you are concerned. But serological tests for syphilis do not work like this. There are tests which remain positive for a lifetime if you once acquired syphilis. I dont know what features you had of syphilis but to confirm you have it or not you need to go for the serological tests, 1. TPHA (Treponema pallidum haemagglutination ) remains positive irrespective of the treatment taken for lifelong in most of the cases. So if it is positive, it will indicate the disease. 2. VDRL (venereal disease research laboratory) titers decrease after taking treatment, might become negative after treatment. Usually used to monitor the treatment response. Eg. If titer decreases, fourfold treatment is working fine. Not of much use if you did not have baseline VDRL in the first place. Still, get these two tests done and revert as there is no point in assuming that you had syphilis or not without these tests first." + }, + { + "id": 29580, + "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": 1681, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24316, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 3332, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 27806, + "tgt": "I notice a lump in my stomach if I eat or drink something. Should I attend to it immediately?", + "src": "Patient: Hello doctor, I notice a lump in my stomach area, about 30 cm above a scar from my appendix removal operation I underwent eight months ago. The lump appears after I eat or drink something. There is no pain, only slight discomfort in the area around the lump. When I press the lump, it feels as if there is gas in it. I have a normal appetite and all the bodily functions are fine. I do not have fever or nausea. Doctor: Hello. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3526, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 21174, + "tgt": "I am having a doubt regarding pregnancy", + "src": "Patient: Hi doctor, I have a doubt regarding pregnancy. I had unprotected sex with my girlfriend a few days back. As per my knowledge, there was no ejaculation of sperm and to be on the safer side, she took an I-pill six hours prior to sex. But, she has not got the period for this month yet. Is this due to pregnancy? Or should we wait some more days? Is the delay in her periods because of the I-pill? Doctor: Hi. You can wait for another two days for the menses to come. Many times a fluctuation of two to three days is seen even in the normal cycle. In case they are further delayed, then get a urine pregnancy test at home. If it is positive, then consult a gynecologist immediately. If negative, get a USG (ultrasound scan) done just to be sure as it will show gestational sac if there is pregnancy. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27598, + "tgt": "Will my residual refractive error reduce after three months of LASIK and CXL?", + "src": "Patient: Hi doctor, I recently got LASIK and CXL in one eye, and Epi-LASIK for the other eye. The Epil-LASIK was done a month back. My vision is 6/18 with -2.5 in Epi-LASIK\u00a0treated eye and 0.5 in LASIK\u00a0treated eye. The enhancement was not possible as my cornea thickness was low. Can I\u00a0use spectacles? Somebody said that the difference between two was 2D\u00a0vision will be double vision. Please suggest what to do. Shall I\u00a0use spectacles? Will\u00a0my vision vary in three months? The doctor is saying that it will reduce within three months. My vision target was 6/12, but now I\u00a0have 6/18 and\u00a0cylindrical power is 1D.\u00a0Please help me out. Doctor: Hi. For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 18929, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27171, + "tgt": "Does toxoplasmosis and acid reflux explain all my symptoms?", + "src": "Patient: Hello doctor, I am sorry as this will be a bit long. I will try to explain concisely. I am a 40 year old male, and I weigh 100 kg and 1.85 m tall. I have toxoplasmosis. Last year, I had a weird throat ache, like a persistent itch on the upper side of my left palatine tonsil. It is hard to describe, but it felt like having a stray bit of food stuck there. Over the course of a few weeks, it grew more and more painful, with pain radiating into the left ear\u00a0and swollen lymph nodes on left side of my neck. So, I went to my doctor. He noticed an irritation there, and said it could be gastric reflux, and prescribed Esomeprazole, which had no effect. We tried some antibiotics, again without result. Other symptoms were mild fever and fatigue. So, after a month, I went to see an ENT specialist. This is when the fun starts. He examined my throat with an endoscope, saw nothing, and said it was gastric reflux. I told him I was a smoker, and he replied that for my peace of mind, we could take some time to figure it out and scheduled an endoscopic lung examination. A procedure which requires general anesthesia, to probe a bit that does not hurt and without doing any kind of non-invasive exam like an x-ray first. I did not do it. However, I did the other exams he wanted like radiography of left sinus and echography of sub-mandibulary gland, both the tests found nothing. The symptoms receded without treatment in the same way they had come, and by two months, everything was gone. And by the end of last year, that itch in my throat came back just like before, and then it became very painful again, with the\u00a0same scenario. The symptoms were swollen lymph nodes on left side of the\u00a0neck, mild fever (38\u00b0C), and fatigue.\u00a0I also got muscle aches in various places, mostly left arm and left side of the chest muscles. So during the start of this year, I went back to see that specialist. He looked at my throat again, and he found nothing. So, he told me maybe it is psychosomatic, but I should still do an MRI just in case. I went back to my doctor and started from scratch. We did a throat swab, which was normal. The blood test showed toxoplasmosis IgG 2.8 IU/mL and toxoplasmosis IgM 3.25 IU/mL. Everything else was normal, and I do not have HIV, Lyme, hepatitis A, B, or C, and thyroid hormones are normal.\u00a0So, I have toxoplasmosis, which according to my doctor, explains all the symptoms except the throat ache, which is very worrying. He says I should still do the MRI.\u00a0I went to see another ENT who said toxoplasmosis also explains the throat ache, and I should not worry. He told me not to do the MRI. He also told me I had reflux, so I stopped worrying.\u00a0Does toxoplasmosis and acid reflux explain all the symptoms? Should I do that MRI? Or perhaps do other tests? I smoked from age 25 until last year. I quit for six months, then smoked again for six months, and now just quit again, hopefully for good. Also, I used to drink alcohol in unreasonable quantities at night with friends, but I stopped that too. Since then, I have learned that cigarette and alcohol are a risk of amygdala cancer, but I probably have not got that. Still, it is a good reason to get rid of unhealthy habits.\u00a0I gained 20 pounds last year after quitting smoking. And lost them with a bit of cycling and a little diet.\u00a0Right now, I am in a\u00a0general good shape except a bit of a stomach. When I used to cycle a lot, my rest heart rate was 55 bpm. I had too much work recently to exercise properly, so I am around 70 to 75 bpm right now, and my blood pressure is normal. Thank you for your time. Doctor: Hi. Thanks and regards. For further queries consult an ENT otolaryngologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 1177, + "tgt": "Please suggest the future prognosis of a child with abnormal hemoglobin pattern", + "src": "Patient: Hi doctor, My friend is going to adopt a 6 months old female child. Certain routine tests were performed on the child. I have attached the reports for your reference. The Hb electrophoresis for thalassemia screening is showing an abnormal hemoglobin pattern. The treating pediatrician is not sure about the prognosis that is whether the child will be symptomatic and transfusion dependent. Presently, the child is asymptomatic except for mild splenomegaly. Please suggest about the future prognosis of the child to facilitate the further course of action. 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": 20229, + "tgt": "I have some kind of allergy in my inner thigh. What is that?", + "src": "Patient: Hi doctor,I am having some kind of allergy at the inner thigh near my anus. It makes my skin very dry. It was a minor dot, which has now spread on both the sides of my anus and thighs. It is severely itching. Initially, I used Quadriderm RF cream and now, I am just using coconut oil. My skin is getting dark on that part and nearby as well. Kindly help me. Doctor: Hello. Revert back with the photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10422, + "tgt": "My child developed phobia for terrorist. How to eliminate this?", + "src": "Patient: Hi doctor, Recently my child seems to have developed phobia for terrorist. She is just 4 years old. I did not know how really she even came to know about the word terrorist. Now, she remains afraid for most of the day and night. She thinks that they are going to come to her. She does not like to go outside the flat and visit public area.\u00a0I think it may be that one of the movies seen recently has left a deep impact on her. We tried our level best to convince her that movies show false things, but somehow the word terrorist has got deep inside her. She keeps talking about them throughout the day. We do not really know how to get this out of her. These things have started very recently and becoming more intense. Kindly\u00a0help. Doctor: Hello. Child's mind is very delicate and easily moldable. Subtle things can cause drastic and unexpected effect on them, which we cannot even predict at times. In your case, it is quite easily observable to you. It is good that you could recognize this change in her behavior so early and decided to take an opinion for the same without wasting further time. Violence and rage have very severe effect on a child's mind. This is what happened with your daughter. The violence depicted in the movie and the reactions caused by that violence in the movie characters have made a deep impact on her mind. The fear caused by that violence had got imprinted on her mind. This can be the beginning of development of an underlying anxiety illness in her. So, it is very important for you as a parent to help her overcome this. You have to gradually make her aware that though the terrorist are the ones who spread violence and chaos, but on the other hand there are good people also who stop them. To begin with storytelling is a good way to inculcate things. Then play therapy can help. You can get her into play activities where you can strengthen her faith that there is no need to be afraid of bad guys and there are always good guys to help with. Gradually start taking her out and expose her to the people in neighborhood. Tell her about different kind of people living nearby. Familiarize her with the surroundings. Besides this, you should avoid watching content depicting violence and rage in front of your daughter. Child's age is a tender part of their life, they learn very quickly. So, use this as a therapy to manage her fear." + }, + { + "id": 5966, + "tgt": "I have bad breath inspite of cleaning the tongue properly. Please suggest a solution to get rid of it", + "src": "Patient: Hello doctor, I am a 21-year-old male. When I talk to someone they said I have bad breath, and do brush and come back again. But I always clean my tongue properly. Most of the people whom I have talked about said I have bad breath. Doctor: Hello. Bad breath or halitosis is a common problem. There are a number of potential causes and treatments available. Simple home remedies, and lifestyle changes, such as improved dental hygiene and quitting smoking, can often remove the issue. The best method to reduce halitosis is good oral hygiene. This ensures that cavities are avoided and reduces the likelihood of gum disease. Treatment: 1) Mouth rinses and tooth pastes. 2) Brush your teeth after you eat. 3) Floss at least once a day. 4) Brush your tongue. 5) Avoid dry mouth. 6) Adjust your diet. I suggest taking Metrogyl 400 mg thrice daily for three days, tablet Taxim (Cefixime) 200 twice daily for three days, and Pantocid-D once daily for three days." + }, + { + "id": 13840, + "tgt": "Why am I having rashes in vagina that are multiplying?", + "src": "Patient: Hello doctor, My vagina has got these rashes that are not going away but seem to be multiplying. Some are like three close together and some are single. It does not hurt or itch, it only hurts after sex. None of my previous or current sexual partners have these rashes. The rashes are really small and some have a small whitish thing on top. It started about a month ago as one but has multiplied and I feel very insecure right now. Doctor: Hi, Welcome to iclinq.com. I understand your concern. These lesions of yours appear to be small papules (attachment removed to protect patient identity) probably can be due to some viral infection superimposed with a little bit of fungal infection. You should apply Candid B cream locally twice for seven days. Tablet Fluconazole 150 mg OD for six weeks. I think this should help you. You should use a vaginal wash to wash the vaginal area. VDRL, slide examination from lesions. Candid cream locally twice for seven days, tablet Fluconazole 150 mg OD weekly for six weeks. Vaginal wash to wash vaginal area. Use barrier contraceptive." + }, + { + "id": 24724, + "tgt": "Is HIV test a fasting or non-fasting test?", + "src": "Patient: Dear doctor,Which is the primary blood test for HIV? Is it fasting or nonfasting? I want to get tested for a routine checkup. Doctor: Hello. The recommended primary test for HIV detection is the fourth generation HIV rapid test. You need not be fasting for this test. If there is a recent exposure and the test result comes negative, a confirmatory test needs to be done at three months of last exposure. Please revert if you require any further information. Best wishes. For more information consult an HIV AIDS specialist online -->https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 3251, + "tgt": "Would you prefer thyroidectomy for cancer suspicion?", + "src": "Patient: Hi doctor, A year ago, I got a biopsy for two nodules in thyroid. The result for one was benign and the other inconclusive. This year I went back to a different doctor to redo my indeterminate biopsy. She advised me do for both again, because through ultrasound they look angry or vicious. In my right side, which was benign, is the largest at 2.6 mixed solid and cystic with vascularity and the other, that was indeterminate, is more of a solid or heterogeneous. This time my report came back as indeterminate for the benign one and the other as 40 % suspicious for cancer. This was done through afirma gene expression. I also have one more nodule on the lower portion that is too small to test. Doctor is pushing me for thyroidectomy. I am still young and active. I hate the thought of removing such a vital thing in my body and taking pills everyday just on chance. If I come to know it as cancer then I have no problem to take it out. Is there any more in depth test I can do before I change my whole life? What would you do? I am scared and I just feel stuck. Unfortunately, I do not have my reports. Any advice would be deeply appreciated. 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": 16600, + "tgt": "Please suggest medicines for cold, fever and ear pain", + "src": "Patient: Hello doctor,I have a cold from one week. Today, I experienced ear pain and a fever of 99.6. Doctor: Hello. I hope it helps you. If you have any further query please ask me. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11311, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 12931, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 30692, + "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": 27483, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24602, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 1819, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 21985, + "tgt": "I have bloating and blood coming out through stool. What is the treatment?", + "src": "Patient: Hello doctor, I am suffering from bloating for five years. Whenever I take food into my stomach, gas comes out by making a huge sound. Often blood is coming out through stool. Could you please suggest me the treatment? Doctor: Hi. You could have chronic constipation, irritable or inflammatory bowel syndrome or ulcerative colitis. You need to visit gastroenterologist as soon as possible. For symptomatic relief, you can take effervescent Psyllium spoons twice a day and Simethicone 125 mg after a meal in the night. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 17226, + "tgt": "Have I missed my periods due to I-pill?", + "src": "Patient: Hello doctor, I had sex with my fiance one and a half months back and within an hour, I took I-pill. Eight days later, I had some spotting and after that, I usually had my periods a week later. But, this time it did not happen and I am totally freaked out and I did try sugar pregnancy test at home but it did not show any sign of pregnancy. What should I do now and my periods are delayed by I-pill or some other reasons. What should I do? Please help. Doctor: Hi. Your periods can be delayed due to I-pill. Periods can also be delayed due to hormonal problems. Do serum beta hCG blood test to rule out pregnancy confirmatively. Let me know your blood report so that I can guide you. Do serum TSH (thyroid stimulating hormone) and serum prolactin blood test on empty stomach tomorrow morning to see if you have any hormonal imbalance. Let me know the report once you get it. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 274, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25959, + "tgt": "Please advise the best treatment for heel pain", + "src": "Patient: Hi doctor, I have started getting heel pain after exerting in tennis. Please see the photo of the pain area marked in red. Initially, I had continuous pain while walking. It is slightly more on the first few steps after rest or sleep. My physiotherapist suggested it could be a plantar fasciitis and I am undergoing physiotherapy sessions. Had ultrasound and TENS, four sessions. Apart from that I am doing\u00a0stretching exercise and ice pack at home. Hot water on foot did not help much. The pain is ongoing for 15 days and does not seem to be improving much.\u00a0Please advise the best treatment options. Also, do you observe any calcification in the x-ray? I have attached my x-ray for your reference. How long will it take to heal? Doctor: Hello. Heel fascia Inflammation. Revert back after two to three weeks to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 17964, + "tgt": "Epstein-Barr IgM is positive, but undetectable in PCR. Still, I am sick, could it be chronic fatigue?", + "src": "Patient: Hi doctor, I have had reactivated Epstein-Barr for a year. I recently got a\u00a0blood test, which said, faint monoclonal band detected in the gamma region, repeat blood test in six months. There is no immunoparesis, and my levels have risen in the last four months, but still in the normal range. What does this mean? Could this be transient due to an infection?\u00a0The IgM remains positive, the PCR undetectable, but I am still sick. Could it be chronic fatigue?\u00a0 I have had a similar experience recently with positive IgM\u00a0for Cytomegalovirus, but undetectable PCR. And even one positive for Lymes and another negative. Could it be cross-reacting antibodies or something more sinister? I am currently taking Cipralex and Risperdal. Doctor: Hello. I have gone through your query, and I can understand your concerns. Hope I have answered your query. Please feel free to contact if you have any further queries. For further queries consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 1211, + "tgt": "I feel depressed always with emotional instability. Please help to overcome it", + "src": "Patient: Hello doctor, I am 24 years old. I do not know what is wrong with me. I feel depressed all the time. I left home two years back because of my parent's behavior. They always use to make me feel I am worthless and not important for them, they also beat me several times and I was facing emotional trauma on a daily basis. Now I stay away from family alone but seems like things will never change. I am all alone here and people I trusted have backfired on me. My office situation is very pathetic my manager harasses me emotionally or I do not know if I overreact. I just do not know what is wrong? I do not have any friends to talk. I gave a lot of importance to one person in my life and that person did not understand me at all. I cry all day in my room and do not even step outside. I get super angry or emotional on little things. I always stay alone in the office or at home. I feel like there is nothing left for me in this life and I am worthless no one really needs me in there life. For whom am I alive. I do not know if I am depressed or not? I am just done with this life. (Just to add I am a PCOS patient for the past one year). Doctor: Hi. The symptoms you have mentioned are symptoms of depression. You left home because of the behavior of your parents and then you are continuously feeling low because of ongoing things at office and at personal space. All these things are aggravating the depression in you. The feeling of worthlessness, emotional trauma, crying spells, emotional lability, anger outbursts, lack of interest in anything, etc are part of depression. But if these symptoms are persistent and are hampering your personal life and you have negative thoughts then yes, we can think that you have a depressive disorder. If the symptoms are not persistent then no need to get worried. You just have to change your lifestyle, try to not to expect anything from others. Just focus on your life and your things. If anyone hurts you then try to ignore the thoughts. This is difficult but in some days you will learn to suppress the thoughts and with the time you will be able to ignore any emotional trauma. No need to get worried. If you are not able to function properly then you can visit a psychiatrist in person and antidepressants can be started. Escitalopram is a good option in your case. The drug is safe and has great efficacy. This will help to make your mood better. Do you have any thoughts like killing or harming yourself? Any ongoing stress that is bothering you? Any relationship issue? PCOS (polycystic ovary syndrome) too is an independent factor that aggravated depression because of hormonal changes. Control of PCOS also helps in improving mood symptoms." + }, + { + "id": 9073, + "tgt": "What might be the three clustered red areas on the bottom of my shaft after unprotected sex?", + "src": "Patient: Hello doctor,I had unprotected sex two days ago, and there are three clustered red areas on the bottom of my shaft. They only slightly itchy, and the skin there is dried. I have heavily researched herpes, and I do not think this is it. Anything else it could 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": 1106, + "tgt": "I am unable to maintain erection even after GAINSWave treatment. Why?", + "src": "Patient: Hello doctor, I have had ED for several years now. I am able to get an erection but I am unable to maintain it. I have been going to a men's clinic for seven months now and they have done the GAINSWave treatment and implanted a testosterone pellet last week. After all this, there has been no improvement. I have been using the ICI injections and that maintains the erection. Sildenafil is effective sometimes, but not consistently. I have also improved my diet and exercise. I also have delayed ejaculation during this, but in the last 10 days, I am unable to ejaculate at all either through sexual intercourse or masturbation. I have been on SSRIs (selective serotonin reuptake inhibitors) in the past but stopped taking them six days ago. At this point, I am at a loss and would like to get another opinion and some direction. Doctor: Hello. Your lipid values and blood sugar values are absolutely normal (attachment removed to protect patient identity). I would like to say a few points here. Lisinopril HCTZ (Hydrochlorothiazide) is a combo of two drugs in which HCTZ has erectile dysfunction as one of its side effects. Hydrochlorothiazide need to be replaced with a different drug or removed. You are on three antihypertensives Lisinopril, HCTZ, and Amlodipine. Is your hypertension that severe? Testosterone implant may improve your libido but may not benefit ED (erectile dysfunction) always unless there is a gross hormonal dysfunction. SSRI group of medicines are prescribed to delay ejaculation. I do not know why were you prescribed one. That is the culprit which has stopped your ejaculation totally. Better to discontinue it. Instead of Sildenafil for erection, you can try tablet Tadalafil 10 mg (Cialis) after consulting your andrologist. The erectile effects of Sildenafil are short lasting whereas Tadalafil has prolonged effects and one pill on Friday will make you have a wholesome weekend. It may even stop the need to have intracavernosal injections. One investigation which I would suggest you is a penile doppler which gives an idea of blood flow to the penis. GAINSWave is an addon to cure you fast. Penile doppler study. ED." + }, + { + "id": 14218, + "tgt": "Kindly tell me the cure for pimple with white patches on the nose", + "src": "Patient: Hello doctor, I have skin problems on my nose, there is a big pimple which is red and swollen. Also, on my hand, there are some round white patches. I also get a lot of heat boils (yellow in color) on my body. I have shared the pictures. Kindly refer me ointments and tablets for the cure. Doctor: Hi. I have seen your pictures (attachment removed to protect patient identity). We will use one thing at a time to minimize complication. Acne on your nose is termed as acne rosacea. Start Minoz (Minocycline) OD 65 mg once daily bedtime for 30 days and La Sheild sunscreen all over face after 10 AM and Minoz BPO gel once daily bedtime for 30 minutes of short contact period on acne then rinse off with cool water. Avoid direct sunlight between 10 to 3, colored food like sausage, alcohol, too spicy and hot food. Avoid getting anger frequently and dairy products after 8 PM. Prefer carrots, millet powder, fish, dry fruits regularly. Report to me after 30 days and try to avoid any other medication during the course of treatment and by chance, if you notice any sort of side-effects, stop using medication and report to a dermatologist nearby you. Otherwise, it is a very safe medication." + }, + { + "id": 13853, + "tgt": "Will taking contraceptive pill an hour before sex prevent pregnancy?", + "src": "Patient: Hello doctor, I and my fiancee had intercourse a month back with a condom and also she had an emergency contraceptive pill. I bought it from a medical. They asked her to take it before one hour of intercourse. She had a regular period. Her last period was on 7th of last month but it is 11th of next month now and till now she did not get her periods. She does not want to get pregnant now as she has her exams in a few months. She is doing heavy exercise like cycling, spot jogging, sit ups. And also she has taken two raw papayas, four pineapples and three times ginger syrup. I am sure that condom did not get broken. My doubts are will she get pregnant? Is there really a pill available to be taken before intercourse. Is that pill true? What she can do further to get her periods? Can she take Probers tablet for getting it? Doctor: Hi. Stress plays important role in periods. She might be freaking out with the fear of getting pregnant, with exams on the head causing a delay in her periods. Please consider doing a pregnancy test, most likely, it will be negative, and that will help her relax. Periods will gradually occur. No need to worry. Yes, there are medicines for getting periods, but they might worsen her condition by causing mood swings, as she already has taken an emergency contraceptive. Secondly, emergency contraceptives should be taken within 72 hours of unprotected intercourse, the earlier, the better effect. She has taken it quite early even before intercourse, so chances of pregnancy are nil." + }, + { + "id": 28987, + "tgt": "I feel stressed due to work pressure. Please help me", + "src": "Patient: Hi doctor,I would like to take leave from work due to stress. I cannot handle being the only one with answering the calls and dealing customers. I am seriously overwhelmed with my job. I have eye twitches and anxiety over this work pressure. Please help me. Doctor: Hi doctor. I completely understand that you feel stressed due to workload. As you mentioned that you are experiencing anxiety symptoms, you urgently need to visit a psychologist in order to deal with your stress and anxiety symptoms. Eye twitches may be due to anxiety, stress, and mental confusion. You need a detailed interview by psychologist regarding your condition, the cause of stress, personality factors involved in your dealing with people and work-related issues. You are suggested to learn the following coping strategies to deal with workload and anxiety. 1. Stress management training. 2. Relaxation exercise. 3. Cognitive behavior therapy (CBT) techniques to deal with anxiety. I appreciate that you consulted at the initial stage of your disturbance. Delay in treatment may further cause you problems at workplace and home. For further information consult a psychologist counsellor online.---> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 23993, + "tgt": "Is it normal for one month old baby to sleep longer than usual?", + "src": "Patient: Hello doctor, My 1 month old baby girl is sleeping for seven hours and five hours long stretch at night from last two days. And today, she is very sleepy taking feed for just 10 minutes almost every one to one and a half hours before falling asleep again. Is this normal? Should I let her sleep at night? Her urine output is alright. Doctor: Hi. A 1 month old baby can sometimes sleep for five to six hours without a feed, this is a normal thing. If the baby is passing urine more than six times in 24 hours, then the child is getting adequate feed. If the child is on some medication like cough drops or syrup, then also sleeping increases. In that case, stop the medication. A child should feed for at least 15 minutes each time. If the child feels sleepy during feeding, then gently tap on the feet of the child to wake her. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 21329, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15753, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12191, + "tgt": "I am bleeding after using adult toy. Why?", + "src": "Patient: Hello doctor, I am 21 years old, I take Iron supplements for low iron and low ferritin levels and was on contraception pill for six years since four months back. I used a sex toy (dildo) this morning which is slightly bigger than my partner. After, which I noticed a bit of blood on the toy and a small amount came out afterward. I did not feel any pain during or after, I noticed it felt deeper than usual and a stretching sensation. Four hours later I noticed more blood coming out, I have continued to bleed what looks like my period. I have no other symptoms but more blood has come out, no mucous or clots either. I feel well. Could it be coincidental that my period has come back or could I have injured myself? What are the signs of injury and at what point should I get checked out? By the way of background, I have been waiting for my period since last year. I stopped taking the pill thinking my period would come but it never did. I had irregular periods prior to taking the pill (hence why I got on the pill). My periods were always relatively heavy. I also have had a number of ovarian cysts over the last two to three years which have caused me pain previously. I am not polycystic and have not undergone any treatment but for the removal of ovarian cysts three years back due to torsion. Doctor: Hello. As your history suggests that you experienced bleeding post insertion and usage of sex toy (dildo). There are two ways it can cause injury in women - one by frictional lesions experienced as stretching and vaginal wall tears leading to bleeding (reddish spotting to heavy) or presence of cervicitis or cervical erosions which can bleed after the act of insertion or intercourse (often darkish brown discharge to reddish spotting). This calls for a per speculum examination to rule out either -vaginal mucosal injury or cervicitis. Now that you have been amenorrhoeic (absence of mensuration) since last four months, there is all likelihood that post sexual act, due to orgasm and increased endorphins, your menses may have been initiated and have increased inflow in next few days without any discomfort. The chances of bleeding being menses and heavy is high considering there is no pain or fever and that you did not have your menses for the last four months. You should get an ultrasound pelvis done to check for endometrial blood collection which shall confirm menses and also a per speculum exam which shall rule out any cervicitis or vaginal mucous lesions. I hope I have answered your query in detail, Avoid use of sex toy till cause is ascertained and bleeding stops. Please consult your gynecologist." + }, + { + "id": 3402, + "tgt": "Why do I get violent diaphragm convulsion during sleep?", + "src": "Patient: Hi doctor, Last night during sleep, I was awoken by a violent diaphragm convulsion. I felt a sensation of being drawn down into a cold dark blackness. It was very much disturbing and I felt like I was going to die. I had benign arrhythmias with follow up Holter monitor and stress test revealed no signs of heart disease. It occurred thrice in the last 18 months. Please help. Doctor: Hello. Revert back with the answers to a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 21775, + "tgt": "Am I having a heart problem or PTSD?", + "src": "Patient: Hello doctor,I have already talked to my very own Cardiologist but have not really gotten much. They just told me I have been having a lot of tachycardia lately but with a normal rhythm. They told me I should be fine but I feel I am not. Three months back, I had gone into cardiac arrest due to a drug overdose when I got a laced pill full of Fentanyl when I tried to get the old medication I was once prescribed, Adderall. It took 12 mg of Naloxone to bring me back to life. Then about six months ago I had an ER visit because I decided to take what I thought was MDMA with some friends for a party. I do not take drugs anymore. The drug test only came back for Amphetamine and I took around 200 mg of the drug Methamphetamine. I started to go into cardiac arrest again but was luckily brought back to normal levels. It was a scary experience which haunts me now causing anxiety whenever I notice my heart rate go up. Three months ago I started to display worse symptoms. My cardiologist only put me on a heart monitor for three weeks but said I had a lot of tachycardia with a normal rhythm. I am not quite sure whether it is just anxiety or if my heart may actually have problems. I am only 18 but I feel these close calls might have put a toll on my heart. I just need somewhat of an answer on whether these experiences could have caused one term problems to my heart at my age. I do not do any drugs anymore. I vape but that is all. I get chest pains through the day and sometimes will get light headed and cannot think clearly. I will space out and not pay attention to anything else around me. I am worried it is a heart problem or could be PTSD cause from those events. Any information will help. Doctor: Hello. Likely it is an anxiety only causing you tachycardia. If possible please attach your reports like monitoring report, and echo if you have. Echo will tell us whether there are any residual effects on the heart of your previous problems. You should get a thyroid test done to rule out hyperthyroidism if did not have recently. You may use a portable monitor which is a mobile-based portable system to keep watch over heart rhythm. It is better you get started on Ciplar which is a beta-blocker that help to control heart rate and anxiety. Consider regular exercises to tone your heart. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 21254, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5925, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 977, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 3779, + "tgt": "Because of my repeated failures in life, I have constant suicidal thoughts. Please help", + "src": "Patient: Hello doctor, I hate myself and my life because my biggest enemy and weakness is me. I am the biggest trouble maker of mine. I am stupid and foolish. I have grown up in the environment of too much care, fear and adopted fear in my nature. I have too much hesitation and assertiveness. My communication is very poor and cannot express in a polite manner giving an impression like an arrogant. What I feel inside is good but cannot express as easily because I feel ego. My biggest problem is fear. I shout loudly in sleep sometimes. I always feel I do not know anything and others feel bad about me and I will be shameless. I used to depend the most on parents and I used to do what they say. My life decisions also I cannot take myself and did what they said. I came to a city for pursuing a degree. I felt inferior by looking at the environment. I used to stay in a small room and I did not even know any languages properly, not even my mother tongue because that slang was not that good. I tried and could not complete the course, wasted that fee also. When I got backlogged for exam fee and attendance shortage, I had to keep my dad's watch in pawn brokers shop. Later my dad came to know and screwed up like anything. I did not like all these by hurting my parents and cheating them. 10 years got wasted. I did fraud things like this. After that long gap, I was in big trouble and my mind became blank. Do not know what to do. I feel shame about myself. I started social media chatting to overcome my emotions and got addicted. I wanted to get easy money so I got attracted by the lottery but never got anything. I tried online easy money sites also. I got a small job in a hospital for 6500/- per month, that also closed after two years. I searched for some other jobs, I got offered for small pay and my dad suggested doing a business with the help of one of my uncles. I deposited some amount to start the business in our town itself. We completed the project on time and submitted, but he did not pay and said the client cheated. I started searching for other projects, but all looked like fake or some other risky things. Depression got doubled. Then I joined RK Math and did a personality development course and attend some classes. As per my brother's suggestion, I learned SAP and did certification, could clear it successfully. I studied B. Sc in correspondence due to the long gap in education. I did not get a job in any good MNC. So I had to join some small company without pay. After eight months, they sent me for a project on TATA steel. I struggled a lot to adopt with Hindi, atmosphere and work environment also. It took almost six months to get adopted in those circumstances. I worked there for around two years. I had to leave this job because of less pay and homesickness. I applied for many companies and placed in a small company. I felt a bit relaxed. I did well in the interview. I proud this moment, because I got it with my own efforts. Good MNC's is not accepting me for the gap in education. I feel every time work pressure and insecurity of losing the job. My parents are very much worried about me. I am no more can avoid this worry from them. Whatever, I do not want to give them any worries and let them enjoy and live peacefully. I feel like ending my life and let my parents be relaxed and live peacefully since I am no more supporting my family and becoming like a big burden on them. My age is 34 and not married where all of my friends settled and married, living happily. All good things happening lately. I need discipline, good daily routine, good attitude, enjoy the work and the way of life. I should behave politely and confidently. Enjoy work and challenges I am facing. I want to lead happy life with peace and enjoy all challenges and grow in life honestly. Doctor: Hello. I can understand your concern. First of all, stop blaming yourself for anything. You are not your biggest enemy and you are not a trouble maker. Your anger is getting directed to yourself only and this has resulted in depression. Repeated failures (whatever be the reason) resulted in a state of helplessness and you lost your confidence. Due to shifting from a small town to city and then language issues all resulted in poor performance in studies and which ultimately costed failure in engineering. After that, you could not finish your studies and then got deceived in business and ultimately this also failed. All these setbacks resulted in learned helplessness. Your anger is towards yourself and this is the main reason for your depression. First of all, keep one thing in mind that never leave a job unless you are sure that you will be getting a good offer. Since there is a study gap so you will have to try hard in order to get a good offer. Continue to do your work sincerely and you will definitely get success. Suicidal ideation, low mood, poor confidence, etc, all resulted in severe depression. If you are not able to control your depressive symptoms then please consider consulting a psychiatrist for opinion. Out of your depression, you are getting irritated and this is resulting in arrogant behavior which later causes guilt. So to come out of these symptoms please visit a psychiatrist for treatment." + }, + { + "id": 739, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 5151, + "tgt": "Please help me concentrate and study well for my exams", + "src": "Patient: Hi doctor, I have an exam tomorrow, but I am not studying at all. The whole day I did not study. I am not even feeling sleepy, but still not opening my book. Two exams got over and I wrote them well. But now, I do not know what I am doing. Please help me concentrate and read for my exams. Doctor: Hi. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 21665, + "tgt": "Are full dentures the best option for gum disease and unsightly gaps?", + "src": "Patient: Hello doctor, I lost a tooth 20 years ago and now have severe gum disease and unsightly gaps where my other teeth have parted. Are full dentures the best option? Doctor: Hi. Regarding your query, since you have lost just one tooth and you are still young, full dentures are not required. You can go for a cleaning (scaling) first and replacement of the tooth that you lost. You can either go for a bridge or implant, depending on your needs and what the dentist feels is appropriate. Kindly consult with a general dentist or prosthodontist for the same. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 12174, + "tgt": "Is it normal for one eye to look different than the other?", + "src": "Patient: Hello doctor,My eye shape has started to differ than other one and looks droop. Doctor: Hello. From the photo attachment (attachment remove to protect patient identity), I can tell you that you have mild ptosis on your right eye. Ptosis is the technical term for the drooping of the upper lid. There are several ways in which ptosis can be corrected depending on the etiology. To get to the etiology a face to face consultation and examination is mandatory. I recommend that you visit an ophthalmologist preferably with experience in oculoplasty surgery. I also advise an urgent appointment in case you have the following: 1. Seeing double. 2. One side of the face or body (arms or legs) are feeling numb or do not move as well as the other or power is lesser. 3. In case you have been experiencing headache, severe vomiting, weight loss and problems seeing bright lights." + }, + { + "id": 24031, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 30558, + "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": 18185, + "tgt": "Does it take 2 to 3 weeks for a bacterial eye infection to heal?", + "src": "Patient: Hi doctor, From the last two weeks, my eyes are reddish. So after three days, I consulted an ophthalmologist, and he said that I have got an eye infection, and he suggested to use Vigamox, Floace,\u00a0and tear eye drops, four times daily. But after two days, my vision started to blur, so I rushed to the doctor again. He again said it is a bacterial infection, and he said it will take 2 to 3 weeks to recover. I am using the prescribed eye drops from a\u00a0week, but my vision has not recovered even a bit. I am afraid because, before the infection, my vision was 100 %, but now my left eye is totally blurred. Will it take three weeks to recover? Do I have a corneal infection? Please help. Doctor: Hello. Having said that, it is a provisional diagnosis. Kindly share your case report, so that I may guide you better. Revert with more information to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 28621, + "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": 16094, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3959, + "tgt": "After an accidental hit from cricket ball, my urine color changes to mild red. Please help", + "src": "Patient: Hello doctor, I got a hit on cricket ball four weeks ago, and I have pain in my abdomen and after several minutes it is back to normal again. After a few days, I joined the gym and doing my basics like cycling, some weight lifting, etc, but no abdominal exercises. Four days ago, I passed orange color urine, I thought it was dehydration and drank more water. My urine turns back to normal, again on the same day I have done my routine exercise in the gym and after exercise again my urine seems to be in light red color but this time it starts with light red and turns into normal again. I take more water and there is no sign of blood. What is the problem? Doctor: Hello, Welcome to icliniq.com. Nothing to worry at present. There is no relation with the cricket ball hit. It might be related to dehydration or gym exercises which also can cause dehydration, both of which cause dark urine. Just get basic tests done to confirm it is blood or just dark yellow urine. Drink plenty of water. Get done your urine routine, ultrasound abdomen and pelvis." + }, + { + "id": 25405, + "tgt": "Am I a carrier or patient of hereditary hemochromatosis?", + "src": "Patient: Hello doctor, I have received a blood test back that I am confused about. I have previously been diagnosed with hereditary hemochromatosis but a new physician recently did the genetic test and indicated that I only had one of the genes present and thus was a carrier and not a patient.The blood test showed: Iron, Serum 286 ug/dl range 35-169 (ALERT LEVEL) TIBC 435 ug/dl range 250-450 UIBC 149 ug/dl range 111-343 Iron Saturation at 66% On the Transferrin Saturation Iron 298 ug/dl range 61-157 Transferrin Saturation 56% range 15-55 Transferrin 377 mg/dl range 200-370 Ferritin, Serum 36 ng/ml I had given blood about 10 days prior to the test being taken. I am looking for some guidance on whether these results should be of concern or not. Doctor: Hello. I have gone through your blood test results (attachment removed to protect patient identity). Your blood picture shows that the iron which is absorbed is not being utilized properly. Your transferrin saturation levels 56 % is high but not more than 62 %, which is indicative of homozygosity for the HFE gene. Moreover, genetic testing is confirmatory. Fasting transferrin saturation values in excess of 45 % for males or 35 % in premenopausal women (i.e. 300 ng/L in males and 200 ng/L in females) are recognized as a threshold for further evaluation of hemochromatosis. You have already been diagnosed as heterozygous for hereditary hemochromatosis, and these values are to be expected. Since your serum ferritin levels are towards the lower end of the normal range, you do not need to undergo phlebotomy. Serum ferritin in excess of 1000 nanograms per milliliter of blood is almost always attributable to hemochromatosis. The increase in RBC count and hemoglobin is a direct result of the testosterone therapy you are receiving. I would say that currently you need not worry but you need to keep monitoring your serum ferritin level and transferrin saturation in order to prevent the development of complications and receive adequate treatment when your iron stores reach levels that can cause them. Thank you. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 22380, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17808, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13096, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 1571, + "tgt": "I get stomach upset with intake of milk and orange juice. Why?", + "src": "Patient: Hello doctor, My stomach gets upset when I drink milk, orange juice, or even yogurt which is normally good for an upset stomach. I cannot digest banana, corn flakes, and many other foods, and it has been going on for a long time. I have been to many doctors and they had endoscopy and colonoscopy tests but nothing came out bad. Please help. Doctor: Hello. I can understand you must be very upset about your condition. So you see the diets you are kind of allergic to are containing milk protein. Yes, there are some diets that contain no milk, but the diet that predispose you to have stomch upset will disturb your stomach as often as one has allergies to almost every diets the person takes. So, I suggest you to cut down your dairy intake. It occurs due to the deficiency of an enzyme called lactase which usually digests the milk. Or you can purchase a commercially available drug containing lactase enzyme. Tablet Lactaid 9000 FU just every time before having a milk-based diet. If you want to discuss more I am here to help. Follow up in one week." + }, + { + "id": 27669, + "tgt": "Please help with the wart-like growth on my foreskin", + "src": "Patient: Hi doctor, I had wart-like growth on my foreskin. I consulted a doctor, who asked me to get a circumcision done. So I got the circumcision done. The biopsy result showed that they were viral warts (condyloma acuminatum), and the doctor gave me tablet Valtoval for a month. After going through the internet, I found out that viral warts are caused by HPV, so I stopped taking Valtoval, as it is used for herpes and not HPV. But now, I got a small wart-like lesion on my penis. I feel bad and frustrated, and I do not know what I need to do. Please help me. What do I need to do? I am going to get married next month. I am waiting for your response. Thanks. Doctor: Hello. I read your query and understand your concerns. You are right in saying that genital warts are caused by HPV (human papillomavirus), and even the biopsy of the excised skin confirmed the same. Although there are some reports that Valtoval (Valacyclovir) has some efficacy in HPV, it is largely inconclusive. Having said this, I think you need to opt for Imiquimod or Podophyllin as next mode of treatment. The former enhances your immune system, which helps in fighting from genital warts. In my own practice, I prefer this mode of treatment and find good results. I request you to discuss the use of Imiquimod with your doctor. At the same time, avoid unprotected sex with your potential partner now or in recent future, as it may transmit the disease to your partner. I must assure you that with Imiquimod, there is a good chance of remission of genital warts. I hope this helps you. Feel free to write back if you have more questions. Thanks and regards. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13488, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24381, + "tgt": "What is the probability to obtain HIV after masturbating in hotel's bathroom?", + "src": "Patient: Hello doctor, I understand how bizarre my question can sound, given the circumstances, but still, it is an urgent matter for me. I was staying in a hotel and masturbated in the bathroom (in my room). I fear that I could have obtained HIV, if some semen or blood of the previous visitor had been on the facilities (or on the soap, which was dry and in a box and was not exposed to fresh air or light) and then came in contact with my penis (or some small wounds on penis or hands, if there were some, I do not remember their presence though). Can you look at it seriously and answer (with explanation), what is the probability for me to have obtained HIV? Even small real probability frightens me. I am a virgin. Doctor: Hi. There is absolutely no chance of acquiring HIV this way. HIV is only transmitted through unprotected sex e.g., either vaginal, anal or oral sex. Firstly, the virus does not survive outside the body for more than a few seconds and dies quickly in drying. Secondly, intact skin does not provide access to the bloodstream. However, even if we assume that you had a break in your skin barrier at that time, then also a paper thin cut or a scratch that is not even bleeding does not provide access to the bloodstream. There has to be a fresh actively bleeding deep cut for the virus to gain access to the bloodstream. In my view, you have no risk of HIV, whatsoever. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 4218, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 6086, + "tgt": "Does vitamin deficiency cause premature ejaculation?", + "src": "Patient: Hi doctor,I did a test. I got my results that my erection transmitter is 2.99, testosterone is 4.459. vitamins E, K, and C are also slightly low. Could this be the reason I have premature ejaculation? At times, I also have a weak erection after one ejaculation. What should I take to treat these? Thanks. Doctor: Hello. The premature ejaculation occurs due to anxiety and hyperexcitation in most individuals. Altered testosterone levels are not the cause of early discharge. If you have the problem of premature ejaculation, then drugs like Dapoxetine can be used to delay the ejaculation time. The drug will help improve the time and you will feel better. Thanks. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 11601, + "tgt": "How to treat foreskin cracks?", + "src": "Patient: Hello doctor, I have read that cracked skin is a symptom of genital herpes. But I searched to find a picture or an example of what this cracked skin would look like and have found nothing. Could you explain what this would look like? And would these cracks become permanent or how long they would take to heal? I have had sore legs that occurs and disappears in the groin area. Doctor: Hello. If possible forward few pictures of the affected area to guide you through precisely." + }, + { + "id": 832, + "tgt": "Please suggest what to do for worms in stomach", + "src": "Patient: Hello doctor, My child is 6.5 years old. Recently, a worm came out of her mouth alive of about 5 to 8 cm long without vomit. Doctor gave her Bandy plus and told to repeat the dosage after 14 days. Please suggest whether it is a tapeworm. What are the investigations you would like to suggest for her? Please advice would there be more larvae or eggs of this kind of worms in her intestines? She reports pain in her abdomen and throat often. She has problem of constipation as well and because of that she lacks concentration in work or study. Please suggest 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": 1537, + "tgt": "Can Z-pack increase your heart rate and cause anxiety?", + "src": "Patient: I had a doctor prescribe Zpack for me yesterday. I have shortness of breath and chest tightness, I was also wheezing, but when he listened to me breathing he didn\u2019t hear it. I\u2019m really worried about taking this antibiotic because even though I\u2019m not allergic to any medicines that I know of, he didn\u2019t really ask me many other medical questions to see if this was a safe option for me. I read this medication can increase heart rate and people have went into cardiac arrest? I already have a resting rate of about 105, and pretty bad anxiety. I just would like some reassurance that this is safe drug and I don\u2019t have to worry about deadly side effects..I\u2019m also a smoker/34 year old female. Doctor: Hello, Greetings from icliniq. I understand that you are worried about the side effect of the prescribed drug. In my opinion, Azithromycin is one of safe drugs, so do take the medicine without any doubt. Secondly, I would like to know your history in detail. And last but not least, according to me its a good time to give a thought about quitting smoking. And I can help you. Do let me know. Take care. Spirometry testing with bronchodilator reversibility testing allergic bronchitis, bronchial asthma worsening due to smoking Smoking cessation. When investigations are available and then as required." + }, + { + "id": 419, + "tgt": "I have a painful boil in my innner thigh with discharge and leaving a hole behind. What should I do?", + "src": "Patient: Hello doctor, I had a boil in my inner thigh for a week now. It started as a pimple then progressed to a painful bump. Two days ago, it started to drain. I have been applying warm compression and Betadine on it. The swelling and pain decreased however, the wound worries me as it now looks like I have got a hole in my thigh. What will I do? Doctor: Hi. I can understand your concern. According to your statement, you have been suffering from a boil in the inner thigh for a week. It was started as a pimple then progressed to a painful bump. According to your picture (attachment removed to protect patient identity), your boil may become infected. So for your boil, you can take Cefixime 400 mg (twice daily) with Clindamycin 300 mg (twice daily) and apply locally topical Mupirocin or Bacitracin ointment on your affected area. You can take Vitamin C supplements for quick healing and you should undergo some investigations like CBC (complete blood count), RBS (random blood sugar), etc." + }, + { + "id": 29912, + "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": 30832, + "tgt": "Why am I hearing several voices and getting paranoid thoughts?", + "src": "Patient: Hi doctor,I am an 18 year old female. In the past year, I had been hearing several voices telling me to do certain things. Sometimes, I hear things that are not really present. Often, I feel like I am observing my own life as an outsider and this has been happening for two years. I also have trouble with sleeping. I do not fall asleep until around 1 AM and I wake up at around 6.30 AM. This has been happening for several years. Also, I just feel scared and paranoid that people are plotting against me. Please help. Doctor: Hi. I have read and completely understand that you have been facing a disturbed state of mind. 1. Often there is a genetic factor involved in the disorder such as if some in your family is suffering from similar kind of psychological problems. 2. Environmental factors such as negative life experiences during the past, family background, family communication and the role of a mother figure has been found to be associated with the development of this disorder. Consultation with a psychiatrist to suggest appropriate antipsychotic medicines. Observing one's own life as an outsider may be a part of dissociation or unrealization process. It needs to be differentiated from psychosis. Schizophrenia spectrum disorder (paranoid type). Generally a biopsychosocial approach is found to be the best treatment for a psychotic disorder. You need to observe the following with your specialist concern. 1. Medications are generally suggested after confirmation of the diagnosis. The medication is to balance the brain chemicals, which are released in excessive amount such as dopamine. A psychiatrist will prescribe the medicines to you. 2. Further, psychotherapy is must for such patients as a supportive treatment to get them back in life. Because, they might have left socializing, lack self-esteem, need support and guidance related to what has happened to them, to reduce the hygiene problem and develop coping skills such as checking the reality of the thoughts, personal dialogues, problem solving and communication skills. This is done through cognitive behavior therapy (CBT) provided by a psychologist or psychiatrist. 3. Support from family members is necessary to get the patient recover and complete the treatment. Family members can take counseling sessions as well, so as to get an idea about how to deal the client at home and among social spheres. Do not delay the treatment for psychotic disorders. It may get worse if remain untreated. For further doubts consult a psychologist counsellor online.---> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 9860, + "tgt": "Why does my brain MRI show multiple small foci?", + "src": "Patient: Hello doctor, Recently, I got an MRI of the\u00a0brain\u00a0done. The report says that there are multiple small foci of high signal mainly in the right peritrigonal white matter. Is that a risk? My doctor says that it happens in older people with blood pressure or diabetes. I have high prolactin of 385, but the normal should be 50 to 350. I am a smoker. Currently, I am taking Dostinex. Doctor: Hi. Revert back with a detailed clinical picture to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 25821, + "tgt": "How can the formation of tonsil stones be prevented?", + "src": "Patient: Hello doctor, I am suffering from tonsil stones and I am very much irritated by them. Can you please tell me how to cure them and how to prevent them? I have not taken any medicines until now. Doctor: Hello. Tonsilloliths or tonsil stones are formed due to deposition of lime salts in tonsils after blockage of crypts in tonsils. Treatment involves removal of stones by an ENT (ear, nose, and throat) specialist. Recurrent stones are treated by tonsillectomy. In the meanwhile, you can start Betadine (Povidone Iodine) gargles three to four times a day. Consult your specialist doctor, discuss with him or her and with their consent take them. For more information consult an ENT Otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 13289, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13842, + "tgt": "What is causing foamy urine with dry mouth?", + "src": "Patient: Hello doctor, I have been experiencing foamy urine since last six months. The froathing in the urine has considerably increased in last one week. I often also notice dry mouth symptom. I had undergone a kidney function test a couple of times and reports were normal. I am not diabetic nor any other history of medication. My age is 38 years and weight 88 kg, height 171 cm. Doctor: Hi. I have gone through your query and the attached reports (attachment removed to protect patient identity). Your reports are mostly within normal limits, there is nothing to explain about the foamy urine in it. There are only two common possibilities for this, one is protein in the urine or could be dehydration. Ideally, I would like to examine you to see whether you have any signs of dehydration, I would strongly suggest you visit your local physician to have a check. If it was due to dehydration, I would suggest you increase your fluid intake by about a liter a day. If there is no response to that, then maybe you need further tests to definitely check whether there is any protein leak in the urine as the routine dipstick test is not always accurate." + }, + { + "id": 7457, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 16356, + "tgt": "How to treat the blood dots present in the skin?", + "src": "Patient: Hi doctor, I have blood dots present under my skin. But it appears only in my arms. I have them on a different arm every morning. I do not have itching, and they are not raised. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). These are called petechiae. It can occur due to multiple causes. Please mention about the other clinical complaints you have. Please say about the recurrence of these blood dots and your drug history. Please report about the recent history of trauma." + }, + { + "id": 25462, + "tgt": "What could be the reason for pulmonary fibrosis in an elderly?", + "src": "Patient: Hello doctor, I am a 74-year-old male with a weight of 142 pounds and a height of 5 feet 10 inches. I take no medications except Ativan. I take vitamins. I am a non-smoker, worked in the auto body shop for two years painting cars, quit grain farming at the age of 44, minimal exposure to asbestos. I have been suffering from panic disorder for 56 years. Last winter I got a whiff of hot coals while cleaning my fireplace. Radiation exposure includes two thallium test, two barium enemas, one angiogram. Normal chest X-rays until last spring. Last spring X-ray showed scattered fibrosis. Normal pulmonary function test - FVC liters - Ref 4.11, Pre meas 4.18, Pre % Ref 102 ; FEV1 liters- Ref 2.70 , Pre meas 3.10, Pre % Ref 115; FEV1/FVC % Ref 68, Pre meas 74; FEF 25-75% L/sec Ref 2.40, Pre meas 2.35 , Pre % Ref 98 ; FEV3 Liters Pre meas 3.67; PEF L/sec Ref 7.87, Pre meas 10.63, Pre % Ref 135 . What could be causing the fibrosis? Doctor: Hello. Single chest X-ray cannot diagnose lung fibrosis and further tests are required to rule out other causes. As you said, the chest X-ray was normal before a few months and now showing scattered fibrosis. It is advised to repeat the X-ray after few days. Once the X-ray is reported as fibrosis, there is suspicion of a chronic irreversible disease known as IPF that is idiopathic pulmonary fibrosis. After this, I would like to clarify that having no significant past medical history of any risk factors, it is advisable to rule out common reversible infective causes like TB (tuberculosis) or pneumonia. Radiation exposure, you listed above, is not significant to cause fibrosis of lungs. But it can be a contributing factor. Chest X-ray is not much sensitive to rule out lung fibrosis and the next important investigation advised is HRCT (high-resolution computed tomography) scan to rule out IPF or other ILD (immature lung disease). In your case, the advancing age of the patient is the most important risk factor to be the cause of scattered lung fibrosis. Looking at the spirometry, it is absolutely normal which cannot rule out IPF and further tests like DLCO (diffusing capacity of the lung for carbon monoxide) with body plethysmography are advised. So in summary, as I said, single chest X-ray cannot diagnose lung fibrosis. Further investigations like HRCT scan, DLCO with body plethysmography and in some cases lung biopsy are must find out the exact cause of lung fibrosis. For more information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 22691, + "tgt": "My wife has HbE trait and is pregnant. Can this affect the child's health?", + "src": "Patient: Hello doctor, My wife is nine weeks pregnant with our first child. We got are hemoglobin results back today. My wife's test results were positive. Ea, HbE trait with or without thalassemia. I would like to know if child's health could be a concern? Please help. Her grandmother has diabetes. Got it at an old age. Doctor: Hello. HbE trait will not pose any health problems to your child if he or she inherits it. Only the size of the red blood cells will be smaller than normal. The only worrying aspect is the fact that your wife might have the alpha thalassemia gene which might affect your baby. The inheritance of alpha-thalassemia is complex because the condition involves two genes: HbA1 and HbA2. People have two copies of the HbA1 gene and two copies of the HbA2 gene in each cell. Each copy is called an allele. Therefore, there are four alleles that produce alpha-globin, the protein that results from these genes. For each of the two genes, one allele is inherited from a person's father, and the other is inherited from a person's mother. So each person inherits two alleles from each parent. The different types of alpha-thalassemia result from the loss of some or all of these alleles. I would suggest that you both get yourselves tested for the genes involved in alpha thalassemia genes. If both of you are carriers, your child should also be tested either through chorionic villus sampling or amniocentesis. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 23409, + "tgt": "Why is there continuous period bleeding in a 11-year-old?", + "src": "Patient: Hello doctor, My daughter is 11 years old, height is 5'2\" and weight is 45 kg. She started her periods eight months back. It was normal till two months back. After which, she got her periods twice with a gap of 10 days and duration of 9 to 10 days. Same continued next month also. The next month we had been to a gynecologist and she has asked us to do a couple of tests and scan which came out normal. She has Iron, vitamin B12, serum ferritin and vitamin D deficiency so gave supplements for the same. Again we went to her around fifteen days later as bleeding was still continuing. She prescribed Trapic for three days and the bleeding stopped but is back again. Today we had gone to the doctor. She has prescribed Regestrone 5 mg thrice a day for a week twice a day and once a day for a week. Please advice. I am concerned about weight gain and other side effects. Doctor: Hello. I have gone through your history and understand your concern. As she is bleeding we have to give progesterone to stop it because in her age mostly cycles are anovulatory and deficiency of progesterone may cause bleeding. Do not worry much about weight gain. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22002, + "tgt": "How can I be positive for chlamydia when my only partner is negative?", + "src": "Patient: Hello doctor,I recently gave birth three months ago. I noticed something was off and I went to my obstetrician three times and they just said I had BV and treated my partner also with Flagyl. Then I went to my primary because I still did not feel well and they called me saying I have chlamydia but my partner went to get checked at the hospital and he tested negative. I only was with him. How could I be positive and he is negative? Currently, I am on Doxycycline for 10 days, two times a day. And he got four pills and a shot even though his result was negative. A year back we both had chlamydia and were treated for the same. Doctor: Hello. First, let me congratulate you for your baby. May God bless you and your baby. Next, you say that your recent test for chlamydia resulted positive while your partner was negative this time. Now, taking into account you were both infected with chlamydia one year ago, and you were both treated, then, this explains why your partner is negative this time. Giving birth and pregnancy raises chances to get reinfected, explaining why you are positive now. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 13970, + "tgt": "What could be the reason for yellowish green chunky vaginal discharge?", + "src": "Patient: Hi doctor, I have noticed that I have an extremely irritated vagina with chunky discharge that looks yellowish green. I am negative for trichomoniasis and waiting for gonorrhea and chlamydia results. Doctor: Hi. An irritated vagina with chunky discharge is a definite sign of vaginal infection. Most of the time, character, color and odor of discharge helps in identifying the type of infection. Since your discharge is yellowish green, have to keep in mind sexually transmitted diseases. Please wait for the further reports. All the vaginal infections can be treated well with antibiotics. So do not worry. If it is recurrent, please rule out diabetes. Please use condoms, and avoid multiple sexual partners. These two steps can help get rid of STDs forever." + }, + { + "id": 16952, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 29790, + "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": 16140, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28616, + "tgt": "I have a thorn in my finger. How to remove it?", + "src": "Patient: Hi doctor, I have a thorn deep in my finger. I can hardly see the tip of it. I have tried using tweezers and baking soda and water mix. It has started to become infected. Please help. Doctor: Hi. Sorry to hear about your mishap. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21795, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25912, + "tgt": "Till what age do vocal and motor tics usually continue?", + "src": "Patient: Hello doctor,I have vocal and motor tics. Is it Tourette's and if yes, till what age does it usually continue? Please help. Doctor: Hello. Unfortunately, there is no cure for it, but treatment can relieve symptoms. Tics can persist for years or lifetime, although their severity reduces. Most of the tics are mild and do not require any treatment. Stress relieving therapies like yoga and meditation would be beneficial. Medications like Clonidine are helpful for suppression of tics, at a dosage of 0.5 mg per day for six weeks to three months. 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": 10573, + "tgt": "A vein is blocked in heart and there is chest pain while walking far. What has to be done?", + "src": "Patient: Hello doctor, A vein is blocked near the heart. The doctor told that he checked up today and there is a pain in the chest when he walks far. He is 45 years old, what should be done? Doctor: Hi. Blocked artery in the heart causes pain especially when one is engaged in activities like walking due to increased heart rate during activity which reduces blood supply to the heart muscles leading to ischemia and pain. This condition is called angina pectoris. It is a problem with the coronary arteries which supplies the heart muscle. The doctor to see is the cardiologist. Do ECG, do clotting time. Take Isorsobide Dinitrate 5 mg three times daily will help to open the heart arteries and relieve the pain. Take care." + }, + { + "id": 30147, + "tgt": "My doctor advised surgery for radiating low back pain. Is that right?", + "src": "Patient: Hi doctor, I feel pain in my lower back. The pain is radiating to my left foot and left big toe. I have attached the result of my MRI. The doctor told me that I need an operation and medicines will not help me. But, I do not believe that my case is so bad. Can you check my report? I am working as a software engineer. Doctor: Hi. I read your query and understand your concerns (attachment removed to protect patient identity). Revert back with the MRI images to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 18237, + "tgt": "Please suggest ayurveda medicines for arthritis of the knee", + "src": "Patient: Hi doctor, Can a cartilage in the knee regenerate? Also, please specify some yogasanas or exercises for knee arthritis. Doctor: Hi. I read your query. Thank you. For further queries consult an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 18146, + "tgt": "My skin is inflamed and sensitive after excessive sun exposure. What should I do?", + "src": "Patient: Hello doctor, I did something very silly 10 days ago. I was outside all day without a sunscreen, so the tops of my breasts were exposed to the sun until 2 PM. I got a sunburn which is typical, as my skin type makes me prone to it. Usually, it subsides within a week, if not less. However, this time the tops of my breasts are still red in splotches, with a seemingly brown vein of skin running through them. They are sensitive, and sometimes bleed if accidentally poked with a brush, which has never happened before. I have been applying Neosporin to them at least three times a day. I will try to upload photos. Can you possibly help or recommend a treatment path? Doctor: Hello. For further queries consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18013, + "tgt": "Can I get pregnant with only one matured follicle?", + "src": "Patient: Hi doctor, I had PCOD. Please check my scan report and explain it. Thank you. Doctor: Hi. I have read your problem. 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": 12485, + "tgt": "I have itchy red rashes that wrinkled after applying moisturizer. Please help", + "src": "Patient: Hi doctor, I am having a problem with dry skin and rashes. I have a history of atopic eczema on the neck for which I am applying Flutivate cream. 4 weeks back some red rashes started coming up with itching. I thought it is because of dry skin, so I applied coconut oil and moisturizer. The redness has gone, but the skin is wrinkled. On scratching sometimes blood is coming up. Currently, I am taking Losar 50 mg, Nexito plus and Thyronorm tablets. I am attaching the pictures for your reference. Kindly help. Doctor: Hi. Kindly send me the photographs of your face with a closed eye. Any other medication history, two to four weeks before rash?" + }, + { + "id": 27379, + "tgt": "What is the connection between low ferritin level and thyroid?", + "src": "Patient: Hello doctor, I am doing research on diagnosis and treatment of mental illnesses. I have already interviewed couple of psychiatrists and now would like to focus on asking some questions to endocrinologists. My questions are: 1) \u201cIn thyroid disorders mainly in hyperthyroidism a paranoid syndrome may occur\u201d Why is this happening? 2) What is the connection between low ferritin level and thyroid? 3) What does an elevated level of homocysteine mean to an endocrinologist? Thank you for your help and time. Doctor: Hi. 1) Yes, paranoid syndrome is frequently seen in association with patients having hyperthyroidism, reason being distractive over activity, anxiety, emotional instability, exaggerated insensitivity to noise, fluctuating depression and other unexplained medical symptoms. All these things can lead to paranoid symptoms. 2) Low ferritin or iron level decreases de-iodination activity which slows down conversion of T4 to T3. Low ferritin decreases the activity of enzyme thyroid peroxidase which is dependent on iron. Hence, it causes increase in concentration of circulating TSH (Thyroid Stimulating Hormone). 3) Raise in homocysteine level is not considered to be good. It could be genetic and due to other causes. In genetic cause it can cause short life span of the person as it causes atherosclerosis and more effect is seen on cardiovascular system. High level causes damage to arterial wall and plaque formation, may also cause aggregation of platelets, clot formation and blockage of an artery. It is more dangerous in case when coronary artery supplying the heart gets affected as this can cause myocardial infarction (commonly known as heart attack). Hope this answer helps you. For further queries, get back to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 20046, + "tgt": "Is there any risk if Cytomid is taken during pregnancy?", + "src": "Patient: Hi doctor, I am 6 weeks and 4 days pregnant. I have been on Cytomid 250 due to hair fall. I had my last period two months back during the end of the month and I discontinued Cytomid 250 out of pregnancy suspicion during the same period the following month. I have been told that by baby is growing at a slower pace of one week difference when compared to normal growth. Shall I continue with the pregnancy? Doctor: Hello. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26779, + "tgt": "Are all my symptoms related to something serious?", + "src": "Patient: Hello doctor, My face is always turning red and getting hot. It starts gradual, but then it feels like a burst and my face turns into a deep red color. I then get very hot and start to sweat. Also, why am I always tired? I fall asleep at around 7.30 PM every night, and I do not have the capacity to stay awake. I become out of breath very easily, walking up three flights of stairs in my school has my breathing extremely heavy, and my face gets red again. I also get random dizziness throughout the day. I also think that I am a little bipolar and maybe anxiety struck due to my mood swings. I want you to know that I have a 140 IQ, so I can realize all of my problems and cancel them out by thinking about them. Occasionally, my chest or heart begins to feel like a lot of pressure is being placed on it. Also, I receive sharp pains in the corners of my abdomen. Recently, I have also been experiencing very bad hunger pangs, and it forces me to eat a lot of food. Lastly, I am easily distracted. I do not know if it is possible to have ADD with a high IQ, but I think I might because I easily zone out for the entire period. Please tell me if all of these are correlated into something very big, or if each is individual. Should I consult a doctor? Doctor: Hello. You appear to have multiple issues, but none of them are serious. I hope this helps you and get back if you have any doubts. All the best. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17726, + "tgt": "I have a bad habit of exhibitionism. Please help me stop this behavior", + "src": "Patient: Hello doctor, I am a 26 year old male. My problem is exhibitionism. I try to flash my penis to women. I know it is a bad habit. But I am not able to stop it. Please help me stop this bad behavior. Doctor: Hi. It is good that you have taken the very first step required for resolution of your problem and you accomplished that by seeking help. This is not recognized as a problem by a major part of the population due to ignorance or other reasons best known to them. There are various methods of treatment available for exhibitionism:" + }, + { + "id": 15213, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28104, + "tgt": "I have a hard and painful bruise on my leg from two weeks. Why is it still hard?", + "src": "Patient: Hi doctor, I have hurt my leg as a cupboard fell on it, and I have a bruise that is around 20 cm in diameter. The bruise is very hard, and when I am still, there is no pain. Once I move my leg, I have pain. The bruise is there for two weeks now, and the hardness is still there. I got an x-ray and ultrasound, which were both normal. Why is the hardness not going away? Is it normal? Doctor: Hello. For further queries consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 30054, + "tgt": "What are the treatment options for chronic sinusitis?", + "src": "Patient: Hi doctor, I am suffering from nasal blockage for the past 1.5 months. Generally, I\u00a0have cold and cough problems from past 10 to 12 years, which becomes worse during the\u00a0weather change. Earlier, I had breathing problem, but have been experiencing nose blockage now. The nose will be blocked from both the sides during the day if I sit in AC room. I feel better if I keep moving or stay in a\u00a0warm room. The doctor has suggested me to go for surgery. So, I wanted to check if surgery is the only option or can it be treated with medication. Also, I wanted to know if I go for surgery, then what are the risks involved. Doctor: Hi. An ENT doctor would have advised you to undergo endoscopic sinus surgery and septoplasty. Surgery is the treatment of choice , because your problem seems to be chronic (from longer duration). If you do not want surgery, then you can take nasal spray (a combination of steroid and antihistamines) for a month, mucolytics for a week and antibiotics for 14 days. Early morning jogging is really good for patients having sinusitis. Please follow the advice for a month and check if you have any improvement in your symptoms. Since the pollution levels are high in your locality, I would advise you to do exercise and jogging at home itself. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 4544, + "tgt": "Do painless dark vaginal pigmentation suggest herpes or genital warts?", + "src": "Patient: Hello doctor, I have two concerns. I have not had sex in over a month and I used a condom with a partner I have been on and off with over the last two years. I have never had any sores from him, and he never had a sore either. My concerns are: I have noticed this dark pigmentation in a few spots. There is no pain, burning, or itching. They do not appear to be raised. It is just a dark pigmentation. I did the vinegar test and they did not turn white. Although the vinegar really burned my vagina. A gynecologist I went to, did not comment about the dark pigmentations in two exams. I have this red area near my vaginal opening that is slightly irritated. I know that area has burned a lot with the vinegar, so not sure if it is burned from that. With both concerns do they look like herpes, genital warts, or STD? Please let me know and address all the questions thoroughly. Please also provide treatment options. My lab test shows no chlamydia, gonorrhea or trichomonas. Doctor: Hello. Do not be worried. Just a dark pigmentation or red area is not of much significance. In herpes, usually, there are a lot of painful eruptions which is not so in your case. In warts, there are irregular bumps which are again not so in your case. Just maintain genital hygiene. Do vaginal cytology for culture and sensitivity. Do blood for sugar, herpes IgG and Ig M (immunoglobulin G and M) and VDRL (venereal disease research laboratory). Avoid soap, Dettol and douching. Apply locally an emollient. Apply locally a Clotrimazole ointment. Review with reports." + }, + { + "id": 9486, + "tgt": "I feel spinning and heavy head. Kindly suggest some medicine", + "src": "Patient: Hi doctor, I am 24 years old. My BP and sugar levels are normal. For the last two months, I am facing the following problems. My head feels heavy, but I do not have a headache. I feel dizzy and head spinning feeling at the time of walking, uneasy feel in the forehead part, mild eye pain and blurred vision. I\u00a0felt that there might be some problem in my eyes. I had an eye checkup, and they said that nothing wrong in my eyes. Kindly explain me the problem and suggest some medicine for the same. Doctor: Hi. I read your query and understand your concerns. First of all, I like to inform you that having a heavy head for some time is normal and can present due to excessive stress. Although you did not mention anything about your current stress level, in the young age tension induced heaviness of head is most common. The possibility is very high considering concomitant symptoms such as dizziness and blurred vision. It is important to have a brain scan before making a conclusion. You are requested to undergo CT scan from the nearby diagnostic center and report back to me with details. In my opinion, the choice of medicine should be considered only after exclusion of other significant brain pathology. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 21799, + "tgt": "Request you to suggest homeopathic medicine for open pores and deep acne scars", + "src": "Patient: Hello doctor, I have open pores and deep acne scars all over my face. Now, I have no acne on my face, only scars are in a dangerous condition with open pores. I have oily skin and regular period. I request you to suggest a best homeopathic medicine for my skin. Doctor: Hello. According to your symptoms, I suggest homeopathic medicine Beriberis AQ ointment and according to your constitutional medicine Nat Mur 200 potency (10 pills) once in five days for a month. Frequent washing of face with soft soap will give relief to your problem. For more information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 16141, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 11412, + "tgt": "I am not defecating properly in the morning hours. Why?", + "src": "Patient: Hello doctor, I am 18-years-old. I am 52 kg in weight. My problem is I am not defecating in the morning, but I am urged to defecate after some time. The stomach does not become clean. And I also have metal allergies. The other problem is nausea and vomiting while traveling. Doctor: Hello. Please take warm milk with excess sugar daily at bedtime and along with it two spoons of Duphalac (Lactulose) syrup every day for a week. Eat a lot of fresh vegetables during the day and drink a lot of water. You may also eat papaya every day that is very good at clearing the stomach. Regarding your second query, you have a tendency of nausea when you travel. Many people also have this problem. You can chew a candy or a mouth freshener when you travel. Do deep breathing when you feel like vomiting. Eat light, and your tummy should not be full while traveling. You may also take an antiacid before traveling." + }, + { + "id": 20492, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 6375, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7017, + "tgt": "My mother has lung fibrosis. Can she take Lumenac and Pirfenex together?", + "src": "Patient: Hello doctor, My mother is 68 years old. She has been diagnosed for lung fibrosis she was taking Lumenac 600mg three times, Iveprid 10 mg for last years, no progression in disease but her saturation was 90 later fell to 60 on excretion. Now she is taking Pirfenex 800 mg a day, and Benz for cough her saturation is 84 while sitting and 65 while walking she is on two lpm oxygen also her feet and face is swelling, but her echo test is normal. We like to know the below questions, 1. Why is her feet and face swelling? 2. Can she take both Lumenac and Prifenex together? 3. Her PFT test is excellent, but still, saturation is not returning. 4. Her X-ray shows only each lung is 35 % white shading rest looks black. Please help. Doctor: Hello. After going through your history, it is obvious that your mother is suffering from IPF (UIP). She is taking Ivepred 10 and Lumenac 600 mg for the last two years. Swelling on face and legs could be because of the steroid side effects as she is on long term Ivepred. You said her X-ray shows white shadows and her PFT is within normal limits. For your information, IPF is a chronic progressive lung disease. Though she is started on Tab, Pirfenex it will not convert the fibrosed lung to normal. It is only to save the remaining lung from further damage (Fibrosis). Now the question is can she take Lumenac and pirfenex together. Yes, She can take both the tablets together. Next issue is about her saturation. As the damaged lung is not capable of coping up ventilation, her baseline resting saturation is remaining good, but on exertion, it is getting down because of decreased lung function due to fibrosis. The only way to maintain saturation throughout any activity is to supplement oxygen from outside.It should be given two lpm to maintain saturation above 90 %. Intermittently it should be checked in the hospital by doing ABG that is arterial blood gas. Overall she should continue tablet Pirfenex (Pirfenadone) and Lumenac (Acetylcysteine and supplemental oxygen as required. Try to avoid steroids as they have their sets of side effects." + }, + { + "id": 6359, + "tgt": "I am having fever with rash. Is it suggestive of lymphoma?", + "src": "Patient: Hello doctor, I am suspicious of lymphoma. In the summer, I had an itchy rash on my neck, it went away, came back, and now went again. I have bilateral hip and bone pain. I have night sweats two to three times weekly. I had a low-grade fever right before my period and will go away. No palpable or noticeable lymph nodes except in thigh about an inch away from the groin. I have had CBC\u2019s and sed rates completed at least five times in two months. I took a chest x-ray, head and abdomen CT scan, and pelvic ultrasound. I consulted an ENT who looked down the throat with a scope, and everything is negative, so doctors will not pursue lymphoma any further. Do you think with everything so far, should I still be investigating lymphoma?I am currently on Lisinopril 20 mg. Doctor: Hello, Welcome to the icliniq.com. In lymphoma, there is a presence of multiple enlarged lymph nodes. If you have lymphoma, then enlarged node could have been detected in CT (computed tomography) scan. If you do not have multiple enlarged nodes then lymphoma is less likely. The fever and itchy rash are not classical signs of lymphoma. For itchy rash, Levocetirizine can be prescribed. I hope this helps." + }, + { + "id": 5831, + "tgt": "I get out of breath easily causing pressure to urinate or pass stools. Why?", + "src": "Patient: Hello doctor, I get out of breath easily causing pressure to urinate or pass stool, or both. This has been going on over a year I have been through every test and specialist I know of. Please help. Doctor: Hello. You have incontinence to both urine and stool. This is very likely a neurogenic cause. I would like to know more details. Do you have Diabetes, spine surgery or trauma? Is there walking difficulty, numbness of limbs? Is the stool passed soft or hard? How many times do you get up at night to void, any night time incontinence, leakage of urine on sneezing cough? How is the flow of urine? Did you have any previous surgery? when you leak urine is it associated with a strong desire to void or do you strain to pass urine? Is breathlessness present at other times except for urine or stool? kindly share the reports of urine analysis, USG KUB (ultrasound kidney, ureter and bladder) PVR (post residual volume), and blood sugar. Did you have any cardiac evaluation for breathlessness?" + }, + { + "id": 5179, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25117, + "tgt": "Why has my breathing become severely constricted?", + "src": "Patient: Hello doctor, I am a 63-year old male. About five days ago, I went to a large supermarket and bought a blender. When I turned on the blender for the first time, I could smell an acrid odor being emitted from the blender. My chest immediately tightened and my breathing became severely constricted. Five days later, I estimated that I cannot be functioning more than 25% lung capacity. When I go for walking, I have to stop all the time to rest and catch my breath. That is a horrible feeling as if you are going to suffocate. Any advice would be appreciated. Doctor: Hello. I would recommend that you visit the hospital for a chest X-ray as probably you are suffering from bronchiolitis and hypersensitivity pneumonitis which are inflammatory conditions of the airways and lung tissues. This could also lead to pulmonary edema which is serious and requires treatment with drugs that open the airways and bronchodilators, intravenous fluids, and antibiotics. Corticosteroids such as prednisone may also be needed to reduce inflammation in the lungs. 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": 20432, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 25023, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15992, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 10210, + "tgt": "What is the skin rash that itch sometimes in a child?", + "src": "Patient: Hello doctor,My daughter has just started kindergarten three weeks ago and came home today with a rash all over her arms, hands, and feet and one by her lip. She feels fine otherwise but they itch sometimes. Our 7-year-old neighbor just got over strep and impetigo and I am wondering if this could be that. It seems to look similar to the hand, foot, and mouth. She has already missed three days of school for a cold but I do not want to send her if she is contagious. Doctor: Hi. I have seen your query and examined your given pictures (attachment removed to protect patient identity). It seems your son has a hand, foot, and mouth disease, and does not look like impetigo. HFMD (hand, foot, and mouth disease) is a viral infection caused by the coxsackie virus. It is a self-limiting disease and takes around 5 to 7 days to subside. Symptomatic treatment can be taken like topical Lactocalamine lotion local application twice daily and Orasep (Chlorhexidine gluconate) mouth gel local application twice for five days after consulting your gp or near by dermatologist," + }, + { + "id": 16593, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7778, + "tgt": "CK and ALP test results are attached. What is the name of this disease?", + "src": "Patient: Hello doctor, My 8-year-old nephew is suffering from an unknown disease. We did two tests as suggested by the doctors. The names of the tests are CK and ALP. I am attaching the reports herewith. The doctors\u00a0suggest that there is no treatment for these diseases. He walks with the help of his toes by lifting his heels and putting his weight on his toes. Kindly suggest me some medicine or natural diet by which he can be cured. Doctor: Hello. I have gone through the attachments (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": 19424, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13874, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12129, + "tgt": "What impact can receiving an award have on one's career?", + "src": "Patient: Hi doctor, I am seeking insight from a psychological professional on how awards affect us. Why we give them? Why we deny them to others? And what impact it causes to the one who is receiving them or not has on one's career? Please explain both from the recipient or non-recipient perspective and from an employer mindset. Doctor: Hello. The topic of effects of awards is complex. The awards act as positive reinforcement to any individual and thus the probability of repetition of behavior increases. If we consider it from a psychological point, then if an individual is given award then it acts as an operant conditioner and the individual tends to seek another award. All this increase the probability of repetition of desired behavior. If an individual is showing desired behavior but is not given reward then with time the occurrence of desired behavior decreases. So, reward acts as a method to get positive results, if we consider it in a company or in an organization. If we consider it on the basis of a physiological point of view, then reward stimulates corticolimbic pathways. This cause release of Dopamine which helps in the feeling of pleasure. This pleasure results in repetition of behavior and increased work efficiency." + }, + { + "id": 3450, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 16506, + "tgt": "I have an allergic cold for the past three years. Please help", + "src": "Patient: Hi doctor, I am a 26-year-old male. I have an allergic cold for the past three years. Please help me. Doctor: Hi. As you have a cold for a long time, it can be chronic sinusitis or allergic inflammation of the upper respiratory tract. I suggest you investigate with AEC (absolute eosinophil count), allergic testing and PNS (paranasal sinus) X-ray for the further work up. For symptomatic relief, you can use decongestant like Levocetirizine. Your rhinoscopy nose examination is also required to be done. It is needed to be done to check for DNS (deviated nasal septum) or polyp if present." + }, + { + "id": 29391, + "tgt": "Could you advise on my tiredness, weakness and faint feeling following viral infection?", + "src": "Patient: Hi doctor, Three weeks ago, I was admitted to hospital with a viral infection and stayed in the\u00a0hospital for two nights. During viral infection, I woke up early in the morning shaking uncontrollably and my heart rate was 152, so the ambulance took me to the\u00a0hospital. I was told that I have a viral infection and chest infection. One and a half weeks later, I went to work and started getting very bad palpitations. So, I went straight to hospital where they kept me in for five nights. They put me on Propranolol to calm my heart rate down when it starts to race. What happens is that I will get an ectopic beat which feels very uncomfortable in my chest and causes me to panic, then my heart rate goes very high, and that cycle continues for a while. So, the Propranolol is helping with that.\u00a0I also have an echocardiogram.The problem I have is that for the past four weeks I keep on getting random bouts of extreme tiredness, weakness, feeling a little faint and sick. I cannot understand the reason for this. I never used to feel like this and I have been relaxing and hardly doing much for over three weeks. I am doing nothing to exert myself. I really cannot understand why I am getting this tiredness, weakness and faint feeling. Can you please advise me? It is really important to get this problem resolved as I have my first baby on the way. Please help. Doctor: Hello. Two points are very important here. They are abnormal heart rhythm and tiredness. Which type of abnormal heart rhythm are they trying to treat with Propranolol? It seems like you have supraventricular tachycardia and the type depends upon the EKG and EP study. Did you have any of these? The tiredness is very classical with Propranolol. How much are you taking? The other possibility for tiredness could be viral myocarditis, which could be seen on the echocardiogram. Revert with the details to an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30815, + "tgt": "Noticed breakouts in vagina after a long run. Please help", + "src": "Patient: Hi doctor, Recently, I have started running long distances. I noticed breakouts in my vagina. Please assure me whether this is just from sweat or anything else. Doctor: Hello. Loose well aerated clothes. For further doubts consult an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29406, + "tgt": "Could constant cough cause rib injury?", + "src": "Patient: Hi doctor, I have annual breast MRI for a history of breast cancer. I had one last week, and the breasts looked normal. But, there was some linear enhancement on two ribs. I had rib x-rays after and they were normal. I am having a bone scan next week. My question is that prior to this MRI I had a horrible cough, cold and felt pain in my ribs from the constant coughing. Could this enhancement be related to that? Doctor: Hi. For further information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 15941, + "tgt": "I have small painless growths in the anus area. Please help", + "src": "Patient: Hello doctor, I have small growths in my anus area like small polyps (like berries). Is this life threatening? Or is this something to worry about? There is no pain and bleeding. I have small growths in my anus area like small polyps (like berries). Is this life threatening? Or is this something to worry about? There is no pain and bleeding. Doctor: Hi. I saw your pictures (attachment removed to protect patient identity). It is human papilloma viral infection, we call them as warts. Nothing serious and plan for cryotherapy as soon as possible by consulting a dermatologist near you." + }, + { + "id": 6529, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 1099, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 20120, + "tgt": "How to monitor diabetes?", + "src": "Patient: Hi doctor, I am a 30 year old male. My height is 168 cm and weight is 65 kg. I was diagnosed as diabetic one year ago with HbA1c 7.8 and fasting sugar 163. Then I took Kombiglyze XR 1000 mg one tablet a day four months. Then the test revealed\u00a0HbA1c of 6.6 and fasting sugar 108. Then my doctor reduced the dose to 500 mg. From then I am taking Kombiglyze XR 500 mg one tablet a day. Last week my HbA1c was\u00a06.6. I have attached my entire blood test report. I am deficient of vitamin D, B12 and iron. I had Tayo 60 k tablet one per week for three weeks. I have pain in heel bone on the side of both feet. I feel sharp pain on the side of heel, especially in the early morning or after sitting for a while. I feel fatigue sometimes. I do not have any other health issues. I am eating well and my sleep is good. Can you recommend diet plan or any changes in medication or vitamin supplement? I am a vegetarian. Thank you. Doctor: Hi. Revert back with the readings chart to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 2399, + "tgt": "I get chest tightness and difficulty in sleeping with normal results. How is it possible?", + "src": "Patient: Hello doctor, I am a female, and weigh about 50 kg. I am currently having chest tightness and anxiety. I have been prescriped Zapiz 0.25. However, it is not helping much. Can I take another? About a year ago, I was asked to start Serlift and I started weaning off them about three months ago. Sometimes I feel chest tightness, difficutly in sleeping and butterflies in my chest for which I was prescribed to take Zapiz 0.25 as an SOS. I took a tablet about half an hour ago however do not see any relief. I wanted to know if it would be fine if I took another tablet of Zapiz 0.25. All my respiratory, heart, and chest tests, etc. are clear. Doctor: Hello. Your symptoms are of active anxiety, but only Zapiz (Clonazepam) is not going to cure anxiety for you. Zapiz is a temporary relaxant (Benzodiazepines are relaxants used in an emergency) and works well when there are active symptoms of anxiety. But it is not a permanent solution. Why was Serlift stopped? And have you taken any therapy sessions? Cognitive-behavioral therapy will help you recognize the negative thoughts which are keeping you in the loop of anxiety and you will be able to not let yourself get affected by them. Because we have to also focus on why you are getting anxiety at all. Medications and Cognitive behavioral therapy combined are a good way to treat anxiety disorder. Also, long term use of Zapiz is not good for health. As of now, you can take Zapiz 0.25, twice it will relax you a little. I would suggest you to reconsider your medication and also start therapy sessions to get good results. I hope this helps." + }, + { + "id": 18731, + "tgt": "Following delivery and blood transfusion, developed blisters on face. Why?", + "src": "Patient: Hi doctor, I delivered a baby through normal delivery 15 days before and I got one unit of blood transfusion. Yesterday, I got rashes and blisters only on my face and it keeps increasing. What to do? Please help. Doctor: Hello. Revert back with the photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18643, + "tgt": "Why does my dad vomit every time he eats?", + "src": "Patient: Hello doctor,I just want to ask the case of my father. He is 68 years old. Every time he eats, he vomits. It started yesterday. He has no fever. His weight is 64 kg. He does not want to eat because he is afraid he will vomit again. What medicine can I give him? He has cough. Doctor: Hello. According to the information you have provided, the vomiting he is experiencing presently could be either due to having food poisoning from anything unusual he had yesterday or since he is using Ellipta and Dilatair, they are medicines which would cause vomiting in case his mouth is not thoroughly washed. As of now: Firstly, you need to make sure if he has loose stools or bowel-related issues associated with vomiting. After taking the medications, he needs to gargle well with warm saline and make sure he has had a very thorough mouth cleanse. I suggest tablet Emeset (Ondansetron) 8 mg twice daily for five days, and Pantoprazole 40 mg twice daily for five days. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. Since he might get dehydrated due to fluid loss from the body and also electrolyte loss, he needs to have lots of fluids and start ORS in sips. You also need to make sure he eats well, as there is a high chance he would skip meals due to frequent vomiting. Try to provide him with more of soups, fresh juices, and yogurt. Cut down on hot beverages, spicy, or hot foods and food that is hard to digest. Do not worry. Follow the above and he will be fine. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 25110, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16110, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26438, + "tgt": "Masturbating often makes me very weak. Please suggest a medicine", + "src": "Patient: Hello doctor, I started masturbating at a very early age even before I knew what it was. I was so addicted to it that it became impossible for me to avoid it. Many times, I used to decide that I will never do it again, but failed. I started at the age of 11. From the age of 15, until now, I have done it five to six times a day. Of late, I feel so weak that I am unable to run properly. I want to become physically fit. Please suggest a medicine. Doctor: Hello. Hope you get your answer. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 23745, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8058, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 21621, + "tgt": "I have running nose since childhood. How can I cure it?", + "src": "Patient: Hello doctor,I have a running nose since childhood and it has not been cured since then. Right now I am 45 years old. I have changed a lot of doctors. I have asthma and polyps in the right nose. Doctor: Hello. You have mentioned about polyps in right nose. It might be a cause of your recurrent nasal discharge. If symptoms are very irritating, then you may try a course of nasal steroid spray for a period of one month and see the response. If runny nose is accompanied by sneezes, then try some steroid-antihistamine spray instead. After that, you may use steroid spray on a need basis. It is unlikely to fully resolve this issue but could be brought to a manageable state with medications. And if it does not resolve to a satisfactory level then surgical therapy for polyps may be tried. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 13019, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10256, + "tgt": "I am hearing a strange noise only at night. Please help", + "src": "Patient: Hi doctor, Around three months back, I started to hear a strange noise at night. We live in a village. Apart from the odd barking dog and passing car, it is silent, especially at night. However, I started to hear what sounded like a distant engine, but it never got any closer. It is almost like a droning sound, not a hum as such as seemed to almost vibrating through me. It did not particularly stop me sleeping, but was annoying. It was there for a couple of nights and I would go outside and could not hear it. I could hear it in other rooms of the house, although maybe not as loud as the bedroom. I could find no real explanation for it. Electric cables are going to the house but have been the same for years, and nothing has changed. Then a couple of weeks later, the noise was back and was really loud when I went to bed. I fell asleep but woke in the middle of the night, and it kept me awake. The next day I could still hear it everywhere in the house, also in the next door house, but not so much outside. It is like a constant distant aircraft noise or car engine that goes in and out, louder, quieter, louder, quieter and at times I almost feel it than hear it. It left me tired with a slight headache, and it was just pulsating through my body all the time. That was the worst day. Since then we moved to another house in an entirely different area, although still a quiet village location. There is a very little passing traffic as we are at the end of a lane. At first the noise seemed to have gone;\u00a0however, I have begun to notice it again. I can hear it all the time, but in the day there are other noises and distractions. It is at night when it is very quiet I can hear a constant drone. It now seems mainly in my left ear, or I can hear it especially in that ear. If I put my finger in that ear, it stops. Also if I hold my nose and blow and keep the pressure up the noise cannot be heard. If I put my finger in my right ear, I can still hear it, although maybe not as loudly. For example, it was very distant this morning. If I put my left ear on the pillow and lie on my side, I can hear it just the same. It does not keep me awake and or cause me any real problems. I am just getting concerned it could be due to something nasty, like a brain tumour or something. I went to the pharmacist and got some cleaning spray. I have also had a consultation with an ENT specialist. I did not explain to him about the droning sound as it is difficult in another language, but he gave me a checkup and did not find anything out of the ordinary by looking in my ears, nose, throat, etc. I have recently been diagnosed with hypothyroidism although I can get no connection. If it is tinnitus, then I can live with it quickly enough at the moment. But, I am concerned that it could be the symptom of any serious underlying problem. I have had recent blood tests done, and they were all fine apart from my TSH levels for hypothyroidism, and my blood pressure is fine. Doctor: Hi. Revert with the reports to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-otolaryngologist" + }, + { + "id": 1697, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 7758, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 29664, + "tgt": "Could my throbbing headache be a brain tumor?", + "src": "Patient: Hi doctor, It started with a throbbing pain on the right side of my head. It was there for a couple of days and decreased on its own. After a few days, it was back at the same place along with pain around the right eye and temple. Please help me. I am a 24 year old male. Doctor: Hi. I can understand your concerns. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9018, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23321, + "tgt": "Is Unwanted-72 effective when taken an hour after unprotected sex?", + "src": "Patient: Hi\u00a0doctor, My wife had Unwanted-72 an hour after unprotected sex. Would it protect her from an unwanted pregnancy? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17124, + "tgt": "What are the causes of white and yellow lesion with a red border on my tongue?", + "src": "Patient: Hello doctor, I have small white and yellow lesions with a red border on my tongue. My tongue also develops a white coating, that has to be scrapped of daily. I have attached a photo of the same. What are the likely causes? Doctor: Hello. I have gone through your complaint and the attached picture (attachment removed to\u00a0protect patient identity). I hope this answer will help you. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 9448, + "tgt": "I am suffering from post-SSRI sexual dysfunction. Please help", + "src": "Patient: Hello doctor, I am a 23 year old male, and I took Lexapro for two months when I was 20 years old. And then quit abruptly, because every time I would sleep for a very long time without dreaming, and also wake up feeling bad.\u00a0It has been three years now, and my sexual functioning and libido have gone down, it is called post-SSRI sexual dysfunction (PSSD).\u00a0I was the horniest, sexually explorative, and a creative guy. It is like I am an entirely different person now. My ambitions, sexuality, zest, desires, and emotions, everything has gone. The lack of all this does not even trouble me, which is the strangest thing. I am intellectually troubled by this but cannot feel it, and I feel like a potato.\u00a0I had tried one dose of Selegiline before, which kind of felt good, but I dropped it due to long-term safety concerns and the possibility of interactions with high tyramine foods.\u00a0After researching on the internet, and keeping in mind dependancy risks, and effects on receptors, I was thinking of trying Rasagiline.\u00a0I would be very grateful if you could guide me\u00a0and suggest some possible cure. Doctor: Hello. I can understand your concern regarding your symptoms and side effects of the medications. \u00a0Hope my answer helped you. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 5454, + "tgt": "I have pain in abdomen and increased frequency of stool after hernia surgery. Why?", + "src": "Patient: Hello doctor, I am 54 years old. Two-year post-RNY (gastric bypass surgery) I have had two Petersen hernia repairs since the surgery. The gallbladder was removed years ago. Yet since this surgery I get these horrible gut-wrenching pains from sternum to abdomen. It seems like the bowels are twisting for hours, that takes my breath away, then I go to the washroom maybe ten times within four to six hours. I can lose three to four pounds in a day. I do not seem to be constipated as I go every day or other day but perhaps I am. The surgeon does not think it is another Petersen hernia since I had two surgeries to repair them. I have had a gastro endoscope mouth to stomach (shows no ulcers and colonoscopy diagnosed with diverticulitis), a CT scan and an x-ray. I do not take medicines except for 100 mcg Eltroxin. Due to surgery, I am on a lifetime of multivitamins, B12 1000 mcg every second day and Proferrin (iron supplement). I have no allergies to foods. I never had this before when I was obese. The pain is so bad I wish for death at times and it is unpredictable. Would you have any idea what this could be? I appreciate any help you can provide. Doctor: Hello. I have gone through your history. The symptoms correspond to cramping pain followed by the passage of stools ten times within four to six hours suggestive of intestinal colic, involving your large intestine. Even your colonoscopy revealed diverticulitis which is the cause of your symptoms. You have to be treated with antibiotics to resolve your diverticulitis which is active and with antispasmodics to relieve pain. Get a stool analysis, leucocytes, Gm stain, occult blood, and protein C and S tests done. Take tablet Secnidazole 2 gm single dose and Norfloxacin 400 mg 1-0-1, Drotin-DS 1-0-1, C.Bifilac-hp 1-0-1 for five days." + }, + { + "id": 24086, + "tgt": "Will I be in trouble if I hang out with a friend having TB?", + "src": "Patient: Hello doctor, My friend said he got a TB test a long time ago and it came out positive and he never went back and I had a positive test done also but I have taken pills for nine months because I caught it right away. That is why I was able to go on pills. They never gave me a shot so I will not get it again. Does me being around him mean I get it again? He is not sick but he seems like he has got a bit of a cold. Am I in trouble for hanging out with him or should I go and ask for a shot? Doctor: Hi. As a matter of fact, TB is a communicable disease and you first got it because of your friend. You have completed nine months course. But, after that, did you check for tuberculosis like whether it is actually cured or just treated? If not, you have to check it through a sputum smear or chest X-ray. About your friend, he needs a doctor consult because it may manifest as a more severe disease if not treated now. Please ask your friend to consult a doctor as early as possible. Abt your present situation, you need to rule out whether you will get a secondary infection or aggravation of the primary disease. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 14986, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 30603, + "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": 29418, + "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": 9718, + "tgt": "I am unable to maintain erection during sex as like I have during foreplay and masturbation. Why?", + "src": "Patient: Hello doctor, I am 22 years old, and I have no trouble in getting an erection during masturbation or foreplay. However, when I try to have sex, I cannot maintain a tough erection while during foreplay and masturbation. At some point, I feel getting softer. I have an erection right up until the end of penetration then I start to go limp. I once had the head of my penis inside her, and I accidentally removed it, and my erection was quickly lost, and without removing the condom, it is hard to get it back. Doctor: Hello. You have mentioned two essential things while describing your problem. Number one, you can achieve a proper erection and number two, you are a virgin. Keeping these facts in consideration, I would like you to know that you do not have any erectile dysfunction. The problem appears to be related to the unconscious and conscious anxiety that a person has typically while having sex for the first time. When a male is getting ready for his first ever sex he is preoccupied with the thoughts about the outcome of the forthcoming sexual act ,e.g. whether you will be able to maintain erection during sex, whether or not the partner will notice my weaknesses and lack of experience, whether the experience is going to be satisfactory or not, whether or not you will be able to last long, whether you will be looking good or ugly without clothes, etc. Such thoughts increase anxiety, and insecurity, which ultimately results in loss of erection while penetrating. Getting comfortable with the partner will help. Viagra although does not help in psychological erectile dysfunction still it is going to help you by maintaining a solid erection during penetration and thereby will boost up your confidence." + }, + { + "id": 24571, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 8454, + "tgt": "Will a baby tooth fall off during braces treatment in a 14-year-old?", + "src": "Patient: Hello doctor, We are looking at getting braces for my 14-year-old daughter. She does not need wisdom teeth removed, but she has a small baby tooth number 22. The last dentist we went to see suggested removing it because there is no enough root. They suggested to remove before braces and bridge it. I am concerned the bridging may get damaged. She has only 15 teeth, and number 12 never came out. (wisdom teeth are coming out and visible on X-ray). Is it possible the baby tooth can remain, or will it fall out during the braces procedure? I thought if we try to keep it then once the braces are off we can have a veneer or overlay placed on top of the baby tooth? I do not feel comfortable for my 14-year-old daughter to have bridging work at such a young age, and she would then have to always need a new tooth or bridge every 7 to 10 years which is expensive. If the baby tooth needs removing, then is it possible to remove it but not place another tooth and close that gap while the braces are on? Can this be achieved with braces? At least her mouth will have the same amount of teeth in it. I am getting different opinions to form dentists, and some have said all four wisdom teeth need removal, and this one said no need. Please provide suggestions. Doctor: Hello. Please attach the X-ray for a better understanding. Anyway, the milk tooth has to be removed. The wisdom tooth usually develops and erupts by around 18 to 20 years of age. So need to see X-ray for confirmation. No need for a bridge at this age go for braces to correct alignment and if possible, close the space without a bridge." + }, + { + "id": 10303, + "tgt": "How to recover from plantar fasciitis and hip pain?", + "src": "Patient: Hello, I am 60 years old. I have plantar fasciitis from one year and two months. It is\u00a0getting better, but I wanted a second opinion on my MRI done two months ago.\u00a0Also, since the past two weeks, I have hip pain from the groin to the outer part of the hip in a semi-circle. It is painful to get in and out of a car or climb stairs. I have been doing Cross-fit gym for the past three years. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). Revert with reports to a fitness expert online --> https://icliniq.com./ask-a-doctor-online/fitness-expert" + }, + { + "id": 8118, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 20713, + "tgt": "Can a sore pop out after 20 days of herpes infection?", + "src": "Patient: Hello doctor, I am 46 years old and never had any indication of herpes. No new exposure, same partner for over a year and neither have strayed. 20 days ago I got up with some redness and uncomfortable feeling on left side of vulva. I have an anxiety disorder and super high stress level right now. For some reason, I decided this was herpes and started looking at myself with a mirror and flashlight. Never really saw anything. I have been obsessed ever since. Tingling and numbness in buttocks and down backs of thighs off and on for 20 days. Uncomfortable but not red in vulva area. No signs of herpes. Went to a gynecologist, she did a pelvic scan and said no signs of herpes in or out. I still cannot stop thinking about whether they missed something. I also went to my chiropractor who did an adjustment and said lower back can cause tingling and numbness even in the genital region. Yesterday a little red pimple looking bump popped out on my inner thigh. I decided it must be the sore that never came out before. It does not hurt or itch but I am obsessed with it now. It is smaller today. Question is that does prodrome last 20 days (tingling numb butt area) and can one sore pop out after 19 days? The gynecologist I saw said I need to be treating my anxiety again and to get back on the Zoloft I took for two years for that. Doctor: Hi. Herpes has many myths asssociated with it. No, it is unusual to get a blister after 19 to 20 days like this. Blister may be due to some other skin disease or any other reason. It does not seem to be the prodrome symptoms which you felt for so many days and I am pretty much sure about that. Still worried, you may go for a PCR for herpes blood test and you may consult me back with the reports of the test. Secondly, if this blister or sore does not heal up in a couple of days, increases in size or number, you should go to a physician for taking a sample of this sore (few cells will be taken on a swab) and send it to the laboratory for herpes testing. The final suggestion is that relax and do not worry much." + }, + { + "id": 8245, + "tgt": "I am on Augmentin for sinus perforation. Is that correct?", + "src": "Patient: Hello doctor, I had a tooth extracted, and it resulted in the perforated sinus. I was on antibiotics Amoxicillin for seven days before and three days after the extraction. I took all the medicines on the sixth day I got a bad sinus infection. I went to my primary care doctor she put me on Amoxicillin once again. She told me to go back to the dentist if there is no improvement. I went back to the dentist, and she prescribed Augmentin and advised to go to an oral surgeon, and he confirmed the sinus perforation. He told me it was healing and told me to stay on antibiotics come back in two weeks for follow-up. After six days on Augmentin, I am still having bad headaches in the front by my eye and a lot of sinus pressure. I am taking the Augmentin, Sudafed, Off Brand Flonase, Tylenol, Ibuprofen 800, and Asprin alternating. Should I be taking another type of antibiotics, or do you feel the Augmentin is working? Doctor: Hello. Did you get a CT scan done to see the size of the fistula? It's called an oro-antral fistula. If it is big then it may have to be corrected surgically. Additionally if the infection is not healing one can give a thorough antral wash and wash out the contents of the sinus in an operation theatre under anesthesia which will help in bringing down the load of infection and help the antibiotics act. Since you have taken amoxicillin/augmentin for quite some time, I also feel the antibiotic can be changed into a stronger one with a broader action, say like Levofloxacin and Metronidazole." + }, + { + "id": 9082, + "tgt": "My son's X-ray shows a pneumonitic patch. Should we get him hospitalized?", + "src": "Patient: Hi doctor, My 2 and a half\u00a0year old\u00a0son had a high fever of 103 for four days. Then he was normal for five days but caught up with a cough and fever of less than 102. The doctor administered antibiotic Cefixime and Ibuprofen for five days, but the\u00a0cough persisted. Though he appears normal at daytime, at night, a fever of 99 to 101 comes and he coughs excessively. Today, we did his X-ray and the\u00a0doctor asked us to admit him to the\u00a0hospital as he had developed a pneumonitic patch. I have attached the X-ray. He did not comment if this patch is H1N1 induced or a bacterial infection. He said he would administer H1N1 medicine once admitted as a\u00a0precautionary measure. We need advice whether we should get him hospitalized. He appears normal, eats well and appears active. The only thing that we are concerned about is the coughing and the\u00a0low-grade fever at night. He has prescribed Amoxicillin now. Should we wait for the antibiotic to cure the patch or get him hospitalized? Doctor: Hello. Please resend the attachment. For more information consult a paediatrician online --> https://icliniq.com./ask-a-doctor-online/paediatrician" + }, + { + "id": 29100, + "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": 6937, + "tgt": "My anxiety symptoms are coming back after stopping Lithium and Zoloft. Please help", + "src": "Patient: Hello doctor, I was on Lithium 300 mg thrice a day and 50 mg Zoloft once a day for a year and a half but they were of no help so I stopped taking them. My anxiety symptoms are coming back. I have racing thoughts and panic attacks. I cannot wait for 30 days to see a psychiatrist. Would I be able to go to the ER to get something for anxiety? I work on roofs and building garages. I cannot keep having panic attacks. Doctor: Hello. I will strongly recommend to consult your psychiatrist at the earliest so that your mental state can be reviewed and started back on appropriate medication. You may know that stopping medication without medical supervision puts you at risk of relapse. Also I note that you were on Lithium which has mood-stabilizing properties. You report racing thoughts. So it is advisable to get reviewed sooner. Try asking your psychiatrist for an urgent appointment. If not possible, go to ER and seek psychiatric advice. Meanwhile, try to sleep adequately, avoid alcohol and any other recreational drugs as it can worsen the situation." + }, + { + "id": 24518, + "tgt": "Are my symptoms due to meibomian gland disorder or blepharitis?", + "src": "Patient: Hello doctor, I have been suffering from an eye problem since the last 18 months or so. Initially, I was diagnosed with dry eyes and was suggested warm compress lifelong along with few eye drops and antibiotic. I have checked with almost six doctors locally out of which few say it is meibomian gland disorder, while the other says it is blepharitis and other doctors say it is allergy. My symptoms are: Severe lower eyelid swelling, especially the right eye. Eyelashes itching. Watery eyes. Slight reddishness. I am really confused whether I should go with the warm thing or the cold. Personally, if you ask me, I am really depressed. I have taken almost all the medications starting from Systane ultra, FML, Pathaday, Zylopred, Cholochol-H, Restasis, Betoact, Mobegram, and in oral medication Osmega 300, Doxy, Cetirizine. Please advise what exactly it is. Doctor: Hello. I have seen the pictures you have sent (attachment removed to protect patient identity). From the description of your problem and the photos, I agree with all the diagnosis which has been given to you. Actually, they are all interrelated. I also want to assure you that this is not dangerous, but at the same time it is very difficult to treat completely, due to the pollution, etc. I suggest that you stop all medications and just continue Restasis (Cyclosporin ophthalmic emulsion). Along with this, just keep lid hygiene by cleaning your eyelids with a baby shampoo or any available eyelid cleaning solution, on a regular basis. Avoid eating too much fried or oily food. Also, if you need to use prescription eyeglasses, you should use them. This will take time, but eventually, it will help you. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 15196, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 23964, + "tgt": "I suffer from health anxiety. Please evaluate my health report", + "src": "Patient: Hello doctor,Please evaluate my health report. I suffer from health anxiety. Currently, I am taking Nebistar 2.5 mg. Doctor: Hello. In your attached reports triglycerides are a little bit high (attachment removed to protect patient identity). All other findings are not that much significant. Your HbA1c (glycosylated hemoglobin) level is also borderline. So you can adopt a healthy lifestyle with more exercise. Regular 30 minutes to one-hour active exercise will be beneficial in reducing stress as well as in reducing cholesterol and blood sugar level. For anxiety, a psychiatrist can be consulted and behavioral counseling therapy will be beneficial. If needed, the psychiatrist will prescribe you Fluoxetine like drug used for anxiety along with short-term Alprazolam course if needed. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 22387, + "tgt": "How can I control the urge to masturbate?", + "src": "Patient: Hello doctor,I am a girl, 18 years old and a virgin. I have been masturbating for one year. I want to quit masturbating but I cannot because I feel the urge to do that. Even sometimes I feel lower abdominal pain after masturbating. Please help me doctor. Doctor: Hello. The only way one can avoid masturbation is by one's own willpower. One needs to channelize one's thoughts on nonsexual activities when such sexual thoughts cross your mind. Secondly, avoid wearing tight undergarments or jeans which can often stimulate the area due to constant rubbing and friction, thereby causing an urge to masturbate. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19140, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14141, + "tgt": "My eye looks blood red. It is itchy and dry. Could this be a bacterial conjunctivitis?", + "src": "Patient: Hello doctor, I was diagnosed with blepharitis. I also have seborrhoeic dermatitis (perhaps rosacea as well), and my condition has improved greatly. Recently, I got very bad allergy symptoms, my eyes and nose became extremely itchy, causing me to sneeze a lot. This morning when I woke up, I had trouble in opening one of my eyes due to a dark yellow eye discharge. Apart from being itchy, my eye was blood red and dry (only one eye). I have never had this much discharge before, especially after I started cleaning my eyelids for treating my blepharitis. It really terrified me. Could this be bacterial conjunctivitis due to the color of the discharge and the fact that only one eye was affected? What are other possible explanations? Doctor: Hi. I have gone through the attached pictures (attachment removed to protect patient identity). Yes, it is nothing but common bacterial conjunctivitis. Since you have blepharitis, you are more likely to get conjunctivitis. Also, blepharitis, in turn, is related to seborrhoeic dermatitis. What I can assure you is bacterial conjunctivitis is treated easily with antibiotic eye drops. Try using Gatifloxacin eye drops initially half-hourly on the first day and later you can taper to hourly dose next day and 2 hourly on the third day and so on. Just continue for 5 days, and you will be fine. My only concern is that you have associated blepharitis. This can be treated well by cleaning the eyelids with baby shampoo daily, for a few months. Once blepharitis is controlled, your eye irritation, watering, and itching will come down." + }, + { + "id": 3664, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6702, + "tgt": "How to know the reason for bouts of dizziness?", + "src": "Patient: Hello doctor, I am a 37-year-old male. I have been getting bouts of dizziness, which can be described as an electric shock in my head. There is also a feel of nerve twitch in my temple. I also found that my reaction time is a bit slower. I did a cardiac screening, which involved a stress echo. The echo test and Holter monitor are all clear. My doctor referred me to an ENT and suggested for MRI of the brain and both the ears. The ENT suggested tests to check my vision and to check for vertigo. The test report states that my eye movement was out of coordination, which is consistent with a central lesion. My questions are: 1) What is the cause for brain zaps and dizziness? 2) What is a central lesion, and surely would it have shown up on an MRI? 3) Is central lesion a degenerative disease, and does it lower life expectancy? 4) Is it curable or reversible? Doctor: Hello, Welcome to icliniq.com. You are suffering from dizziness and electric shock over your face with some incoordination of eyes as per your ophthalmologist. Nothing from Cardiac, eye and ENT. The problems seem to be a neurological disorder. It is good that your MRI Brain is normal, that means no structural lesion like tumor or mass or demyelination. Still, there are many reasons that cannot be seen on MRI and we need to evaluate those. The answer to your questions are: 1. We need to find out the causes with further testings. 2. Central lesion means brain or brainstem related causes of your dizziness. 3. & 4. Degenerative lesion at age 37 is less likely. We need to evaluate it, and only after that, I can say. So, 1. Give me a detailed description of your dizziness bouts. How it starts, any trigger? How long it is lasting, and what is the duration of your disease? Does it aggravate with position change? 2. Are you suffering from slurred speech, imbalance while walking? 3. I want to see your MRI brain, and you might need MRI brain with angiography and contrast injection study. Then I will give further advise." + }, + { + "id": 5936, + "tgt": "How to remove lung calcification?", + "src": "Patient: Hi doctor, I was diagnosed with pulmonary nodule calcifications in my upper lung early this year. They were not present in the same report investigations performed last year. I want to get these removed through surgery, since they keep posing problems while applying visa and abroad work permit. Can you please let me know the drawbacks and long term effects of having the calcifications removed through thoracoscopic surgery? I have type 1 diabetes mellitus and I am taking Insulin for it. Doctor: Hi. As you said, you have pulmonary nodule with calcifications in the upper lung, it suggests old infection of the lung and calcification denotes it as a benign lesion. Any healing in our body has a tendency of getting calcified over the period of time. But, that does not mean it is something serious or surgery can permanently heal it. Till date, there is no surgery, which is specially advised for removing these types of calcifications. Even if it is removed, there are chances of recalcification again over the time period. There are different rules for applying for jobs overseas in different countries. The main aim is to identify any communicable lung infection, like tuberculosis, which is active to prevent spread to the other residents. Calcified lung nodules itself are old healed lesions and not considered as a matter of rejection in any job in the absence of other symptoms of the disease. So, I cannot advise you to go ahead with any kind of surgery. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 9652, + "tgt": "Is it possible to get macular edema due to Triamcinolone?", + "src": "Patient: Hello doctor, I am 42 years, male. Before 10 months, I was diagnosed with acute posterior uveitis- Chorioretinitis with macular edema in my right eye. I received an intraocular injection with a corticosteroid and was treated with Clindamycin for two weeks, without having any evidence of actual cause. Took long list of blood tests and nothing suspicious. I got a resolution of the macular edema after about three mouths and was having inflammation only around the nerve till a week ago when my uveitis started to worsening rapidly three weeks after periocular injection with Triamcinolone (my first periocular injection) and I am almost 100 % sure that the injection caused the acute re-inflammation. I have read that for ocular toxoplasmosis is extremely risky a preciocular injection with Triamcinolone to be applied, but post-factum. My vision is currently very poor, not able to read with the right eye and before two days, I was able to. I am scared and not sure what to do. I know that in acute situations intraocular injections of corticosteroid is applied, but not sure how my eye will react to it this time. Is there a way to lower the effect or duration of the applied Triamcinolone? Is its duration of activity 3 to 4 weeks or three months? Doctor: Hello. Sorry to hear about your condition and wish you quick recovery. Triamcinolone periocular injections are used in extreme situations and should be under the coverage of antibiotics, which usually are at least two groups, at the time of the injection and should be done under extreme caution. However, you mentioned that all the laboratory results came in negative and macular edema is rarely a finding in chorioretinitis. In order to better evaluate your condition and advise you properly please upload all the OCT scans that were done, the lab test results, ophthalmologist examination before and after the procedure." + }, + { + "id": 25358, + "tgt": "Why are WBC and neutrophils chronically high even if no infection is present?", + "src": "Patient: Hello doctor,Chronically high WBC 15 and neutrophils above 10 recent CRP 8.8. No infection can be found but was treated with two rounds of antibiotics Amoxicillin and Clarithromycin. Repeated CBC and numbers were higher. My doctor said maybe this was going to be my normal. Is this possible? Since the last six months, I have also been experiencing abdominal pain, moderate nausea, and unintended weight loss. Doctor: Hello. Your elevated WBC count and increased percentage of neutrophils are suggestive of an acute bacterial infection or some other acute inflammatory process. Your history of abdominal pain, nausea, and unintended weight loss needs to be investigated. Since infection has been ruled out and you have also been treated with antibiotics, I would suggest that you get inflammatory conditions ruled out. In noninfectious conditions, such as burns, a postoperative state, acute asthma, myocardial infarction, acute attacks of gout, acute glomerulonephritis, rheumatic fever, collagen-vascular diseases, hypersensitivity reactions, and even cigarette smoking, neutrophilia can occur. Thank you. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 1627, + "tgt": "I am not able to sit properly due to piles and anal itching. Please suggest medicines", + "src": "Patient: for piles , am using himalaya tablets .daily 2 tablets...but cant able sit properly due to anal itching ......please give me a medicine Doctor: Hello. I have reviewed your history. The medication you are on is bascically ayervedic, which sometime may help and sometime not. 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. Because if pile remain for so long could lead to significant pain and trouble in daily life style. At moment take following treatment. Let me know in one week time if symptoms improve . I have written all generic drugs, which could be purchased at local store." + }, + { + "id": 1089, + "tgt": "I have sweaty palms and feet with nausea and headache every morning. Please help", + "src": "Patient: Hello doctor, I am 51 years old. I am having sweaty palms and feet every morning. I also feel nausea and headaches. What is the cause of this? Doctor: Hello. As per your presenting complaint, the diagnosis is migraine. Migraine headaches are a common cause of combined headache and nausea. Migraines can cause a variety of symptoms, including nausea, dizziness, sensitivity to light, and severe headache. You can make small changes to your lifestyle so that you prevent future migraine attacks. Here are a few steps to take to relieve migraine pain. You should drink a lot of water throughout the day so that you stay hydrated at all times. You should avoid eating less and should eat enough so you are getting all the nutrition that your body needs. Eating proper and healthy food is key to ensure your body is healthy. You should try and eat at the same time daily. Sleeping deficiency can trigger migraines, which is why adequate sleep (eight hours) is important. You should maintain a steady sleep cycle by sleeping at the same time every night and wake up at the same time. I hope this helps." + }, + { + "id": 4888, + "tgt": "Though I did not discharge semen inside her, can she be pregnant?", + "src": "Patient: Hi doctor, I had unprotected intercourse with my fiance in the first week of last month and she had Unwanted 72 within 3 hours. The month end she had little spotting. Is that an issue? Her period was expected on the same day, but she did not get bleeding. I did not discharge the semen inside her. Is she pregnant? Doctor: Hi. Thanks for your query on this platform. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30907, + "tgt": "What could result in sudden excruciating lower abdomen pain?", + "src": "Patient: Hi doctor, My problems began three days ago. Suddenly I felt dizzy and had trouble keeping my balance. My vision started to swim and everything turned yellow. I tried sitting down for a bit and standing up several times, my friend got concerned once he realized I was not\u00a0over reacting. I suddenly felt the need to go to the bathroom and sat down once again. I do not remember what happened, but I woke up to my friend slapping me and saying that I had fainted. I insisted I did not need to go to the hospital. However, the next day we were walking around town when I started feeling what I thought were my period cramps coming on. I asked my friend to wait by the restroom while I went in to put in a tampon. I had not made it into the stall when what I can only describe as an excruciating pain shocked my lower abdomen, sending me reeling to the floor of the empty bathroom and the force of hitting the floor causing another ripple of pain. My periods are always fairly mild and even when the occasional cramp hit, it was not nearly as debilitating as this was. After around 5 minutes of gasping in pain on the bathroom floor I was able to get up alright and hurriedly shoved a wad of toilet paper in between my labia, concerned that I was giving a mini birth to a huge chunk of my uterus. I felt fine until we were in the convenience store searching for pain relievers when I felt the second wave coming. Doubled over the entire way groaning in pain, my friend paid for the medicine and ran out the door with me. As soon as we sat down on a park bench, I promptly started salivating and vomited for a few minutes. Afterwards, I took the medication Menstridol for the cramp and tried to poop and felt a little better. I am usually very tolerant to pain and this whole thing has been very scary. Could it possibly just be my period? I have never had cramps or symptoms like this before and the whole thing with the fainting was just weird. Doctor: Hi. You are right to be concerned. From your symptoms, it could be a couple of things. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2689, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 11328, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7147, + "tgt": "My back problem is getting worse inspite of having medicines. Why?", + "src": "Patient: Hello doctor,I need some advice on a back problem. I have it for almost two years. I went to a doctor in my area for my issue, and he took an X-rays, and it shows a mild inflammation in my lower spine. He gave me medication to bring down the swelling and told me to use it for 10 days. However, it has not helped, and it is getting worse. Kindly advice. Doctor: Hello. You have mild scoliosis in the lumbar region, and there is a suspicion of inflamed sacroiliac joints (attachment removed to protect patient identity). Have you had ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), urine routine, which are the markers for swelling or inflammation. Is the pain in the middle or the sides of the back over the SI joints and buttocks. Do you have any urinary symptom? As the pain has not settled with the antiinflammatory tablets, please get back with the reports as requested.Ice the area and apply anti-inflammatory gels." + }, + { + "id": 14912, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 23382, + "tgt": "I am getting throbbing in knee every time I rest. Kindly advise", + "src": "Patient: Hi doctor, I am getting throbbing in my knee every time I am resting. There is no pain just uncomfortable throbbing. Recently, came back from grade 2 MCL injury and ACL sprain. I am a female. Doctor: Hello. I have read your concern. The throbbing pain is caused due to the activity you do like walking and standing, etc. The muscle gets activated normally during functional activities but in your case, since recovery has not happened completely you have post activity stiffness and that is giving you throbbing pain. Do strengthening exercises for your knee and hip musculature to avoid such issues and recover faster. As of now keep icing your knee post activity to avoid spasm and stiffness, thereby reducing pain. You need to have a good rehabilitation to recover from the injury. Kindly revert back to us with MRI and detail problems to help you design a good rehabilitation protocol. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 16350, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13582, + "tgt": "Kindly guide me about the tests taken to confirm HIV status", + "src": "Patient: Hello doctor,I had sex with CSW and my condom got broken. I have started feeling symptoms and have a cold sore throat and rashes on my back. I had tested 22nd day and 95th day both are antibody test and got negative and my doctor asked me to retest after six months. I had read that 84 days are enough to show up in the test. What is the rare condition to get antibodies? Should I retest? Doctor: Hi. Regarding HIV infection, the window period (or period in which a person might test negative for the virus but actually be positive because of a delayed immune response) is typically between 21 and 60 days. There is however some evidence that it can be as long as 180 days (six months). When there is a history of a potential transmission risk event, like having unprotected sexual intercourse, we recommend a final repeat of the antibody and antigen combo test at six months. Even though your symptoms could be explained by other infections, I would still recommend that you repeat the combo test at six months for your own peace of mind. It is also very important that you test yourself for syphilis as your symptoms, especially your rash, suggests a need to just exclude that, as it is highly treatable if found. I would strongly suggest as well that you consult with a trusted physician so that he or she can examine you clinically and help to exclude other diagnoses like upper respiratory tract infection and treat accordingly." + }, + { + "id": 23723, + "tgt": "I am gaining weight. Should I increase dose of Eltroxin?", + "src": "Patient: Hi doctor,I am 58 years old. I have been diagnosed with hypothyroidism 20 years ago. I am on Eltroxin medication since then, 100 mcg daily and twice a week 150 mcg. My T3, T4, and TSH are normal as I do blood analysis every six months. I noticed I am gaining weight from three months although my diet has not changed. Should I increase the dose? Doctor: Hello. Since your thyroid test results are normal and considering your age, it is not advisable to increase the dose of Eltroxin just because you are gaining weight. If a person does not exercise much and after a certain age, he just keeps adding the weight every year just because aging slows the metabolism naturally. So, instead of increasing Eltroxin (Levothyroxine), I would recommend that you try to walk every day and control your diet. For more information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 17820, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2604, + "tgt": "I got injury in my hands with burning sensation. Is this CRPS?", + "src": "Patient: Hi doctor, I am writing this to inform you that I have had a crushing/pressured injury in my hands while I was at work three weeks ago as I was pushing set of 10 chairs with the chair trolly and they were quite heavy as I was pushing the trolly forward it managed to almost lean towards me in other words it pressed on my right hand underneath my knuckles (back hand to be specific) for at least seven seconds. My colleague and I managed to push the chairs away from me. Eventually my right hand was sore causing me to hand tingling feels and irritation to cold weather which I did not have before but no pain. This Monday that had gone by it started causing me burning sensations on both my back hand including the one that has not been injured. It was extremely discomfortable and unpleasant feeling. I even found it hard to sleep at night. By Tuesday and Wednesday it began to slowly progress the burning sensations, inflammation towards my wrist and towards my arms through the biceps and even towards my neck. I have started taking Amitriptyline, and anti inflammatory medicines which have slightly helped but not much. I did see an emergency doctor in between and suggested that it could be potentially CRPS or nerve irritation but they cannot know for certain. Due to the pandemic of Covid-19 it is very difficult to see any doctors at this present moment and I am self-isolating myself at home. Having said that I am very worried about my situation and would like to get more clarity to this situation. Is this a continuous problem that will go on? Is this CRPS and if so can I recover? Can it be a nerve compression and is my nerves misfiring or is this a sign of recovery? Currently, these are the following feelings I currently experience burning sensations in my hands and neck now, hypersensitivity skin irritations wearing clothes using blankets, etc., affected areas feel weak and sore. Doctor: Hello. I read carefully your question and would explain that your symptoms are suggestive of a pinched nerve (nerve compression). The nerve compression could be on the wrist (carpal tunnel or) or in the neck (a possible bulging intervertebral disk), which is causing radicular nerve pain in the arm and hand. For this reason, it would be necessary consulting with a neurologist for a physical exam, a cervical spine x-ray study and nerve conduction studies. Anyway, considering the virus infection, I think that all these tests can wait as it is not a serious medical condition. I would recommend avoiding weight loss and wearing a splint in the hand during the night (wrist splint for carpal tunnel syndrome), which you can find in the drug store. If it helps improve your situation, it would indicate carpal tunnel syndrome as the main cause underlying your complaints. I would also recommend taking Gabapentin, to help relieve the burning sensation. I hope this helps." + }, + { + "id": 21538, + "tgt": "How can I overcome depression and occasional low voice?", + "src": "Patient: Hi doctor, How to overcome depression? I am getting emotion sometimes without reason and my voice is not audible to someone how much ever loudly I talk. What is the reason? What is the solution? Sometimes my voice is not audible. I took this medicine Roxid 150, Nodard plus that physician told me. Doctor: Hi. You are not taking psychiatric medications. You need to be bold and confident. You fix your schedule of sleep and appetite. Take daily 7 to 8 hours of sleep. Take good healthy food and avoid junk food. Do the daily exercise for 30 minutes daily. Do meditation for 20 minutes daily. Spend quality time with friends and family. Talk with yourself with looking into the eye in the mirror. Spend time for your hobbies but creative hobbies like reading books, writing, painting, play musical instruments or learn to play, play outdoor sports, talk with strangers face to face, start with a small conversation. And you are taking antibiotics, you must stop it. You do not need to take antibiotics without any reason. You check your thyroid and vitamin B12 levels. If you have still depressive symptoms after 2 to 3 weeks following the above guidelines, then you need to take antidepressants from the psychiatrist. For more information consult a psychotherapist online --> https://www.icliniq.com/ask-a-doctor-online/psychotherapist" + }, + { + "id": 5112, + "tgt": "I have breast lump with pain and itching. Is it normal?", + "src": "Patient: Hello doctor, I am a 36-year-old female, I never had any children and I have been on Depo-Provera for almost 17 years. Although I am a heavy smoker, I do not get sick very often. A few years ago I found lumps in my breast(s) which were not painful but I did visit a doctor and he said it was just thickening of the tissue but advised me to go for a mamogram but they refused me a mamogram due to my young age. It never bothered me again. This morning my left breast was itching and in the afternoon there was a stabbing pain in the breast. The pain eventually went from a stabbing pain to being painful the whole time. The breast feels heavy, and there is pain in the armpit and the arm but no swelling or redness and though it feels like it is burning up, it does not feel warm to the touch, no discharge from the nipple or any hard lumps nor fever. It looks like if a small vein has errupted and when I pull on the breast I can see a thin blue vein which seems to pop out with white bulging around it. Doctor: Hello. As you mentioned some years ago, there were lumps in your breast. These can indicate that you have fibroadenosis/ fibroadenoma. In some occassions since it is a hyperplastic cystic disease (where cells are multiplying rapidly), it can be a little painful. Since there was a pain in the breast it had radiated towards your arms and hence the pain in the armpit. Mastalgia or breast pain can also be due to cyclical changes of hormones. Sometimes there can be an hormonal imbalance, more so since you are taking Depo-Provera for so long. Normally cyclical mastalgia resolves in a day or two and hence I will advise you to wait for 2 days before being alarmed. You can take tablet Brufen 400 mg twice daily after food with tablet Ranitidine. This will help in resolving your pain. If you develop fever/ pain starts getting worse/ there is a discharge or bleeding from the nipple, it is better to get a General Surgeon's opinion straight away. Make sure you are resting for the next 2-3 days till you completely recover. Also make sure your bra is not loose and it supports the breast properly so that it is not hanging. If fibroadenosis is the cause, and it can be, your general surgeon after a breast examination will be able to guide you further. However, let me reassure you that fibroadenosis/ fibroadenoma is completely benign and there is nothing to worried about. If it does not cause any symptoms, it can be left alone." + }, + { + "id": 17146, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 24123, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1592, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 30884, + "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": 14586, + "tgt": "I did not remove my make up after a party and slept off. And the very next day I got small red pimples on my face. Please help", + "src": "Patient: Hello doctor, I am 18 years old, and I have this problem for about two weeks. I think this is because I did not remove my make up after a party and slept off. And the very next day, I got small red pimples on my face. I have this redness or spots on both sides of my cheeks. What could this be? Please give some affordable medicines or cream, but recommend me a good product. Doctor: Hi. This might be allergic contact dermatitis or cosmetic-induced acne. Make sure that you do not get exposed to that chemical within the next 10 days otherwise there are chances of sensitization and can cause further flare-up of the disease. Apply the following medicines on the affected areas: As of now, I am not prescribing any oral medication, but it might be needed if the response to the topical application is poor." + }, + { + "id": 8365, + "tgt": "My epiglottis is big and white. Why?", + "src": "Patient: Hello doctor,I am scared because I can see my epiglottis, which is big and white. Is this dangerous? Doctor: Hello. It is normal. Some people can see that. It means you have a good spacious airway and less chance of sleep apnoea." + }, + { + "id": 23781, + "tgt": "Is Stenson duct normal in mouth?", + "src": "Patient: Hello doctor, Is Stenson duct normal in the mouth? They are located right next to the upper second molar on each side of the cheeks. Mine do not hurt and my doctor told me to rinse my mouth with salt water every day and they will go away. They are very annoying because you can feel them with your tongue. I do not know if other people have them in their mouth but I was just wondering if this is a normal thing. Please help and is there any way to get them out of your mouth? Doctor: Hi. Normally, the ducts are not felt by the patient or individual. Sometimes this can happen as in your case. It is not any pathological condition it is a normal anatomical defect that happens one in thousands. Yes, you do not need any treatment for it, in case you handled in for too many years. Now you have a problem with it, you can visit an oral surgeon, with simple minor surgery you can get rid of them any time. After checking your image (attachment removed to protect patient identity), I think you must not worry about it. My opinion will be do not think too much about it. It does not need any treatment. You may also take over-the-counter antibiotics for five days if it is infected. That will take care of it. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 19470, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10276, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 770, + "tgt": "I have problem with PE where I ejaculate within 20 seconds of arousal. Is it a serious issue?", + "src": "Patient: Hello doctor, I am 25 years old. I suffer from premature ejaculation. I have always had it in the sense if I am aroused, I ejaculate within the first 20 to 30 seconds and if I am not aroused, it can take longer, but still less than two minutes. It feels like I am always forcing myself to ejaculate, and perhaps this started with me masturbating in my early teens. Would counseling solve this issue, or is it more serious than that? Doctor: Hi. Let me tell you that the symptoms described by you suggest that you have erectile dysfunction. In this situation, I suggest you Avanafil medication. Moreover, counseling also helpful for premature ejaculation. I recommend you do testosterone therapy (TRT). Avoid alcohol and smoking. Avoid stress and anxiety. Some exercises also helps like Kegel exercise and aerobic exercise. More details you may consult with me. I hope this helps." + }, + { + "id": 24594, + "tgt": "What is the best ayurvedic medicine for sex problems and small penis?", + "src": "Patient: Hello doctor,I have sex problem such as zero to one-minute timing. The second time, there is no reaction. Also, my penis is small. Please guide me. I have taken so many medications previously. When I start medicine, the reaction (I mean timing) improves, but after stopping the medicines the same problem is back. Someone said to me, this medicines if taken, can cause habitual dependence. So, please suggest a medicine that would work for me for lifetime but at the same time has no side effects. Please guide me. Doctor: Hello. It seems like you are suffering from premature ejaculation. There are several causes for this condition. Like regular masturbation, watching porn movies, engaged in erotic novel or thought, stress, anxiety, smoking and drinking habits, other medical conditions like diabetes, etc. Premature ejaculation is mostly psychogenic and it reflects your psychology and thoughts while intercourse. But it can be managed through ayurvedic medicines and Yoga practices. Small-sized penis does not matter but the penis should be erected for a period while intercourse. Even two to three inches of erected penis would be able to provide sufficient pleasure while intercourse. Before intercourse, foreplay is very important to improve your concern. Follow the instructions. Do these things and provide your valuable feedback after fifteen days. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 27222, + "tgt": "I have a lump in my penis exactly at the same spot as before. Is this normal?", + "src": "Patient: Hello doctor, I have a lump in my penis. When I had this before, it just went down using a cream and it has come back five months later in the same place. I have had the same partner. I had sex repeatedly and a week later, I noticed it. I have attached a picture. Doctor: Hello. I have seen the picture (attachment removed to protect patient identity). Thank you. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 435, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 26870, + "tgt": "What is the difference between thoracic and lumbar fusion?", + "src": "Patient: Hello doctor, Can you please tell me what is the difference between thoracic, thoracolumbar and lumbar fusion? Or are they all the same? 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 a spine health specialist online --> https://icliniq.com./ask-a-doctor-online/spine-health-specialist" + }, + { + "id": 1397, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 7155, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 19379, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20633, + "tgt": "I am suffering from lower abdominal pain. Is it due to kidney issue?", + "src": "Patient: Hello doctor, I am a 29 year old female having one kid of 3 years old. It has been one year since I am suffering from lower abdominal pain and I took medicine as per gynecologist advice for reducing swelling of my uterus and today I decided to go for an ultrasound and after that ultrasound report, I was told my uterus is fine but I have a kidney issue. I am attaching my report along with this mail. Please look into this. Doctor: Hi. The sonography report shows mild swelling of both kidneys. This may be due to holding urine for sonography. It may also be due to infection, stone or some block in kidney tubes. You should get a repeat sonography of KUB (kidney, ureter, bladder) done with an empty bladder and also check for residual urine volume. Please also get a urine routine and creatinine test done. Please let me know the reports and also whatever complaints you have, what is the frequency of urination, what is water intake, is there any history of urine infections or stone disease, etc. Take care." + }, + { + "id": 22573, + "tgt": "There is itching and irritation with red patches in the skin. Please help", + "src": "Patient: Hi doctor, Few days before, my skin got irritated. I thought it was natural. Last night, just after washing my face with facewash, my skin got red patches in the morning and I have itching type sensation. It looks very awkward. Please help me. Doctor: Hi. Irritation and itching on the face can be due to seborrheic dermatitis, polymorphous light eruption, irritant contact dermatitis, and many more. It would be easier for me to make a diagnosis if I see the picture. Can you please attach your clinical pictures of the face? Any changes in the skin products such as using new soaps, new face creams, any history of exposure to sunlight for longer duration and history of travel to a new place can cause changes in the skin. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27326, + "tgt": "What happens if you take birth control pills from the wrong side of the strip?", + "src": "Patient: Hello doctor, What happens if you take birth control pills from the wrong side of the strip? I take Yamini birth control pills and they are not labeled with days. I was taking the pills and the second-week pills are supposed to be taken from the bottom of the strip to the top. Instead, I ended up taking them from the top going to the bottom of the strip. Will it cause any problems? Will it make a difference in protection against pregnancy? Will I have to take a Plan B pill as a secondary option in case I have intercourse or am I still protected? I feel very silly having done this, but I am worried now. Doctor: Hello. Good luck. For more information consult an obstetrician and gynecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5347, + "tgt": "Can viral infection cause diarrhea in a baby?", + "src": "Patient: Hi doctor, My baby is 1 year and 10 months old. Two weeks ago, she had severe diarrhea and around her thighs and around her genitals, there was inflammation. The doctor says that because diarrhea is a type of virus and inflammation of the fungus. The doctor prescribed Clotrimazole and burns ointment and Yomogi. Two days later, fever started and in the body, eruptions that were in the form of fungus were released, that caused itching. The apparent shape of the grain is juicy. This time the doctor prescribed Triamcinolone ointment and syrup Amoxyclav and Hydroxyzine. According to the doctor, this virus is contagious. Doctor: Hi, Welcome to icliniq.com. I have read your question in detail and I know that you are very concerned about your child but do not worry. By what you quote it seems that your child probably has got acute gastroenteritis with inflammation at thighs and scrotal region. In my opinion, you should give syrup Ofloxacin (5 ml = 50 mg) 2.5 ml two times a day for three days and apply a Zinc Oxide cream like Rashfree cream for five days. If no improvement in 24 hours, then do a stool routine microscopy test to confirm the diagnosis. This is not viral as fever and diarrhea have been for more than 3 days. Review after 2 days." + }, + { + "id": 2013, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 28396, + "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": 3624, + "tgt": "After joining professional course, I do not feel like mingle with people. Why?", + "src": "Patient: Hi doctor, I am a 19-year-old female doing MBBS. Everything is really good in my life, but I certainly do not understand the chit chat going on in my mind all the time. I do not feel going when I meet people, I do not like noise, parties and going out. But this was not the case earlier, I like dressing up and going out for shopping, now I do not feel like doing these things. I just like studying and following my normal routine, I do not want to be like this. Please help. I am very anxious about my face as I have acne scars, so I am always very conscious about them. I just take medication for it, I often have severe headache attacks, probably migraine, especially when I go out with my friends or hear a very loud noise. Doctor: Hello. I am sorry to hear about your situation, I can see that you are under a lot of stress. what you are describing looks more like anxiety disorder, it is possible that because you have been under a lot of stress for a long time. MBBS is a very tough field and even though you must be a good student it does take a toll on your mental health. With chronic stress problems like severe headaches, migraines social avoidance can occur. I would suggest you to talk to a counselor and they will help you find out the negative thoughts which are causing this anxiety and this type of behavior and they will help you to cope up with them and be able to enjoy your life again. Either find a local counselor or you can opt for online counseling sessions with me via icliniq. If these are severe you might require anti-anxiety medications, but as you have mentioned that you are able to function well, I think they might not be required. The counselor will evaluate you and take a detailed history and advise you accordingly. I hope this helps." + }, + { + "id": 2840, + "tgt": "Following cervical surgery, my thumb went completely numb. Why?", + "src": "Patient: Hi doctor, I had an MRI last year, which indicated a herniated disc and stenosis at C6-C7 left. So, I had cervical surgery ACDF. Still, l had pain for a couple of months and the MRI showed to my dismay that I still had stenosis with displacement of the C7 nerve root. Also, it showed that C5-C6 protruding disc and partial corresponding osteophyte with no nerve root displacement or stenosis at C5-C6. Before two months, I elected to go with a posterior cervical foraminotomy and was told the C7 nerve was then released. Four days after my second surgery, my thumb went completely numb\u00a0on the top half and has stayed that way. The thumb is normally associated with the C6. The surgeon told me that sometimes radiculopathy overlaps and I just have to live with this. Doctor did not want to follow up with an MRI. I thought at least an MRI should be done just to confirm why the numbness may be there. Can you please advise? Doctor: Hi. For further information consult a spine health specialist online --> https://www.icliniq.com/ask-a-doctor-online/spine-health-specialist" + }, + { + "id": 904, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 20116, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 648, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 19642, + "tgt": "I have a recurring sharp headache from the past few months. Should I go to the doctor?", + "src": "Patient: Hello\u00a0doctor, I am an 18 year old\u00a0male. I am fairly active. For three to four months now, I\u00a0have been experiencing random sharp pains behind my right ear on the back of my head. This has also been followed by increased head pressure and regular throbbing headaches. Few weeks, these symptoms only occur a handful of times, and others, it is a daily occurrence. When these sharp pains occur, they last for about 5 to 20 seconds\u00a0and can be pretty shocking, making me stop what I am doing at the time. Usually, lying down in bed will make it better I have noticed. I am not sure if this is relevant, but I have had chronic upper back pain since last year, and jaw discomfort as\u00a0I grind my teeth at night. I am\u00a0unsure if I need\u00a0to visit the doctor. I just want to get some feedback. Doctor: Hello. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 6302, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 18320, + "tgt": "Is there anything abnormal in my complete health checkup report?", + "src": "Patient: Hi doctor, I am 64 years old. I am nondiabetic. I did a complete health checkup and found my Hb1Ac at 6.5 %. I have a CRP of 35 mg/L. I have PSA at 4.4 ng/mL. My urine culture report shows a negative result. Is there anything abnormal? Please suggest. Doctor: Hi. I have gone through the reports (attachment removed to protect patient identity). The most concerning result is about your blood sugar levels. It seems that you can have diabetes. Please consult an endocrinologist for a proper evaluation. Your HbA1c is high, and blood sugar levels are also high. Avoid taking sugars in the diet and do physical activity regularly. PSA (prostate specific antigen) is very commonly high at this age group. It alarms you to have a regular follow-up visit with your urologist. It is good to check your prostate soon. Your C-reactive protein levels are also high. It can happen due to any specific inflammation." + }, + { + "id": 26062, + "tgt": "Should I start a new pack of Femilon on the first day of every period?", + "src": "Patient: Hi doctor, I am 35 years old and my weight is 56 kg. My daughter is 3 years 3 months old. My doctor advised me to take one Femilon tablet daily from the first day of my period for contraception purpose. Last day of my period was 22nd of last month. At 21st night of this month, I felt that my period has started and took one tablet at bedtime. But, yesterday and today I got only spotting and the period has not started properly. I am continuing the tablet regularly at night for the last two days.\u00a0Should I continue to take the tablet regularly till completion of the pack of 21? Will\u00a0protection start from the first month or do we have to use extra protection like a condom? Should I start taking a fresh pack on the first day of every period? Doctor: Hello. This is a hormonal contraceptive pill which could reduce the amount of menstrual bleeding. This will occur in this cycle as well as probably in all your next cycles and this is entirely normal. The recommendation is to continue the pills for 21 days throughout and then wait for 7 days. Again, start a fresh pack from the 8th day. From the second pack onward, you need not have to wait for the commencement of the cycle. You can start the next pack after a gap of 7 days irrespective of cycle. Continue the pills as advised. Start the next pack as I have told and yes, you will have a full protection after seven days of commencement of pills. So, for the first week, use barrier contraception like condom and later you need not take an extra precaution as you will be a regular user. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19127, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 23810, + "tgt": "I felt as if my heart stopped beating. Could this be a panic attack symptom?", + "src": "Patient: Hello doctor, I wanted to know if you could answer one question for me. I experienced an episode that lasted roughly about two to three minutes where I felt that I could not seem to catch my breath and it felt as if my heart had stopped beating. I checked my heart rate roughly three minutes after the incident and it was at 60 bpm and my oxygen was at 99 % under two weeks ago. I had a routine 24 tape which was clear (ectopic beats picked up but were benign). I suffer from anxiety and panic attacks. However, they generally come on during stressful situations. Could this be a panic attack symptom? I also wanted to add that this happened during intercourse (I am a 35-year-old male, height is 174 cm and weight is 100 kg). I look forward to your response and suggestions. 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. And one may get symptoms like shortness of breath, chest pain or heaviness, dizziness, etc. Are you having ventricular or atrial ectopics? Have you undergone echo? Presence of ectopics also suggests the possibility of these arrhythmias. Usually, ECG is normal (attachment removed to protect patient identity) as it is done in between the episodes or may show ectopics. ECG done during episodes will show abnormality. You may request for portable cardiac monitor either Holter or another mobile-based rhythm monitor especially during intercourse to see the rhythm is recurring. Alternatively, you may undergo treadmill test and we can see if it recurs during the running. Also, thyroid test should be done if not had recently. ln order to abort such episodes you should try to cough hard. Next time, you have this, focus on heart rate and measure pulse rate. These arrhythmias are not life-threatening. So overall, that episode may be an episode atrial arrhythmia rather than panic attack and our priority is to confirm it by investigations. 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": 16180, + "tgt": "What could be the reason for my red and itchy eyes?", + "src": "Patient: Hi doctor, My eyes become red and itchy whenever I visit my hometown. They remain fine when I am in the city where I work. But as soon as I visit my hometown, they become red in a day or two. I have the problem for about two to three years. There are no pollens present here, and the climate is the same in both the cities. What is the problem? How to treat it? Can you please recommend some drops? Doctor: Hi. You are suffering from seasonal allergic conjunctivitis. Although you do not have pollens or any visible allergens in your area, your eye is already sensitized previously. Allergic conjunctivitis can trigger spontaneously. Reduce the sensitivity of the eye to such allergens. I prescribe eye drops Winolap DS (Olopatadine) one drop four times a day. Use Artificial tears one drop six times a day. It should be instilled into the eye for two weeks. Do cold compresses for two weeks. Dip a cloth in cold water and apply it on the eyes before sleeping. It also helps to reduce sensitivity." + }, + { + "id": 10447, + "tgt": "Do my symptoms indicate bipolar disorder or schizophrenia?", + "src": "Patient: Hello doctor, Since I was around 8 years old, I have experienced mood fluctuations but not in the normal bipolar way (which I am being tested for). I do not feel like my mood sways between depression and mania. It is always some level of mania but without depression. I also experience tactile hallucinations such as something grabbing my leg, ants or bugs crawling up my legs as well as something breathing on and grabbing my arm. Tension headaches are also common, and intrusive thoughts pretty much ruin my life. Another common occurrence is I notice I have trouble talking, not in a word salad kind of way, but a slurred sometimes mumbled speech. My Psychiatrist says it is likely bipolar, but I do not think that that is the only possible diagnosis. To me, it seems more closely related to schizophrenia or schizoaffective disorder. All I want to know is that is there a possibility that I am correct? Could it be a schizophrenic related disorder? In the past, they gave me Citalopram for anxiety. Doctor: Hello. Yes, your psychiatrist is correct. Bipolar is a more likely diagnosis. Bipolar disorder need not be present with depression and mania both. Recurrent mania also comes under the category of bipolar disorder. In mania, our sensitivity to stimulation increases like colors appear more bright, music appears more appealing and smoothing, also hallucinations are common in mania too. Schizophrenia and schizoaffective disorder diagnosis are made only when there are criterias of disease which get full filled. You can refer ICD 10 bluebook for detailed criteria. To me also, the diagnosis of schizoaffective disorder and schizophrenia is less likely." + }, + { + "id": 17112, + "tgt": "A swab from my vaginal tear showed positive HSV-1 and IgG. Please help", + "src": "Patient: Hello doctor, After a few days of having rough intercourse with my boyfriend, I began having pain and yellowish discharge from my vagina. A\u00a0nurse examined me and told me that I had a tear inside my vagina. She took a\u00a0swab of the tear, and I had blood workup done. The reports showed positive HSV-1 and IgG. I used to get a burning sensation on my upper lip and have frequent sores on my lips years ago, but after some time they stopped. I was wondering if I got the HSV-1 because of the vaginal tear or the lip sores years ago? I am having anxiety since this happened and I cannot sleep. I have attached my reports and photos. I will appreciate your\u00a0help. Doctor: Hi. For further queries consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 30343, + "tgt": "I am worried about meibomian gland dropout. Kindly explain my report", + "src": "Patient: Hello doctor, I am writing this as I am worried about meibomian gland dropout. I took a test before five months and I had a few glands dropped out. I had a flow procedure as I understand this is similar to PRK to correct my vision and after that I got dry eyes and MGD. However, I took a test today as well, but the doctor did not say much about it. When I got home, I checked it online by myself and compared this with the last time test. It seems to me that the situation is much worse now and more glands have dropped out. However, as I am not a doctor I may be wrong. Therefore, a second opinion would be very much appreciated. I use Acular and Oftan Dexa-Chlora in case of inflammation. Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 10726, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 25874, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6228, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 22234, + "tgt": "I have white smelly discharge and blisters in private part. Please advise", + "src": "Patient: Hello doctor, I am having a problem in my private part. Several months ago, I noticed that I am having a white smelly discharge. I only have one sexual partner and I fail to visit a doctor due to my busy schedule. And now after shaving, I had some blisters and it is painful. My groin is starting to feel painful too. Doctor: Hi. The white smelly discharge from your genitals is suggesting candida infection. The small blisters are due to razor burn as it has been very irritated locally. Keep good local hygiene. Apply Polysporin (Bacitracin and Polymyxin B) cream locally in the morning. Take Clotrimazole cream vaginally and around the genital area at bedtime. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Take probiotics to stabilize microbiota locally. If still no improvement, consult further with your gynecologist. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 15492, + "tgt": "Why is there a yellow spot on the gums?", + "src": "Patient: Hi doctor, I have a yellow spot on the right side of the gums. I also have a pain in the back tooth. I am taking Ibuprofen and applied Bonjela. But still, I have pain in the tooth. What could it be? Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). It looks like a traumatic ulcer or chemical burn. The reason can be due to the tissue present between the last two teeth. It is chewed during grinding causing a traumatic ulcer. The other reason can be a chemical burn. As the image is not clear, I am unable to differentiate them. Please mention about the age of the ulcer. The above information is necessary as the lesion itself can present as a nonhealing ulcer in the mouth. For the pain, you can take the following medications. Take Ofloxacin 200 mg twice daily. Take Metronidazole 400 mg thrice daily for five days. Take Ibuprofen if there is a pain." + }, + { + "id": 10520, + "tgt": "What does dilated extrarenal pelvis mean?", + "src": "Patient: Hi doctor, In my kidney ultrasound, my left kidney shows mild dilatation of calyces with dilated extrarenal pelvis of approximately 39 mm. What does it mean? Doctor: Hi. For further information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 9664, + "tgt": "How long will it take for a middle ear infection to get cured?", + "src": "Patient: Hi doctor, My 3 years and 8 month old kid has a middle ear infection from the past ten days. The doctor prescribed an antibiotic, but it is not cured. How long can I wait for it to get cured? Doctor: Hello. Hope it clears your doubt. Feel free to ask in case of doubts. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 21587, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 11253, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 26058, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19037, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 11167, + "tgt": "How long are knee and shoulder growth plates expected to be open following the closure of hip growth plates?", + "src": "Patient: Hello doctor, Is it possible for the knees and shoulder or spine growth plates to be open, once the hip and ankle growth plates have closed? Doctor: Hello. It depends upon the age. Because on an average if the hip and ankle growth plates have fused then the knees, shoulder, and spine follow it and close in the next six months of the onset of fusion of the hip and ankle growth plates." + }, + { + "id": 13168, + "tgt": "I am not clear with the diagnosis of my mother's condition. Please clarify", + "src": "Patient: Hi doctor, Five years ago my mother was diagnosed with fibromyalgia. I think she also has rheumatoid arthritis. For the past five years, she was managing the pain with anti-inflammatory medicine, Lyrica, Mythycobal, Voltaren injections, herbal creams, etc. You can see the veins in her hands popping out. I also realized that the pain has got worse now. For about 12 months the doctor put her only on Prednisolone 5 mg/day and painkiller when necessary. She was fine till last month but the pain increased in her hands now. In the daytime she is fine and the pain starts mildly in the evening. When she lies down in the bed she gets electrical tingling in her legs by which her sleep gets disturbed. She has undergone several tests last week and I attached them for your reference. She did not consult a rheumatologist yet. What medication can I give to reduce the inflammation and cure her? Her ESR, CPR, and ANA are quite high. The pain in her hands and the tingling in her legs at night are agonizing her life. Kindly provide your expert advice. Doctor: Hi. First of all your mother does not have rheumatoid arthritis or fibromyalgia. From her reports (attachment removed to protect patient identity) I found that she has connective tissue disorder and the most possible diagnosis would be systemic lupus erythematosus (SLE). The joint pain, high ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), positive ANA (antinuclear antibody) and response to Prednisolone favors the diagnosis of connective tissue disorder. She definitely does not have functional pain which occurs in fibromyalgia. Her pain and suffering are very true.Now to help you better I need some more details: Revert back with the answers for the above questions to a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 7070, + "tgt": "What are these spots around penis that cannot be popped?", + "src": "Patient: Hello doctor, I have\u00a0spots all over my body, prominently on the back of my arms and chest. I have a habit of picking them and white stuff comes out when I do. They are also all over my scrotum and the sides of my shaft (penis). They appear to be where hairs are, but my dermatologist ruled out folliculitis through taking a sample. One of them appears to be swollen, but is hard when I touch it and cannot be popped. It looks sore and is a bit painful. What should I do? Doctor: Hi. Revert back with the photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6945, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 24952, + "tgt": "I had sex two days after periods. Will I get pregnant?", + "src": "Patient: Hello doctor,I am 18 years old. I want to ask about having sex after periods because I am so worried my mom and dad will find out I am pregnant. I had sex today after my period and it was from the past two days. Doctor: Hello. Pregnancy usually occurs when sexual activity is practiced without protection, during the fertile period. You can estimate your fertile period using the calendar method. If your menstrual cycle is regular, then ovulation occurs 14 days before the next anticipated period. So, around that ovulation period, one week on either side is fertile period. As you had sex just after your period, it is unlikely to cause pregnancy. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 26242, + "tgt": "My father is talking irrelevantly after being admitted to the ICU. What can be done?", + "src": "Patient: Hello doctor, My father had a chronic liver problem. Last week, he began to puke blood. At once, he was admitted to an ICU of a private hospital. The endoscopy was done and the\u00a0doctor prescribed him medicines for binding the areas in the food pipe where the bleeding occurred. That was done. The blood puke stopped. The next day he was shifted to the general ward. Then, his tummy began to grow. The doctor said that water is getting accumulated in the bowel as his liver is not working properly. He looked fine and we had a long conversation. The next day, he had a\u00a0breathing problem and he was again shifted to the ICU. The doctor\u00a0said that he has pneumonia in one of his lungs. He was prescribed an antibiotic which I accepted. Now, he has red patches on the skin of his lower abdomen and legs that look like burns. He is not talking properly and moreover, he is talking irrelevantly. The doctor said that his situation is critical. What has happened? Can he be cured? What can I do? Doctor: Hello. Take care. For more information consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 27293, + "tgt": "My diabetic mother has pain and dryness of feet. What should she do?", + "src": "Patient: Hello\u00a0doctor, My mom is diabetic for last 11 years. She is on insulin for the last six years. Now, she is not feeling well, as she has a nerve pain in her foot and ankles. The skin of her foot is getting rough from the last year. She is losing her appetite and is very weak. She is currently on Novomix, Azulix, Tazloc CT, and Astin. Doctor: Hello. I read your query about your mother and saw her reports (attachment removed to protect patient identity). 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": 24222, + "tgt": "How can I treat the pain a little left under my Adam's apple?", + "src": "Patient: Hello doctor, There is pain under Adam's apple a little to the left. I have a history of acid reflux. There is a pain in the throat with acid reflux. I did see an ENT about two years ago. Everything was fine except for swollen vocal cords due to the acid reflux. I also had thyroid studies and blood work about two years ago and all were fine. I take Omeprazole twice daily and Linzess. I do miss a dose here and there and I am not regularly though. I have had some pain in the jaw around the area of lymph nodes. There is no apparent swelling. Please help. Doctor: Hello. Gastroesophageal reflux disease typically presents with heartburn and regurgitation. Extraesophageal symptoms include a sore throat, hoarse voice, feeling of food stuck in the throat, chest pain etc. Upon examination of the throat, the finding of swollen vocal cords raises suspicion of reflux laryngitis. This itself can cause pain below Adam's apple. The reflux is diagnosed by means of upper gastrointestinal scope and esophageal manometry. A 24-hour pH (potential of hydrogen) monitoring test is a criterion for a surgical intervention. An empiric therapy with proton pump inhibitor like Omeprazole is usually started for reflux. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. For complete remission of the disease in six months, treatment is advised. Lifestyle modifications such as losing weight, avoiding alcohol, chocolate, citrus juice, tomato-based products, peppermint, coffee, onion, need to wait for three hours aft\u00ebr a meal to lie down, elevating head on the bed by 8 inches also help. For more information consult an ENT Otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 27957, + "tgt": "What is the likelihood of getting pregnant while taking combined OCP?", + "src": "Patient: Hi doctor, I had a question about the likelihood of getting pregnant while taking combined birth control pills. I started taking the pills three weeks ago, using the first-day method. So, I took my first pill on the first day of my period because I heard it works right away. I had unprotected sex a few times since starting the pill, and all times my partner ejaculated in me. The first event of unprotected sex was six days into taking the\u00a0pill. Lately, I have been having bad nausea in the mornings, dizziness, urine frequency, and creamy yellowish white discharge. Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15334, + "tgt": "My ear is unblocked and hurts less than before after I noticed some drainage. What is happening?", + "src": "Patient: Hello doctor, I have been very sick with a cold for the past five days and just yesterday I got an ear infection. It did not hurt that much but my ear was so blocked that it was highly uncomfortable. Today I noticed some drainage, which I immediately looked up and saw that it meant a broken eardrum and I should contact a doctor immediately, but after about an hour or two of drainage, my ear is unblocked and hurts less than it did before. What is happening and what should I do? Doctor: Hi. Because of cold, you must be having some ear infection as well. Due to recurrent cold, your eustachian tube is blocked and caused reduce ventilation of ear and hence there was pus formation in the ear. This continues pus formation has broken the tympanic membrane and came outside yesterday. You may consult an ENT specialist who can examine your ear and you need a course of antibiotics and anti-inflammatories for seven days. Also you should take decongestants for five days." + }, + { + "id": 20769, + "tgt": "Can a small lesion in lungs cause pain and discomfort in back?", + "src": "Patient: Hi doctor, I am 50 years old male. I have middle back pain for the past eight years. It is usually in the middle right back between the shoulder blades. I have this pain when I stand for an extended period. Recently, I felt the pain radiating from my back into my chest. I think that I have a knot between my shoulder blades. It seems to get worse as the day progresses with stress and anxiety. After a recent treadmill run, I noticed a knot like a pain in my upper right back. It is accompanied by an urge to cough. Other new symptoms include throat clearing and occasional breathlessness on humid days. But all the pain gets relieved with rest and sleep. But it is worse throughout the day. My recent blood report showed WBC with 3800 per microliter, RBC with 5.06 million mcL, my hemoglobin is 154 g/dL, hematocrit showing 45 %, platelets with 145,000 platelets per microliter of blood. My EKG, echocardiogram, stress test and abdominal ultrasound were all normal. Ultrasound showed a fatty liver. My doctor advised me to do a chest X-ray. They found a small lesion on my left lung at the rib one area. He said it is nothing and recommended for a CT scan. I am living with full of anxiety. I read somewhere that 60 percent of lesions in men are cancer. Surely, I am not asking for a diagnosis. Can a small lesion have such ability to cause so much pain and discomfort? Is it possible to have advanced lung cancer? But my lungs look clear on the rest of the X-ray image. Is there anything else in the blood work or any other tests showing the possibility of cancer? I have no cough, wheezing, fever, loss of appetite, weight loss, and unexplained sweats. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your symptoms are not suggestive of cancer. It is a spinal cause which is causing the symptoms (spondylosis). The points which favor for the spinal cause is the long duration of symptoms, your sitting job, worsening as the day progresses, knot-like feeling and radiation to the chest (due to nerve compression). Malignancy will not stay for an extended period without causing any symptoms, and prolonged survival is not possible. With the absence of symptoms, it is too premature to consider it as malignancy. Usually, most of the lesions found incidentally on the chest X-ray are benign as they may indicate a fibrotic lesion of the old healed infection either clinical or subclinical. Also, your doctor has already seen it, and it reduces the chances of having a malignancy in you as they will have some features. So overall, the possibilities for malignancy are very less, and these symptoms are not correlating to it." + }, + { + "id": 24166, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 23211, + "tgt": "Why has my father suddenly become speechless?", + "src": "Patient: Hello doctor, My father aged 67 years old suddenly got speechless. When he woke up in the morning we went to throat specialist but there is no problem with the throat. We got CT scan of the brain done. Then we had referred to the neurologist. He then immediately admitted to the hospital and the treatment started. Then we have done MRI of the brain, the neurologist said there is shrinkage in the veins of the brain. After the five days in the hospital, my father came home. But still he is speechless slightly a word he can say in a whole day. He can listen very well, understand everything, react to everything. BP, ECG, and 2D echo are normal. Complete blood count and blood sugar are also normal. Doctor: Hello. Your father's symptoms are compatible with a stroke. Coming to this point I would recommend performing a Doppler ultrasound of the carotid arteries to investigate for possible narrowing. It could be due to atherosclerosis. It is also important consulting with a speech therapist in order to improve his situation. I would recommend taking aspirin 100 mg daily and Piracetam. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22054, + "tgt": "Can I take steroid injection for a bald patch on the beard?", + "src": "Patient: Hi doctor, I have a bald patch on the beard for the past\u00a0three weeks. I am suspecting alopecia. I\u00a0have uploaded the photo. Please help me. Doctor: Hi. I have seen your picture (attachment removed to protect patient identity). For further queries consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 7561, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24014, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14640, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21204, + "tgt": "Please check MRI and suggest any possibility for cure of ligament injury in knee", + "src": "Patient: Hello doctor,We have consulted a doctor after an accident. He suggested physiotherapy and after that only operation is possible. Also, not giving 100 % cure. I am coming here for a second opinion. Please check MRI and suggest any possibility for 100 % cure. The accident happened a month back. Doctor: Hi. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 4448, + "tgt": "I had a CT scan for pelvic pain. What does the film indicate?", + "src": "Patient: Hello doctor, My complaint is a pain in the right pelvic area. Could you suggest what the images of my CT film indicate? There are some lesions on my bone. What do they mean? What should be the treatment? I am currently on Amlodipine/Valsartan 2.5/40 mg. Doctor: Hi. Thanks for writing into us and I have gone through the CT scan images (attachment removed to protect patient identity). There is a lesion in the right intertrochanteric area and is showing characteristics of an osteoma and is almost always a benign condition. One must look out for any severe pain and any abnormal bone growth in the area. Many osteomas might disappear with time and no active treatment is needed. In cases when the pain is severe then surgery and bone curettage might help. There is a likely area of excess calcium deposition and showing a white spot in the left iliac bone near the left sacroiliac joint area and is called a bone island. A bone island is usually not treated. However to confirm a bone island and to rule out other lesions, a nuclear bone scan can help. The thickening of the left anterior pararenal fascia is likely not significant. The gall bladder is not well visualized." + }, + { + "id": 16028, + "tgt": "Does spitting phlegm with blood is an alarming one?", + "src": "Patient: Hi doctor, My partner had phlegm with blood just now without coughing. He does not have chest pain and a fast heartbeat. Before a day, he also had a headache and hot temperature. Yesterday, he poked his nose with his finger at night. This morning, he had phlegm coming with a portion of blood. Does it require medical attention? Does spitting phlegm with blood is an alarming one? Please suggest. Doctor: Hi. A possible diagnosis can be lung cancer. For it, your partner must be a smoker for 15 to 20 years or over 50 years so that he can spit blood continuously. If your partner does not have these conditions, then you must be calm. Respiratory tract infection can also be a cause for having phlegm with blood. A headache and fever will also support the diagnosis. Poking the nose with a finger can also be a cause for having phlegm with blood because blood can pass from the back of the nose to the pharynx. On considering the age, it is necessary to rule out malignant pathology. If the bleeding is not continuous, then there is no need to get tensed. In addition to bleeding, if your partner has a fever, headache, and cough, then respiratory tract infection will be a probable diagnosis. You can consult a family doctor for evaluation and treatment. If there is a continuation of bleeding and if your partner is a smoker, then it is necessary to do a chest X-ray." + }, + { + "id": 21647, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 27875, + "tgt": "My shoulder dislocated while dancing, but went back right in and now it is numb. Please help", + "src": "Patient: Hello doctor, I am a 38 year old\u00a0female. My height is 5 feet and 9 inches, and I weigh 130 lbs.\u00a0I am a professional dancer. I dislocated my left shoulder while dancing. I had to make a move that involved throwing the arms out and across the\u00a0body to the right side sharply and quickly. It popped out for about two to three seconds and went right back in. It was sore for the first two days. Initially, I wore a swing and then began moving it gently through a full range of motion. I had slight pain when rotating it outwards with my\u00a0arm at 90 degrees and lifting up with arm straight out to the side. It has since been 11 days since the injury and the pain has completely subsided. However, I am now experiencing periods of numbness along a line down the center of my shoulder toward my elbow. I am wondering if it might just be a nerve swelling because I went back to activity too soon or if I should be concerned that the shoulder went back in and is compressing a nerve. Or is it something else entirely? Should I give it more time to rest or get to a doctor to have it evaluated? Any opinion or advice would be great. Doctor: Hello. I recommend you rush to your local orthopaedician for a complete evaluation. Take care. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19366, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 4165, + "tgt": "I get severe pain in the ongoing root canal treated tooth. Does it imply non removal of nerves?", + "src": "Patient: Hello doctor, I have been going to a dentist about a tooth that is sore. They started a root canal but then did not finish. I have gone back several times and every time they open up the tooth and insert medicine. My tooth is in agony right now. I am just wondering if this is a standard procedure during a root canal? Should not the dentist remove the nerves so I am not in so much pain? Or is it the standard procedure to fight the infection first and then remove the nerves? Doctor: Hello. I understand your concern. The number of sittings in the root canal procedure depends on the amount and extent of infection. If the infection is more, the tooth is opened up and medicated dressing is given to reduce the infection and to kill the nerves. Antibiotics and painkillers will be prescribed for the next three days to control the pain and infection. After three days, the root canal treatment can be done painlessly, once the nerve had died. From your query and the details provided, it seems like you are having a challenging tooth (quite a lot of infection, curved roots, pulp stones, etc.). A clear picture of your tooth x-ray will help to identify the problem. Talk to your dentist and get to know, what is causing this pain and delay in treatment. I hope this helps." + }, + { + "id": 25726, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 7397, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 6877, + "tgt": "My 1 year old baby fell down and got hurt at the back of the head. Will it cause any complication?", + "src": "Patient: Hello doctor, My baby is 1 year old. He fell down from the bed and got hurt at the backside of the head. He got hurt many times the same way. He is not sleeping properly at night and wakes up frequently. I would like to know whether it will cause any complications in the brain or some other problems? Doctor: Hello. Frequent falls, if associated with any symptoms after the fall, will usually effect the brain. Symptoms like loss of consciousness, vomiting, fits are dangerous. You need to be more careful about falls and prevent them. Crying at night is a common symptom. Normally baby cries during the night if he is hungry or having any discomfort or just wants to be cuddled. If he is fine later, it is probably normal. Sometimes worms can be present in the anal area, causing itch and disturbs the sleep. If the problem persists, then consult your doctor, as he needs to be examined." + }, + { + "id": 25259, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17056, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 3043, + "tgt": "Will Accentrix injection help in getting back normal vision from idiopathic CNVM?", + "src": "Patient: Hello doctor, My wife is 25 years old. Her right eye has been detected of idiopathic CNVM. She had an OCT test already. She has been asked to take three injections of Accentrix with a gap of one month in between each. I read various articles all refer to an injection of a drug called Bevacizumab (brand name Avastin). Are Accentrix and Bevacizumab (brand name Avastin) the same? Is this the only way of treatment? Will this treatment completely cure the Idiopathic CNVM and my wife will have her normal vision back? Which would be the best place for treatment in India? What is the rough cost of the complete treatment? Doctor: Hello. Avastin and Accentrix are both more or less equally efficacious in CNVM (choroidal neovascular membrane). The difference lies in the fact that Accentrix is FDA (food and drug administration) approved but Avastin is not. In case any side effect appears after injecting Avastin (though very rare) then your treating ophthalmologist will land up in trouble and media will blame him for using Avastin and he may be in soup. It is irony of our nation that due to some uneducated people, doctors are forced to offer costly treatment when cheap options are available. This is not the only option, but yes, this is the best option. I am sorry but the prognosis is guarded, she may recover fully and gain good vision or she may not attain 6/6 vision again and she may have central scotoma. Regarding the best place, treatment is same everywhere. You may get the treatment from any place of your choice. Regarding the treatment cost, it is difficult to say. She may need more than three injections also, so be mentally prepared for that also. I hope this helps." + }, + { + "id": 23874, + "tgt": "Hb is 10. 3, platelets 5. 86 lakhs, in a 5 year old child. What is the problem?", + "src": "Patient: Hello doctor,A 5-year-old girl baby blood report is Hb 10.3, platelets count 5.86 lakhs per cubic mm, PCV 30.9 %, ESR 75 mm per hour. Please, can you tell me what is the problem? Doctor: Hello. ESR (erythrocyte sedimentation rate) is a non-specific marker and raised in any inflammation, infection, etc., like condition. So, rule out any infection or inflammatory foci if present as total leukocyte count is also high. For that physical examination and auscultation are done. With treatment of underlying cause, ESR will also come down. Anemia is also present here for which Iron syrup or medication can be prescribed. If needed antibiotic syrup course can be prescribed. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 24137, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 20118, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29416, + "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": 15539, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4559, + "tgt": "Does slow rise in hCG indicate any abnormality?", + "src": "Patient: Hi doctor, My hCG level is not doubling. What can be the reason? A week back it was 250 and now it is 423. Is this abnormal? Please suggest. Doctor: Hi. If hCG (human chorionic gonadotropin) report can be relied, it indicates possibility of impending abortion (miscarriage). For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9129, + "tgt": "My gamma gloublin level is low. Will it affect my HIV test result?", + "src": "Patient: Hello doctor, I had an unprotected relation two months ago, which led to urethritis three days after that was treated with a 10 days course of Levaquin. The urethritis disappeared, but at the end of the treatment, I started to feel neurological symptoms, numbness, tingling burning sensation in my arms and allodynia in my foot. Then a few weeks later, I began to experience diarrhea (muddy stools) after digestion (mainly in the morning, sometimes at night or the end of the afternoon). I lost a lot of weight (nearly 10 kg). I got an MRI (cerebral and medular) and an EMG that came back normal. I got STD (hepatitis, syphilis, HIV, gonorrhea, chlamydia) lab test 43 days after exposure, which came back negative. As I was worried about all these symptoms, I got multiple HIV fourth-generation testing at 21 days, 28, 35, 43, and 51 days that all came back negative. My doctor gave me this week a complete blood test, and everything came back healthy except slightly high albumin level (53g/L) probably due to dehydration but also a somewhat low gamma globulin with a level of 7.4g/L while the lab norms range from 8 to 13.5 g/L. The conclusion stated hypogammaglobulinemia. Now I am worried because I read that hypogammaglobulinemia can delay the seroconversion and then give false negative antibody results. Do you know if such level of gamma globulin can indeed affect HIV testing? Doctor: Hello. As you have done all the test which came normal. Hiv antibodies while detecting in initial phase generally came negative, as it is in window period for three months. So have to recheck HIV antibody test post three months of exposure. And if it comes negative after then no need to worry. As you explained, you have hypogammaglobulinemia, As lab report showing lower level, but the value not that much decreased. You go for thyroid profile testing also and connect me if you have further questions." + }, + { + "id": 12722, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 895, + "tgt": "I have pain in both testes with left testis longer than the other. What should I do now?", + "src": "Patient: Hello doctor, I have pain on both of my testicles but the pain is more focused on the left. I did blood and urinary tests, ultrasound and CT scan but all were negative. I do not have the pain in the same way it was but then I feel like it is a little longer than my right and also heavy. What can I do? Doctor: Hello. I have gone through your queries. You have bilateral testicular pain, discomfort, and heaviness. And all investigations are within the normal limits. It would have been great if you had uploaded those reports. However, do not worry. If USG testis with Doppler study is within normal limits, then there should not be any major concern. I would like to advise you to wear tight underwear. It will reduce your discomfort. Whenever there is pain or discomfort in the testis you should elevate it. Pain will be reduced. You can take Paracetamol 650 mg SOS also. I would like to undergo the following investigations after one month if symptoms persist. USG (ultrasound) B/L inguinoscrotal region with Doppler study urinalysis, urine culture, USG KUB (kidney, ureter, and bladder) and PVR (postvoid residual urine)." + }, + { + "id": 16466, + "tgt": "Why do I have abdominal pain after unprotected sex?", + "src": "Patient: Hi doctor, I had unprotected sex 19 days back. My period is always regular and my expected date was in the first week the following month. I had uneasiness and fatigue by the end of last month. Left side upper abdominal pain started a week back. It comes occasionally and goes on its own. Occasionally, the pain shifted to right side upper abdominal pain, then lower left side abdominal pain etc. My periods did not appear on the expected date. I did a pregnancy test yesterday, but the result was negative. Since yesterday, my appetite has reduced. After having dinner, my abdominal pain started increasing and it only stopped after I intentionally puked out half of the food I ate. Today morning there was severe abdominal pain, periods like pain, and some drops of blood came out. After that I was revealed. Now the bleeding again stopped. Periods like pain persists and uneasiness after taking food.\u00a0I wonder, whether I am pregnant and is that implantation bleeding. I read that the implantation bleeding occurs after seven to ten days of intercourse and before your missed period. In my case, there is a long gap and it is two days after the missed period. What could it be? I have no other symptoms of sore breast or nausea. Except, I feel fatigue especially in mornings and has become an early sleeper. I also have uneasiness after having food. No aversion or special interest to any food. But, not at all feeling hungry. Frequent periods like pain in the center lower abdomen. If there is a possibility of pregnancy, when can I again do a urine pregnancy test? Doctor: Hello. The symptoms appear more of premenstrual syndrome and as you had a day of bleeding with on and off lower abdominal pain off and on. There is likelihood that your menses shall resume again in few days unless you have conceived. Urine pregnancy test is not sensitive until eight days post missed periods and hence it is advised that you should opt for a blood based serum beta-hCG (human chorionic gonadotropin) test to rule out pregnancy conclusively. If the hCG levels are less than 5 ng/dL then you are surely not pregnant. But if they are higher then you are surely pregnant and the bleed that you had was an implantation bleed possibly or an early sign of threatened miscarriage. So, please get a serum beta-hCG test done to have a clear idea with regards to possible pregnancy as you had sex during your fertile period. Revert back after the test to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6784, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 4199, + "tgt": "Valsalva method to release the blocked eustachian tube does not work. Why?", + "src": "Patient: Hi doctor, I had an ear infection about two weeks ago and just finished the antibiotic. In the past two weeks, I have had a fluid stuck in my middle ear with no relief. There is a lot of uncomfortable pressure in my ear and my hearing is completely blocked on that side. I believe my eustachian tube is blocked. I have tried a number of decongestants and also the Valsalva method, but nothing has worked. I have a few very clear photos of my eardrum. I could show you if that helps. Also, in the past few days, bubbles are present in the fluid behind the eardrum. Please help. Doctor: Hello. I have seen the photos. (attachment removed to protect the patient identity). It appears that after the ear infection there is some fluid accumulation inside the middle ear. We call it otitis media with effusion. This is quite common after an ear infection and usually occurs due to some remnant inflammation inside the eustachian tube that prevents the flow of mucus from the middle ear into the throat through that tube. This can be confirmed clinically by otoscopic or endoscopic examination. Additionally, the hearing loss can be quantified by pure tone audiogram (PTA) and the fluid confirmed by the B curve in impedance audiometry. Do you have any pictures of the drum or the tests? If so please share it with me. Usually, the effusion takes a couple of weeks to resolve and needs a different type of medicine than the one given for infection. You need decongestants oral and local, nasal sprays, antiallergics, and a mild anti-inflammatory agent. Do revert back to me with more details and we shall discuss what has to be done. Do not do Valsalva if there is any nasal block or congestion still as that would push the mucus further into the tubes and increase the block." + }, + { + "id": 8997, + "tgt": "I am suffering from rashes in almost all parts of the body. What could it be?", + "src": "Patient: Hello doctor, It has started as a rash and is now spreading almost to every region of my upper body. I went to ER first time, and the doctor thought it could be eczema and then my GP thought it could be psoriasis. I have no medical conditions, and neither is anyone in my family. What could it be? Doctor: Hello. I have seen your attachment (attachment removed to protect patient identity). There are some crusted follicular and few non follicular papules visible along with scaling. So it seems like psoriatic lesions. 1. Apply Vasu Cutisora oil externally to affected areas twice a day. 2. Orally you should take Himalaya Purim two tablets, Baidyanath Gandhaka Rasayana one tablet, Jiva Kutki capsule one capsule thrice a day after meals. 3. Khadirarishtam 15 ml twice a day with an equal amount of water after meals. Avoid spicy and fried junk foods. Keep it clean and dry. Do these things and provide your feedback after 15 days." + }, + { + "id": 28996, + "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": 17334, + "tgt": "Is oral thrush a sign of HIV?", + "src": "Patient: Hi doctor, I am a pregnant woman. I am very much worried about HIV. Because my tongue skin is getting peeled off and my armpit lumps are painful. I did not test for\u00a0HIV yet. If it is positive, then should I have to abort my baby or can I safely deliver a baby? I am in a\u00a0big depression now. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10734, + "tgt": "How accurate is CMIA test?", + "src": "Patient: Hi doctor,I had one sexual incidence. After 175 and 180 days, I got tested with CMIA technique.\u00a0Please check my reports and\u00a0suggest whether these are conclusively negative. How accurate is CMIA test? Doctor: Hello. For further information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 14810, + "tgt": "I am trying to conceive, will the previous intake of i-pill affect me getting pregnant now?", + "src": "Patient: Hello doctor, One year back, I took five i-pill tablets within 6 months, and two of them were taken within a week. I am now trying to conceive. Will the previous intake of i-pill affect me getting pregnant now. What should I do to get pregnant now? Please help me. Doctor: Hi. Taking I-pill is not really good for your health. You cannot change what has happened in the past, so let us not speak about it, but avoid taking I-pill in the future. Do not worry too much about it, because mental stress can cause specific hormonal changes that will reduce your chances of getting pregnant. If your menstrual cycle is regular, try to have sex during the mid-cycle. Ensure that you have sex at least once in 72 hours during the mid-cycle. Eat good food, and indulge in moderate physical exercise to keep your body healthy." + }, + { + "id": 8535, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 19818, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4087, + "tgt": "Can I get my wife pregnant with only 25% of glans penis visible?", + "src": "Patient: Hello doctor, I can retract my foreskin of penis in flaccid state, but when erect I cannot pull it back. Only 25% of glans will be seen when I pull it in erect state. What is the treatment for this? Will surgery or medicine or stretching exercises be effective? Also, can I make my wife pregnant with this condition? I do not have problem in urination and also ejaculation. But, when I ejaculate it does not go far as foreskin is above glans. I lose erection while intercourse as foreskin is forced to slide down while having sex. Please help. Doctor: Hi. For further clarifications consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 202, + "tgt": "Kindly give your thoughts about pleural effusion with a mass in my lung", + "src": "Patient: Hi doctor, I have recently visited ER due to sob. Then, I was diagnosed with a pleural effusion of left lung. Blood work and urinalysis completed during the visit showed normal values. I had chest x-ray and CT scan, which confirmed such and revealed a mass in this area. I went to medical center the next day for pleural fluid drainage and subsequent sample analysis. The sample results from fluid were clear and the drainage helped with breathing. I just returned from the medical center following the biopsy of that area. My radiologist indicated that the biopsy area was more shallow than he has experienced with other patients. I would appreciate your thoughts. I am currently on Lopressor and Losartan. I had not experienced breathing issue prior to this and it recently occurred just two weeks ago. Doctor: Hi. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 18950, + "tgt": "How long will it take to recover from hymen surgery?", + "src": "Patient: Hello doctor, How long will it take to recover from a hymen surgery? Would I be able to walk when I am done with the surgery? Can I bleed normally? Doctor: Hi. Revert back with the asked detail to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3907, + "tgt": "Will delusions caused due to magical mushroom lead to schizophrenia?", + "src": "Patient: Hello doctor, I tried magic mushrooms, and the last time I took it, sounds from the TV in the next room felt like they were entering me. Afterward, I started ringing bells of unknown homes and simply run around everywhere. I also had delusions. I was given a diagnosis of paranoid schizophrenia and was treated with ECT and Risperidone 4 mg. I returned to being normal without any delusions. Then after a while, I stopped taking my medicines and in a week I was having delusions again. My intellectual capacity was lessened and I was in the hospital again, and I was treated with ECT and Risperidone. Again I went back to normal. Before I took magic mushrooms, I was socially not that talkative but I still I had friends in my class but beyond that, I did not have many connections apart from my three school friends and one other friend. I had failing marks. No one ever said I talked weirdly or has delusions or is abnormal. I still avoid socially but I have friends in my current class. My academics are better and I do not get failing marks. But that is because I got better in managing my computer addiction and to study in my spare time. I am currently taking Risperidone 3 mg. My question is do I have schizophrenia? And I want to discontinue my medications because its side effects are unbearable, can you please help me to do so? Doctor: Hello. I can understand your concern. You consumed magic mushrooms and the symptoms started after that. There was a clear cut relationship between the use of the drug with psychosis as per your history. This was four years back. You responded well to treatment and are doing good in academics, and social domain. Well, if we consider whether the medicines should be continued or not then that depends upon the treating doctor. You developed two episodes of psychosis within a year gap and on stopping the medicines it is positive that you are doing good. So in my opinion, a gradual dose reduction of medicines can be done. You are currently on Risperidone and its doses can be reduced gradually over the next three months and there should be no problem. You have one episode of acute psychosis precipitated after magic mushroom use. But the second episode is pointing towards schizophrenia. The worsening of symptoms post stopping the medicines cannot be explained by acute psychosis. So yes, you might have schizophrenia or psychosis NOS in my opinion. You are yourself seeking treatment and are clear about history which is not very common in schizophrenia. So you can try to reduce the doses gradually and this should help you." + }, + { + "id": 3127, + "tgt": "How to remove acne black spots?", + "src": "Patient: Hello doctor, I am a 27 year old male. My skin complexion is close to dark and I have been suffering with acne black spots on my face. I tried few creams, but I am not able to get rid of these black spots. I also used lemon juice to cure my black spot, but there is no improvement. Please suggest me something to get rid of these acne marks. Doctor: Hi. Revert back after three weeks to a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10895, + "tgt": "My lax les is 38 cm with inflamed gastric folds and severe antral gastritis. What does it indicate?", + "src": "Patient: Hello doctor, My lax les is 38 cm with inflamed gastric folds and severe antral gastritis. Presence of diverticulum and ulcer near the pyloric ring. I have constant nausea, bloating, and throat tightness. Doctor: Hello. Gastritis is an inflammation of stomach mucosa. It happens due to Helicobacter pylori a bacterial infection, smoking, alcohol and also certain medicines like Aspirin. Presence of diverticulum also causes gastritis. You are taking good medicines to your concern, continue them. You can add Panchsakar Churna 3 gm twice a day with warm water after meals and Arogyavardhini Vati 1tab twice a day after meals. Avoid spicy and fried junk foods, quit smoking and drinking if you have these habits. There may be need of surgical removal of diverticulum." + }, + { + "id": 27777, + "tgt": "Can you please analyze my HIV RNA PCR test report?", + "src": "Patient: Hello doctor, I have done the RNA PCR test (viral load test) done from a lab here. I am attaching\u00a0the report. Kindly let me now the status of the report. Doctor: Hello. I have gone through your report (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": 450, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 24046, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 19826, + "tgt": "What is the cause for scoliosis and leg trembling?", + "src": "Patient: Hi doctor, When I was 10 years old, I had spine surgery for removing a lipoma tumor. I was fine before surgery. After the surgery, I was unable to walk as my right leg became very weak. Now my age is 20 years. I can walk and play now. But, I walk with some difficulty, and after surgery, I had bulgy scoliosis. But from year to year scoliosis got 70 % alright. I have started playing badminton for a month. Yesterday, during playing, I had some pin pain in the area of my scoliosis. The scoliosis area on my right spine is paining inside. When I touch the place, it looks loose with nerves moving here and there. Doctor: Hi. The present pain in the scoliotic region might be due to a muscular strain in the paraspinal muscles, which is quite common while playing sports like badminton. Another possibility is an early neuro radiculopathy, occurring due to a pinched nerve in one of the intervertebral discs in the affected region. I would suggest you take antispasmodic muscle relaxants like Chlorzoxazone or Thiocolchicoside along with analgesics or anti-inflammatory tablets. Methylcobalamin, Folic acid tablets will alleviate neuropathic pain. Local analgesic sprays or gels followed by hot fomentation will be helpful. Avoid bending forward or lifting heavy weight at least for a week. It is better to avoid playing badminton until you become perfectly alright. If you are not getting cured, get an MRI (magnetic resonance imaging) of the affected spine done and consult an orthopedic neurosurgeon. For more information consult a spine health specialist online --> https://www.icliniq.com/ask-a-doctor-online/spine-health-specialist" + }, + { + "id": 21095, + "tgt": "Is it normal to have blurry vision four days after foreign body removal from cornea?", + "src": "Patient: Hello doctor, I recently went to an ophthalmologist to have a foreign body removed from my cornea. I have been applying the overnight cream and drops during the day but on day four, my vision appears to be more blurry. Is this a normal part of healing? Doctor: Hello. I have gone through what you have mentioned, new onset of blurring on the day four is not a thing we normally expect. It could be due to a variety of reasons, the most common being increased tearing in your eyes due to inflammation, and the most important being a progression of ulceration of the cornea or corneal edema. My advice to you is to continue using your current medication. and re-visit your ophthalmologist as soon as possible to enable them to have a review. Measures you can take in the meantime are to wear good quality polarised glasses or atleast your work site safety gear while you are working so as to not let any dirt and debris get into your eye, further worsening the situation. In case you are experiencing difficulties opening your eyes in the morning because they get stuck together, use warm water to clean away all the discharge. Also, always keep your hands clean. Do not rub or touch or do any meddling with your eyes. This can incite a very powerful inflammation once again worsening the situation." + }, + { + "id": 22847, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 19581, + "tgt": "What does high homocysteine level indicate?", + "src": "Patient: Hello doctor,I have got my complete blood test check done and found out that certain tests under different heads have high values (more than the reference range). I can send you this test in soft copy format and would like to find out if there is something serious about which I should visit a hospital. I have been losing body weight at a fast rate, already lost almost 8 to 10 kg in the last six months and still shrinking. I feel fatigue, loss of appetite, immunity, etc. Please let me know if I am heading towards any serious medical problem. Looking forward to hearing from you soon. Doctor: Hello. I have gone through your medical history carefully and the lab results you sent in (attachment removed to protect patient identity). High homocysteine levels are indicating that your diet is high in animal meat. This explains high triglycerides and high uric acid levels. Altogether these high levels are related to high chances for cardiovascular events. If you start changing your diet habits, then these levels will get reduced, consequently, your risk will get reduced too. Let me know if you have any other questions. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 28685, + "tgt": "What is the time frame within which a bleeding wound needs to be stitched?", + "src": "Patient: Hi doctor, I have a wound. I know that it need stitches, but that is not an option at the moment. How long have I got to seek medical attention if it has not stopped bleeding? Doctor: Hi. For further information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 10395, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 16683, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16269, + "tgt": "My younger brother is about to get married. His sperm count is nil. Please help", + "src": "Patient: Hi doctor, My younger brother is about to get married. He has a problem of \"dry ejaculation\" which disables him to masturbate. It seems like his body does not produce any semen at all. He has the sexual pleasure just like normal people, the only problem is that he does not have any semen. He visited a few doctors and they ran a few tests on him like sperm count. The tests were quite disappointing as there was no sperm at all. Some doctors said that he has to undergo a biopsy of the testis tissue to make sure the organ is healthy and then look for other causes of the problem. But my brother is afraid of this biopsy because he thinks that this biopsy can hurt his testis forever. Is there any solution to his problem? How can he overcome this issue? Is biopsy the only solution to his problem? Is it safe to go for the biopsy? Doctor: Hello. First of all, I would like to tell you that biopsy is completely safe. It hurts very minimally, only like an intravenous injection. During a biopsy, a small piece of tissue (from the testis) is taken for examination and there is no risk of damaging his testis forever. The biopsy of the testis is one of the options out of many tests which have to be done before complete diagnosis. Nil production of semen is more likely due to blockage of ejaculatory duct. Before going for biopsy of the testis, he should go for checking the patency of ejaculatory duct. If they have already checked this in the tests which were conducted earlier, then he can go for the biopsy. Consult a urologist online for further clarifications --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 18393, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21210, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28496, + "tgt": "What is the treatment for dog bite injury?", + "src": "Patient: Hi doctor, My problem is dog bite with some pain. I am currently on antirabies medication. I am a 15 year\u00a0old male. My weight is 38 kg and height is 5 feet. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12553, + "tgt": "Is there any way to treat blurry vision due to dry eyes?", + "src": "Patient: Hello doctor, I am a female, 71 years old, hypothyroid. Question: I have an epithelial defect secondary to dry eye causing increasing blurred vision. Past three months I had an amniotic transplant but not successful followed by current tarsorrhaphy. I have been given little hope of better visual results when the sutures are removed next week. What, if any, is the next intervention here to regain visual acuity? Doctor: Hello. I am very sorry to hear about your condition. Usually, such a picture suggests quite a severe disease. So, there is no such clear cut fix to your problems. The main thing to understand is that dry eye which is this severe is usually caused by some secondary diseases which need to be treated first. A few other treatments which can be done in your case can be autologous serum eye drops, limbal stem cell graft, humifying goggles. Once again, as I mentioned before there is no straightforward fix. But these are a few genuine treatment measures which can be taken." + }, + { + "id": 3684, + "tgt": "A plywood accidentally fell and hit my head. Is there any possibility for spine fracture?", + "src": "Patient: Hello doctor, I have some pain due to injury. Last week, I was at a construction site and marine plywood that is used for construction fell and hit me on the back of my head. My head is fine but my upper back is still in pain and chest also. I did not fall down when I was hit but the impact pushed my upper body down and forward I think beyond normal that is why I am getting back and chest pain. I did not go to the hospital because I do not feel the need. I am sure they will just tell me to give time and take pain killer. Can I get your advice? Is it possible I fractured my spine? What should I do? I am just taking Ibuprofen. Pain is not very bad I am still doing things normally and I can move. I am just wondering why I am still in pain after one week. Can this be a fracture? Please advise. Doctor: Hello. It seems that you have suffered whiplash injuries. This is common following high energy impacts on the upper body. From the mechanism you described, it seems unlikely to sustain a fracture. However, it is very difficult to be certain without clinical examination and x-rays. How is your pain? Is it tender at any particular spot? Is the tenderness is on the midline of your spine or on the sides? Pain directly in the midline with a particular spot of tenderness is something I would recommend that you get an x-ray. The fact that you are otherwise moving and carrying on with life normally is reassuring. However, unfortunately, whiplash injuries can take many weeks to settle. With regard to the chest pain, it is possible that the injury might have caused a crack in your ribs. X-rays are not very good at showing this. The treatment, in any case, is rest and painkillers. I hope this helps." + }, + { + "id": 6881, + "tgt": "I am bleeding after sex and my vaginal discharge is smelly. What to do?", + "src": "Patient: Hello doctor, I am 40 years old with three children, and my periods stopped a few months ago. After some time, I got a short period for one time; then it stopped for another three months. I started feeling unwell and thought it was just due to stress. I had some discharge, which was not itchy but had an odor. At first it was clear, then the discharge was creamy with a pink tinge for over a few days. The discharge became light bleeding after intercourse. I then began spotting, which lasted for approximately three weeks. I had intercourse with my teenaged partner and had pain followed by a medium to heavy bleeding, which lasted for over a week. It began to lighten, but I am feeling very unwell, nauseous at times, lethargic, etc. I had sex again, and during intercourse, the bleeding was heavy, accompanied by pain. Since then, I have heavy bleeding with clots. The odor is still there; the pain seems to have subsided, but I am bleeding, and passing clots and my vagina feels painful. Can you give me some advice on what this might be. Doctor: Hello. Post-coital bleeding, along with vaginal discharge and menstrual abnormalities, must be further investigated. It can be due to uterine causes like a polyp or more likely due to cervical causes like polyp, erosion, LSIL (low-grade squamous intraepithelial lesion), etc. You need to get a serum TSH (thyroid-stimulating hormone), PRL (prolactin) value done along with USG gynae (ultrasound). You also need to get a per speculum examination done along with PAP smear and colposcopy. Check your hemoglobin level to assess the blood loss and need to be compensated if any. I suggest to take table Tranexamic Acid 500 mg one tablet, three times a day for the bleeding. Please note that the medication is just for the symptomatic relief, and you must get the investigations mentioned above done even if the symptoms disappear for the time being. Hb, TSH, PRL, USG Gynae, pap smear and colposcopy. Cervical erosion, cervical polyp, LSIL/HSIL, and uterine polyp. According to reports." + }, + { + "id": 13129, + "tgt": "What is the treatment for arm fracture and rib injury?", + "src": "Patient: Hi doctor, My friend is a 40 year old female. She met with an accident before 10 days. Her arms and shoulders got fractured. Her ribs too got injured. She is having chest pain, breathing problem and clot in blood vein. I have attached all her CT scan and x-ray reports with this. Please advise what treatment is required. Doctor: HiAs per the reports (attachment removed to protect patient identity) submitted, I understand that it was a major accident. She has multiple injuries to various parts. Usually, with such injuries, it is difficult to isolate each problem and provide a solution without seeing the patient as multiple organs are involved. As it has been 10 days since her accident, I assume that she is clinically stable by which I mean that her pulse rate and blood pressure are normal or near normal. Both the bones are fractured in her arm. So, an internal fixation (installing plate) done by operation would be ideal. For the shoulder, I cannot make out any fracture which needs surgery. Anything minor can be managed by support and strapping for clavicle. Chest pain and breathing problem will be there due to multiple rib fractures. CT suggests minimal blood in the thorax. She will require chest tubes (which might already have been put) on both sides, but the decision is clinically based. High dose analgesics (painkillers) will be required for the pain, to help her breathe. Also, she may require ventilatory support for the sometime as she may not be able to breathe well due to the pain. I could not see any report suggesting blood clot in the veins whether it is in the upper limbs or lower limb. If it is associated with the fracture in the upper limb, then the best treatment is surgical removal during fracture fixation. Lower limb clot also may need surgery based on the extent of involvement, and it is a clinical decision. It is usually done at the earliest. As it has already been 10 days since the accident, I do not understand which clot they are talking about. Remaining supportive care is going on as required as you have written. Her last hemoglobin was 8.3. I believe she was given blood transfusions after that. If not, she needs blood transfusion too." + }, + { + "id": 1402, + "tgt": "Are there any chances of pregnancy after using both condom and I-pill?", + "src": "Patient: Hi doctor, I had my periods on the 31st of last month. Then, I had\u00a0sex on the 26th with protection. I also\u00a0used emergency pill. When will I get my next periods? Are there any chances of pregnancy? Please explain me. 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\u00a0" + }, + { + "id": 7665, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 13697, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 4092, + "tgt": "Can you explain what do my reports actually mean?", + "src": "Patient: Hi doctor, I am a 25 years old female. I am suffering from breathing problem, cough and dizziness since several months. I get tired very easily. I went to a doctor and she suggested for some tests like CBC, TSH, T3, T4, RBS, Vitamin D and B12 level, BUN, creatinine, SGOT, SGPT, etc. I got my test results and found that some values are varying from the normal ranges. I am not able to meet the doctor as I am out of station and will take some time to get back. I am really concerned about the test results. I am attaching herewith the test result reports. Can you please suggest me what my reports actually mean? Doctor: Hi. Revert back after a week to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 21778, + "tgt": "I am having slight bleeding with cramps. Is it a sign of miscarriage?", + "src": "Patient: Hello doctor,I am having slight bleeding for past three days along with mild cramps in five weeks of pregnancy. Is it normal or sign of miscarriage? Doctor: Hello. I have gone through your history and understand your concern. It could be a sign of miscarriage but it could be due to threatened abortion. Get your pelvic ultrasound to rule out the for the fetal well being. Take Progesterone and do rest and consult your treating doctor for the same. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4140, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 3771, + "tgt": "Can rabies vaccine be taken after three days of getting scratch from a pet dog?", + "src": "Patient: Hello doctor, I have been scratched by my pet dog and I think it reached beneath my skin. I got red areas and I did not take any rabies medicine. And it is the third day, can I take medication now? Doctor: Hello, Welcome to icliniq.com. Yes, you can still take the medication. Do you have rabies or tetanus vaccine? If not or you are not sure, I recommend you go to a nearby hospital to have a rabies vaccine and tetanus shots or at least booster shots. I recommend you to complete the dose as per your doctor\u2019s advice. In the meantime, I recommend you wash it with clean soap, Betadine solution, and clean water every day to avoid infection. If in pain, you may take Ibuprofen twice a day as needed for pain. Is there anything else I can help you with or anything that is not clear to you? I would gladly clarify them." + }, + { + "id": 9766, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 4301, + "tgt": "What might cause chronic constipation in a 4-year old kid?", + "src": "Patient: Hello doctor, My son has had chronic constipation issues and this past week he was at the ER three times, two enemas were given and eventually, they hospitalized him and they inserted an EG tube to flush out his bowels. I am trying to figure out the time frame it takes for a four-year-old to become that backed up. He came home Saturday night (had not had a bowel movement on that day nor he drank his normal amounts of fluids), the next day he had a huge piece of stool come out with blood upon wiping, immediately after he pooped his pants with stool that had much softer consistency (not diarrhea), then he passed another hard piece of stool at night. Monday night he passed a larger piece of stool once more and blood was noticed upon wiping, Tuesday morning he passed another large piece of stool and the toilet filled with blood and I took him to ER. I have all the summaries from the visits and x-ray results. I am trying to figure out if constipation started prior to Sunday or if he got constipated from Sunday through Tuesday. I need an opinion on this matter as I am trying to figure out the behavioral aspect of his constipation. He is currently taking three Ex-lax chews at 6 PM daily, and 85 mg Miralax in 20 ounces of fluids every Friday for one month. Doctor: Hello. I understand your concern. After going through the x-ray report (attachment removed to protect patient identity), it shows on the 7th no gross constipation noted. On 8th and 10th x-ray constipation noted with colon filled with stool. But, the actual problem has started from 7th. 1. Stool formation for 4 years old child usually takes 24 to 48 hours depending upon diet pattern. If low fiber intake and low water intake is there, constipation can happen. 2. Constipation can also occur secondary to local bowel inflammation." + }, + { + "id": 12038, + "tgt": "A 2-year-old is beating parents on waking up. How to approach this behavior?", + "src": "Patient: Hello doctor,My 2 years old little girl is beating us the moment she wakes up. So whenever she sleeps after some time she starts waking up and starts beating and after some time she is fine but with no past memory. She also says something while she is asleep. She is doing this every day. Doctor: Hi. As reported by you that your 2-year-old is hitting you, scratching her face and banging her head, it seems like your daughter is engaging in self-harm behaviors. It is the way of children to cope up with their negative emotions. I would like to know about the speech of your daughter. Is she able to express her need? Sometimes your child's needs remain unmet due to lack of understanding by the caregivers or due to lack of speech so they end up engaging in self-harm behaviors. 1. Do not pay attention to her actions by punishing her as this would reinforce the behavior. 2. Focus on the child's feeling. 3. Help your child in calming down. 4. In the daytime try to spend quality time with her engaging in games and other play that your daughter likes. 5. Consult a psychologist to help her learn self-soothing strategies and also the psychologist would facilitate you in dealing with this complex behavior." + }, + { + "id": 3980, + "tgt": "Is it normal to get brown discharge after taking I pill?", + "src": "Patient: Hi doctor, I took i-pill after 40 hours of intercourse due to the suspected entry of precum. Now I am experiencing mild brown discharge. What does it signify? Moreover, I am on my homeopathic medication for irregular periods which I resumed this month on 9th. Last month I had my periods on 10 and I took i-pill on the 3rd of this month. Please help. I do not want to get pregnant. Doctor: Hi. This discharge is mostly a side effect of i-pill. So, please relax and wait for your period. The chance of pregnancy is very less. Still, if you miss the period, then check for pregnancy." + }, + { + "id": 18178, + "tgt": "What are the reasons for constant back pain?", + "src": "Patient: Hi doctor, I am a 28 year old female. I am suffering from mid back pain since two days. I did not take any medicine but applied Moov and Zandu balm. But, there is no relief.\u00a0The pain remains the same all through the day and night. I neither had an injury nor lifted any heavy objects. I had no surgeries before. The pain persists more while sitting without back support and while working in kitchen. It is a constant pain and not spreading anywhere. I am feeling comfortable in bed. I have no extra symptoms other than the pain.\u00a0What may be the reason for the pain? Can you please suggest a medicine? How long should I use it? Doctor: Hi. 1. Muscular strain. 2. Discogenic. 1. Not to bend forwards acutely especially after getting up in morning. 2. Not to lift any heavy weight. Revert back after two weeks for follow up to a spine health specialist online.---> https://www.icliniq.com/ask-a-doctor-online/spine-health-specialist" + }, + { + "id": 22123, + "tgt": "How can I control increased blood pressure and weight?", + "src": "Patient: Hello doctor, I am a 32-year-old male and weigh 308 kg. I always have a high blood pressure of 150/90 mmHg while meeting the doctor. The doctor always thought it was due to my anxiety. The echocardiogram results showed normal left ventricular size and function, LVEF 60 to 65 %, grade 1 diastolic dysfunction, and mild LVH. For my age, should I worry about my result? Also, can this be reversed? And how much is the life expectancy? Currently, I am on Toprol 25 mg for past one month for PVC. Doctor: Hello. I have checked the attached report (attachment removed to protect patient identity). The echocardiography report shows mild enlargement of the left ventricle (the chamber responsible for pumping the blood to the body) due to high pressure. It is a mild enlargement and controlling blood pressure strictly will improve the long-term prognosis. Diastolic dysfunction is decreased amount of blood filling the heart due to the enlarged heart muscle; it is mild, you should not worry. Strict blood pressure control, i.e., 130/80 mmHg is required. I suggest that you have a digitalized device at home. Toprol (Metoprolol) 25 mg may not be strong enough. I suggest changing it to other medication with more effective and better results. Reversibility and life expectancy depends on how you control the blood pressure. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13109, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27366, + "tgt": "High sugar and creatinine levels. What might be the cause?", + "src": "Patient: Hi doctor, My mother-in-law is 56 year old. For the past 10 years she is having diabetes. Since 5-6 months, her sugar levels are very high. She is using insulin Actrapid 20 units. Three years back, she was diagnosed with breast cancer. Underwent operation, chemotherapy, radiation therapy and cancer is under control with regular checkup and medicines.\u00a0Current issues are acute colitis, random sugar values mostly higher than 280, high creatinine levels (6.2), hemoglobin (7.2), urea level 170 and vomiting present. Please refer the reports and prescriptions attached. Doctors are suggesting dialysis after 15 days, if creatinine levels remain high.\u00a0Please suggest few measures to reduce creatinine levels and also recommend proper diet under these conditions. Thank you. Doctor: Hi. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27765, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3574, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 15676, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 16979, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30136, + "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": 15207, + "tgt": "I have extracted my left upper wisdom tooth. Should I need to extract left lower wisdom tooth?", + "src": "Patient: Hi doctor, I am a 30-year-old male. I had cheek biting on the left side, and I removed my left upper wisdom tooth before three months. I have a white line and patch adjacent to the lower left wisdom tooth. I also have some white dots over the cheek. I had some sensitivity issue in the left lower wisdom tooth, and I consulted an endodontist. The sharpness of the cusp was reduced, and GIC filling was done for the mild decay. Now, I am eating only on the right side of the tooth. I have a fear of damaging the filling, and so I am eating food on the right side. Now, I do not have pain, but, occasional sensitivity issues. I am advised to have braces after two months. I have an impacted lower left first premolar to erupt. Should I need to conserve the left lower wisdom tooth or can I extract it? I am attaching the images and X-rays. Please give your advice. Doctor: Hi. If you have sensitivity on your wisdom tooth, you should re-evaluate the filling. However, if it is not severe and increasing in nature, please wait for sometime, and it can subside on its own. The presence of wisdom tooth will not interfere with the braces treatment. Usually, when the upper wisdom tooth of the same side is removed, it is advisable to remove the lower also, because without any opposing upper tooth, it is impossible to bite and it can cause supra eruption causing other problems. But it can be removed at the time if it causes trouble. It is not a mandatory procedure at this time." + }, + { + "id": 221, + "tgt": "I cannot smell anything even after 12 weeks of getting COVID-19. What should I do?", + "src": "Patient: I lost my smell and taste 12 weeks ago after getting Covid 19. I got my taste back two weeks later however I still cannot smell anything at all. I have tried steam inhalation, steroid nasal spray, smell training, saline nasal spray and it has not improved. What should I do? Doctor: Hi! Covid has been somewhat a new entity and thereby we have been seeing its effects in detail on the human system. Loss of smell or anosmia has been one of the peculiar atypical features of covid and there have been lots of theories and explanations behind it. In all circumstances, loss of smell and taste are always associated together irrespective of the cause. This is attributed to the close approximaty of both the processing centres in the brain. It usually takes around 1 to 6 months to regain the perception of smell in covid patients. There are a lot of aspects that we need to study on regarding ethnicity and its relation to the covid, prognosis etc which will take time as its not an easy process. There is nothing that you need to worry about, make sure you dont have any underlying allergic issues in addition. For now you can enrich your diet with loads od fruits and vegetables. I dont recommend any drug without any scientific evidence of it being useful for the condition mentioned above. I hope i have answered your query. If there is any thing more you want to know or enquire, please do let us know and will revert back ASAP Warm Regards" + }, + { + "id": 22776, + "tgt": "Is there any chance of getting HIV and STD after protected oral and vaginal sex?", + "src": "Patient: Hi doctor, I had protected sex 75 days ago and tested for STD, syphilis, chlamydia, herpes, and HIV. It came negative after three weeks. Again, after eight weeks, test with EIA is done. HIV came negative. Is there any chance of getting HIV and STD after protected oral and vaginal sex? Do I need to test for HIV again after 12 weeks? When I was born, I was a premature child. Recently, I got hepatitis E infection. Would these conditions cause any effect on the test results? Doctor: Hi. The chances of transmission of HIV (human immunodeficiency virus) by protected intercourse is impossible if used in a right manner. The HIV test is negative after eight weeks is good. The chances of HIV test results coming positive is impossible after eight weeks. You can go for HIV antibodies test after twelve weeks to get totally relieved of anxiety. It will be negative too. There is no further risk exposure. Preterm or hepatitis E does not affect the test results. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 15176, + "tgt": "Constant pain in penis due to small capacity bladder. Need second opinion on the treatment", + "src": "Patient: Dear doctor, I am a 62 year old male. I get constant pain in my penis and get the feeling of my bladder bursting which I try to relieve by urinating, but when I attempt to urinate, I have to apply a lot of pressure to relieve a minimum of only 30 ml or less of urine. Therefore I am forced to sit on the toilet and pass urine as it reduces the amount of pressure I have to put as compared to standing. While seated and urinating, the pressure I apply also results in me passing bits of stool chips. I have undergone a prostate test whose results are normal, as well as a urine culture test again resulting reports are normal. The report also mentions that the normal capacity of a bladder is about 400 ml whereas my bladder's capacity is only 70 ml stating that my bladder has shrunk. The frequency of my urination is about every 25 to 30 minutes. I get minimal relief from this pain by consuming buttermilk, water or antacid tablets. I have been prescribed to take Urimax 0.4 and Comfora (three capsules a day) for the past six months. On second opinion, I have been suggested to take Solitral 10D. I have also undergone a cystoscopy test and the results are as follows: 1. Pertinent Investigative Data: - Urine routine normal. - Urine culture negative. - Sr. Creatinine 0.8 - Sr. PSA 0.4 - USG suggestive of pre-void 102 cc. Post-void 10 cc. - Urine culture for Koch's negative. - IVP normal. - MCU suggestive of left VUR and a small capacity bladder. 2. Clinical History: Irritative lower urinary tract segment. 3. Gross: Received 4 grey white mucosal soft tissue bits measuring 0.6x0.6x0.2 cm, bladder biopsy. 4. Microscopic: Sections show partially ulcerated bladder mucosa with dense lymphoplasmacytic infiltrate and an occasional lymphoid follicle. There are submucosal concretions noted with a giant cell reaction. No fungal elements seen. No granulomas seen. No epithelial atypia noted. Diagnosis: Follicular cystitis Request you to please shed light on the medication that I am taking and if there are any alternatives that I should look at. Also, I would like to know if I need to undergo any tests again. Doctor: Hi. You have a small capacity bladder with irritative and obstructive symptoms. You may require a uroflow to see if your prostate is obstructing or not. I assume that your IVP study is normal and urine AFB has been done on three consecutive days so that tuberculosis has been excluded. Next, you need a full dose of medicines to relax your bladder. Solitral has half the dose of Solifenacin. You also need to make a bladder volume diary. Your cystoscopy if done under anesthesia would have revealed your true bladder capacity. Meanwhile, a full dose of drugs, bladder training, and restricted fluid intake will help. If your prostate is obstructive, endoscopic surgery for prostate will help you to void easier. Take care. Feel free to follow up with a urologist online for further clarification --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 2414, + "tgt": "I have breathing difficulty with calcification in aortic valve. Please help", + "src": "Patient: Hello doctor, I was hospitalized in January in India for two days and then in Nigeria (I live here) for dry cough, a bit of breathing trouble, and pneumonia. X-ray of the lungs was clear and also had a bit of difficulty in breathing. However, they treated me for community acquired pneumonia and malaria, still at times I use to face a slight difficulty in breathing not all the time, one of my friend (radiologist) suggested an LFT test and also a CT chest. LFT did not show much variation however CT showed calcification in the aortic valve. In january the ESR was showing high and platelets were also low, however, in March it shows normal except for breathing issue at times. No other issues experienced as of now. I know my weight is high and I am working towards reducing it and joined a gym. I am also following keto diet. Kindly advise due to lockdown because of Covid-19 I cannot travel to India and options of good cardiologists are very limited here. Doctor: Hi. You had breathing difficulty, altered consciousness, allergic condition and you were admitted for that. Now you have slight difficulty in breathing. I have gone through all your reports. (attachment removed to protect patient identity). Not to worry. You have a calcified aortic valve for which nothing to be done. As you cannot come to India for lockdown until then I suggest you some medicine which will help you to take care of your breathing difficulty at times and also take care of allergic factor which you had. 1.Duolin inhaler two puff two to three times daily at the time of breathing difficulty. 2. Tablet Montair LC (Montelukast and Levocetirizine) one tablet daily around 9 PM daily for two weeks. Based on the response we will review. Lockdown in India will be over by that time then you can do physical check. Do breathing exercises. Take a deep breath and hold for 5 seconds and expel it out forcibly for a period of five minutes daily." + }, + { + "id": 17804, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16887, + "tgt": "The scan report showed fetal left kidney obscured. Is there any problem for my baby?", + "src": "Patient: Hi doctor, Today I took my 36th week scan. In that they mentioned mild fullness of fetal right pelvis noted 5 mm. Fetal left kidney obscured. And, they suggested\u00a0to do a scan for the baby after delivery.\u00a0Is there any problem for baby? Please clarify it. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13626, + "tgt": "What can be done to manage breathing difficulty associated with heart block?", + "src": "Patient: Hi doctor,My uncle went to the hospital with breathing trouble before five days and they said he has a heart problem and there is more block and want to do open heart surgery. Kindly advise. Doctor: Hello. I have gone through an angiography report (attachment removed to protect patient identity). There are multiple blockages including a blockage in a left main coronary artery (LMCA), for which bypass is the best option. So, angioplasty is not possible and should undergo bypass. Also, other medical treatments according to the echo report must be continued. Even after bypass, he should regularly be on medicines and sugar, BP should be adequately controlled. Otherwise, there is a risk of development of new blockages. So, overall needs an early bypass and regular medical therapy." + }, + { + "id": 10033, + "tgt": "What can cause pimples near penis?", + "src": "Patient: Hello doctor, I have pimples near my penis. I do not understand what problem I have.\u00a0I am worried about that. Please explain my problem. Doctor: Hi. It is very difficult to say what disease you have, because pimple does not come over penile area. It could be molluscum which looks like a pimple. If you can send me the photos, then I can definitely diagnose it. Explain the lesion properly like itching, pain, duration, pus filled, etc? Are you sexually active? Revert back with the photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15907, + "tgt": "There was light bleeding after taking emergency contraceptive pill. Is it normal?", + "src": "Patient: Hello doctor, I and my girlfriend had unprotected sex 10 days before. She took Unwanted 72 on next day and had periods on the same day which was also her due date for menstruation. She was facing a problem that her periods was not clear but it lasted for four days. Is there any chance of pregnancy? Is it fine to have light bleeding after taking the pill? Doctor: Hello. Unwanted 72 is an emergency contraception pill. If taken within 72 hours, it is effective up to 95 % to prevent pregnancy. Also, she got the periods on the same day. All factors are against the pregnancy to occur. It is very unlikely to get a pregnancy in your case. Light bleeding is common after taking the pill." + }, + { + "id": 1679, + "tgt": "I have sore throat along with gastric problem and constipation. What could cause this?", + "src": "Patient: Hello doctor, I am facing acute sore throat for the last one month and now feeling pain also in the left side from centre of the throat. I am doing gargle with salt water and taken TUSQ D also but no good relief. In addition to this I am facing gastic problem and constipation also. Doctor: Hi Only this syrup and gargling will not help you completely, it say some kind of throat infection maybe acute pharyngitis or tonsillitis and you need antibiotics for that otherwise this may progress. Are you allergic to any particular medicines, so that I will prescribe you some medication?" + }, + { + "id": 21711, + "tgt": "Why is there slow healing of boils on my face?", + "src": "Patient: Hi doctor, Before eight months, I had boils on both sides of my face. Now, they left dark black marks. They are very stubborn and extremely hard to fade. They are gradually disappearing, but it is too slow. Please help. Doctor: Hi. Post Inflammatory hyperpigmentation is tough to treat. The essential thing is protecting skin from UV (ultraviolet) rays, so sunscreen with SPF 50 (sun protection factor) is must in the morning hours, apply it for every four hours when you go out to beach or park for a longer duration. I would suggest you use a topical cream called Demelan (Kojic acid, Glycolic acid, and Arbutin). It will help to reduce the pigmentation and lightens the pigment. Use this cream twice a day. Other options are a series of glycolic acid chemical peel and microdermabrasion which will help to exfoliate the skin, and it lightens the pigment. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 7242, + "tgt": "Why did I develop hives after tattoo?", + "src": "Patient: Hi doctor, When I was younger, I was allergic to everything. Now, I have been suffering from the pollen allergy syndrome and fairly bad seasonal allergies. Three months ago, I got my first tattoo. It looks beautiful and healed wonderfully. After getting a tattoo, I noticed seven hives on my legs on the same day, but no hives on the tattoo. Immediately, I thought that I was having an allergic reaction to the ink. So, I took 5 mL of Benadryl and Allegra. I contacted my artist and he gave me the list of ingredients in my ink, which was just carbon pigment, water and witch hazel. Then, I made an appointment with my allergy specialist and he said that the tattoo looked great and I was not allergic to the tattoo itself, but the process. He said that I would most likely get this reaction if I get another tattoo, piercing, or even childbirth. He explained that my immune system just needed time to reset itself. I had a mysterious bout of hives when I was 13 and we could not figure out the reason, but it was around the time I got my ears pierced. So, it made sense and they eventually went away. It has been three months and I am still battling with hives. They freak me out as I have particular anxiety about allergic reactions and would like to know how long it will take for these hives and itchiness to subside. Is it normal to have these hives for three months? I need some reassurance. Thank you. Doctor: Hello. For further information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 20160, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20050, + "tgt": "My biopsy report shows low grade squamous intraepithelial lesion. Please help", + "src": "Patient: Hello doctor,My doctor did a biopsy and the result showed a low grade squamous intraepithelial lesion (LSIL). Acute inflammation and associated reactive change are also noted. Kindly advise. Doctor: Hello. In your report (attachment removed to protect patient identity), they have found inflammatory changes at the cervix and a low-grade intraepithelial neoplasia as well. For that, you need a colposcopy. Conservative treatment by ablation or excision of a transformational zone to send it to histopathology laboratory or close recurrent follow up without treatment. If colposcopy evaluation by endocervical biopsy and curettage is done completely and the doctor might recommend you excision, then further follow-ups by recurrent pap smear and maybe biopsies can be done, if needed. It is better to have treatment now rather than wait further to have a more complex disease. It would be better if you could send me your description in detail with your previous medical, surgical, gynecological and obstetric history. Just word operation is not a complete description of your doctor's advice. He or she might have explained you excision or ablation of the affected area and I think you should have treatment with proper, recurrent and regular follow-ups to prevent your disease to the more advanced stage. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9837, + "tgt": "My penis is sore and I cannot roll back the skin. Please provide your opinion", + "src": "Patient: Hello doctor, I am a 43 year old male. Since the start of the year, I have severe (before that mild) erection problems. It got bad, hardly any erection, hardly felt glans anymore during masturbation (been a few years since I had penetrative sex). The penis is feeling sore. Nearly two weeks ago, I got itching and pain in glans/tip and a part of the outer skin discolored (also caused by masturbation friction). I saw a GP, did not see glans as I had never retracted foreskin in my life and told me to see a urologist. The next day, I used coconut oil outside and tip and it was soothing for the tip and pain but sore feeling stayed. After a week, I got so far that I retracted foreskin (a bit difficult but no pain) and there was a white substance on the left side. The GP told me to keep it clean and prescribed Miconazole. There was an adhesion with the white substance which I massaged loose after a few days (left side where white stuff was). This spot makes it hard to roll back the skin as the inside skin sticks/rolls. This skin is cracked as you can see from the picture. I showed different GPs and they told me the glans looks healthy and to keep using Miconazole, see a urologist, etc. I am considering taking Diflucan 150 mg to rid infection asap. I cannot really roll back the skin further as in the picture for cleaning further due to foreskin rolling/sticking, also afraid of paraphimosis. Your view, please. Doctor: Hello. I have seen the images sent by you (attachment removed to protect patient identity). You are concerned with two problems: Regarding glans, the retraction of the foreskin is good. It is almost maximum. So, nothing to worry about the retraction. The glans is normal and fine. Glans is sore and slight whitish due to mild infection as it was not cleaned for many years. You will have a sore feeling because it is exposed to the new environment. The white substance you are talking about was smegma. But, it is cleared now. I suggest you take Diflucan (Fluconazole) as it will speed up the healing infection. Soreness is due to drying of glans when exposed to the outside. You just need to apply a soothing ointment like Lignocaine jelly during bedtime. You can stop Miconazole cream also when finished. Regarding erectile dysfunction, get some blood tests done if possible as we need to find the cause of ed. Treatment of ED depends on the cause. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 24569, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29594, + "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": 7890, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 21252, + "tgt": "Can I give Oxidon plus instead of Ocugold for my mother who is suffering from AMD?", + "src": "Patient: Hi doctor, My mother is suffering from AMD. The doctor has recommended Ocugold tablet one per day. But, due to a shortage of this medicine, I am not able to get it. Can I give her Oxidon plus instead of Ocugold? Please help. Doctor: Hi. Both Oxidon (Beta-carotene and Vitamin E) and Ocugold (Beta-carotene, Lutein, with Mixed carotene) are based on the AREDS (age-related eye disease study) formulation. Both are used in the treatment of AMD (age-related macular degeneration) of moderate severity. But in case if your mother is a smoker, she should be cautious when using Ocugold or Oxidon, as both Oxidon and Ocugold are based on the AREDS 1 formulation and not on AREDS 2. AREDS 2 has xanthins, whereas Oxidon and Ocugold (AREDS 1) have beta-carotene. Beta-carotene has been shown to cause harmful side effects in smokers, apart from this, both have the same actions. So in my opinion, if your mother is a smoker, it is advisable to use a drug having an AREDS 2 formulation. In case if she does not have the habit of smoking, you can use either of the two, Ocugold or Oxidon. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 8444, + "tgt": "How to cure the blister near my anus?", + "src": "Patient: Hello doctor,I have got a blister near my anus, and I am attaching the picture also. Please let me know how can I cure it. Doctor: Hello. How many days are you having this? Do you have bleeding or heavy pain while passing stool? Are you having constipation? It looks like a fissure in ano and piles (attachment removed to protect patient identity). Try this medication for 15 days and review. 1.Tablet Pilex 1 thrice a day. 2.Tablet Dulcolax one or two at bedtime if you have constipation. 3.Proctosedyl ointment for external use. 4.Lidocaine ointment if you have pain." + }, + { + "id": 17189, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21401, + "tgt": "Had treatment for displaced femur fracture. Can I walk like before without limping?", + "src": "Patient: Hi doctor, I had a left femur midshaft fracture while playing in a garden. It was a displaced fracture. So I underwent ORIF. A titanium rod was inserted before 57 days. Can I walk like before without limping and when? And there is no sensation in the upper thigh. Why? Doctor: Hi. Since you are 15 years old, there are good chances that you will be able to walk soon because children's bone can unite fast. It has been more than six weeks so I think you can start putting partial weight on that limb. But before that, I would like to have a look at your current X-ray. Sometimes, there may be an injury to the nerve known as the lateral cutaneous nerve of the thigh. Most of the time, it will recover on its own. You can take Vitamin B12 supplements. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 19912, + "tgt": "What does it mean to have fat deposits in ovaries?", + "src": "Patient: Hello doctor, I am a 54-year-old female. I bled a drop yesterday, so went to the gynecologist. She examined me and told me that I had cervical polyps. She also asked me to do a TVS. I did it today and she told me that there were fat deposits on my ovaries. What does it mean? Is it cancer? Please explain. Doctor: Hello. No, it does not mean cancer. Normally, there is some fat deposition around the ovaries and it is normal to have. You please attach the report so that I can have look at technical terms used, other organs and specific diagnosis mentioned in the report. Otherwise, from what you have mentioned, there appears to be nothing serious." + }, + { + "id": 6563, + "tgt": "I am not interested in any activity, have less concentration and feeling lonely. Why?", + "src": "Patient: Hello doctor, I am a 19-year-old female. I am not interested in performing any activity, very low concentration in studies, sleep a lot, sad mood, behavior like not interested in attending the social program, not to talk, difficulty in sharing the feeling, emotions, difficulty in trusting others, etc. I am feeling lonely. I have not taken any medication. Please help. Doctor: Hello. I read your query and understood your concerns. Decreased interest in almost all activities, decreased social interaction, sadness, increased sleep, loss of concentration are features that clearly indicate a major depressive disorder. The condition is clearly treatable with either medicine or psychotherapy. In my view, you should start tablet Bupropion 150 mg once a day and increase it to twice a day from day five of the treatment. Since it is a suggestion only medication, you will need a prescription to buy from the chemist. This is possible that you will see changes in your life by the end of one week and revert to me after ten days." + }, + { + "id": 10799, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 1514, + "tgt": "Prednisolone is the only solution for my rectal bleeding. How long can I take it?", + "src": "Patient: Hi doctor, I am a 27-year-old male. For the past five years I have ulcerative colitis. My main problem is bleeding form rectum. When I take Prednisolone, I am fine for maximum of three months and after that again it starts bleeding and also continues with Mesacol. I also took Azathioprine (Aazoran) but those medicines cannot stop bleeding only Prednisolone is a solution for me what can I do and if I start taking Prednisolone again is that any problem? How many times in a year can I take Prednisolone? In five years, I took Prednisolone for 8-10 times. Please suggest solution. Doctor: Hello. Your history suggests that you have steroid-dependent ulcerative colitis. So you rightly started Azathioprine and I think it should work if you are taking a proper dose (you have not shared dose of Azoran and your body weight). You can take Azoran as 1.5-2.5 mg per kg body weight. Plus the dose of Mesacol is also low. Increase the dose to at least 2.4 gm/day and you can go up to 4.8 gm/day maximum. Regarding frequency of steroid dosing, you can take it up to twice per year, in case of flare of your disease, but it will be better to avoid it if you have a better option (Azoran) because steroid has many long term adverse effects. Metabolite level of Azathioprine. Complete blood count. ESR (erythrocyte sedimentation rate). Steroid dependant ulcerative colitis. Tablet Mesacol (Mesalazine) 800 mg thrice a day. Adjust dose of Azoran according to metabolite levels. Avoid NSAIDs (non-steroidal anti-inflammatory drugs)." + }, + { + "id": 20551, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 17962, + "tgt": "After laparoscopy, my tummy has become extremely distended. Is it due to infection?", + "src": "Patient: Hi doctor, I had a laparoscopy done five weeks ago and also a D and C was done. When I woke up from it, I had an extremely distended abdomen. It was hot to touch and obviously swollen. I was told that this was from the oxygen they used. Since that night, my belly is always gurgling and distended. I am getting worried about it as it has been five weeks now. Is this normal? I am\u00a0taking stool softeners, so I am not constipated. Is this still a swelling? If so, then how long it will take to resolve? Is there anything I can do to help it along? But, I am active every day. Doctor: Hi. For further information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5818, + "tgt": "My wife is 33 weeks pregnant and her PP sugar level is 149 mg/dL. How to control it?", + "src": "Patient: Hello doctor, My wife is 26 years old. She is 33 weeks pregnant and detected with sugar all of a sudden. Her PP sugar level is 149 mg/dL. Can you suggest how to control it? How early baby can be delivered? Doctor: Hello. A single reading of postprandial sugar of 149 mg/dL should not be a reason to worry unless your wife has a family history of diabetes or diabetes in the previous pregnancy. She can do one oral GTT (glucose tolerance test). It is a sugar test done in fasting and every hour after giving glucose orally. If that is fine and if there are no other symptoms of diabetes like increased thirst, frequent urination, or frequent infections, then no dietary modification is needed. Normally baby can be safely delivered after 37 completed weeks (four weeks from now). If sugar was already tested more than once and found high, simple dietary modifications like avoiding sugars and reducing carbohydrates in diet should suffice. I hope this helps." + }, + { + "id": 11099, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 4932, + "tgt": "Do fluctuating bpm with chest discomfort reveal autonomic dysfunction?", + "src": "Patient: Hello doctor, I am a 25-year-old male. My bpm is 31 during physical and mental exhaustion but my bpm is high of about 178 during hyperventilation and has pointless frustration. My bpm from rest to stand increases by at least 30 points but averages a 50 point increase. My resting bpm is 40, and upon standing it increases to 90 and peaks up to 110. I had done an echo cardiogram and EKG. I feel light-headed upon standing, along with sudden pulsation, headache and muscle spasms. I feel blackout, syncope, and fainting. I had spontaneous jolt, breathless, palpitations, flutters, fatigue, chills and skin rash on the back of hands. My mental disturbances include confusion, inability to maintain thoughts. I also feel pointless random irritability, ankle pain, random lapse of balance, throbbing extremities, vibrating vision, burning sensation, social anxiety, depression, irritating bowl movements, no appetite and chest discomfort. I wast told to mention the possibility of autonomic dysfunction as its often times overlooked. Doctor: Hello. The symptoms you have been suffering from seem to point to a number of possibilities. One would initially suspect a cardiac abnormality given the drastic fluctuations in your pulse rate, but that would show up on an ECG or echo tests. Since your ECG and echo tests are normal, I would advise you to get some blood work done like, a serum electrolytes test to see if there is any hyponatremia or hyperkalemia. Also a urine test for 24 hours urinary collection of catecholamines. Both of these tests would indicate a disorder of the adrenal gland, Addison's disease with the electrolyte abnormalities or Phaeochromocytoma, diagnosed by the 24 hours urinary catecholamines. Please get these tests done as both these probable conditions, if present, need to be treated sooner rather than later. I hope this helps. 24 hours urinary catecholamines, Serum electrolytes. Addison's disease. Adrenal insufficiency. Phaeochromocytoma." + }, + { + "id": 5862, + "tgt": "I have sore throat, slight cough and post nasal drip. What can I take?", + "src": "Patient: Hello doctor, I have a sore throat, slight cough and post nasal drip. No fever. What can I take? Doctor: Hello. You should have tablet Azithromycin 500 mg once daily, along with some antacids like Pantoprazole 40 mg before breakfast once daily for five days. Also, have Betadine gargles four times a day. For cough, you can have syrup Alex (Phenylephrine Hydrochloride and Chlorpheniramine Maleate) two teaspoons whenever needed up to three times a day and tablet Allegra (Fexofenadine Hydrochloride) 120 mg once a day for three to four days for post nasal drip. Avoid cold food items. I hope this helps." + }, + { + "id": 21387, + "tgt": "Do I have sinus bradycardia based on the reports?", + "src": "Patient: Hi doctor,I am 57 years old female. I am doing my annual health check-up for last three years. Below are some variation in my report this year, with respect to normal range. Could you please share your advice regarding this:E.C.G - Sinus Bradycardia (except this normal study. Same is there in the report for last three years). Stool routine: mucus and vegetable cells found.Glucose fasting 102 mg/dl this year, 105 mg/dl last year, and 103 mg/dl two years back. Glucose pp is within normal range. HDL cholesterol: 39 mg/dl (it is always below the normal range for last three years)Cholesterol HDL ratio: 2.9 6. Bilirubin - 1.2 mg/dl.SGPT or ALT - 36 U/L (last year it was 41 U/L).Prolactin - 3.55 ng/ml.Neutrophils - 64 % (61 % last year).MCHC - 32.3 gm/dl.ESR, EDTA whole blood - first hour : 21 mm/hr (32 mm/hr last year).Urine routine: Specific gravity - 1.010, protein trace found, a scanty microorganism found.I had a right ovarian cyst removal two years back. Also, when I had my health check-up in the same year, I had an elevated LDL cholesterol and triglycerides, so I take cholesterol medicine (Rosuvas 10) and also Stamlo 2.5 (to control blood pressure), Also TSH was 8.4 microIU/ml, so I take Eltroxin 25 and half of 12.5. My main concern is sinus bradycardia (heart rate is 54 bpm). Do I need to worry about this? Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity) and they are fine. Even heart issue of sinus bradycardia appears to be fine. This is likely an age related change and slowing of the heart rate. I guess you do not have any symptoms of dizziness, syncope or loss of consciousness at any times, visual blackouts, etc. However, it is better to get one Holter monitoring done, which is 24 hours ambulatory ECG monitoring and may show subtle or minute abnormalities if any. Also, tell us regarding the minimum heart rate goes through out the day. So overall, Holter monitoring is advisable although not an emergency. Keep watch for symptoms of low heart rate which is mentioned above. And it does not appear to be a matter of worry but better to ascertain it. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 9581, + "tgt": "I have headache, nausea, sore throat with pain and rashes on my tongue. What does it indicate?", + "src": "Patient: Hello doctor,I am a 26-year-old female. The signs and symptoms of my health are headache, nausea, sore throat, with pain and rashes on my tongue, and gums. Also, I see something white in my tongue. Doctor: Hello. From your history, you likely have oral candidiasis. You can take these measures for the relief of sore throat and rashes on tongue and gums. 1) Avoid spicy food intake. 2) Use Nystatin oral drops 2 to 3 drops gargles thrice daily. 3) Use Kenalog (Triamcinolone acetonide) oral base gel BD (twice daily). 4) Tablet Ibuprofen 400 mg thrice daily for three to five days. 5) Capsule Omeprazole 40 mg OD (once daily) on an empty stomach for seven days. Spicy food intake, and poor oral hygiene. No investigations needed now. If the problem persists, then follow-up. Oral candidiasis. Pharyngitis. Oral candidiasis. Avoid spicy food intake and maintain good oral hygiene. Try to use these medications for two to three days. If the problem persists, follow-up with throat, tongue, and gums pictures." + }, + { + "id": 15253, + "tgt": "I am suffering from Pcos. Can I take coffee?", + "src": "Patient: Hi doctor, I am 23 years old female. I have PCOS. I was a heavy coffee drinker before knowing this condition. But I have controlled it. I am taking black coffee once a week. Is it fine to have a coffee when having PCOS? Doctor: Hi. Coffee is a substance that increases the insulin resistance immediately after consumption. In PCOD, the insulin resistance is high. But having one cup per day will not be very harmful. Usually, PCOD (polycystic ovarian syndrome) is associated with overweight and with a family history of diabetes. You seem to have a lean type of PCOD. Try to have a controlled diet, high protein diet, low cholesterol, fat, and sugar. Avoid eating junk food. Do regular exercise. You may not be gaining weight, but your blood cholesterol may be the culprit. For medical management, take tablet Metformin SR 1000 mg once at night daily. It is used for treating diabetes, but it will reduce insulin resistance. Have a birth control pill like Dronis 30 or Doris or Tarana or Yasmin (contains Drospirenone) cyclically for three to six months. Have the tablets for 21 days and have a break of seven days. Start a new one from the eighth day. Your periods will become regular, and a hormonal balance can be attained." + }, + { + "id": 7572, + "tgt": "I have high uric acid since 20 years. Please advise", + "src": "Patient: Hello doctor, I am a 40 year old male. I have high uric acid for 20 years. Currently, I am taking Allopurinol 300 mg and Methylpred 4 mg. For the last 3 months, the uric acid level has been less than 5. I am confused why there are still some attacks? Doctor: Hello. If you have been taking preventive gout medicine for a long time and have started to have flares for the first time in a while, call your doctor. He may talk to you about changing your dosage or your medicine. In addition to medication, these self-care tips may help your gout flare-up pain: Hope this helps. Take care." + }, + { + "id": 27581, + "tgt": "A 20 mm follicle found on day 5 of menses. What does it mean?", + "src": "Patient: Hi doctor, I am a female weighing 65 kg and my height is 5'6\". A 20 mm follicle found on day five of menstruation, what does it mean? I had cramp since day four till day six.\u00a0Last month 5.7 mm hemorrhagic cyst was found on left ovary during day three but this month it got disappeared and now 20 mm follicle found on right ovary.\u00a0Please help me to understand what exactly is this. Is this normal to find such a large follicle on day five? Actually I would like to get pregnant. Please help. Doctor: Hello. I have read and understood your problem. Are your periods regular? Thyroid stimulating hormone (TSH) , prolactin, hemoglobin (Hb), total count (TC), differential count (DC) levels and cancer antigen (CA125) are all normal. Ultrasound of pelvis suggests follicular cyst which is an unruptured follicle from the previous cycle and will disappear. It means there is a problem with ovulation, follicle is maturing but not rupturing. Revert back with the information to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11648, + "tgt": "I have lost sharp clarity and blurred vision. Is this macular degeneration?", + "src": "Patient: Hello doctor, I am a 26-year-old female. I have been experiencing unusual vision problems. I have lost sharp clarity, and I had an OCT which showed thinning of ganglion cells in my maculas. Other clinical results looked normal. But I am scared that I have damaged my eyes because it seems things are starting to blur. I do not know what to do. Do I have macular degeneration? Currently, I am on Sertraline 100 mg and Diazepam. Kindly give me your opinion. Doctor: Hello. I am sorry to hear that you are experiencing these symptoms, but hopefully, we can get them resolved or attended to. Unfortunately, I cannot assess the OCT because you only attached the doctor's conclusion (attachment removed to protect patient identity) and not the scan itself, please upload it as soon as possible. What you are experiencing might be the common side effects of Zoloft (Sertraline) it can cause widened pupils and blurriness of vision. I would advise you to approach the doctor that prescribed it for an alternative. I would also recommend you start using lubricating eye drops to compensate for the acquired dryness of the eyes. Use any over the counter (OTC) artificial tears four times daily in both eyes during the day and not before going to sleep. Hopefully, that will reduce the blurriness. As for macular degeneration and the changes in the ganglion layers, you need not worry at the meantime because of many reasons like you are young, no significant changes on the OCT (optical coherence tomography) were detected. There are other reasons for the blurriness that need to be excluded. However, and to eliminate your suspicion, a yearly OCT is recommended to compare the changes and see if the process is stable." + }, + { + "id": 19922, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 11280, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 17092, + "tgt": "Will high platelet count cause a blood clot or stroke?", + "src": "Patient: Hello\u00a0doctor, My mother has high WBC count of 15,000, platelet count of 5,40,000, and hemoglobin at 11.2. Her ESR is 86, and CRP is also similar. She has a\u00a0fever, which rises in the evening to 101. Can you please tell me what this denotes? Also, will the high platelet count cause a danger for a blood clot or stroke? Currently, she is taking\u00a0Mesacol 800 mg, VSL#3,\u00a0Amodep-AT for blood pressure, and\u00a0Thyronorm for thyroid. Doctor: Hi. Hope this will help you.\u00a0Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 206, + "tgt": "What treatment is recommended for splenic aneurysm?", + "src": "Patient: Hi doctor, A year ago, I was told that I have a 1.5 cm splenic aneurysm after a CT scan.\u00a0This week I had an MRI with and without contrast. The report was\u00a04.2 fusiform aneurysm dilation of splenic artery,\u00a04.6 mm x 6.5 mm splenic saccular aneurysm and minimal mural thrombus. Calcified wall with\u00a03.8 mm renal fusiform aneurysm.\u00a0Until I see a vascular MD, I would like to know the treatment for this. Also, a summary is appreciated.\u00a0I am a 69 year old female. There is a history of lupus and high blood pressure. I am currently on Lipitor, Topral and Beinicar.\u00a0Thank you. Doctor: Hi. For further information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 13343, + "tgt": "What is causing wheezing frequently in a child?", + "src": "Patient: Hello doctor, My 5-year-old son has a wheezing problem right from one and a half years. A year back the doctor prescribed Foracort 100. I administered Foracort 1 puff daily for one year. Now, I have stopped it as adviced by the doctor. Still, he gets wheezing minimum one time a month and a maximum of three times during winter. He also gets wheezing whenever he has a throat infection. 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-alcoholics). So she asked us to wait. No medicines were given. Why does he get frequent wheezing even when he has no allergy? Does he have asthma? Doctor: Hi. Generally, we would label your son a recurrent wheezer at this age. Asthma is not a diagnosis of the tender age. Wheezing is generally associated with allergy and not always can be found with a blood test. It can be an allergy to dust, pollution, dampness, pets or anything. Sometimes, we use Montelukast for a long duration to modify the wheezing condition. Ask your doctor for the same. Giving an annual flu vaccine also helps. Mantoux test is a non-specific test and does not confirm tuberculosis. Other investigations are performed in addition to the Mantoux test to confirm TB." + }, + { + "id": 21589, + "tgt": "How cam someone get rid of anemia?", + "src": "Patient: Hello doctor, How can someone get rid of anemia? It is not getting cured for the last four years. Now it has gone to serious condition in spite of many treatments. Doctor: Hello. The treatment of anemia depends upon the underlying cause of anemia. So, if you post your reports, then I can comment more. For further discussion, post reports to me and mention detail clinical history and then I can guide you further. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 10827, + "tgt": "Pregnancy kit shows positive result but ultrasound shows no pregnancy. Please help", + "src": "Patient: Hello doctor, My period got delayed by 10 days and after checking with a pregnancy kit, I found out that I am pregnant. But, when underwent sonography, there was no pregnancy. I have not got my periods yet and have vomiting and giddiness. Please help. Doctor: Hello. I would suggest you to repeat pregnancy test immediately and if again positive then repeat ultrasound as well to see what is happening and you can start taking Folic acid meanwhile. In the early pregnancies, sometimes sac is not seen and it becomes visible as pregnancy progresses. So, if pregnancy test is still positive then sac must become visible and if pregnancy test becomes negative that means that the previous one could be a false positive one." + }, + { + "id": 28350, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14750, + "tgt": "I had protected sex last month. Got two or three drops of blood at the date of my period. Am I pregnant?", + "src": "Patient: Hello doctor, I am a 20 year old girl. Last month on 22nd, I had protected sex. And on 28th, I got two or three drops of bleeding, and it was my date of periods. After that, I did not get any periods. Am I pregnant? Doctor: Hi. From what you have said, it looks like you are not ready for a pregnancy. As the bleeding on 28th was not like a normal period, pregnancy chance is very much possible. It may just be a delayed period, due to the stress and tension you are having. But we need to check. Please have a home pregnancy test or a urine pregnancy test. If the test is positive, we need to deal with the unplanned pregnancy. If the test is negative, then we can give you medicines to induce periods. You may also need tests to check why there is a delay in periods, in spite of not being pregnant. Hope this helps, Take care!" + }, + { + "id": 22367, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 29307, + "tgt": "Could making love during pregnancy hurt my baby?", + "src": "Patient: Hi doctor, I am in my 9th week of pregnancy. My husband was out for a month and has returned now. Both of us feel like getting intimate. Since this is my first pregnancy and I have not completed the first trimester, I wanted to know whether making love could hurt my baby. Should we avoid intercourse throughout the pregnancy? Doctor: Hello. Your doubt is justified. It is recommended that intercourse should not be practised till the 16th week of gestation to avoid any chances of threatened miscarriage. I feel there are other ways to express emotions and intercourse should be avoided during the early first trimester. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29856, + "tgt": "Some tissue was removed from my mother's womb along with ovary. Will it be cancer?", + "src": "Patient: Hello doctor, My mom had her surgery before two weeks. A 14 cm tissue was removed from her womb as well as her ovary. We are waiting for the results of her biopsy at the moment. Will it be cancer? If so, then what kind of cancer? Is it curable? Doctor: Hello. For further information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 13615, + "tgt": "Are polycythemia and hemochromatosis related to each other?", + "src": "Patient: Hello doctor, Is there an association between polycythemia and hemochromatosis? I have a high Hb of 18 and hematocrit of 51 %. I am a student and found to have incidental polycythemia. I tested for all myeloproliferative neoplasm and bone marrow biopsy is negative for MPN. However, I was tested to have hemochromatosis type 4, an autosomal dominant disease for which I am heterozygous. But my HCT and Hb are always high at 18.2. Please advise me. Doctor: Hello. Usually, in hemochromatosis, storage iron is increased, that is serum ferritin. So you can investigate with serum ferritin as well. If you have myeloproliferative neoplasm like polycythemia, then usually it can be clear from bone marrow study and JAK2 mutation. It comes under primary polycythemia case. You can rule out the secondary cause for polycythemia like lung disease, cardiac problem, high altitude, smoking, etc. Both conditions are different." + }, + { + "id": 25508, + "tgt": "How can I get rid of the scars on my face?", + "src": "Patient: Hello doctor, I have acne and a lot of scarring on my face from a breakout that occurred last month that is hyperpigmentation and it is lowering my self-confidence. I am trying very hard to find a treatment that is effective and works quickly. I have attached photos for your reference. Doctor: Hello. I saw your clinical picture (attachment removed to protect patient identity). You have more dark marks from acne. We call them PIH (post-inflammatory hyperpigmentation). This takes time to fade off. Once there is scarring, the most effective treatment for scars is a fractional CO2 laser. There are medications to lighten the pigment. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2922, + "tgt": "I am addicted to online casino and betting games. Please help to come out of it", + "src": "Patient: Hi doctor, I feel that I am addicted to online casino games and betting sites. I have a gambling problem and I want to quit gambling. I lost a huge amount in gambling during my whole life. I want to quit gambling. What can I do please tell me. I am tired now. I am feeling depressed and sad. I am not focusing on my studies properly. Please help. Doctor: Hi. Accepting the thing that this is your concern, is the first step towards recovery. You have realized that online games and betting sites are a problem for you. Otherwise, many people stays in denial and do not accept that they have a problem. This type of behavior addiction is very much similar to drug addiction. Stay away from these sites as much as possible. Start spending your time with your hobbies. Spend time with your friends and family members. Maintain a diary each time you visit betting sites and record your emotions and thoughts just before and after visiting these sites. This will help you to realize what is the urge or emotion that leads you to go to betting site and then you can alter them. Visit a nearby psychiatrist or psychologist for cognitive-behavioral therapy. This is a talk therapy where you are taught how to modify your addictive habits and how to restructure the thought process. This is quite helpful to modify your behavior." + }, + { + "id": 11076, + "tgt": "How to rule out neck pain and numbness?", + "src": "Patient: Hi doctor, A physiotherapist did some manipulation with my neck and since then when I fall asleep at night, my arms, hands,\u00a0upper back (area just below the neck) and brain feels weird as if blood supply is cut. This happens several times during the night while I am sleeping and these symptoms go away when I sit for 5-10 minutes. Because of this, I am unable to sleep properly. I want to get Doppler ultrasound of arteries and veins. Please suggest which Doppler ultrasound I should get to rule out the possibility of any obstruction in arteries or veins caused by several jerks, trauma to my neck and rest of the spine that might be causing problem with blood circulation.\u00a0My whole spine MRI screening shows disc protrusion at L4/5 and L5/S1. Cervical area does not show any significant change. Please help. Doctor: Hello. You have mentioned pain and numbness in your upper limbs after manipulation was done by a physical therapist. You have also mentioned both upper limb involvement which is actually a surprise because normal spinal manipulations should not actually lead to this especially if your cervical spine MRI is fine. To actually find out a cause for both your upper limb symptoms, a detailed neurological examination of both your upper limbs including assessment of motor power, sensory examination and evaluation of deep tendon reflexes, nerve conduction studies and CT angiogram of carotid and vertebral vessels can be done. There is an entity called as thoracic outlet syndrome which can actually lead to your upper limb symptoms, but bilateral involvement is not very common. Can you kindly send me the above mentioned details along with the investigations done by you till now? I can see and advise you accordingly. Also send me your blood investigations done recently as well. Will be based upon the investigation and clinical details as provided." + }, + { + "id": 7987, + "tgt": "Please advise diet plan and health tips to increase weight", + "src": "Patient: Hello doctor, I want to increase my weight. Advise me for proper diet planning. Give healthy tips for a diet to increase my weight. Doctor: Hello. Healthy diet to gain weight includes, 1. Whole fat milk. 2. Fruits like papaya, apple etc,. 3. Whole wheat products. 4. Dry fruits and nuts. Include the above regularly in your diet. Additionally, ayurvedic medicine called Kushmanda rasayana which is a pumpkin preparation is available which will also help gain weight. Kushmanda rasayana one tbsp with warm milk before going to bed." + }, + { + "id": 8941, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 535, + "tgt": "Though I am not sexually active, got a bump on my vagina. Please help", + "src": "Patient: Hi doctor, I am 18 years old and virgin. Lately, I have\u00a0been having some problems down there. I have a bump or something on the right lip of my vagina. Sometimes, I feel itch and it sting unexpectedly throughout the day. It also did not heal. I am sure that it cannot be an STI or STD, because I am not sexually active. Can you help me? Doctor: Hi. Well, I do understand your dilemma. I have a few simple suggestions for you. Bear in mind though that the best method of treatment in your case is for you to visit a gynecologist and have him or her see the lesion. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13567, + "tgt": "I am losing my hair density due to hair fall problem. Please help", + "src": "Patient: Hi doctor, I am facing hair loss problem for the past three years. I am a male, 25 years old, 5.4 inches height and 71 kg weight. My hair volume becomes very less. Please help. Doctor: Hi. How are you? Hope your physical condition is good. I have read your problem carefully. Your history is incomplete, and so I have a few queries. What is the pattern of hair loss (a picture will help)? Do you have a dandruff problem? Is there any family history of early hair loss? Do you have any other symptom such as weight gain, skin rash, body itching, etc? There are many causes of hair loss in early age. The most common reasons are, 1. Familial.2. Male pattern hair loss (hormonal, androgenic).3. Dandruff. Other causes are mainly due to different systemic diseases such as diabetes mellitus, hypothyroidism, connective tissue disease, etc. With your history, I do not think you have systemic diseases. Please get the following investigations to rule out systemic disease. OGTT (oral glucose tolerance test), TSH (thyroid-stimulating hormone test) and serum creatinine. The treatment mainly depends on the underlying cause. Now, I recommend Minoxidil spray 5% two times daily in the interim period. Please revert with further details." + }, + { + "id": 6300, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 21531, + "tgt": "My left shin is suddenly numb to the touch. What is going on?", + "src": "Patient: Hello doctor, My left shin is numb to the touch and it has been like this for about a week and I do not really know what is going on. Doctor: Hello. In my opinion, the numbness in your shin could be due to mild swelling over there. These kinds of swelling can be caused due to excessive loading or due to prolonged stress imposed over the bone like playing some sport without warming up and cooling down or sudden increase in activity. Kindly revert to me and let me know how you feel doing these things after two days. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 16174, + "tgt": "Can hemoglobin A2 level 4. 3 indicate a carrier of beta-thalassemia?", + "src": "Patient: Hello doctor, I was just wondering for a second opinion on some results which I have received being 8+4 weeks pregnant. My FBC was normal but my hemoglobin A2 Level is 4.3 and it says the normal range is 1.5 to 3.6. But I just wanted to know if this definitely means I am a carrier of beta-thalassemia. Doctor: Hi. Your attached CBC report shows normal hemoglobin and MCV with RBC count is also within range (attachment removed to protect patient identity). I have calculated Mentzer index as well which is also not in favor of thalassemia minor. Moreover, in the report, also it has been mentioned that referral to higher laboratory needed for confirmation. So, your chance of having thalassemia minor is less. I suggest you investigate with Hb electrophoresis by HPLC method to exclusively rule out thalassemia minor in a different laboratory." + }, + { + "id": 19789, + "tgt": "What are the chances of getting pregnant on the 11th day of period?", + "src": "Patient: Hello doctor,My partner is a 34 year old female. We had sex on the 11th day of her cycle. Is there any possibility that she gets pregnant? 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": 28557, + "tgt": "Will my fibular fracture heal properly?", + "src": "Patient: Hello doctor, I broke the tip of the fibula during an ankle sprain. The broken part is bean shaped. Will it heal properly? Will it cause any problem to me? I am on bed rest since ten days with a plaster on my ankle joint. 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": 7831, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 15091, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 18161, + "tgt": "What could be the root cause for constipation in a child?", + "src": "Patient: Hi doctor, For past 3-4 days my son aged 4 years weighing 18 kg with a height of 105 cm has been\u00a0suffering from constipation. He goes\u00a0for potty\u00a0multiple times (5-6 times) but it seems the stool is hard and it comes out in very little amount. We are giving him fruit juices\u00a0and water\u00a0often and have started giving him Looz 1 spoon since yesterday, but not much recovery sign is there. What could be the root cause? \u00a0He is taking food in the morning as well as evening but he looks very weak, dried up and uneasy especially in the evening. A nearby doctor has prescribed Looz and Digene gel. I would like to know what is your opinion regarding this? Doctor: Hello. I can understand your concerns. Review back after 2 days to a peadiatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 22038, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24555, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12346, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 9303, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 2408, + "tgt": "From about two to three months, I am experiencing hair fall. Please help", + "src": "Patient: From about 2-3 months i am experiencing hair fall. I never had such problem.I am 19 years old I never had hair fall issue ever. i took creatine monohydrate for body building purpose about 2 months go. The hair are falling from the root most of them have the white bulb at the end. Doctor:" + }, + { + "id": 28866, + "tgt": "I got an MMR vaccine 25 days back. Can I plan a pregnancy now?", + "src": "Patient: Hello doctor, I got an MMR vaccine 25 days back, because rubella IgG was reactive, and IgM was nonreactive. And for toxoplasmosis IgG reactive and IgM nonreactive, I did a 15 days course of Rovamycine forte. Can I plan a pregnancy now? Or should I take Rovamycine forte for some more days? 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": 7390, + "tgt": "Will masturbation give rise to more acne?", + "src": "Patient: Hi doctor, I am having serious acne problem for almost eight years. My age is 22. I observed that when I\u00a0masturbate, they occur. I will not do masturbation\u00a0daily or excess. I will masturbate only twice a month. Another thing is that\u00a0even though I\u00a0do not do, acne comes sometimes. My face becoming disgusting. Recently, I used Momstar (Mometasone furoate 0.1%), and it gave good results. If I\u00a0stop using the cream, again they are occurring. Please see the attached photos. Kindly suggest a good medicine for the removal of scars. Thank you. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 22686, + "tgt": "Is high level of first beta hCG after 14th day of embryo transfer normal?", + "src": "Patient: Hello doctor,My first beta hCG level is 16490 after the 14th day of embryo transfer. Is this high level harmful? Doctor: Hi. It is really a very short description of your query. It would be better that you send me your gynecology, obstetrics, medical and drug history. This level could be for around six weeks of pregnancy, multiple pregnancies, gestational trophoblastic disease, any tumor, etc. If you have been treated for infertility its possible to have multiple eggs or embryo transfer or division of product of conception that leads to multiple pregnancies that can give this result. Other possibilities of gestational trophoblastic disease or previous history of disease that reappeared or not had treatment properly, etc. Better to have another beta hCG after 48 hours of previous and check an increase in levels and discuss here or with a local gynecologist. It is better to report to early pregnancy unit if tertiary care hospital to trace things nicely. You should have a scan as well after 1 to 2 weeks. In case of bleeding, pain or dizziness imnediately rush to the hospital. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 5559, + "tgt": "I have sharp pain in my ribcage, left knee and heels and could barely walk. Is this due to RA?", + "src": "Patient: Hello doctor, I am a 35-year-old male. I am not overweight or flat-footed. For a little while now I have been getting sharp pains on the top of my rib cage, elbows, my left knee and both of my heels. I have a sharp pain in my heels which lasted over a week and could barely walk. There are some days where my entire body aches. These pains come and go. There are times where the simplest task like changing a light bulb will make my arms tired, and walking up steps in my house make me feel like I just ran a marathon. My legs are tired and I am a little out of breath. Again, this does not happen all the time. I have not consulted a doctor yet because the pain comes and goes. My dad has lupus and as far as I know, no one but my father has it. I know your answer will be limited because you have not seen me, but do you think this could be RA? I am currently taking Cymbalta. Any help will be greatly appreciated. Doctor: Hello. The sort of pain you are describing especially the heel one looks more of enthesitis that is the pain due to tendon inflammation. It can happen at various sites like the buttocks, heels, foot, rib area, lower back, and neck. Since none of your joints are involved, it does not look like rheumatoid arthritis. But considering enthesitis inflammation and your age group, it is always advisable to do inflammatory markers like ESR (erythrocyte sedimentation rate), CRP (C-reactive protein) and get tested for HLA B27 (human leucocyte antigen). I am not sure if anti-inflammatory work in your case, but when the pain happens you can try it. Also, check for your vitamin D levels once to be sure the fatigue is not due to its deficiency. Definitely, examination is superior to anything but, at least we can try to rule out serious causes from here. Enthesitis related arthritis. ESR, CRP, HLA B27. Vitamin D deficiency. Enthesitis related arthritis. Anti-inflammatory(Celecoxib during the pain attacks). Vitamin D supplementation. Regular exercises, weight reduction. Do let me know the blood tests when you get it done and also the response of anti-inflammatory." + }, + { + "id": 22928, + "tgt": "What is the treatment for red sputum?", + "src": "Patient: Hi doctor, Initially, I had cold and cough, which now turned into sinus. I had Almox 500 mg for five days. For sinus I normally used to take Novamox 500. Sinus got cured but still I have some cold and cough. It has been 10 days.\u00a0Since yesterday there are times when I blow my nose or spit, the sputum is red. Doctor: Hello. Acute sinusitis should be treated with 10 days of Amoxicillin and what you are having is acute on chronic sinusitis. I would suggest completing the course for next five days. Continue the steaming and use saline nasal spray. Do not blow your nose so hard. If the antihistamine is making your nose dry then do not use it, use Paracetamol for pain relief. Allegra (Fexofenadine) is a good medication, but sometimes can cause nasal dryness. Once the nasal dryness is cured you can also use nasal steroid that has Fluticasone or use Nasonex (Mometasone) or Nasacort (Triamcinolone). Use one spray in each nostril throughout the spring season. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8570, + "tgt": "I started second pack of birth control without taking placebo pills to skip period. Am I safe?", + "src": "Patient: Hello doctor, I have been on my birth control Yaz for 10 to 11 months. Last month, I went on a holiday which collapsed with my placebo pill days with period days. So I started the second pack skipping the placebo pills from the previous pack to skip the period. However, ever since I started the second pack, I have been having spotting and later with breakthrough bleeding. So I decided to stop my second pack at the 11th pill to have my period (so together with the previous pill pack, I took 34 active pills before I stopped taking for a period). I took a four-day break as instructed from the pill pack instruction and started a new pack afterward as usual. It has been seven days from now in this new pack, and I had sex with my partner without extra contraception (condom), is it safe? Doctor: Hello. As you were on pill regularly so that ovulation did not occur possibly. This means you are safe most probably, but 100 % accuracy is not there. But for practical purposes, it is almost safe. Take a urine pregnancy test after two to three weeks, and that will confirm it." + }, + { + "id": 1421, + "tgt": "I took Clavulin for frontal sinusitis, but still, feel pressure on top of my head. Why?", + "src": "Patient: I had a sinus infection and was prescribed two weeks Clavulin for a total dose of 1500 mg per day . At the end of two weeks I was symptom-free - but the day after I finished the meds I got my symptoms back and developed frontal sinus infection. I went on Clavulin for three weeks at the highest dose and had frontal sinus symptoms the whole time while I was on the antibiotics. I finish these antibiotics two weeks ago. Every day for the last two weeks I have a lot of pressure/tension on the top of my head that is pressing down on the top of my head and is very bothersome and also sometimes across the top of my forehead with occasional aches in my eyes . It is very hard to focus on anything else because the pressure is so bothersome. It has not gotten worse but remains the same every day . Can you tell me what is going on ? Doctor: Hi! Apologies for the late reply! As you have rightly put it, the most probable problem out there is a severe allergic problem with an associated sinusitis (frontal sinusitis to be precise). I have tried to explain things in a very simple yet precise manner below. The cascade of events is explained in a very simple manner below eventhough its not as simple as it looks! Exposure to dust (or any irritative substance that your body is hyper sensitive 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. Now this is general cascade that usually occurs in most people, but need not be specific to you. Sinusitis is always secondary to something, allergy being the most common out of them. There could be other reasons as well for sinusitis to occur such as a hypoplastic frontal sinus, narrow frontal outflow tract/ frontal recess/ sinonasal polyposis etc. Another important fact About sinusitis is about its recurrence. Plain use of antibiotics doesn't solve the issue, but just keeps it off for a while. We need to dig down and see what has caused the sinusitis in the first place for appropriate treatment rather than superficially treating it with plain antibiotics. Precautionary measures is one such thing which if followed ( such as in a case or allergy) will definetly go a very long way in keeping the problem at bay. The requirement of medications also will be less and on the whole you will have immense benefit. You can consider the following advice All precautionary measures have to be followed strictly for maximum relief, other wise medications won't be useful on long term. If things don't seem OK even after following the treatment schedule mentioned above, a non contrast CT is mandatory to find out what exactly could be going on in the sinonasal region. Anatomical variations, extent of inflammatory load are few things we look into while reading a ct scan. Surgery can be considered (if above medications and precautionary measures don't 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 nut shell, 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. I hope I have answered to your query in detail. Sorry again for the late reply. Get well soon! Warm regards" + }, + { + "id": 18172, + "tgt": "Is there a cure for ADEM in ayurveda?", + "src": "Patient: Hi doctor, My height is 177 cm and my weight is 94 kg. Before four months I was diagnosed with acute demyelinating encephalomyelitis (ADEM), which is an autoimmune disease. My hands and legs did not work at that time. I have consulted a neurologist for the treatment of the same. The MRI scan of brain revealed that there are multiple patches in the white matter region of the brain. First MRI was done four months ago and in the second MRI, the patches still exist and no change is seen in the brain. Both MRI reports are attached here for your reference. Someone told me that ayurveda is beneficial in this type of case. So, I have contacted my friend who is a BAMS doctor. He did not check me physically as I am away and given me some medicines. They are\u00a0Rasraj ras,\u00a0Yogendra ras and\u00a0Mukta Pishti. These are in powder form and he advised me to consume it along with honey for 15 days morning and evening after food. He has also given me Shankhpushpi to take three times daily after food and two oils for massage, which are Prasarini tel and Mahamash tel. They both should be applied on affected area. I have seen improvement after I start taking ayurveda medicines. I want to know whether ADEM can get cured through ayurveda. Doctor: Hi. I have gone through your MRI report (attachment removed to protect patient identity). Revert back after 15 days to an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 24369, + "tgt": "Is vaginal pressure normal in a five weeks pregnant woman?", + "src": "Patient: Hello doctor,I am five weeks pregnant. I have mild cramping in lower abdomen and no other symptom. Sometimes. I feel vaginal pressure like menstruation. Do I have any problem or is it normal? Please advise me what to do. Doctor: Hello. I have gone through your history and understand your concern. Such symptoms within five weeks of pregnancy are not normal and not a very good sign too. Do the following: For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1207, + "tgt": "Are heartburn, indigestion and frequent belching symptoms of GERD?", + "src": "Patient: Hello doctor, Heartburn and indigestion all day. Frequent belching. Gurgling in throat/ esophagus. Throat or esophagus is making a funny noise off and on for years sporadically. Diagnosed with Gerd and Larapharyngeal reflex. Clean endoscopy in 2 years back but esophagus is slightly twisted. Had dilation during procedure. Other endoscopies were fine. Is this classic signs of GERD? Saw ENT recently for other issues, throat looked good. Just never had the gurgling as much. Taking Gas x and Protonix and tums here and there. Also deal with allergies and post nasal drip. No vomiting or fever. Just uncomfortable. Doctor: Hello. Most of the symptoms such as burping, gurgling within esophagus and funny noise all can be encompassed in to one diagnosis, that is, GERD. But thing which make concerned, are-you have 3 endoscopies and all showling normal without signs of ulceration which is not usually a case in GERD patient unless they are on maximal acid suppressant medications and symptom free at the time of undergoing endoscopy. So endoscopy result has to be correlated with the timings and weather use of acid suppressant medication before making a diagnosis. Given some more interesting findings like dilated esophagus, and no ulceration at the time of endoscopy, with presence of persistent symptoms, suggest some other additional problem bystanding with GERD- such as motility disorder. Some time GERD is just a menifestation of motility disorders, because two disorders almost cause similar symptoms. Secondly for GERD, one must have PH-imepdence monitoring to confirm the diagnosis. And in case you have already gone through this, then you come in category of refractory GERD not responding to usual acid suppressant medications. For refractory GERD, the only single test that can confirm symptoms correlation index,-acid reflux causing the symptoms or non acid reflux causing symptoms, or no acid reflux at all; is PH-impedence test while person on acid suppressant medications. I can understand it must be very exhaustive and confusing for you to understand above things, but it can be very easy while investigation all these possibilities. I urge you to upload your previous reports and keep in touch with me, as I can suggest you how it is further be approached. Refractory GERD PH-impedence monitoring Motility disorder Functional heartburn Refractory GERD Suggest investigation You can follow up with me to discuss about how to approach this" + }, + { + "id": 5385, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 1321, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 19200, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3954, + "tgt": "I have pain in the left side of abdomen with loss of appetite. Is it inflammatory bowel disease?", + "src": "Patient: Hello doctor, Just after Christmas, I started losing my appetite, I began feeling sick and really lousy and weak. Then at the beginning of this month, I started getting pain in the upper left side of my abdomen (just under my bottom rib). I am still feeling rough, the pains are still happening and as well as being in the front it is also in my back now as well. I am hardly eating as it is making the pain a lot worse, I have now lost just over two stones since last month. My stomach also bloats out and looks swollen on the left side, it is also incredibly tender to touch. I am being sick even though I am on anti-sickness tablets. I have seen a doctor and I was sent for blood tests on three different occasions, all three tests have shown inflammation. Currently, I am waiting for a referral to a gastro doctor but I have been told it is a very long wait. My doctor thinks possible inflammatory bowel disease. Any advice would be greatly appreciated. Doctor: Hi. By looking at history, it seems like chronic pancreatitis for me. Pain after eating, tenderness, loss of weight, bloating sensation are highly suggestive. Mesenteric ischemia also presents in a similar way but is usually seen in the elderly with a history of cardiac disease. Inflammatory bowel disease is another possibility which presents more or less like this. I wanted to know your bowel habits to come closer to the diagnosis. If loose stools and constipation are seen alternatively, probably it is inflammatory bowel disease. If it is a small amount of mucus or sticky kind of stool probably it is chronic pancreatitis. In any case, get an ultrasound abdomen done at the earliest which can lead to some diagnosis before you visit your gastroenterologist." + }, + { + "id": 12355, + "tgt": "Kindly guide me about the ways to get relief from stress", + "src": "Patient: Hello doctor, I would like to know how to get stress relief from work. Doctor: Hello. I have gone through your question and I understand your concerns but it seems that the stress you are experiencing is affecting how you function during your daily life. This raises the possibility of getting into depression if it was not managed probably. Unfortunately most triggers stressful situations are things that we cannot control as work environment, However, it is possible to control how you feel and handle these triggers in order to keep your psychological health. First, try to identify these triggers and write them down. Mark those that can be avoided and try to avoid them. Mark the ones that cannot be avoided and start to apply cognitive thinking. In the meanwhile, try to start meditation or yoga and engage in social activities." + }, + { + "id": 21988, + "tgt": "How can I get relief from piles?", + "src": "Patient: Hi doctor, I am 35 years old female. I usually suffer from piles for seven days always. But this time, I am suffering from piles for the past 15 days. They are painful and itchy. I have watery substance coming out. My diet is mainly vegetarian, and my stools are not very hard. But it is painful to pass motions. There is a painful lump or flesh around the anus. It pains during and after defecation. I had this lump since my childhood, but now it has grown too big. I am scared. It is painful. I also have pricking sensation inside my anus. There is not much bleeding. My doctor has prescribed an ointment called Shield to use it. I am worried. Please help me. Doctor: Hi. You have piles with clotted blood inside. The blood clot is the cause for pain. You need to do a sitz bath three times a day. Sit in warm water in the basin for 10 minutes. Avoid constipation and hard stools. Have two to three liters of water daily. Avoid constipating foods liked baked ones, cheese. Take syrup Cremaffin plus 20 ml (Sodium picosulfate and Milk of magnesia) twice daily to make stools soft. Once it gets soft, you can use it once a day. Stop it if you experience loose stools. Use Cremagel cream to apply near the painful area. Revert after three days. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 19718, + "tgt": "Please suggest some ayurvedic treatment for swollen legs, knee pain, and vitamin D deficiency", + "src": "Patient: Hi doctor, Both my legs are swollen, and\u00a0my knees are paining. I have full body weakness, and my vitamin D is less than 3 ng/mL. I feel that my entire body is swollen, and I have pain in my limbs. Please help me. Doctor: Hello. I hope you are satisfied with my answer.\u00a0Thank you. Revert after two weeks to an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 17659, + "tgt": "What is the significance of an elevated CA-19 tumor marker?", + "src": "Patient: Hello doctor, I have a question regarding the significance of an elevated CA-19 tumor marker. I recently had one and that came back as 43 (per laboratory should have been under 34). I do not have cancer and I am wondering what else could cause this elevation? Please help. Doctor: Hi. CBC (complete blood count), LFT (liver function test) and USG (ultrasonography) of abdomen. Revert back after the tests to a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 12915, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 461, + "tgt": "I am under a great stress about my life and feel unworthy with extreme mood changes. Please help", + "src": "Patient: Hello doctor, I am 18 years old. I am under great stress about many areas of life like family, career, and personal satisfaction. I think I am not worthy enough and I do not like the way I look. I think I am ugly and at times I hate myself for who I am. I feel unworthy and do not deserve for what I have been given (good school, facilities, luxury). Also, I have an imaginary friend whom I talk to many times during the day and share my problems with him. I do not feel fine. I experience extreme mood changes from happy to sad. Doctor: Hello, Welcome to icliniq.com. What are your symptoms exactly? If they are of depression, then the treatment with an SSRI (selective serotonin reuptake inhibitor) 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/hypomanic phase, then you probably suffered from major depressive disorder or generalized anxiety disorder. You will need to consult with a psychiatrist and take medicines for the same. It will surely help with your symptoms." + }, + { + "id": 2061, + "tgt": "I have pain in my lower left back tooth and medicines are not helping me. Why?", + "src": "Patient: Hello doctor, I have a problem with the second last toothache of left side lower jaw and also headache. What can be the problem? And the medicine used by me does not give me any relief Mox 500, Limcee, Oxalgin. (twice daily for three days). Then the other dentists suggested me these medicine Ordent, Seradic P, Pan-DSR). But also no permanent relief from toothache and headaches. What can be the problem and solution? Doctor: Hello. I have gone through your query and understood your concern. Unfortunately, taking medicines is not a permanent solution to dental pain. There are several factors that cause dental pain and associated headache. The most common cause is tooth decay. However, a clear clinical picture or an x-ray will help determine what is causing your pain. When decay reaches the nerve of the tooth, it starts to give out symptoms. The nerve which supplies the tooth also supplies that side of the face. Hence the referred (associated) pain. Taking painkillers will help control the pain to some extent but it does nothing to cure the decay. It can only be manually treated by removing them. You may require an x-ray procedure to determine the extent of the decay and if the nerve of the tooth is involved, a root canal treatment is generally done to remove infections and decay. Since it is the time of the pandemic, dentists are providing emergency care only and some dentists prefer telephonic consultation prior to dental visit and treatment. If the pain is unbearable even after taking medicines, it is best to call up a dentist providing emergency care and get it treated. I hope this helps." + }, + { + "id": 28331, + "tgt": "Can blood clots in arteries of the neck be treated?", + "src": "Patient: Hi doctor, My mother has blood clots in the left and some right side arteries around the\u00a0neck. The blood is not going to the brain from these clotted arteries. She did not get any brain stroke, but she has tremors, and sometimes she is unable to move her left hand. We took her to the\u00a0hospital, and the doctor gave her an injection to remove the clots through her thigh, but it was unsuccessful. The clots are still there, and she is taking tablets.\u00a0She also has diabetes. Please help. Doctor: Hi. For more information consult a neurosurgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 25884, + "tgt": "Can marrying sister's daughter lead to the offspring being very lean?", + "src": "Patient: Hello doctor, My friend's 2-year-old baby girl weighs 8.5 kg and is getting fever daily at 4 'o' clock in the morning for the last one week. After using the medicine, fever fades off at 11 a.m. and there is sometimes vomiting too. Also please help us to get rid of this issue. My friend has married his sister's daughter that is why the baby also is very lean. The doctor said because he has married in his immediate relation, the child is like this and the baby is very lean. Can you please suggest some medicine or food for the baby? If we feed anything also, she vomits. Please help. Doctor: Hello. It is just a myth that your friend's child is lean because of marrying his sister's daughter. This is not true. Your child may not be gaining adequate weight for some other reason. Regarding fever, your child might be suffering probably from a viral infection like dengue. Platelet count is very low (2 lakh/mm3). Low platelet count can be caused by any viral infection per se, but now dengue cases are occurring. Since it has been a week of illness, you can get tested for dengue serology IgM and IgG as it is not done yet. It is better to get admitted to a hospital for regular monitoring of platelets and clinical condition as a whole. For more information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 18947, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 6813, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 20427, + "tgt": "Why is the eye infection not subsiding even after one week?", + "src": "Patient: Hello doctor, I have had an eye infection for over a week. It started in my left eye. Some days seem better than others. Have had constant draining and has spread to both eyes (initial eye worse than the second). I am on Polymyxin B that was prescribed after the first prescription but did not work. It is really frustrating. Is this length of symptoms without improvement a cause for concern or should I be patient with it? When can I expect improvement? Doctor: Hello. Please do not worry. Infections take time to resolve." + }, + { + "id": 10666, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 3807, + "tgt": "Skin lesions present on hands and back. What are they?", + "src": "Patient: Hello doctor, There are skin lesions in a 29 year old female who happened to be healthy before. The lesions started to appear two weeks ago. It has now increased on hands, back and foot. There is no itching associated with it. Please help. Doctor: Hi. Revert back with asked details to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 22179, + "tgt": "Kindly advise a product to control breakouts of acne", + "src": "Patient: Hello doctor,I am currently having acne on my cheeks. I am currently applying Benzoyl peroxide gel on my acne. It only reduces the inflammation but bumps are not reducing. I also have pigmentation caused by acne before. I only get acne on my cheeks. What may be the reason? I usually get cyst acne bumps on my cheeks. If acne clears, then it comes again. I have red pigmentation caused by acne. Can you recommend a product for acne and after acne has cleared, can you suggest a product for pigmentation? Can you recommend a product for controlling further breakouts? Also, I wanted to know which sunscreen and moisturizer to use? Doctor: Hi. Acne reduces in severity with aging. Use cleanser like Cetaphil to wash face. Apply Retino-A (Retinol) cream in the night, Clindamycin gel in the morning. Treat dandruff if any with Ketoconazole shampoos like Scalpe or Nizral lotion. You can use sunscreens like Shade (Avobenzone, Oxybenzone) lotion. Retino-A helps in pigmentation and to some extent scars. You can consider lasers later if scars persist. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5685, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14195, + "tgt": "Does cough and phlegm with itchiness in throat in a cocaine user mean cancer?", + "src": "Patient: Hi doctor,I used cocaine for six months but for four months, I have coughs and phlegm especially in the morning. I never had throat pain. It just feels itchy. I saw a doctor who gave me allergy spray with Cortizon but I took it for just one month. I keep drinking alcohol and cold drinks which makes me feel irritated in my throat again. Only used cocaine twice in last two months 1 g each. I will stop completely as am almost there on my withdrawal. I saw another doctor, she did all TSD tests and it was all clean. I got a bacterial infection in the throat so, I do salt and hot water gargling. The symptoms are less than before but I am still worried about my coughing. I am afraid of cancer as I had taken chemotherapy two years ago for histiocytosis X. Any suggestions, please. Doctor: Hello. The picture (attachment removed to protect patient identity) that you have attached shows slightly enlarged tonsils with granular pharyngitis. There is nothing to worry. Your symptoms are due to chronic irritation of your throat which could be due to rhinosinusitis or reflux or recurrent tonsillar infection. Chronic throat irritation is a cause of a chronic cough." + }, + { + "id": 22896, + "tgt": "What is the meaning of bulky and hyperechoic uterus?", + "src": "Patient: Hi doctor, I want to know what is the meaning of uterus bulky with hyperechoic sol uterus. What is its side effects and treatment? Doctor: Hi. The statement means that the uterus is big in size and there is an area likely to represent a benign lesion. It is important to know what problems you are having. The treatment is based on symptoms and size of the hyperechoic area. Please write back with complete details for guidance. However, most likely it is to be treated with medicines if less than three cm in size. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6, + "tgt": "I am 28 years old and my weight is only 48 kg. What should I do to increase my weight?", + "src": "Patient: Hi doctor, I am 27 years old. My weight is 48 kg, and height is 5.8 feet. I am a pure vegetarian. I need to increase my body weight. I am suffering from psychological problems like anxiety. I am not diabetic, BP is normal. I do not smoke and drink. Please suggest foods to increase weight, immunity, and fertility. Kindly advise. Doctor: Hi. How is your eating habits? Your total calorie intake should be around 2200 cal/day. This will include all three meals with a snack in the evening. You can drink any protein supplements at that time. Include ghee two to three teaspoons a day. Cheese or paneer weekly thrice. Exercise every day for 45 minutes to 1 hour. Simplest is brisk walking. Your appetite will increase with exercises. All fruits and vegetables are allowed. Take milkshakes, lassi, protein supplements after your exercise. All kinds of dals and whole pulses are allowed. Whenever you are eating high protein diet follow that by light food. For example, if you are eating channa for breakfast, eat a light lunch. Gradually increase your intake. If you follow my diet, definitely your immune system will become good. Weight gain will happen slowly. Meditation is good for psychological problems. Concentrate on positive things in life. Do not worry too much about your weight. If your overall health is good, it is a very positive sign for you. Follow up after two weeks." + }, + { + "id": 20140, + "tgt": "How can the condition of HD chorea patient be improved?", + "src": "Patient: Hello doctor, My father aged 54 years is suffering from HD (Huntington's) chorea. The symptoms were visible eight years back itself, but we felt it is quite common and the days passed on, and the symptoms became more prominent. My father's elder sister also had HD chorea, and she passed away due to depression. We started consulting doctor seven years back. From Ayurvedic to scientific, we have tried in all ways, but the doctors say that there is no proper treatment for this disorder. He is continuously on medication, but it is of no use. He is becoming weak day by day though we are giving him health supplements like Herba Life to make him strong and strengthen his body. Please help me to recover him. Currently, he is on Petril, Amentral, Evion, Parkin, and blood pressure tablets. The laboratory tests performed were blood test, urine test, MRI, and CT. Doctor: Hello. I understand your concern, but unfortunately this is a progressive neurological disorder and there is no cure. It is genetic and it can be inherited in the patient's children. For this reason, I would recommend you and your brothers or sisters, cousins to perform the genetic analysis for this disease. The main therapy for this disorder is antipsychotics (Haloperidol, Clonazepam, etc.) which help reduce the amplitude of the movements and help the patient improve his situation. But the progression of the disease can not be stopped, and it can not be cured. If you have not tried it yet, I would suggest treatment with Tetrabenazine. Consult with your specialist doctor, discuss with him or her and take medications with their consent. Psychological support is important too. I recommend consulting with a psychiatrist. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 20601, + "tgt": "What is the pink raised bump on the chest?", + "src": "Patient: Hello doctor, I have two questions. I have a pink raised bump on the chest and I have had it for a few months now. The picture makes it look bigger than it is. It is not that big. It used to be bigger and I cut it and it has not grown bigger since. I just wanted to see your opinion. I understand I might have to go see a dermatologist for testing but an opinion would be nice. I hope it is nothing serious. I do not have it anywhere else on my body. Also, I have something under my left breast. It looks like a big pimple or boil. I have had it over a week and it hurts only when I touch it. The skin has come off around the area. Doctor: Hi. I have gone through your complaints and reviewed the attached photographs (attachment removed to protect patient identity). The lesion on the chest seems to be either dermatofibroma or fibrous papule. Both are benign lesions that need to be removed surgically. The lesion on your breast looks like a resolving boil. I would recommend you to apply a topical antibiotic like Neosporin ointment on the affected area twice daily for a few days." + }, + { + "id": 2710, + "tgt": "I have hourly mood swings. Is this normal in depression?", + "src": "Patient: I have been having hourly mood swings [ somtimes 10-20 minutes ] Im not sure i will be fine then im sad lke super sad and then i have this burst of energy . I cant even get out of bed . Is this normal for depression? I have been diagnosed with these: dermatillomania. Anxitey Depression with psychosis PTSD Doctor:" + }, + { + "id": 10539, + "tgt": "My testicles start hurting after erection without orgasm. Why?", + "src": "Patient: Hello doctor, After every erection without orgasm, my testicles start hurting along with abdominal pain. Kindly advice. Doctor: Hello. Testicular pain after erection may be a signal that you are having epidydymo orchitis because the epididymis and testicles are the organs where your sperms are stored and produced respectively. So if the pain comes when there is a history of trying to ejaculate that may suggest inflammation somewhere in these organs was there a previous history of STI (sexually transmitted disease) before this incident, pain from the testes is usually referred to the lower abdomen. We also need to be mindful of testicular torsion.I advise you to do urine MCS (microscopy, culture, and sensitivity), semen analysis MCS then scrotal scan to see the testicles anatomically for any scarification." + }, + { + "id": 12488, + "tgt": "Is there any way to treat dry eyes with burning sensation?", + "src": "Patient: Hello doctor, What can be happening to my eyes? I was diagnosed with dry eyes. But even with mist, night gel, lid wipes, eye vitamins, drops, my eyes keep closing from the burning and discomfort like grit. No red eye or itching. Current medication: Parkinson Sinemet, Neupro patch, Equip, Doxycycline 100 mg. Doctor: Hello. Dry eyes which is this severe and resistant to treatment can be caused due to a number of factors. Doxycycline is usually a drug we reserve for extreme cases and it takes a few weeks before it can start to act. Firstly, the same mechanisms causing parkinsonism may be harming your lacrimal gland. The drugs used to treat parkinsonism are also known to cause dry eye. There could also be immunological causes for your parkinsonism, the same causative factors could also be causing dry eye. Secondly, you could be having a long-standing infection on your eyelids and eyelashes, this usually causes an itchy sensation making you rub your eyes and is mostly worse during the early morning. Here the infection causes the tear glands in your eyelids to get blocked and all their tear secretions are pent up within the eyelids. Although there is not much more to do with parkinsonism and its treatment, eyelash infection is still a treatable disease. For this: 1. Wash your eyelids with warm water or give hot fomentation for around 10 minutes every day. 2. Massage your eyelids in a circular pattern after hot fomentation so that all the pent up secretions get released. 3. Avoid dusty, windy, sunny environments, use sunglasses while going out. 4. Consciously make an effort to blink more, this activates your lacrimal pump and also forces more secretions out of your eyelids." + }, + { + "id": 9422, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 27933, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22650, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9414, + "tgt": "Is a hardened cord on top of penis a blocked artery?", + "src": "Patient: Hello doctor,I have a hardened cord on the top of my penis that runs centrally from the base, it has been there for three days. It is slightly to the right of the vein. The skin is slightly pink and it runs a couple of inches and is completely solid. I fear a blocked artery. What is this likely to be as I am unable to see my GP for a couple of weeks. I am 30 years old. Doctor: Hi. From your symptoms, it could be a hardened lymph vessel or an inflamed vein. Not a blocked artery as that would cause a lot of severe symptoms. A few details would help to identify the cause like, does it become prominent after vigorous sexual activity, or does it remain prominent throughout the day. Are there other symptoms of erectile dysfunction or discomfort during sexual activities? Also is the area hot and tender to the touch? I am looking at thrombophlebitis or lymphangiosclerosis but I need some more details to be close to the diagnosis. Also, I might be able to suggest an investigation depending on your symptoms if need be. Do let me know so that we can get to the bottom of this. Aspirin or Ibuprofen might be required after confirming the diagnosis. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 3268, + "tgt": "My breast milk secretion reduced due to stress. How to increase the supply in natural way?", + "src": "Patient: Hi doctor, My baby girl is around 15 days old. I have had a normal delivery. At first, when she was three days old till the eighth day, I had engorged breasts with full milk but later there was a sudden drop in the supply. What might be the reason? Will the hot summer influence breast milk production? Also, I have taken a lot of stress due to the death of one of my relatives. So now what should I do to increase my milk production can I use Lactare capsules and Lactolina powder together? If so how long should I use and what is the dose? I have been using fenugreek since three days. Are there any other natural techniques to increase breast milk production without the use of these capsules? I do not have any complications throughout my pregnancy. Everything was normal then why did this happen to me? I am worried. Please help me because I want to breastfeed my baby exclusively for at least six months if possible until 1 year. Doctor: Hi. I understand the problem which you are going through. During breastfeeding period if there are any stressors (like excessive worry regarding the baby, sudden demise in the family) it decreases the prolactin reflex in the body and hence reduces the milk output. There are a few tips which may be helpful. 1) Be relaxed, calm and positive. 2) Try to generate lots of positive feelings towards the baby. 3) Keep continuing with a good diet and adequate sleep. 4) If the baby is on formula feed now, try to attach the baby to the breasts every time before giving formula. 5) Try to find out local causes like inverted or sore nipples if any. These are the few ways that you may try to increase milk output naturally. You can try taking Shatavari powder in milk twice daily and the capsules you are already taking. These things may be sufficient to increase the milk output because most of the times it is the psychological impact that affects the milk output. I hope this helps." + }, + { + "id": 21318, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9036, + "tgt": "How to correct little toe fracture?", + "src": "Patient: Hi doctor, My dad met with an accident 40 days back. His little toe was fractured, but it remains in the same position as before. The doctor suggested him to take Calcium tablets, in order to retain the toe back to normal, for a period of three months. He had undergone common dressings, but no surgery. I did not follow what the doctor said. I am confused. Kindly guide. Doctor: Hi. I went through your dad's clinical history and the x-ray (attachment removed to protect patient identity). The x-ray shows fracture malunion with slight malrotation of the fifth toe. It has been almost more than a month since the injury. Hence, kindly send me a clinical picture of the injured toe. From which I will be able to have a clear idea regarding the rotated toe and guide you accordingly. Please attach a recent x-ray of the injured toe in anteroposterior (AP) projection as well as in oblique view, by which I can check the fracture union status of the injured toe. 1. X-ray of the foot (AP and oblique views). 2. Clinical picture of the involved foot." + }, + { + "id": 13028, + "tgt": "I am not able to be patient with my high conflict wife. Please help", + "src": "Patient: Hello doctor,I am having marital issues. I have a lot of anger and do not react well to my wife with very little patience. She is high conflict. I struggle because many things become bigger issues than they should be and emotional abuse occurs followed by verbal abuse. She will deny things she does or says later on. She yells very quickly and goes from 0 to 100. I am direct. I can be critical. I am grumpy for some days. If something bothers me she cannot take it. We argue, we can go back and forth whoever initiates but she turns it up to yelling and aggressiveness too quickly so I push back.I have become verbally abusive as I told her not to curse long ago. She yells and curses so I immaturely followed suit. Now I am off the handle. I name call and curse because she loses it quickly and tries to take control and I cannot handle it well at all. Is this mutual abuse? She can get physical at times. Then I do something to make her stop and scare her. I do not ever hit her but I am forced to get aggressive. I am very reactive. I start in or can criticize but I do not start screaming and yelling as soon as she does. I need a break down here for clarity. Fights go off the handle. Very bad. We love each other but we fight way too often and with harsh name calling especially now on my end. She starts with bad words and I can lose it. It is bizarre that we have so much love, no deceit, but we cannot get it together.Together two years. Married 4.5 months. I am 40 she is 28. She has a history of being verbally abused. I have anger that once triggered is fiery. We spend an awful lot of time together. She is not working, just taking online classes. So she is home a lot. I am working part-time hours for now. What do you think? We have to fix this. The cursing and yelling and battling and jealousy is a lot. Both ends there. Please let me know what this looks like as far as abuse. Doctor: Hi. Marriage is a relationship which demands most of our compromise, understanding each other, handling each other's fault and try to maintain an equilibrium but at times the equilibrium disturbs and it results into a series of conflicts. One thing leads to other and even small things starts irritating as the dissatisfaction from relationship occurs. Our thoughts start imagining things in extreme. So there remains always a state of unrest at both the sides. The best way to go with it are: Sit together, go to a dinner or a park, make rules of conversation like each one will speak one by one, no interruptions while first one is speaking. Set some rules at home like no shouting or yelling or using bad words. Try to control the response, the biggest problem always remain is we respond too quickly and stop listening and start blaming another one. If you people can, then try to get some marital therapy sessions, they will help you a lot. Plan some holidays, give her small gifts and surprises, give evidence of your love to her." + }, + { + "id": 27696, + "tgt": "My migraine has been getting worse of late. What should I do?", + "src": "Patient: Hello\u00a0doctor, I am a 22 year old female. I have always suffered from migraines. Recently, it seems like it has been getting worse. Last year, I gave birth to my son vaginally. Now, when I lay on my abdomen or even turn my head, I notice a heartbeat sound in my ear. My nurse practitioner thought it was coming from my neck and sent me for physiotherapy. And, she checked my ears, but there\u00a0was no wax. Do I need physiotherapy? Should I get a referral and maybe go to a specialist? Should I be worried about a\u00a0possible hearing loss? Doctor: Hello. If it is a true migraine headache, you will need a preventive and abortive treatment. Also, this would decide whether you need the physiotherapy or not. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2177, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 21399, + "tgt": "My daughter is an introvert with suicidal thoughts. How to help her?", + "src": "Patient: Hi doctor, I have a daughter who is 19 years old. Her behavior is different now when compared to her childhood days. She had been an introvert. She is too emotional and over thinks a lot. From her childhood, she is having suicidal thoughts. She is suffering from depression for the past four years. She takes too much stress. Everything around her affects her very deeply. She has been sexually molested many times in her childhood and teenage as well. I tried to console her. But, she does not forget anything and always acts fearfully outside. She is becoming an anti-social person and suffers from poor health. Her studies are also affected. I really want to help her to get out of this. Please show me some ways. She is very short tempered. Sometimes she acts as the happiest person on the earth and sometimes she is the saddest soul. She never shares her thoughts and feelings with anyone. Our family situations are not good. There is no harmony, no understanding, frequent fights among the family members. Seeing all this she wants to go to some other city for her further studies. She says she does not like all these and she feels us as an extra headache. Doctor: Hi. I completely understand your concern towards your daughter. Childhood plays an essential role in the development of future personality. Her childhood was very traumatic which is troubling her from inside. But still, she can manage her life. I have seen lots of people who could not be able to deal with their stress. You are lucky to have a brave daughter. Few things I would suggest to you: For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 21484, + "tgt": "Which tablet to take to delay periods for vacation while still breastfeeding?", + "src": "Patient: Hello doctor, I am 26 years old. I am breastfeeding (not exclusively) my 9-month-old baby due to which I am having irregular periods almost every month. They get delayed for 10 to 15 days. Now, I am on vacation and really do not want my periods for at least 10 days to come as there will be a lot of traveling as well. How should I delay my periods without knowing the date? Which tablet should I take and how? I was thinking of Ovral G. But, will the medicines work as the date is unpredictable? Doctor: Hello. In breastfeeding, serum prolactin increases. That helps in milk production. Even for increasing breast milk production, sometimes prolactin has been given. Prolactin depresses/reduces/disturbs the menstrual cycle. Before six months of age, breastfeeding mothers better avoid hormonal intake as through breast milk can transfer to the baby and in the very early days after birth, it is difficult to digest. It is better to have weaning and early food for your baby as now he/she can have fresh juices, banana, cereals, etc. I suggest you have tablet Primolut N (Norethisterone) 10 mg twice daily from now and continue for two to three days before you want to have periods as you have irregular periods. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. Primolut N will give you withdrawal bleed within one to two days at the maximum after stopping the medication. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29122, + "tgt": "I have chills, vomiting, and anxiety after stopping Gabapentin. Please help", + "src": "Patient: Hi doctor, I have been taking Celexa 10 mg for two years. Recently, I was prescribed\u00a0Gabapentin 100 mg twice daily, which I took for about a month, but started having stomach issues. So, I titrated it down to 100 mg a day for a week by myself and then stopped it. It has been almost three weeks and now all of a sudden I have withdrawal symptoms. I have chills, vomiting, insomnia, severe anxiety, and sweating. It seems to get worse after taking Celexa at night. Any help would be appreciated. Doctor: Hello. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 4589, + "tgt": "Grafted unhealing leg wound opened up after 12 years. Is it varicose veins?", + "src": "Patient: Hi doctor, Around 12 years back, my\u00a0unhealing leg wound was cured by multiple skin grafting. Now, after 12 years the wound opened up. Reason is unknown. Is it varicose? I have attached the latest snaps. Doctor: Hi. 1. Can be due to weak immune system or malnutrition or chronic medical illness. 2. Over-tightening of sutures or poor suturing technique followed. It can also be due to the suture material used. 3. In appropriate surgery site grafted. 4. smoking can be a cause. 5. Can be due to obesity. 6. It could have caused because of premature post-surgery exercise. 7. Heavy lifting. 1. Physical examination from a general surgeon is a must. 2. Blood tests such as CBC (complete blood count) and wound culture to be done. 3. Check post-prandial, fasting blood sugar and glycated hemoglobin (PP/FBS/HbA1C). Wound dehiscence. Good wound care and hygiene (with appropriate dressing and cleaning as instructed by your doctor). 1. Regular wound dressing. 2. Antibiotics to be taken if the culture is positive for micro-organisms. Revert back with the investigations to a general practitioner online.--->https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 10511, + "tgt": "What are the options to correct dental midline shift?", + "src": "Patient: Hello doctor, I am a female, and I have an issue with my upper teeth. I lost the right canine tooth when I was young, which made my upper front teeth to move to the side. And my front two teeth are a little big. I consulted a local dentist, who said the solution is to take out one normal tooth, that is,\u00a0the tooth after my left canine. Then he will put braces to align the other teeth, and he said he will bring my teeth back in the center. I just want to know if there are any other options to correct my teeth. I do not want to loose a good tooth. Can you help me? Doctor: Hi. Without any clinical pictures, it is hard to comment on the situation. However, I will give you some basic facts. For more information consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 5589, + "tgt": "I am taking Trospium for frequent urination but having urethal discomfort. Is it due to Trospium?", + "src": "Patient: Hello doctor, I began having frequent urination, and sometimes urinating every half an hour. I consulted my doctor and UTI was ruled out. I consulted a urologist and she did an abdominal and pelvic CT scan and no structural abnormalities were found. No cystoscopy was performed. She diagnosed me as having an overactive bladder and gave me Trospium and I am taking Estrace and Clonazepam along with that. I have some relief since taking Trospium, but I have been having urethral discomfort. Is this possibly because of the Trospium? Would the CT scan have shown any problems with the urethra? I did a urine culture and blood test also. Doctor: Hello, Welcome to icliniq.com. You have been diagnosed as OAB (overactive bladder) since you had lower urinary tract storage symptoms. You need one USG KUB (ultrasound of kidney, ureter and bladder) and PVR (post-void residue) to look for post-void residual urine. You need to undergo uroflowmetry to see whether you have obstructed voiding pattern or not. Urine CS (culture test) is also required to exclude UTI (urinary tract infection). If you do not have UTI or obstructed flow or increased PVR we can suspect your symptoms as OAB. Now you were rightly prescribed Tropsium. Estrogen cream also helps to vitalize the local tissue and decreases local tissue irritation, decreases dryness in the vagina and periurethral area. If your symptoms are still not controlled with anticholinergics, then we can add Mirabegron 50 mg. Timing may be adjusted according to the severity of your symptom complex. I would sincerely suggest you go to one urologist's office and get investigated and treated. I have tried to guide you regarding treatment options. You need to maintain a voiding diary too, ideally for seven days, but at least for three days to know the pattern of your water intake and voiding frequency and volume. It will help your urologist to understand your disease process in a better way. Urine CS, uroflowmetry, USG KUB, PVR, and serum creatinine." + }, + { + "id": 318, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 26787, + "tgt": "Would a 90 year old patient with diabetes be suitable for aortic dissection surgery?", + "src": "Patient: Hi doctor, The patient is an\u00a089 year old female. She is an insulin-dependent diabetic with a history of heart disease, found to have an aortic dissection. She became ill early in the morning and was unable to call for help. She was taken to the hospital 8 hours after her first symptom. She has been on Coumadin for several years. She also takes medicine for high blood pressure. Would she be a candidate for surgery? Do you believe the surgery would be survivable for her? Doctor: Hi. For further information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 22659, + "tgt": "Why am I experiencing angina symptoms for past five months?", + "src": "Patient: Hello doctor,I have been experiencing angina symptoms for past five months. I had an angiogram and that came back clear but I am still experiencing chest pain and back pain along with extremities pain coldness sweaty. I have ruled out gastro as well as a carpal tunnel with a neurologist. I have been in and out of the emergency so many times with chest pain it is brought on with exertion. They keep saying that I do not have ischemic heart disease yet my ECG show ischemia. When I am under stressful situations or having to exert myself I will get left upper chest pain and then to the back of the shoulder blades along with numbness in my hands and feet and sometimes pain in the left bicep. I have been dealing with this almost on a daily basis. I take beta blocker twice a day, Aspirin in the morning as well as Pantoloc for gastro. The angiogram came back clear so they say that is the gold standard and there is nothing to be concerned about. Then they prescribed me anxiety pills and sent me home. I am frustrated and scared over the past two weeks I have had so many near syncopal episodes upon exertion frustrated and needing help. Doctor: Hello. I have seen all your ECG reports (attachment removed to protect patient identity). These are all near normal. If your angiogram is normal then you need not worry. You would need to have an adequate control of your blood pressure. You would obviously need to rule out the problem in your shoulder or your nerves. Please do regular exercise and you can take short-term painkillers. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 5551, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 20149, + "tgt": "What should I do to get a normal TSH level?", + "src": "Patient: Hi doctor, Last year, when I checked my thyroid profile my T3 and T4 were in normal range. But, my TSH level was greater than 150 (normal range 0.35 - 5.50). My doctor prescribed me 100 mg Eltroxin. After three months, my T3 181.7 (normal range 60 -180) and T4 15.2 (normal range 4.50 - 12.60). T3 and T4 levels were higher, but my TSH was well within normal range of 0.37. My doctor changed my prescription to 75 mg Eltroxin. After three months, my T3 113 and T4 7.3 were normal and again TSH was higher, 32. My doctor changed my prescription to 88 mg Thyronorm. Three months later, my T3 and T4 were normal, but TSH was 23.7. Since then, I am on 88 mg Thyronorm and checking the level once in every three months. Always, my T3 and T4 are well within range, but my TSH is higher between 25 and 35. What should I do? Doctor: Hi. For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 12704, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16520, + "tgt": "I have back pain when I breathe. Why?", + "src": "Patient: Hi doctor, I am a 19-year-old female. Whenever I breathe, I have pain in my upper back. I have pain in the upper back of the left side region. It even hurts when I am not breathing. I do not have the pain when I cough or sneeze. Doctor: Hi. You are suffering from back pain when you breathe. You do not have the pain when you cough or sneeze. The pain appears to be localized to the upper back region towards one side. According to the age and symptoms, it can be myalgia (muscle pain). I would suggest you take a muscle relaxant like Thiocolchicoside for a couple of days twice daily. If the pain is severe, take Paracetamol or Aceclofenac tablet along with the muscle relaxant. Take Aceclofenac after having food and take the antacid tablet (Ranitidine or Pantoprazole) before taking food. Take good rest. Avoid doing any strenuous activities. It is good to avoid driving and sitting for long hours, sitting in wrong poses, and avoid using smartphones while lying down to sleep. Do a hot fomentation, and a pain relief balm or gel (Diclofenac ointment) can be applied. Take a bath in hot water, especially pour hot water over the area that has pain. Avoid taking cold foods and drinks. Avoid smoking. For a final diagnosis, you can do a chest X-Ray and an ECG to rule out the pulmonary conditions and heart-related issues respectively. You have to do them only if the above measures fail or if the pain aggravates. Please describe the nature of pain. Please say about the pain whether it is a shooting type or pinching type or dull aching. Please say whether the pain is intermittent or continuous. Please say whether you have the pain when doing a particular activity. Please explain the details about your habits. Please tell if you have the pain anywhere other than upper back such as throat, neck or chest. Please say whether you had a fever or a cold. When you had a cold, please tell whether the phlegm came out when you coughed. Please report about the posture of sleep. Please say if you have changed your position of rest recently. Please describe the details about the changed mattresses or bed recently. Please consult your doctor immediately if the pain gets worse or when you have associated sweating or giddiness or weakness." + }, + { + "id": 29050, + "tgt": "Would low testosterone affect erection?", + "src": "Patient: Hi doctor, I am 33 years old. I never had sex and physically fit. I do not drink alcohol or smoke. My eating habit is healthy and I do not have much stress. I did my medical test three months back and found my testosterone level is below the minimum limit. I started eating vegetables and fruits, but still facing the problem. I am getting erection in the morning. Now, I am worried as I am getting married in 20 days. Doctor: Hi. I can understand your concern. For further information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 19235, + "tgt": "My urethral opening is red and lumpy. Is it herpes or warts?", + "src": "Patient: Hi doctor, From the last three\u00a0months, my urethral opening is a little swollen. The inside of the opening seems to be red and lumpy. I seem to be leaking a lot of urine after urinating. My urine also has some kind of clear floating object on top. I am scared if this is herpes or warts or HPV. My foreskin also seems to be\u00a0dry and flaky.\u00a0Do the photos look like warts or herpes?\u00a0What color should a normal penile hole be?\u00a0Why is my urine leaking?\u00a0The meatus opening is a little swollen.\u00a0I have attached some photos. Doctor: Hi. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 24399, + "tgt": "Is abortion necessary if ultrasound shows no gestational sac?", + "src": "Patient: Hello doctor, I had LMP 40 days back and positive pregnancy report but after six weeks, ultrasound mass is there but no gestational sac. The doctor has advised to go for abortion. I am confused. Kindly help. Doctor: Hi. There are many scenarios in addition to normal healthy pregnancy in early pregnancy like missed miscarriage (baby died or did not get heart beat), ectopic pregnancy (pregnancy growth outside normal location in female body where it is harmful to both mother and developing fetus), other kind of miscarriages like complete, inevitable, etc. But, another type in which there is no gestational sac at all which could be gestational trophoblast disease. Few pregnancies with abnormal findings and unhealthy tissues need to end and need its evaluation or investigations as well. Your given history is incomplete to conclude but whatever you have told it seems to be one of the above mentioned abnormal scenarios. It no longer seems to grow as healthy pregnancy that is why you need an abortion. May be you might be missing some important findings of ultrasound as well. In case of abortion adviced by the doctor after a proper check-up, there is more likely to be the abnormal or unhealthy pregnancy that will in future bleed or will cause some harm like severe abdominal pain with heavy bleeding, etc. So, to avoid severe consequences, it is better to take precautions. I hope you understand my point. I would be more clear if I would have had your ultrasound report. I would prefer you to request the doctor to send the product of conception after induced miscarriage for histopathology for making a diagnosis and further treatment and precautions if needed. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23227, + "tgt": "How to bring down my sugar level before embryo transfer?", + "src": "Patient: Hello doctor, I have PCOS. I have undergone IVF egg collection process five months back. One month later, I gained my weight and my blood sugar level increased. We need to do the embryo transfer process, but, our doctor informed that unless and until my blood sugar comes to a normal level, I should not get into pregnancy. Kindly guide us on what to be done as we are in a serious problem. Our embryo transfer is planned for three months later and I need advice and suggestion on how to bring down my sugar level. My age is 27 years, height is 5 feet 2 inches and weight 76 kgs. Sugar glucose test is 219, fasting 97.5, after food 190.3, and glycosylated hemoglobin 5.7. Vitamin D, Calcium, Folic acid and Omega 3 along with tablet Premolute N, for PCOS and for regularization of periods, this medicine was given by the doctor. Doctor: Hello. I just read your query and from what you have mentioned it appears that your blood sugar is just slightly high. You do not fall into diabetes but you do have a high postprandial blood sugar level. There are ways to lower your blood sugar levels: It is still three months for your scheduled plan. You can easily control your blood sugar and weight by this way. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 12737, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 21995, + "tgt": "How can I permanently eliminate premature ejaculation?", + "src": "Patient: Hello doctor,I am an 18-year-old boy suffering from the problem of premature ejaculation. Please suggest me any medicine for the permanent elimination of the problem. Doctor: Hello. Premature ejaculation in most of the individuals occurs because of anxiety and stress. The permanent solution for premature ejaculation is to get relieved of anxiety and stress. Stop anticipating things and avoid thinking that you will ejaculate earlier. Drugs like Dapoxetine can be used on SOS basis to delay the time. You can visit a psychiatrist for help. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 15548, + "tgt": "Why am I having anxiety and acidity after taking Tezlocbeta?", + "src": "Patient: Hello doctor, All my reports are normal for high BP. Presently, I am taking Tezlocbeta 50 since last six months. After that, I am suffering from so many problems like acidity. Presently, I feel anxiety for the past one month. Before one month, my doctor prescribed me Esopam 10 mg. After taking one tablet, I feel bad. After this, I am suffering from anxiety. Right now, I am taking Etizolam 0.25 mg, please suggest me what do. In starting time my blood pressure was 135/95 to 140/105. My doctor prescribed me Olmetrac AM, after a few months my blood pressure came 110/70. Again he changed Tezloc beta 50, before taking Esopam 10 mg. I have a gastric problem. Doctor: Hi. I have read your health related query. Glad all your blood reports are normal. I understand your concern. Right now what is important is to manage your blood pressure, once the blood pressure is maintained with medication your symptoms may start to reduce gradually. You must continue the treatment as advised by your doctor. Meanwhile continue treatment for anxiety too. Apart from anxiety treatment, try some relaxation techniques like meditation, aromatherapy massage. Avoid stress or stressful situations. Avoid too much coffee and tea and sugars. Try to go out for small mild walks. Try to drink at least nine glass of water and consume fresh fruit and whole grain in diet and take the low salt diet. Try to be around people who care for you, spending time with family and friends. Try to take a break from work if that is leading to anxiety or any situation that can be a potential cause for anxiety. Visit your doctor regularly to follow up with blood pressure management." + }, + { + "id": 11043, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 15577, + "tgt": "I am lonely and continually depressed. Please help me", + "src": "Patient: HelIo doctor, I am a 17 year old girl who through a series of mistakes has pushed my friends away. School is a constant battle and I feel alone and defeated. I am lonely and continually depressed. Please help me. Doctor: Hi. From the available description, it appears that you need to manage stress appropriately. Mistakes are a normal part of our life and there is no point in regretting them. Whatever might be the situation, you need to move forward. Identify the problems in school and start working on them, one by one. Once you identify the problem, it will be easy to make a list and solve the easiest first and then proceed further. At the same time, it will be appropriate if you can talk to your old friends. Saying sorry and admitting mistakesmelt almost all the problems in buddies and I am sure they will embrace you with the same warmth if you move a few steps towards them. Having said this, take the help of elders in your family because they can provide valuable advice. I can assure you at this stage that you are not alone and help is available. Whatever comes to your mind or whatever problem you face, do not hesitate to write back to me. I will be glad to assist you. If you find any difficulty in handling such situations, you can write back to a psychologist counsellor online with specific details for further guidance -->https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 8809, + "tgt": "Can I have root canal treatment for cracked molar?", + "src": "Patient: Hi doctor, I had a cracked molar tooth. My dentist drilled it down and put on a temporary. We waited for a week and the temporary hurt. He decided that I need crown lengthening, which I had done. I went back to the dentist after it healed for three weeks and had an impression for a crown. He had to drill a little more and got another temporary put on as the other one broke. When I\u00a0got home, I had a terrible pain\u00a0after the Novocaine wore off. I\u00a0called him, and he said that I\u00a0now probably need a\u00a0root canal. Can I have a root canal a month after crown lengthening? I have to do something. It hurts on the new temporary when I\u00a0chew and is hurting, in general, all the time. Is root canal the right choice now? Doctor: Hi. I have read through your complaint and the relevant details. Revert with x-rays to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 5853, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 12195, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7020, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 16397, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 27623, + "tgt": "Are my symptoms those of pregnancy?", + "src": "Patient: Hello doctor, I am a 25 year old married female, trying to become a mother. I have a left-sided pelvic pain, frequent urination, and vaginal discharge. My last menses was on the fourth of this month. Can you tell me if these symptoms are related to pregnancy? Doctor: Hello. How are you doing? Hope I have clarified your query. Do write back if you have more queries. For more information consult an obstetrician and gynaecologist\u00a0online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4403, + "tgt": "Will impacted wisdom tooth cause ringing sound in the ear?", + "src": "Patient: Hello doctor, For the last two days, I have a ringing sound in my right ear. I have not been exposed to loud music but for the last week are so I had itching and the day before the ringing started and my right ear was blocked. So I cleared it with hydrogen peroxide but the ringing is not going away now. I visited an ENT doctor and he has given me a prescription and asked to wait for six days and then get a PTA and impedance done. I have a slight headache in my forehead and some tightness like feeling under the right ear. I also have an impacted wisdom tooth. I have attached the prescription. Doctor: Hi. What doctor has prescribed you is correct. Audiometry will see if you have any associated hearing loss and tympanometry will see if there is any middle ear infection that is causing hearing loss. (though the prescription is not attached). Wisdom tooth will cause radiating pain or fullness in the ears but not tinnitus. Please do not use hydrogen peroxide drops unless prescribed by an ENT specialist because it is used to remove wax in ears. If your external ear is clear then there is no point in using the drops. Pressure in the head can be there if you have sinusitis, so do you have any cold or cough right now? because that can also cause a middle ear infection." + }, + { + "id": 10107, + "tgt": "What causes TMJ disorder after wearing of braces?", + "src": "Patient: Hello doctor,I got my braces a year ago, and before that, I did not have any problem in my jaw articulation. Since my orthodontist gave me elastics to put I have TMJ disorder, my left articulation crack every time I open my mouth or eat or speak (I have decided not to put the elastics so that it does not get worse) and I am a bit worried. What causes this? Can this be fixed? Doctor: Hello. Based on the given history, it can be due to the extra force you gave to open the mouth while on elastics. Based on your age, it can be due to an impacted wisdom tooth. Sometimes, this can be due to any muscle problem too (myofascial pain dysfunction syndrome), mostly due to physical stress in that area or emotional or mental stress. As for now, do not open your mouth very wide, like during yawning, etc. This is curable. Do not worry much. Do you have pain along with the click? I would suggest you talk to your orthodontist or general dentist or oral and maxillofacial surgeon to get a final diagnosis after a clinical examination done by them. If possible, send me your OPG (orthopantomogram) and lateral TMJ (open and closed mouth) X-rays to guide you further." + }, + { + "id": 13838, + "tgt": "Can taking less Folic acid during pregnancy by Crohn's patient affect baby?", + "src": "Patient: Hello doctor, I have Crohn's disease and am pregnant. The first day of my last period was before 40 days and I have been taking multivitamins which includes 400 micrograms of Folic acid for the past four months. I am now pregnant. The doctor said that I need 5 mg of Folic acid due to the Crohns which I have started from today. No one told me I need more Folic acid than average woman until today and I am now sick with worry. If I had been taking an insufficient amount of Folic acid and caused harm to the baby, then how or when will I know? Doctor: Hi. I have read your concern. You need not worry or be anxious about it. Although absorption of Folate may be disturbed because of your Crohns, taking 400 mcg for four months will be good enough. Meaning, you are not deficient from it from the very start but since you are now pregnant, additional Folic acid is needed to be used by the baby. I suggest you have your serum Folic acid test done so as to make sure that everything is not below normal. Because Chrons as you already may know effects the absorption of folic acid." + }, + { + "id": 28068, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19342, + "tgt": "I had a diet without rice and meat. Is it healthy?", + "src": "Patient: Hello doctor,I had this diet with no rice and meat for five months. Is it healthy? I eat meat but only when I attend occasions. I was 99 back then and now I am 73 kg. Doctor: Hello. An ideal diet is a balanced combination of carbohydrates, proteins, and fats. Eating meat is not a necessity if you are taking adequate vegetarian proteins. If you are avoiding rice, but substituting that with any other healthy carbohydrate, that should be fine too. But remember that your diet should be sustainable. Always look into the future and think if you can follow a particular diet all your life. If the answer is no, that may not be the ideal diet for you. Another point I would like to add is that rice is a healthy grain, just as other grains are shown to be. Rice contains many nutrients. If your ancestors have been eating rice, then it is the grain your body recognizes and digests easily. Eat what your grandmother would feed you, cook all your meals at home, include lots of fruit and vegetables and your diet will be sorted. I hope that helps. For more information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 14610, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4918, + "tgt": "Can we get rashes as a side effect of acne medication?", + "src": "Patient: Hi doctor, I took medication for pimples. I had some allergy and so stopped them. Now sometimes I\u00a0have multiple rashes near neck and hands only in evening. It also itches. All my blood tests are normal. Currently I am taking Allegra. Please help. Doctor: Hello. Revert back with the above information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5933, + "tgt": "I have been having constipation and floating stools from seven years. Can you help me ?", + "src": "Patient: Hello doctor, I am a 25 year old who weighs 75 kg, and my height is 165 cm. Seven years earlier, I had a fever and constipation for three straight days. The fever resolved but since then, I have abnormal bowel movements. I also had a distended liver, but that is normal now. My stools always seem greasy and have an oily film appearance, and they always float. The color appears normal though. I am never able to clear my bowel at one go. Stool culture reports acidic stool with no other problems. I feel too gassy. Although I do not have any abdominal pain, I do have a discomfort on the lower left side. I tried homeopathic, ayurvedic and allopathic medications. But something seems wrong My USG is normal, with the most recent one showing distended gall bladder without wall thickening, but there is a tiny calcification on the right hepatic lobe. Also, I have been diagnosed with subclinical hypothyroidism (Hashimoto's disease), which after two months of treatment is under control. Apart from that I have got vitamin D and vitamin B12. In spite of these issues, I have not lost weight. In fact, I have gained a lot of weight, about 20 kg in the last seven years, and now stable at 75 kg. I have taken probiotics and Rifaximin course thrice with no success. I have also tried Nizonide, three-day course. Initially, I got well-formed stools, but when the doctor prescribed it for the second time , I found no improvement. I do not know what it is, but I feels it is slowly killing me. Doctor: Hello. Your reports look fine, except for the vitamin deficiencies. When the work up is not guiding us to a particular direction, then we should consider a functional disorder like irritable bowel syndrome. In IBS, there is constipation with discomfort. In such a situation, we first carry out a bowel dis-impaction, then continue on maintenance laxatives with lifestyle modifications. In my opinion, you do not require any further investigations. I suggest the following measures: Get back to me after a week with your response report. Revert after a week to a medical gastroenterologist online -->https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 29312, + "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": 15475, + "tgt": "Is it necessary to get a tetanus vaccine for a cut on the finger?", + "src": "Patient: Hi doctor, I have cut my finger open on a bottle cap two days ago. I have tried keeping it covered with band-aids but they keep falling off when out for hours and a time. Today I am feeling very hot in the face and hands, would you advise getting a tetanus shot? I am a very anxious person and had a tetanus vaccine 11 years ago. Doctor: Hello. Yes, certainly you should have tetanus booster shot as early as possible. Also, does wound appears infected, is there a large wound, any pus or redness, etc.? If yes, then needs antibiotics like capsule Augmentin (Amoxicillin and Clavulanic acid) 625 mg three times a day for five days along with some antacids like tablet Pan DSR (Pantoprazole and Domperidone) before breakfast once a day. If not then you can simply apply some Mupirocin ointment twice daily for 3 to 4 days." + }, + { + "id": 25108, + "tgt": "Is buddy taping sufficient to fix my right fifth metacarpal fracture?", + "src": "Patient: Hello doctor, I sustained an injury recently and I had an X-ray. The X-ray shows I have an intraarticular fracture of the right fifth metacarpal with significant ulnar displacement for consideration of ORIF. I went to my local hospital and they did a CT Scan. They sent me home and said to wait for their call to be seen at the Fracture Clinic. I have only buddy taping on my little and next finger. People are telling me it should be strapped or cast right away. I am worried. Doctor: Hello. You need to take RICE (rest, ice, compression, elevation) treatment. Rest with buddy strapping with length achievement and plaster slab application. Ice application twice daily before the slab. Compression bandage with Elastocrepe bandage inside the slab. Elevation - keep the limb elevated as much as possible. If the length of the knuckle is not achieved by non-operative methods then surgery will be required. 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": 8128, + "tgt": "Can vitamin deficiency lead to decreased WBC count?", + "src": "Patient: Hi doctor, I am 56 years old. My body mass index is 21. I used to smoke for around 19 years and I stopped it before four years. I had my blood test done last week. My white blood cell count is 3.4 and I have attached the reports with this. What test should I do in order to figure out the cause of the low WBC count? My last year WBC count was 3.78 but now 3.4. I read on the internet that a deficiency in zinc or B12 or folic acid can lead to decrease in WBC, is that true? If so, should I make additional tests of those to know the cause? My family doctor advised me to do nothing and just eat healthy food and re-do the blood test after six months. But, I am totally not convinced with this. I am not a diabetic or hypertensive. I am taking Femoston since five years. Does this have any effect with my low WBC count? Doctor: Hi. I have thoroughly gone through your case and reports (attachment removed to protect patient identity). I can well understand your genuine health concerns. 1. The levels are not so bad to me. It is a normal variation and I cannot demarcate or label any kind of serious disease to this level. Sometimes it happens and low immunity also has a role in low WBC (white blood cell) count. 2. Femoston (hormone replacement therapy drug) causes clots in blood by affecting the platelets and also may decrease RBC (red blood cell) levels. But Femoston has nothing to do with WBCs. 3. You need to take a proper diet. I will suggest a list of foods that are good for you to get the levels back to the desired range. You will have to repeat the test afterwards to see the improvement and we will work it out accordingly. 4. Yes, vitamin deficiency and mineral deficiency can cause the issue with formation of the blood cells and hypoactive bone marrow assembly of blood cells. 5. Your cholesterol is a bit high and LDL is also out of range and that are justifiable with the HRT (hormone replacement therapy) drug you are on. 6. You need to start physical activity and if you need guidance on that you can contact me. You need to go for vitamin B12 levels. 1. Spend some time in sunlight by applying sunscreen lotion and wearing the sunglasses. 2. Take tablet Surbex-Z (multivitamin) one daily. 3. Immunity booster foods which are good for you to gain normal counts are citrus, red bell peppers, broccoli, garlic, ginger, spinach, almonds, yogurt, cashew, turmeric, green tea, berries, kiwi, apple, red grapes, kale, onion, sweet potato, carrot, old fashioned chicken soup, shiitake mushroom. These foods have got miraculous effect on patients of this category and I have a wide variety of experience on observing improvements in my patients. Most of my patients name them as magic foods. Revert back after a month for follow up to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2010, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 25125, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14513, + "tgt": "I have type 1 diabetes and trying to conceive. What measures are to be taken?", + "src": "Patient: Hello doctor, I am a 24-year-old with type 1 diabetes looking to conceive. I am currently 145 pounds and 5'6\" tall. What do I need to do? Currently, I am taking Insulin. Doctor: Hi. How are you doing? Before you plan to conceive, just try to lose some weight. For the height of 152 cms, ideal weight is 52 to 57 kg. I am sure this will reduce your requirement of Insulin too. As pregnancy progresses the dose of Insulin will need titration. Try to lose that weight not by changing your diet, but by increasing or changing your daily exercise schedule (a lot of cardiac exercises). One month before you start trying, start on tablet Folic acid 5 mg per day, as this will reduce the risk of fetal anomalies, early pregnancy loses. Have a baseline HbA1c. Only when it is < 6.5 %, which signifies the blood sugars of the previous three months, then you try for pregnancy. You can have a complete blood count to rule out any underlying anemia, etc. All the best." + }, + { + "id": 4404, + "tgt": "To confirm depression, how long should the symptoms last?", + "src": "Patient: Hello doctor, I have been having depression symptoms (hopelessness, feeling worthless, overwhelmed, cannot focus on anything, changes in sleep pattern, loss of appetite, suicidal thoughts, isolation, numb, feel like everything is an effort, cannot get out of bed and all that) for the past six years. But the thing is, the low phase just last minimum of three days to one and a half week. I have never been diagnosed with any mental health illnesses or taken any medications. On other days, I feel normal and hyper even. It is just that when that low phase hit, it hits hard like everything comes crashing down at once it is suffocating. Sometimes, I feel like banging my head on the wall just to feel something and other times I would scratch myself to stop feeling too much. It is intense. So I want to know what that is actually because for someone to have depression, the symptoms need to last for at least two weeks, right? but I am not. It is just there. It has been six years now but they just would not go away. Doctor: Hello. You are describing quite a lot of depressive symptoms that have been present episodically for six years. It is true that for a diagnosis of clinical depression the symptoms need to persist for two weeks but with such a prolonged history sub-threshold symptoms may be present. It will help if you can maintain a mood diary to objectively chart your mood. You report feeling normal or hyper on other days, it will be helpful to have more information to ascertain what you mean by 'hyper'? Have you experienced any manic or hypomanic symptoms? It looks like you are having a mood disorder. With more information, we can classify further and you can be supported accordingly. You also report headache and stomach ache but no physical causes were found. These are probably functional somatic symptoms. They are common in people with emotional problems (like depression and anxiety). Good thing is you will get better with appropriate support. Have you discussed with your parents or close family member about your problems? I will suggest having an open chat with them (you can even show them this icliniq query). You can consult your family member who can refer you to a psychiatrist for treatment of your mood problems. You will be benefited from talking therapy or counseling. In severe cases, medication to help your mood can be prescribed. Self-help measures are also beneficial. Start by eating, sleeping and exercising regularly. Try to follow progressive muscle relaxation exercises and deep breathing exercises. I hope this helps. Talking therapy, ? SSRI (selective serotonin reuptake inhibitors) medication." + }, + { + "id": 14102, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 23057, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 842, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 953, + "tgt": "What causes kidney pain?", + "src": "Patient: Hi doctor, I have just started fasting from yesterday morning and last night I was having slight kidney pain. Then I awoke in the middle of the night with some kidney pain and a swollen kidney feeling and urinated with difficulty like having to really push it out. Similarly, last year my kidney got worse when I was fasting. When I was under 1 year of age, I had an operation on my kidney and have a large scar in front of the bladder or abdomen area. It was a blocked urethra, which caused whatever fluid back to the kidney causing damage. They said that my kidney would have to get removed at one stage in my life and 21 was the oldest patient in the past that lasted before removal. I am now 30. My height is 183 cm and weight is 85 kg. I wanted to know if it would be advisable for me to stop fasting and if so would that be for the rest of my life? Doctor: Hi. Kidney stone. Urinalysis, urea and creatinine, uric acid and non-contract CT abdomen and pelvis. Crystalluria. Revert back with the investigation report to urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 25290, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22542, + "tgt": "Why do I feel like back top of throat is being sucked down after episode of sore throat?", + "src": "Patient: Hello doctor, When I create suction in the back of my throat as if to pull the snot into my mouth, essentially to clear it and hock a loogie. I feel like the back top of my throat is being sucked down. Like a flap of skin or a little bullfrog action then it goes back when I stop. Not painful but uncomfortable and disconcerting. Started today but had a little sore throat for about a week. Doctor: Hi. Can you please send me a picture of your throat and oral cavity? It can be due to throat infection which will cause edema of throat and uvula and you will feel as if something is stuck in your throat. Also, let me know if phlegm trickles down from nasopharynx to throat or if you have headache (to rule out sinusitis). For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 4347, + "tgt": "Why do I get a weird blood taste in mouth every morning?", + "src": "Patient: Hello doctor, When I wake up every morning, I feel the taste of blood in my mouth. Please suggest. Doctor: Hi. Please check your mouth by looking into the mirror during brushing your teeth to know any bleeding site in your mouth and throat. Mild bleeding might occur if you have gum disease due to infection or vitamin deficiency. Please consult a dentist to get clinically evaluated. Please change and use a soft toothbrush. Sinus infection also causes symptoms including the taste of blood in the mouth every morning. It will help to know if you are having any sinus infection which might be causing it. If you are a smoker and have chronic cough then causes in the lungs including bronchitis will have to be included. Please get examined by an ENT specialist and if required then consult a dentist. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements. I hope this helps." + }, + { + "id": 29723, + "tgt": "How normal is that embryo is not seen in the first five or six weeks of pregnancy?", + "src": "Patient: Hello doctor, I am 29 years old. My last period was about\u00a0two months back, and I had the bleeding for\u00a0three days. I found out that I was pregnant about four weeks back. I had an ultrasound scan vaginally two days back, and the doctor did not find a fetus. She just found that I was five weeks and one day pregnant and not six weeks as we had thought. She has ordered an HCG test, and I have to go back to her next week. I am very much worried. I cannot even sleep. How normal is that the doctor does not see the embryo in the first five or six weeks? I love my baby already, and I cannot think of a miscarriage or ectopic pregnancy. Currently, I am taking prenatal vitamins. Doctor: Hi. If she found that you are five plus one weeks pregnant, then that means she has found the gestational sac with some fetal tissue but no cardiac activity. I have to see the sonography report to comment on it. Usually, around four to five weeks, the fetal poles can be viewed. And around six weeks cardiac activity can be appreciated in the sonography. If not, then it can be a delayed pregnancy or there may be a decreased growth of the baby. There is nothing to worry about a delayed pregnancy. But, if there is a decrease in the growth of the baby, then it is a matter of concern. But you have to wait for a few weeks for confirmation. If the baby increases in size around six plus one weeks, then the baby is growing well, and there is no decreased growth. You do not have any choice other than to take medicines and wait for the next scan. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4881, + "tgt": "Please explain about hereditary transmission of ovarian cancer", + "src": "Patient: Hello doctor, My grandmother had a big goiter that she did not get it removed. Later she got a large cyst on the ovary. I mean 8 kg. When she removed it, she found out she had ovarian cancer. She removed it and is healthy today. Now I am terrified that this is hereditary. What do you think? I am so scared for my mother. The doctor told my grandmother to remove the goiter a lot of times, it was huge and she had hyperthyroidism. I have read somewhere that there might be a link to hyperthyroidism and ovarian cancer. I think that the body is trying to tell something when she got all this stuff. My grandmother was smoking for almost 30 years before she got this, and was 55 when she was diagnosed? Do you think it is hereditary? She is the only one in the family with this type of cancer, no breast cancer known in the family. My mother was on a check before a few days, but she is 44 and has irregular bleeding and has an appointment with a specialist next month. I am terrified. My grandmother had an early menopause and the doctor thinks the same is going on with my mother. If she got the menopause from my mother I think she also can get the cancer? But it is very normal to get the menopause on the same age as your mother, is it? My mother is 44 years, has 4 kids, never tried a smoke. Do you think she is in danger? I also have OCD and terrifying thoughts all the time. Doctor: Hello. First, it is perfectly normal if your grandmother had and now your mother is started having premenopausal irregular cycles at age of 44, there is no harm in having menopause at this age and studies have concluded that early menopause protects from breast and ovarian cancers. Second, since your grandmother had ovarian cancer then here are a few questions. 1. What was the age of your grandmother when it was diagnosed? 2. What was the histological type and grade of the tumor? 3. Has she underwent screening for other cancers that are common in this age group? 4. And your complete family history with cancer history in family members. 5. The use of hormonal replacement therapy or other exogenous hormones. Third thing is that being concerened (sometimes over-concerned) about the health of family member should not be considered as OCD or any other disorder untill and unless the thoughts makes you sick. One suggestion that I can give to you to relieve of your anxiety is that you should take advice of a medico if in doubt rather than ruminating on thoughts of impending doom. And last, thyroid swelling can be tackled with a simple surgery, so convince your GM." + }, + { + "id": 22149, + "tgt": "Please suggest medicines for anxiety, depression, and anger, without any sexual side effects", + "src": "Patient: Hello doctor, I am taking medicine for anxiety, depression, and anger from the last 8 to 10 years, but not continuously. Right now, I m taking Panazep 25, Bupron 150, and Dicorate 500 all at night. I had sexual problems from the past 40 days, so the doctor advised to take Sildenafil 50. Now I feel 50 % improvement in anxiety and depression. When I miss a\u00a0single dose, I become very upset. I think Dicorate affects more. Please suggest proper medicine for anxiety, depression, and anger. Also, I would like to have sex once a week, please advise on this also. Doctor: Hello. For more information consult a geriatrician online --> https://icliniq.com./ask-a-doctor-online/geriatrician" + }, + { + "id": 1361, + "tgt": "My anal lining bulges out during defecation. Is it due to hemorrhoids or rectal prolapse?", + "src": "Patient: Hi! I am a 29 year old male with 171 cm height and 55kg weight and suffer from IBS. Every time I go to toilet, I have pain while defecating and after it, I have a burning sensation in the anus region for the whole day. Sometimes I also have abdominal pain but I think this is due to IBS. Before and after going to the toilet, my anal lining is normal but during defecation, something bulges out and I am not sure if these are hemoroids or this is mucosal rectal prolapse. After defecation I have burning sensation in my anus and mild pain in my left side. I also suffer from constipation (go to toilet 3 times per week) and almost always have to strain when going to toilet. When I am anxious, I suffer from diarrhea and my stool is mostly liquid. But if I am not anxious, I suffer from constipation. I already excluded all wheat / grain as it was causing me gases and pain and my IBS improved but I still have occasional abdominal pain (especially after defecation). Can you please help me understand if I have hemoroids or mucosal rectal prolapse and what I need to do to cure them? Doctor: Hi, Hope you are fine. 1) pain while defecating, and feeling of bulge, this is mostly a hemorrhoid, which sometimes could be associated with spot of blood on the toilet seat, and sometimes not. How to differentiate between a hemorrhoid and a rectal prolapse? to be examined by a surgeon, other wise it's difficult by history only. However, being young and healthy, it's unlikely to have a prolapse (it's a disease of elderly and anoreceptor intercourse). prolapse is usually completely circumferential, but hemorrhoids, usually one location (described as clockwise related 3,7,11 o'clock). 2) your abdominal pain, likely it's IBS, having intermittent diarrhea and constipation flavoring it. 3)- so to help ease your symptoms, we need to treat and fix your bowel habits, which is more fibers (green vegetables, avoid carbs), stool softener like Normacol (over the counter drug, which is basically fibers) 1 -2 sachet per day, till having soft easy stool. 4) part of IBS treatment, is psychological therapy, you need to relieve your stress, which will help you a lot with the diarrhea." + }, + { + "id": 15189, + "tgt": "What is the reason for excessive saliva dripping from the mouth while waking up?", + "src": "Patient: Hi doctor, Every morning when I wake up my mouth is full of saliva and many days it comes out of my mouth while sleeping. And in the day, saliva comes to mouth every 2 to 3 minutes. The problem of morning saliva has been there for more than one year. I have to wake up every morning early because saliva starts coming out of my mouth. Doctor: Hi. As per your complaint, I can provisionally diagnose you as suffering from hypersalivation or sialorrhea. There are various reasons for the same like food debris in the mouth during sleep, use of some drugs like cholinergic drugs, malaligned teeth, improper lip closure due to forwardly placed upper teeth and suffering from the gastric problem, etc. I need to know the reason whether you are suffering from the above, if any, to suggest you the treatment or remedy. You can have an elaborated discussion with me online to mark out the causative reasons for excessive salivation and subsequent treatment. As a home remedy, you can brush your teeth before sleep and drink lukewarm water mixed with a couple of clove and mint leaves to reduce the salivation and also try Levocetirizine tablet for a couple of days." + }, + { + "id": 26764, + "tgt": "I am unable to swallow due to a painful lump under my tonsil. Please suggest a remedy", + "src": "Patient: Hi doctor, I have a painful lump under my tonsil since a week. It hurts during\u00a0swallowing. Otherwise, I have no other symptoms. I was not sick or traveled anywhere recently.\u00a0My lymph nodes are also\u00a0slightly swollen. I have attached a picture. Please help. Doctor: Hi. I have seen the picture (attachment removed to protect patient identity). Revert with more information to an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 26698, + "tgt": "My baby's WBC count is high two months after an infection. Is it cancer?", + "src": "Patient: Hi doctor, My son turned one two months ago. He was last sick two months ago for about a week. He had some standard vaccinations and a routine CBC to check for lead level and anemia. The CBC came back with high WBC and high platelets. His pediatrician was not concerned and said it could be from a recent infection or from the vaccines, etc. To ease my concerns, she offered to retest and we did so. She added markers for inflammation and ferritin level. The WBC has gone down but the platelets are still high. I have attached the CBC results and differentials from three different\u00a0dates. The ferritin level was 34 (standard 17 to 168 ng/ml) and ESR was 9 mm/hr (standard 0 to 10 mm/hr). So, both were within the normal range. The pediatrician is still not concerned\u00a0but will send a message to her hematology colleague to verify. I am awaiting the response. Does his report look concerning to you? I am worried it is an early sign of cancer. The lymphocytes are still high despite the overall WBC being within the normal range.\u00a0Also, eosinophils are high.\u00a0I see in the differential it shows various abnormal cell shapes such as poikilocytosis, elliptocytes, microcytes, and anisocytosis. What does all this mean? I am trying not to overthink but still am nervous. Besides his abnormal blood test, he has no other symptoms. He is a happy and healthy kid. Please let me know your thoughts. Thank you. Doctor: Hello. It is good to see that you are aware of your child's health. I have seen the reports (attachment removed to protect patient identity). Let me give you my opinion. Do not directly conclude it as a malignancy, especially leukemia. In the peripheral smear, no blast cells or other abnormal premature cells are mentioned, which is usually seen in acute leukemia. So, the absence of these cells favors an infective or inflammatory etiology. Microcytic indicates a small RBC while poikilocyte means a variation in the shape of RBC. These changes are not suggestive of a malignancy. Your child's absolute lymphocyte count is going down. This suggests a recovery from an inflammation. Lymphocytes are usually high in a newborn or in case of a viral inflammation. So, I do not think you have to jump over to the possibility of a malignancy. Check your child's liver. If they are enlarged, he needs further work up. If still after a few days, the absolute counts go up, you can investigate further with flow cytometry if needed. You can take the opinion of a hematologist and get your child examined by him or her and you can discuss the information provided to you. Hope I have addressed your query. Take care. For more information consult a hematologist online --> https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 158, + "tgt": "Does using pills like Natrol 5-HTP have more benefits or risks to taking them?", + "src": "Patient: Does using pills like Natrol 5-HTP Mood & Stress enhancer have more benefits or risks to taking them. I have a bottle of 200mg of this product and also want to know if respiratory diseases specifically (EMS) are likely to happen and why? Doctor:" + }, + { + "id": 255, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 27502, + "tgt": "Is there any permanent cure for sugar allergy and lactose intolerance?", + "src": "Patient: Hello doctor,I am a 71 year old male, and I am allergic to sugar and eating preparations containing sugar. If I consume sugary substances, I develop internal bleeding in the intestinal tract I presume. But I can tolerate fruits; they cause no problem. I am having this problem for the last 15 years. Lately, for the past four years, I have become lactose intolerant. I want to know whether there is any way I can overcome this sugar allergy problem. Doctor: Hi. I have reviewed your health query and can understand well that you are worried about your health due to sugar intolerance. Hope it helps. Please feel free to ask more questions if you need answers. 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": 1644, + "tgt": "I am struggling to express words in certain occasions. Why?", + "src": "Patient: Hello doctor, I have a speech disorder and a constant headache. It started before two months. When I try to express myself, I often stumble upon words, repeat them or it takes time for me to think of an appropriate word to say on that certain occasion. This seems to be progressively getting worse. It is not that I struggle to think and create an idea about a certain topic posed to me, it is just I struggle to express them in words. When I searched online for speech disorders, the best fitting I found is aphasia, as it states most of the disorders I just told you about. I believe the disorder is not directly damage or change my intelligence. My current medication is Nurofen. Please help. Doctor: Hello. Revert back with answers to the above questions to a speech therapist online --> https://www.icliniq.com/ask-a-doctor-online/speech-therapist" + }, + { + "id": 20104, + "tgt": "Kindly suggest me a therapy to overcome heat allergy", + "src": "Patient: Hello doctor, From one and a half year, I am suffering from heat allergy. Whenever I am exposed to the\u00a0sun or when my body temperature\u00a0rises, I get red hives on my body, especially on hands and chest. It usually lasts for 10 to 15 minutes and disappears. This happens when I am stressed, angry or during some discussion, etc. I have consulted a\u00a0dermatologist and had taken steroid injection for the problem. I was advised to take\u00a0Teczine 5 mg, which I am taking on alternate days. The medicine gives me a bit of relaxation. I do not\u00a0get sweat and I am mentally depressed. Please help me. Doctor: Hi. Your problem is a characteristic of cholinergic urticaria. It is a type of urticaria where patients are allergic to their own sweat. So, whenever a patient sweats, for example, due to heat, sun, stress, exercise. etc., the patient develops hives. Levocetirizine can suppress the problem till you take it. Once you stop taking it, your problem will recur. The management actually depends on you. If you are fine taking Cetirizine daily, then no harm or else you can go for biological treatment, which is a new form of treatment. It can permanently cure the problem and you may no longer require Cetirizine. They are very safe with almost no side effect. For further information contact a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24735, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15230, + "tgt": "Why am I having forceful urination with itching and burning in penis, urethra and anus?", + "src": "Patient: Hi doctor, I am 32 years old and suffering from forceful urination and urine direction is towards the left side. I do have itching, burning feeling in urethra, anus, and penis. I have been prescribed Afzoo, Kcit and Cranpac D. That does not seem to be working. I think my symptoms match with urethritis. Additionally, I have been facing this issue since the day. While I was urinating in the morning, I felt some sudden nerve movement. Doctor: Hi. Your symptoms suggest either prostatitis or urethritis. We also need to rule out stricture of the urethra. Please share your urine and ultrasound reports. Also get a uroflow test done. A urine culture should be sent if not done till now. What is the duration of symptoms? What is the frequency of urination? How is your flow? Is there any urgency or straining while passing urine? Is there any abdominal or back pain? Let me know all the above. Take care." + }, + { + "id": 8821, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 22526, + "tgt": "My father is alcoholic and smoker. Why is his vitamin B12 level high?", + "src": "Patient: Hello doctor, My father is 66 years old. He is alcoholic and smoker. We went to deaddiction center and the internal medicine doctor referred some test. Liver ultrasound, B12, 24 hours urine, foot doppler test, lipid profile, liver fitness test. Reports came and I want to confirm with you. In the past had tuberculosis (11 years back). Took DOTS and recovered. Now no TB. I am worried about B12 level 800.8 pg/ml. Currently, I am taking Thiamine, Baclofen, Nicotex patch. Doctor: Hello. There are two main abnormal findings (attachment removed to protect patient identity). Your B12 level slight high and postprandial glucose are high. For high B12 check your full CBC with peripheral smear examination. Sometimes, Vitamin B12 supplement can lead to its high level. Provide your full CBC report with peripheral smear examination to comment on that. For high postprandial blood sugar level, the lifestyle change has to be done with less sugar diet and more exercise. Repeat postprandial blood sugar level and HbA1c estimation after one month. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 13319, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 288, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 17544, + "tgt": "How can vision be improved in a myopic?", + "src": "Patient: Hello doctor, I am 24 years old. I am suffering from myopia for the past four years and now suddenly my vision increased by 1, before it was -2.50 and now it became -3.50. I am really very depressed. Please suggest how can I improve my vision? Doctor: Hello. In myopic persons, their refractive power can increase during the growing phase of their body (chances are more when there is a family history of myopia). Please get your eyes checked regularly. Once the power stops changing in last 1 to 2 years you can opt for LASIK surgery to get rid of spectacles, till then you can use contact lenses." + }, + { + "id": 19242, + "tgt": "Can Hydroquinone use on the penis cause the skin to be sensitive and red?", + "src": "Patient: Hello doctor, Eighteen months ago, I had a reconstructive surgery on my penis to treat penile curvature. Two weeks post operation, hematoma exploded so I got wound breakdown. Skin necrosis ensued and I lost a small part of my penile skin. No graft or flap was used. I now have hyperpigmentation and very noticeable wound scar. For the hyperpigmentation, I have been using Hydroquinone and Mederma Intense Patch. I have been using it for two weeks. There is an improvement but the skin is getting sensitive, red, and inflamed. Should I still use it? If not, how to remove hyperpigmentation from the penis skin? What about the wound scar? Will it shrink and disappear with time or there are other solutions? I need to know what I can do to remove both hyperpigmentation and wound scar from the penis skin. I have attached pictures for reference. Doctor: Hello. It is good that you have explained the condition in full detail and with good quality pictures (attachment removed to protect patient identity). First of all, the Hydroquinone used over the skin especially over the thin penile skin does have side effects. I advise you not to use it for more than 15 days with a month's gap in between. If it is along with any kind of steroid then not more than 10 days. The scar seems to be still in an immature state. I suggest the onion peel based ointment such as the Contractubex Gel should work. You can use it twice daily. For more information consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 5596, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 27208, + "tgt": "How to get over the negative experiences I had in the past?", + "src": "Patient: Hello doctor, I am an 18 year old female. I have been feeling low. I feel sad, irritated and angry most of the times. It has been going on and off this way for the past five years. There are certain eating issues too. I do not feel like eating. I do not get hungry. I just eat one meal a day. And sometimes when I do feel like eating, I do not because I get scared I will put on weight. All this started five years back. I\u00a0was in class nine when my section got changed. So, my grades started dropping, and my relationships with friends, teachers, and my parents became worse. It was like everybody hated me. My mom thought I was a burden. I got very very jittery at that time. Once, I was at my table studying, when my dad came from behind and suddenly pulled me out of the chair and slapped me. I got so scared I wet my pants. After that, sometimes I became very jumpy. I would freak out even when I heard the sound of a door opening. Although I am not so scared now, I still feel low. I recently met a counselor. She advised me to talk to a psychiatrist and she mentioned the possibility of depression or PTSD. Is it possible that I could be undergoing either of these? Which of these two do I have? And, what should I do now? Doctor: Hello. You seem to have gone through a lot. From what you have told me, you seem to have had features of PTSD (post-traumatic stress disorder) and could be having symptoms of depression and eating disorder. My advice to you would be to personally visit a psychiatrist for a holistic treatment as it is also affecting your eating and could have other health issues related. You need a thorough assessment and many sessions because you seem to have a lot of stressors. You may require medicines and also need supportive psychotherapy with cognitive behavior therapy to help you deal with your issues. Also, maintain a journal and pen down your thoughts and fears. Writing will help you feel little better. Do deep breathing exercise like pranayama. It would also help your mood. Also, since you are not eating well, you may need nutritional supplements like vitamin B complex. Keep yourself busy with studies or hobbies. Kindly visit a psychiatrist. Hope this helps. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 4570, + "tgt": "Do stomach cramp and chest pain accompany Streptococcal infection?", + "src": "Patient: Hi doctor, I have left-sided crampy stomach pain and chest pain\u00a0which is mostly located under breast, near ribcage.\u00a0About two years ago I got Streptococcal infection, pneumonia and bronchitis at the same time. In ER, they prescribed Amoxicillin. But it did not work for me as I am allergic to Penicillin and Amoxicillin. That is the only time I can remember being in this pain. Three weeks back again I had Streptococcal infection. My doctor said that I might have flu\u00a0and I am on Azithromycin now. I am wondering are stomach cramps, chest pain, back pain, and labored breathing symptoms of flu? Please do the needful. Doctor: Hi. I have read your query and understood your health concern. Infection by Streptococcus or viral. 1. Complete blood count. 2. Chest x-ray. 3. Nasal and throat swab culture. 4. PCR. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9826, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 4793, + "tgt": "By what means mineral sunscreen is better than chemical one?", + "src": "Patient: Hello doctor, I would like to know the benefits of using mineral sunscreen. What is a mineral sunscreen? How does mineral sunscreen differ from the chemical kind? What are the biggest benefits of using mineral sunscreen? What should you look for in a mineral sunscreen if you want to ensure you are getting a formula that is going to be both protective and cosmetically elegant? Doctor: Hello. Sunscreen are agents that give protection to the skin against harmful ultraviolet radiation. Of the sun especially UVB (ultraviolet B) radiation that is more harmful. Sunscreen are of two types. Physical sunscreen and chemical sunscreen or sunblocks. Mineral sunscreen is another name for physical sunscreen. Physical sunscreen physically blocks sun ultraviolet radiations and chemical sunscreen absorbs UV radiations and chemically disperse them. Physical sunscreen are zinc oxide, titanium oxide and iron oxide. They are cosmetically unfavorable because they have to be applied thickly and evenly so they are visible on the applied skin whereas chemical sunscreen like octocrylene, etc., are not visible. Mineral sunscreen gives better protection than chemical ones. They reflect the UV light whereas chemical sunscreen absorbs light and has more chance of photoallergy and contact dermatitis. Mineral sunscreen are better in this regard. Various cosmetics are using these mineral sunblock ingredients." + }, + { + "id": 11350, + "tgt": "Fever with low WBC count. Could Eptoin be the cause?", + "src": "Patient: Hello doctor, My niece got a fever for the past eight days. Also, low WBC count. The doctors tried all the tests, antibiotics and medicines, but still, the fever is not controlled. She got fits 15 days back and the doctors prescribed Eptoin tablets. My question is whether Eptoin reduce the white blood cell counts? Doctor: Hello. I understand your concern and would explain that Eptoin (Phenytoin) is a drug used to treat or prevent seizures. It does not usually affect WBC, but very rarely (like all the drugs) it can cause suppression of the blood cell formation in the bone marrow. The low WBC count can be related to different possible causes like viral disease, an autoimmune disorder, drug adverse effects, etc. A myelogram may be needed to exclude a possible hematological disorder. In the meantime, I recommend taking Eptoin, as it is well known that high fever can lead to seizures. I would also recommend taking steroids, because they can increase WBC and also help fight the fever." + }, + { + "id": 29787, + "tgt": "I am attracted to women with glasses. Is it a normal behavior?", + "src": "Patient: Hi doctor, I am attracted to women with glasses. In fact, I am obsessed about it. In all my life, I have masturbated just seeing young and middle aged women wearing glasses and now it has become a kind of compulsion. Even my wife wears glasses and I tell her to put them while having sex and I ejaculate faster. Is this normal? Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 21700, + "tgt": "Can same group people marry and have healthy children?", + "src": "Patient: Hi doctor, I am planning to marry a boy who is known to me. But we have the same blood group B positive. Can we have a problem in having children? Or any other health problems? Please clarify my doubt. If a problem is present, give me a solution to avoid it. Doctor: Hi. The same blood group people can marry and can produce a healthy child. Do not get worried as far as the blood group is concerned. If you both are relative, then genetic counseling before conception is advisable. You can rule out hemoglobinopathy by HB (hemoglobin) electrophoresis and by HPLC method (high-performance liquid chromatography) especially thalassemia minor has to be ruled out. For more information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 930, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7337, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 17532, + "tgt": "Why am I losing the erection on penetration?", + "src": "Patient: Hi doctor, I am getting morning erection and normal erection when I make love. But, I am losing the erection the moment I retract the foreskin to penetrate. I am able to watch porn and masturbate with ejaculation. My general masturbation technique is to rub the head along with the foreskin. What could be the problem here? Doctor: Hi. Blood for TSH (thyroid-stimulating hormone), T3, T4 and fasting blood sugar. For further information consult an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26994, + "tgt": "My right ear feels stuffed. What could be the reason?", + "src": "Patient: Hello\u00a0doctor, I have a feeling that my right ear is stuffed. I have no other symptoms. My GP just gave me antibiotics. But, I am worried that I might have something serious since I used to know somebody with Meniere's disease. Doctor: Hello. Revert with more information to an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 20732, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 27193, + "tgt": "I have a skin condition that has not got cured since 15 years. Please help", + "src": "Patient: Hello doctor, I am\u00a0a 32 year old\u00a0male.\u00a0I have this skin condition right above my left ankle and its been there for almost 15 years. I have tried to get it treated a few times but, it just did not go away. Sometimes,\u00a0it is itchy but at others it is fine. The last time I saw a dermatologist, she prescribed an ointment with Betamethasone and Salicylic acid,\u00a0and also a moisturizing gel. But,\u00a0it is still there. \u00a0And, I think this is my last hope. Please check the image I uploaded. Doctor: Hello. I have gone through your query and viewed the images (attachment removed to protect patient identity). \u00a0Regards. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 13339, + "tgt": "What is causing fishy vaginal discharge with irregular bleeding?", + "src": "Patient: Hello doctor, I went last night to get tested for STD for fishy discharge smell and 20 minutes ago I went to the bathroom and noticed I was bleeding down there, which is weird for me since I just finished a none-day period a week ago. So I am worried if I need to get checked out right away or wait. Doctor: Hello. A fishy smell is indicative of bacterial vaginosis and not yeast infection alone. If not accompanied by curdy white vaginal discharge, pathognomic of vaginal candidiasis. Also bleeding per vaginum on nonmenstrual days can be due to cervical erosions which can be confirmed or evaluated with a per speculum examination and a pap smear." + }, + { + "id": 27984, + "tgt": "I have acne and nothing seems to work. Please help", + "src": "Patient: Hello doctor, Recently, I got a cluster of red acne on my forehead. After applying Castor-NF cream, Ofloxacin, Terbinafine, Clobetasol, etc., I got no relief with the medicine. They are painful to touch. They are growing rapidly and spreading\u00a0to other areas on the face. I am completely fed up. I am taking Ciprofloxacin and Levocetirizine now after advice by a local practitioner. What do I do now? Please advise. Doctor: Hello. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist \u00a0" + }, + { + "id": 4194, + "tgt": "I cannot handle my bad mood after exam failure. Please help", + "src": "Patient: Hello doctor, I am 19 years old. Last year, I failed in maths exam and now I am trying to pass it. My exam is in April. My mind is telling me not to study because I already know what is going to happen. My father keeps asking me when do I have an exam or do you study. My nerves can not handle this anymore. After some minutes later I start crying for no reason. The same thing is when my father yells at me. I fall in a bad mood. I start feeling bad. When this happens, I cannot listen to music, I cannot watch TV or do anything else. It feels like I am dying inside. I do not know what to do honestly. They would probably think that I am not a grown man but I cannot help myself. I really want to know what should I do? I am nearly giving up. I would be grateful for your help. Doctor: Hi, Welcome to icliniq.com. Failure can make you feel nervous and a little less of ourselves, but understand that your self worth does not depend on exam results. Everyone has their own strength and weaknesses. You too are good at something and bad at others. Clearly you are under a lot of stress. I would suggest you talk to someone you can trust and share your feelings. Also, I would recommend talking to a counselor, psychologist, or therapist they will help you with coping up with stress and anxiety and teach you techniques to have better control on yourself and also you can learn some study techniques which will help you perform better. Again remember you are not your exam results. I am sure you have amazing potential. You just need to find out what you are good at and become the best version of yourself." + }, + { + "id": 27203, + "tgt": "Is it normal to have lighter periods after stopping the pill?", + "src": "Patient: Hello doctor, Before every period, I am getting a\u00a0light brown discharge with a brown cervical mucus for three to four days. After that, the bleeding starts, and then again there\u00a0is a brown discharge for two days. When bleeding starts, I use only one pad a day and, even that does not get full. I was on pills eight months ago. When I stopped the pills, I started having these light periods. Why am\u00a0I having this brown discharge before my period and a bleeding that lasts for two days only? Could it be endometriosis? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1231, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13143, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14940, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10503, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 1690, + "tgt": "Which medicine, according to you, is best for my psychological disorders?", + "src": "Patient: Hello doctor, I would like to ask you about treatment recommendations (maybe a few variations) for my condition. I have bipolar disorder type II, social and generalized disorder, and panic disorder. However, I am in constant depression for one year. I do not cycle anymore if I do, my hypomania is very mild and short-lived. Moreover, anxiety is debilitating. I am afraid to go out from home, feeling constant anxiety physical symptoms, such as sweaty palms and feet, chest pain, blood pressure rise, racing heart, and much more. I need something to ease my depression symptoms, but also something that would affect my anxiety in a positive way. My current medications are Lamictal 200 mg, 3x5 mg Tranxene, 5 mg Olanzapine, and 75 mg Venlafaxine. I am unable to take more Venlafaxine because from 150 mg my blood pressure and heart rate were out of control. My previous medications were Lithium, Depakote, Carbamazepine, Anxiolytics, Escitalopram, Zoloft, Quetiapine (which I cannot use because of its negative effects on anxiety and blood pressure, just for me), and Risperidone. I am wondering about Paroxetine, Citalopram and Prozac. If escitalopram 20mg was without any effects for two months, is it reasonable to try out Citalopram? I tried Prozac in past, I could not bear initial side effects but that were different times. Does it affect anxiety disorders from your experience? Paroxetine suits best. Which of these medicines could benefit me the most? Doctor: Hello. Thank you for your detailed query and history. With regards to your anxiety symptoms, you have tried out SSRI (selective serotonin reuptake inhibitor) and SNRI (serotonin-norepinephrine reuptake inhibitor) class of medications. So, I would like to suggest you try a TCA (tricyclic antidepressants) class of antidepressants like Amitriptyline 75-100 mg, Dosulepine 100 mg, or Nortriptyline 75-100 mg. They are indicated in people who have had partial results with SSRI or SNRI medications. If you do not wish to try out the TCA and coming back to your query about the three medicines, the best results for anxiety will be with Paroxetine between 12.5 mg to 37.5 mg, and Citalopram will also work fine at 20 mg. In addition to these, you can also consider augmenting the action of these by adding Mirtazapine 7.5 mg at night. I would like to suggest that you should consider reducing Olanzapine to 2.5 mg, since you are not in hypomania, and have depressive symptoms. Reduction to 2.5 mg will make it an augmenting agent again for the antidepressant, and also further help with your anxiety issues. Also just to mention, some people do get benefit from having a few sessions of CBT (cognitive behavioral therapy) from a Clinical Psychologist." + }, + { + "id": 87, + "tgt": "Why do I get swelling in the eyes predominantly in the morning?", + "src": "Patient: Hello doctor, My eyes are swollen especially in the morning. I find it hard to open my eyes after a nap or when I wake up in the morning. After that, I am fine during the day with watery eyes sometimes. No itching but it is little reddish when it is hot. Around the first week of March, I went to see an opthalmologist who told me I had a bacterial infection of both eyes. I was prescribed Vigamox and after seven days my eyes were fine. Due to quarantine, I was not able to go back to my doctor. Around the last week of April, I had the same symptoms and since I cannot go out I treated my eyes with Vigamox again and was healed after seven days. After that from time to time, I have swelling, not much but mostly in the morning. I am a 68-year-old female. I have allergies, seafood, pollen, and dust. I take Allerta or Claritin from time to time to relieve my allergies. I smoke but I am trying to quit, before 6 to 10 sticks, now reduced to four or five. Doctor: Hello. As you have described in your history it is looking like an infection in your eyes. Can you please send your eye image to me? So that I can get an exact idea about your condition and depend upon that we can plan further. It is better if I can see your eye condition and then prescribe you drops. So my advice is to please attach your eye image as soon as possible so that we can start your treatment as early as possible and you will feel better after treatment." + }, + { + "id": 30037, + "tgt": "Hemorrhoids are affecting my mood very badly. How to manage?", + "src": "Patient: Hi doctor, I had an eating disorder before 16 years. It stressed my health very severely for around 5 years. Now, I am 35 years old. Also, I suffer from hemorrhoids, which affect my mood very severely. I have social impairments as my emotions are no longer clean.\u00a0This is really an important issue for me. With my doctor's advice, I tried laxatives such as Miralax and Lactulose.\u00a0I found that most laxatives, try to draw water into the stools.\u00a0I tried to eat lots of fiber and flax seeds. My opinion is that the fruit contains fiber and lots of water, so there would be no need to take laxatives as the water is already included. In my opinion, since the kidneys will simply filter the water out, it is difficult to get the water to really mix with the food in the gut. It is much better to eat food that already contains water. Also, I noticed that fruit does not have many calories and I lost 5 kg. Now, I am really in my ideal weight. Today, I bought nut, nutella and peanut butter to have\u00a0high calorie dense food.\u00a0However, it was not easy, even to eat chocolate and nuts.\u00a0Chocolate makes the stools sticky. Also, these snacks are very expensive and they have a lot of negative effects on health.\u00a0How can I eat as much fruit as possible and still eat between 1800 and 2400 calories per day?\u00a0I am 185 cm tall and currently only weighs 80 kg.\u00a0It is also important for me to keep my weight. It is also extremely important for me to have good digestion and no long-term health consequences.\u00a0Can you send me a list of healthy high calorie density food? Doctor: Hi. For further information consult a nutritionist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist" + }, + { + "id": 21752, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 8600, + "tgt": "Why am I having fatigue, pins, and needles in hands and feet with slow cognition?", + "src": "Patient: Hi doctor, I have had low B 12 in the past (135 ngl) and seven years back had injections via my GP. These finished five years back. Recently have had symptoms come back and had my B12 checked and it was low, 265, but in the recommended range, however, I do take a supplement with B12 in it which would have pushed my level up a bit. My symptoms are fatigue, pins, and needles in hands and feet, slow cognition. Should I be receiving injections again? Doctor: Hello. The fatigue and pins and needle sensation are suggestive of B12 deficiency-induced neuropathy. Your B12 is within the limit but borderline deficiency. I suggest you take B12 injection again as you did earlier. However, your detailed neurological evaluation also should be done. You can consult nearby physician for detailed evaluation and get prescription accordingly." + }, + { + "id": 15069, + "tgt": "How lipomas are treated in homeopathy?", + "src": "Patient: Dear doctor, Is there a homeopathic cure available for lipomas? What are the treatment options available in homeopathy for lipomas? Doctor: Hi. Lipomas are essentially non-malignant and non-dangerouscollection of soft fatty tissues. Homeopathy has no medicines to cure lipoma. However, homeopathic scope in lipoma aims at reducing the size, pain if any, and can control new growths. Also,homeopathic medicines can soften the consistency of lipoma making you feel comfortable and confident. Surgery is the only option to remove it, but it is also a temporary one. If you have any further questions, feel free to ask a homeopathy specialist online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 1171, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 21779, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5398, + "tgt": "I have STD. Please give your suggestion on it", + "src": "Patient: Hello doctor, I am a 26-year-old male. I have an STD infection in the genital area. I want to know about it? Please suggest. Doctor: Hello. Glad you came out frankly and expressed your concern. You could post me your picture on the follow-up, upon which I can tell you the remedy. Also, write me a full detailed account of the nature of past sexual encounters before the problem. Make a special mention to the kind of contraception either of the partners was using and any mishaps during sex. You can upload your pictures right here on this portal as many of my patients do. It is only after clear detailed pictures I will be able to solve your query." + }, + { + "id": 14994, + "tgt": "Is it possible to get back pain due to cyst in kidney?", + "src": "Patient: Hi doctor, Last year when I had tested for routine medical they found a small stone in kidney. I took Cystone for a month. Last week I tested because of a mild pain in the back, they did scanning and some laboratory tests. I have attached those reports. The doctor suggested taking Cystone for 60 days. Just to have a better opinion could you please see my reports and advise. Also, the report shows a cyst. Is it problematic? Doctor: Hi. I have gone through your query and the attached reports (attachment removed to protect patient identity). I would concur with the suggestion given by the doctor. The stones are currently too small to require any treatment. If you are only mildly symptomatic, the best is to continue with Cystone and drink plenty of water. Usually, these stones pass out with this itself. It would be necessary to check after 3 to 4 months with an ultrasound again to see whether they have been cleared. If they are still present, a decision on treatment can be taken at that time." + }, + { + "id": 12905, + "tgt": "I have been prescribed with Inderal and Cheer Up. Will I gain weight?", + "src": "Patient: Hello doctor, I am a 23-year-old girl and my physician has prescribed me Inderal and Cheer Up at night for a month. Will these medicines lead to a gain in my weight because I have my wedding after two months and I do not want to put any extra pound. Doctor: Hi. While Cefiget (Cefixime) is fine to give in a urinary tract infection. If you are having UTI for more than two months, rather than taking an empirical (experimental) antibiotics, you should go for a urine culture and sensitivity testing. Hope you are not suffering from any psychiatric illness. Otherwise, I do not see any indication of prescribing Cheerup (Escitalopram), Lacosbar (Lacosamide) and Inderal (Propranolol). Those medications are given to patients suffering from neuro-psychiatrist manifestation (except for Propranolol). Both Escitalopram and Lacosamide are associated with an increase in suicidal tendencies, while Escitalopram also affects sexual function and can cause loss of libido, and can cause anorgasmia in females. However, no effect on body shape or weight gain has been observed with Lacosamide and Propranolol, but Escitalopram can cause weight gain in about 1 % individuals." + }, + { + "id": 4844, + "tgt": "Will positive anti-ds DNA help in diagnosing ankylosing spondylitis?", + "src": "Patient: Hello doctor, I tested negative for ANA but positive for anti-dsDNA. My GP diagnosed me with ankylosing spondylitis when I have many symptoms of lupus just not the rash. My sister also has lupus and did not test positive for ANA. She has seronegative lupus. I am under the impression that anti-dsDNA has nothing to do with ankylosing spondylitis. Is that correct? I am currently taking Gabapentin, Tizanidine, Naproxen, Levothyroxine. Doctor: Hi. You are right. Anti-dsDNA antibodies are specific for SLE (systemic lupus erythematosus), especially if the titers are high. Ankylosing spondylitis does not give you any kind of antibodies. Anti-smith antibodies are the most highly specific antibodies for lupus, but only a small percentage of people with lupus have them. Did you get that test? But it is strange that your ANA (antinuclear antibody) was negative. Anti-dsDNA is a type of ANA. I believe it is a false positive. A normal sedimentation rate essentially rules out inflammatory pathology. Lupus is an inflammatory disease. To begin with, we need to know more about your symptoms. SLE is diagnosed based on the symptoms and signs along with laboratory tests. It is not diagnosed just on the basis of an antibody test. You can get false positive tests (positive test in the absence of disease). So please get back to me with details of your symptoms. Based on the information you gave, I do not think you have lupus. There are no blood tests that can diagnose ankylosing spondylitis (AS). HLA-B27 is more common in people with AS, but it is not diagnostic. AS diagnosis needs clinical and radiological criteria. I hope this helps." + }, + { + "id": 15153, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1667, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 21108, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20047, + "tgt": "Why is there pain in the stomach after taking Unwanted 72?", + "src": "Patient: Hello doctor, My partner and I had unprotected sex four days from her period and she had taken the Unwanted 72 two days later. Her periods started four days before the due date and also stopped the same day. The flow was not normal and she was also having severe pain in the stomach. Kindly let me know if she is pregnant and the precautions need to be taken. Also, suggest the reason for stopping the bleeding on the same day. Doctor: Hello. Few basic facts about fertility. The ovulation occurs around the 12th to 16th day of periods. Life of the egg is 24 hours and that of the sperm is 72 hours. So I do not see any reason for you to worry as there is no chance of egg meeting sperms. But as she had an emergency pill, the hormone progesterone pill, the balance would have got disturbed. Usually, she will have the bleeding with thick dark blood seven to 10 days of the pill. Having a bleed after the pill means the inner lining of the uterus has gone. So, there is no chance of pregnancy. Maybe some more bleeding is expected. So, there is a pain in the lower abdominal area. Next period will be one month after this bleeding. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 8706, + "tgt": "My retainers do not cover wisdom teeth. Please help", + "src": "Patient: Hello doctor, I wear Essix retainers at night after braces. Recently, I broke my two front teeth and had them bonded. I had to get new retainers and got them from the clinic but my new retainers do not cover my wisdom teeth. I have all 32 of my teeth. Is there a risk of my wisdom teeth hyper erupting? Doctor: Hi. The night only wear of retainers will not cause over eruption of wisdom teeth, as during daytime you will have a normal bite. However, you might feel a slight change in bite as you remove your retainers in the morning. It does settle down within a short period. Usually, third molars are not included in the retainers. And patients wear them quite comfortably without any side effects such as over eruption. However, if you feel uncomfortable, you can request the dentist to make a new set of retainers that cover your wisdom teeth as well." + }, + { + "id": 16091, + "tgt": "Is it possible to conceive naturally with issues in left fallopian tube?", + "src": "Patient: Hi doctor, Recently, I have gone for all relevant test for checking infertility. My AMH and thyroid report are both normal. My HSG report is showing issues about the left tube. I am attaching my report kindly review and let me know if I can conceive naturally or next what should I do? Doctor: Hello. The HSG (hysterosalpingogram) report (attachment removed to protect patient identity) shows that there is a left sided cornual block of the left fallopian tube but the right is patent, so pregnancy is possible, but that would depend on the ovarian side which ovulates. The chance would be high if the right ovary ovulates and not left. Though there is a possibility of an intraperitoneal transfer, but it is rare. So, the next best step shall be to opt for hysteroscopic tubal canalization and an opening of the block which shall increase your chances of conception." + }, + { + "id": 23397, + "tgt": "Is it possible to be color blind to the color black?", + "src": "Patient: Hi doctor,Is it possible to be color blind to the color black? Like seeing a different color other than black? Doctor: Hi. No, you cannot be color blind to black or shades of grey. Congenital color blindness (patients have it since birth) can be one of three types: Acquired color blindness can be due to a variety of different factors like injuries, drug use, etc. They do not follow any rule like in congenital color blindness and can affect any spectrum of colors. In whatever the case, no one is blind for black or grey, and in fact, they see the colors they are blind for in shades of black and grey. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 21572, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 19723, + "tgt": "Thoughts about my breakup haunt me and I feel lonely. Please help", + "src": "Patient: Hello doctor, I am feeling alone in life. I came to work abroad and fortunately got a job at a clothes shop and running it for a year. But, I have not been able to save to help my family. I feel weak and no proper food I am eating. I do not want to deal with customers at the shop. My past breakup thoughts haunt me and I feel lonely here. I cannot go back home because I do not have any money to help my family. Sometimes, I think about committing suicide. Doctor: Hi. You are suffering from depression because of your situation. I suggest you take a few medications as you are having suicidal ideations too. SSRIs (selective serotonin reuptake inhibitors) like Escitalopram and Sertraline will help you in early recovery. Visit a nearby psychiatrist and take the medicine with their consent. Keep confidence in yourself, this phase will be over too. Keep faith in yourself. All these problems are temporary and will improve with time. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 7955, + "tgt": "What causes an elevation in RBC count?", + "src": "Patient: Hello doctor, I am male, 31 years old, had a CBC test, and results showed elevated RBCs as below. But I have no other symptoms, actually taken test to investigate alopecia problem. ESR 15, WBC 5.54*10 ^3 cells/microlitre, neutrophils 2.34, lymphocytes 2.24, monocytes 0.697, eosinophils 0.184, basophils 0.8, RBC 7.17* 10 ^6 cells/microlitre, HGB 13.3, HCT 42.6, MCV 59.4, MCH 18.5, MCHC 31.1, RDW 13.6, PLT 269*10 ^3 cells/microlitre, MPV 8.96 fl. After four months of alopecia problem resolved and had further tests to investigate the elevated RBCs. Took CBC, liver, and kidney function tests. WBC 5.12, neutrophils 2.58, lymphocytes 1.73, monocytes 0.39, eosinophils 4.3, basophils 1, RBC 6.61, HGB 12.4, HCT 39.2, MCV 59.4, MCH 18.7, MCHC 31.5, RDW 16.2, PLT 197, MPV 9.1, glucose 93.2 mg/dl, BUN 10.7 mg/dl, cretainine 1.03 mg/dl, NA 1.41 mmol/L, K 3.90 mmol/L, CL 104.4 mmol/L, AST 29.8 U/L, ALT 43 U/L, T-BILL 0.855 mg/dl, D-BILL 0.359 mg/dl, TP 7.78 g/dl, cholesterol 121.1 mg/dl, TGL 190.4 mg/dl, LDL 80.6 mg/dl, HDL 24.8 mg/dl, iron 123.48 ug/dl, CA 9.09 mg/dl, UA 6.1 mg/dl. Could you please advise and provide consultation? Please provide any diet recommendations. Is there any harm to have elevated RBCs with no symptoms? My WBC is on the lower side and RBC is on the higher side. Is it normal? Doctor: Hello. The borderline hemoglobin level, low MCV, and high red blood cells count are suggestive of some hemoglobinopathy. You need to investigate further with HB electrophoresis by HPLC method to rule out any hemoglobinopathy if present. You need to drink lots of water to prevent dehydration which is also a causative factor for high red blood cells count. You can take green leafy vegetables and fruits more. Do not take fatty foods in excess amount because your triglyceride level is high. No need for any medication just now. You can revert back with HPLC report once done." + }, + { + "id": 67, + "tgt": "My husband has fever for 10 days and abdominal pain while passsing stools. What is his problem?", + "src": "Patient: Hello doctor, My 59-year-old husband has had a fever for about 10 days, the first two days it varied between 37.8 and 38.8 maximum and small diarrhea without any other symptoms. We thought it was the COVID at the beginning but it cannot be because he had no other symptoms and me and my children have been in contact with him and we have no symptoms (knowing that I have health problems and have asthma) so we went to a doctor who prescribed diarrhea medication. Since the fever has dropped and it does not exceed 37.7 (so he continues to take Paracetamol) but for the past week he has been suffering from abdominal pain more precisely below the navel. So we went back to see the same doctor two days ago, who gave him an ultrasound that showed nothing abnormal. He diagnosed a colopathy but I have the impression that this diagnosis is wrong. He started this treatment that same day but until today there is no improvement. He still suffers from abdominal pain especially after going to the bathroom and fever although low (maximum 37.7 \u00b0) got as high as 38.8 tonight, no more diarrhea but little constipation. What do you recommend that I do? Could it be something serious knowing that the ultrasound showed nothing abnormal? Please help. Doctor: Hello. I feel very sorry to hear about your husband, and very rightly understand your concern and temptation for his unresolving symptoms. You are perfectly right that if treatment were given rightly he should have shown some improvement but unfortunately he did until now. So considering all the information you provided to me, there are few possibilities. First of all, is typhoid fever which is a bacterial infection. The second is intestinal amebiasis which is a parasitic infection. Typhoid seems to be likely possibly given his almost 10 days of fever, and in second week, he started to develop abdominal pain which is suggestive of typhoid ulcers in small bowel. I would suggest him an antibiotic course for at least 10 days, and a maximum of 14 days which would cover both potential bugs. I also want that you get him some blood and stool tests before starting antibiotic course. The antibiotic course is relatively safe. I also want that you closely examine his chest for the development of rose spots. They are very small pinkish marks which develop among patient over the chest in the second week of the illness. Do not worry they are harmless, it is just a manifestation. I really hope his symptoms will improve like a fever would start settle, and abdominal pain should resolve in the next 48 to 72 hours of the start of the antibiotic regimen. I would also want to know the assessment/prescription of a previous doctor who said about colopathy. The colopathy is a very broad and vague term which means colon (large bowel) inflammation. It has a number of causes the one is painkillers (NSAIDs) and recently COVID 19 has shows some case reports with colopathy. But if your family and he himself does not have any contact history to COVID 19 positive or suspected case, then the possibility is very rare. Ultrasound is not a sensitive investigation for the disease which involves the bowel lumen such as in your husband's case. Ultrasound is more helpful in disease involving liver, spleen, or gall bladder. So it is not uncommon to have a normal ultrasound with conditions like typhoid fever or intestinal amebiasis. So I am writing him antibiotics for 10 days now if the improvement is shown we would increase up to 14 days. I really hope with this course his symptoms will start settling in the next 48 to 72 hours. And lastly, get some blood and stool tests as I suggest her and discuss the reports once they are available. Typhoid fever. Intestinal amebiasis. C. difficle infection. Colopathy. Complete blood count. Blood culture and sensitivity (before starting antibiotic course). IHA titer for E. Histolytica. Stool detail report and ova parasites. Stool for fecal calprotectin. Stool for C.difficle infection and stool for culture and Sensitivity (before starting antibiotic course). You can ask him to give sample today and start antibiotics just after giving the sample. Capsule Cefixime 400 mg twice daily for 10 days, tablet Flagyl 400 mg thrice daily for seven days (this antibiotic can cause metallic taste in mouth and or decreased appetite) for that you can give him tablet Levosulpiride 25 mg thrice daily half hour before meals for nausea, appetite. Take home cooked meals, take good amount of water, mineral water if possible (both infections are acquired after a contaminated food or water). See me after labs, and earlier if any further concern." + }, + { + "id": 2770, + "tgt": "I feel something in the back of throat with no pain and inflammation. Why?", + "src": "Patient: Hello doctor, I have had a feeling like something had been at the back of my left side of the throat for a few days. I do not know what it is? Tonsils are not inflamed, throat a bit dry, and does not hurt to swallow. Doctor: Hi. One of the reasons for your symptoms is anxiety which you told. Globus hystericus is a feeling of something like a lump in throat which cannot be swallowed, or swallowed and reappears. Tonsils usually are asymptomatic unless very large and obstruct throat are inflamed causing severe pain. If your throat is red, or you run a fever then chances of inflammation are more. Alternatively, you may send a picture of your throat so that I may see any visible inflammation or tonsils." + }, + { + "id": 13738, + "tgt": "May I know till what age do girls grow?", + "src": "Patient: Hello doctor, I am a girl. My height is 5, but my parents are much taller. My mom's height is 5'6\" and father's 5'8\". Will I grow or is it my final height? When I went to a doctor in my city he said that I stopped growing. Is it true? I have already had a period for a year and a half? Doctor: Hi. I have read your concern very carefully. You are worried about your height. It is an important issue of everyone\u2019s life. Usually, growth occurs up to 18 years. After that growth ceases. Growth depends on various factors like familial, nutritional, pathological. The highest rate of growth occurs between 9 years to 14 years of age when puberty occurs. Because in this time, gonadal hormone starts to release. According to international recognized institute CDC, normal height of girl at the end of 18 years is 60 to 68 inches. Your height is 60 inches. So you are in normal height and your age is in growing years. There are still chances of growing in height further up to 18 years. So, you should not be worried. But if still, you are worried, you should do some test to check whether the normal level is normal and not. Estrogen, LH, and FSH, testosterone, growth hormone. You can also contact with an endocrinologist to take a decision about growth hormone therapy. I hope the above information will help you a lot." + }, + { + "id": 6803, + "tgt": "What causes bleeding again within eight days of periods?", + "src": "Patient: Hello doctor, I am a 22-year-old female. I had my period eight days ago, I have a regular cycle, however, I noticed I was bleeding today and it seems like a regular period. After doing some research, I think it might be a few things. I was last sexually active three months back and it was unprotected so I am not sure whether it is because of an STI. I stopped my birth control pill a month later and I have had two normal periods after that. However, my last period (eight days ago) was much longer than usual. Usually my periods last six days, but this one lasted eight days. I stopped my birth control pill and I have had regular periods since then. So, I am not sure whether it might be a delayed thing after stopping my period. My mother has fibroids, so it might be that. However, as far as I know, I do not seem to have any myself. I recently gained weight (7-8 kg / 15 -17 pounds) in just over two months. I started taking some probiotics three days ago and Vitamin C. I would just like your opinion if it is something to worry about. Doctor: Hi. There are several factors that lead to irregular menses. Weight loss or gain can also lead to irregular menses. I do not think you should worry too much about having a period after six days of finishing a normal period. In fact, your ovaries could be suppressed by birth control pills and have not returned back to normal function although you had normal menses. Normally, it takes about three months for your ovaries to gain normal function after taking birth control for several years. Unless you skipped 3 to 4 menses at a time I would not worry too much." + }, + { + "id": 4465, + "tgt": "Do ulcers with white spots inside the mouth after extraction suggest cancer?", + "src": "Patient: Hello doctor, Ulcers are formed after getting a tooth extraction and have gotten worse and not gone away. They have been there for a month. I am worried it is oral cancer. Also, my tongue is sensitive and my tongue is slightly white, I also got white spots on the inside of my cheek and irritated red spot on my tongue and the roof of the mouth. I was taking Amoxicillin. Doctor: Hi. I have read through your complaint and the relevant details and also saw the pictures you have attached. (attachment removed to protect patient identity). The oral ulcer at the corner of your mouth seems to be formed by some external irritating factors like a toothbrush hurt. If that is the same area where tooth extraction was done, it looks perfectly healed. So the ulcer close by can also heal equally. The red and white spots are nothing but oral ulcers that have recurred every now and then. Maybe that is why you say that it is there for more than a month. Also, I find that you have done tongue piercing. I suspect that is the reason for the red spot ulcers over the roof of your mouth. This also is an indicator of difficulty in maintaining tongue hygiene which resulted in a white tongue. Oral ulcers can be treated by applying a small amount of Dentogel 15 gm on the affected area with clean fingers three to five times daily. Make sure you maintain good oral hygiene too. Recurrent mouth ulcers also refer to vitamin B deficiencies for which please eat nutritious whole fruits and veggies instead of fried and fast food. Please do not relate it to cancer and get panicked. Once the rooting cause for oral ulcers are removed, then it will heal normally and might not come back. You will be fine. Blood check for vitamin deficiencies. Tongue cleanliness: Scraping tongue with blunt plastic tongue cleaner or with the back of the toothbrush head." + }, + { + "id": 10310, + "tgt": "I get abdomen pain while walking and standing for a long time. Please help", + "src": "Patient: Hello doctor, I am 31 years old 5ft 11\" in height and weight 24 stone. I have been getting lower right side abdomen pain for the past few months, and it usually starts after walking or standing for a long time. Today the pain has got worse, and I also have lower back pain. I suffered from Crohn's disease and had a bowel resection seven years ago, but currently, I remission and my Crohn's consultant does not think this problem is related. I also have a problem with passing urine, as it takes me ages to go and have to strain or sometimes rock and also will sometimes stop mid flow and have to strain to continue. I am worried as the pain become worse this evening. Doctor: Hello. Your history suggests the relationship between Crohn's disease and lower right abdominal pain. Gut resection causes this kind of symptom as the overall function is compromised. A post-surgical follow-up visit to the surgeon would be helpful to see whether urinary bladder or ureters were involved. I will suggest you make a post-surgical follow-up with the surgeon and a gastroenterologist for Crohn's disease follow-up. Consult with an orthopedic doctor for osteoarthritis and calcium, and vitamin D supplements. Bone pains in osteoarthritis occur due to condition itself and also due to calcium and vitamin D insufficiency.If any X-ray of abdomen and neck you have, please send me." + }, + { + "id": 26723, + "tgt": "HSV tests are negative at six weeks. Do I need to retest later?", + "src": "Patient: Hello doctor, I had a test on day-42 (exact six weeks) post a possible exposure. The result shows HSV 1 and\u00a02 IgM antibody (Serum, EIA).\u00a0Result: Negative (0.64). Associated tests were HSV 1 and 2, \u00a0western blot IgM and IgG. What exactly is this test looking for? Only IgM, or both IgM as well as IgG? Is this an IgM ELISA test or a western blot test? Is this test conclusive at day-42 (6 weeks)? Do I need to retest again after 12 to 16 weeks? Kindly answer all the questions in detail. Doctor: Hello. For more information consult a venereologist online -->https://icliniq.com./ask-a-doctor-online/venereologist" + }, + { + "id": 27119, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28556, + "tgt": "How can I stop myself from staring at people in a strange way?", + "src": "Patient: Hello doctor, I am afraid of eye contacts with people, which started a\u00a0few months back. I cannot figure out how it first started, but just suddenly one day, I started to feel strange when I am facing people. I could be talking to them in a normal way, and then suddenly I would feel like I am looking at them in a strange way. The strangest thing is, this is not just my feeling, the other person can see the strange way of me looking at them. I do not know exactly how my looking at them makes them feel, but I could notice a sudden change in their reaction towards me. They would look at me in a strange way as well, and then quickly finish the conversation and walk away. When I am facing customer service people, it is the same. I feel like I cannot look at people in a normal way. I have received very bad service many times just because of my weird eye contact. And because this has happened so many times, I am getting more nervous when I have to face people now. I would be afraid that my way of looking at people would make them feel bad. But the more I am afraid that would happen, the worse I would be.\u00a0I am not sure what is the reason for this happening to me. Maybe it a\u00a0lack of confidence or nervousness, but I am not sure. This is a terrible condition that I am having, and it feels terrible that my strange way of looking at people make them feel bad. And it also makes me feel so awful because people are treating me badly. And I am driving people away from me. I am\u00a0suffering from depression and schizophrenia. I am taking Aripiprazole, and all the symptoms are under control. Could this be part of schizophrenia? Can a\u00a0higher dose of medication help? I do not want to increase the dose of medication if possible. I am taking 10 mg of Aripiprazole every day at the moment. Before I go to sleep, I could imagine the way that I want myself to be. And if I continue to do this, after a while I would become how I want myself to be. I think this method might help me with this issue of eye contact. But I am not sure how I should do it. Should I just repeat the affirmation to myself? Affirmations like 'I am a friendly person,' 'people are nice to me,' etc. I am a friendly person inside, and it is just my strange way of looking at people which I cannot control. Or should I imagine in my mind a scenario that I am facing a customer service person, and imagine that I am looking at him or her in a natural and normal way? Would this work?\u00a0I hope I could use autosuggestion to cure this problem. Can you tell me how exactly I can do this? Doctor: Hi. You seem like an extremely pleasant person, with a warm and friendly personality. Let me know if I can\u00a0be of further assistance. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2908, + "tgt": "I have jaw pain, congested ear, and sore throat post dental filling. What should I do now?", + "src": "Patient: Hello doctor, I may have an abscess and I am worried about going into the dentist because of the coronavirus. Currently, I am experiencing an achy jaw and ear congestion on one side, a slightly stiff neck, and a mild sore throat. This comes before one month after a filling repair, and two weeks after I had to go back to get the bite adjustment. It is not debilitating pain, but it is irritating and I am wondering if I can put it off until it is safer to go to the dentist. Doctor: Hello. I can understand the fear you have not to go to the dentist but please do not risk your health because of the fear of coronavirus. There are precautions to that and the dentist will also be taking precautions as the state has already issued guidelines for the doctors. Regarding your concern, I would advise visiting a dentist as soon as possible to look into and in case you need medication and intervention. If still, you want to avoid, just take over the counter pain killer like Advil and also use Listerine to subside the infection if possible. Impacted third molar, pericoronitis. Clinical, x-rays. Pericoronitis, Impaction. Pericoronitis. Oral hygiene and wash away debris and later on surgery may be required. Eat soft food on the side and strict oral hygiene. Follow up is important to see infection subsided and no complications." + }, + { + "id": 15017, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 6344, + "tgt": "I am bleeding while on Implanon. Why?", + "src": "Patient: Hello doctor, I am a 25-year-old female. I have been on the contraceptive Implanon for about seven months now. In the last three months, I had a bit of spotting, which has now turned into consistent bleeding for the last two months. Before this, I was on Depo Provera for seven years and never got my periods. I had tried hormone patches after my doctor suggestion them, and they did not help me. Now I have tried Nurofen every six hours for 48 hours, and it has stopped the bleeding completely. My question is, how long does this normally last? Is it the wear off due to anti-inflammatory, or is this something that stops the spotting or bleeding until the normal next cycle? I want to know, will I have some relief for awhile as I know I cannot keep taking this medication due to the risks. I do not have health issues or medications other than a contraceptive. I stopped the Depo Provera because it reduces my bone density. Doctor: Hello. There are many ways of contraception. You can use barrier methods like condoms by your husband or a copper T. One more thing is if your cycles are regular like say every 30 days, then 14 days before the next period is your ovulation day. You can also observe your vaginal mucus, which becomes like a thread that indicates ovulation. Being cautious during ovulation prevent pregnancy, your nitrogen has nothing to do with your bleeding,it is just an anti-inflammatory do not use it. Implanon sometimes causes bleeding then stops on its own. My advice is to get it removed and go for a barrier method, which is easy to use and takes no lag time to get back to normal physiological cycle without any delay." + }, + { + "id": 12525, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17353, + "tgt": "My leg muscles are very sore after I started playing sports. Can you help?", + "src": "Patient: Hello doctor, I have been playing volleyball, basketball, and athletics for around two weeks, but my leg muscles are still sore. Standing in the\u00a0same position gives some relief. When someone touches my legs even softly, they ache hard. It is paining around my ankles and knees mainly. With this thing on, I am playing sports continuously. Can you help? 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 an orthopaedician and traumatologist online --> https://icliniq.com./ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 12995, + "tgt": "What can be done to manage severe and uncomfortable abdominal pain during periods?", + "src": "Patient: Hello doctor, I have severe and uncomfortable abdominal pain when I have my monthly period. My menstrual cycle and pain last for 5 to 6 days each month. Doctor: Hi. I have read your symptoms. It looks like the regular pain that comes on during the menstrual cycle. So I just want to know if you have any medical conditions like hypothyroidism, diabetes or any other general medical conditions if you have had any surgery in the past, is there any symptoms like vomiting, loose stools associated with this. I would like to know your diet habit and if you have a family history. This looks like inflammatory muscle pain. I would advise you to take Mefenamic acid 250 milligrams with Dicyclomine 10 mg twice daily whenever you have this pain and also drink a lot of fluids that will help you with reducing pain. Drink plenty of fluids. That is very important. Inflammatory muscle pain during the menstrual cycle. Mefenamic acid 250 mg and Dicyclomine 10 mg as needed. Plenty of fluids to drink." + }, + { + "id": 26007, + "tgt": "I am taking Amlodipine for BP. Do I need to change the medication?", + "src": "Patient: Hi doctor, I am 30 years old. My BP is 180/90. After consulting a physician I am taking tablet\u00a0Amlong 5 mg one full in the morning and half in the night.\u00a0Post using this tablet my BP is 120/80 and sometimes shoots up to 140/80. I am on this medication for the past two years. I got a complete routine health check up and found nothing wrong in my reports. My main concern is do I need to change the medication? Please suggest. Doctor: Hello. You are quite young to have hypertension. In young hypertensives the cause of hypertension has to be evaluated. If you have not identified the cause, then kindly get a renal artery Doppler scan. Revert back after two weeks with the report to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 21541, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 27213, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7512, + "tgt": "Either Aloe vera gel or lemon juice, which is better for hemorrhoid?", + "src": "Patient: Hi doctor, I am suffering from hemorrhoids. It is not an ongoing case. It just happened due to severe constipation. Apart from medicine, which is\u00a0better for external hemorrhoids? Is it Aloe vera gel or lemon juice? Is there a good painkiller for such situation? I tried Panadol and it worked fine, but I would like to know if there is a more effective one. Thank you. 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": 11764, + "tgt": "Is it normal to have penis and testes not hanging down?", + "src": "Patient: Hello doctor, I am an 18-year-old male who is around 5 feet 5 inches. My issue is that my penis does not hang down normally, it sticks out when flaccid. Also my testes do not hang down and I am not sure if I have testes at all. Doctor: Hi. I can understand your concern for your symptoms. Testes will be inside scrotum like small balls in small sack. Depending on blood supply and temperature, the scrotum hangs and constricts. If you have doubt, warm your hands and slowly massage to find out your testes or if you are still worried, then you can always do an ultrasound scrotum and find out the pathology." + }, + { + "id": 27629, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15725, + "tgt": "Post penis augmentation, I bled during sex. What to do?", + "src": "Patient: Hi doctor, I have undergone penis augmentation using a cross-linked dextran gel injection. While doing sex, I got a cut in my penis, and it bled a little. While doing sex, I feel some pain at the contact point of the penis skin, and it is red. Please suggest medicine for this problem. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Apply Bacitracin or Framycetin cream twice daily over the area. Before each application wash off the previous application with lukewarm water. Do not wear tight innerwear and prevent extreme sweating. Take care of the pubic area. It will get healed soon after two days. Try to restrain from sex or masturbation for a couple of days. Try to rule out condom allergy. If there is no wound healing or if there is any pus discharge or if you have a fever, then you can take antibiotics. Then revert to me with a fresh picture. Please mention about your age, habits, diabetic status, and drug history." + }, + { + "id": 8887, + "tgt": "Why am I having white yellowish painful spot in my vagina?", + "src": "Patient: Hello doctor, I have a white yellowish spot in my vagina that is pretty painful and has been there for three days. I am sexually active, but have been with the same partner for three months and am only recently experiencing these symptoms. I am also tender on both sides of my pelvis but that could also be due to my whiplash from surfing yesterday. Doctor: Hello. I would like to ask a few questions if you want to answer those. Is it painful? Any discharge from this point? Any bleeding? Is there any history of injury over there? Any fever? Or anything similar anywhere else over the body? As it more likely seems to me as something which is in the healing phase and also may have become purulent (filled with pus) (attachment removed to protect patient identity). I am not quite sure about the diagnosis as I am just seeing it in the picture and not directly. It would be better if you see your local doctor and get a full examination done. Otherwise, if it is not painful or producing any discharge then it can be left as it is for a few more days to let it heal by itself. For now, it does not look like anything nasty. You just need to observe it for a little while before starting any treatment." + }, + { + "id": 1169, + "tgt": "What treatment should I get for anaphylaxis?", + "src": "Patient: Hi doctor, Last week, I was bitten by red ant. Within 5 minutes I was collapsed and immediately rushed to the hospital. My BP was low at 80/60 mmHg. It was detected as anaphylaxis. I hereby attaching the treatment sheet for your reference. Six months ago, my 2 year old son expired due to unknown insect bite. We did not know about anaphylaxis at that time. What type of treatment should I get further for anaphylaxis? Doctor: Hello. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19020, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23175, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13736, + "tgt": "Can Aleve and Goody's powder cause stomach upset?", + "src": "Patient: Hi doctor, I recently had a migraine, so I took two tablets of\u00a0Aleve. It did not work, so I took Goody's powder, but the pain was still there, so I took another one. The migraine pain has gone, but my stomach seems to be upset. Doctor: Hi. Sorry to hear about your headache. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 17295, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5739, + "tgt": "My BP is fluctuating and my triglyceride level is 215 mg/dL. Should I take medicine?", + "src": "Patient: Hello doctor, I am 44 years old. I am working from home. When I did my last master health checkup a couple of years back, my BP was within the 120 / 80 mmHg. My triglycerides were high at around 212 mg/dL. All other parameters were normal. When I did my health checkup a couple of months back my BP was 150/90 mmHg and my LDL has gone slightly above normal with triglycerides level at 215mg/dL. I then checked my BP three to four times after that at different places and it is falling in the 136-150 / 90-92 mmHg. What should I do? I have started reducing salt intake, having black tea, bananas, doing some light exercises like climbing stairs, jump roping, etc. Should I go for any medication? Doctor: Hello, Welcome to icliniq.com. At this point of time, I would recommend you to follow strict life style modifications and changes that I advise and keep a watch on BP (blood pressure) and lipid profile. If there is no improvement with in a month, then we will start you on the medicines. I would recommend the following: Reduce your weight. Avoid fatty food in the diet. Consume potato, rice, oil, ghee, sweets, carbonated beverages in moderated amount only. Avoid alcohol and smoking in case you do. Take low salt, and pickles, fast food, pizza, burger needs to be stooped. Get your lipid profile done next month and get your blood pressure checked. Report back to me with the reports, and we will discuss what needs to be done." + }, + { + "id": 5711, + "tgt": "I have episodes of dull pain over my left eye. What could be causing this?", + "src": "Patient: Hello doctor, I have been having episodes where I will have periods of dull pain over my left eye, the area where the bridge of my nose meets my brow bone. At the same time, I am\u00a0getting a tingling sensation in my right groin at a very specific location and not a generalized tingling. The periods of pain and tingling used to last for 10 to 15 seconds and would occur maybe once every few days for a week or so and then disappear. They were gone for about a month, but now they have come back and are occurring once every few days for the past one week. They have happened mostly at night or when in a reclining position and have recently woke me up. They tend to coincide with when I am having some amount of post-nasal drip. When I am feeling the pain or tingling I have not found anything that lessen or quicken the pain or make it worse. When I press on the area above my eye where the pain is, it is tender even when not experiencing the pain or tingling. I have not experienced any nausea, headaches, blurred vision, etc. What could be causing this? Doctor: Hi. I read your query and understood your concerns. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 29677, + "tgt": "Do you recommend surgery for sciatica?", + "src": "Patient: Hi doctor, I am diagnosed with slip disc L4-L5 and my sciatic nerve is pressed. Due to which I am finding difficulty to walk and sit. My left foot is numb. I have a lot of pain and stiffness in my calf and thighs. Please advise. Doctor: Hi. I understand your symptoms. Revert back after 10 days to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 29461, + "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": 9437, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 23400, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21047, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 8977, + "tgt": "I could not forget my beloved one who is not even accepting me as a friend. What should I do?", + "src": "Patient: Hello doctor, I love someone deeply, and I begged him to be friends, but as I had expressed my feelings so overly, so he escaped. I still wish to be friends with him I do not want to hope anything more than a friend. At first, he welcomingly agreed to be friends, but I cut my promise and talked about my feelings again, so he escaped and did not accept me even as a friend still. I do not know what to do to make him trust me again and to believe that I have taught my hard lesson and I have paid a great deal so I would not talk about my feelings again. Please help me and show me a way. Because I cannot put him off my mind despite that, I only want him to allow me to talk with him, ask about his health, and his life at least once a month. Doctor: Hello. I understand what you are going through right now. If you will take my opinion, then it is in your best interest your that person does not remain a friend to you. Our mind plays weired things. When you are a friend with him, then your mind will start expecting something out of this friendship, even when you do not want. Your mind will remain confused and will surely break the promise of talking about the feelings, then he will give the same answer, and you will get hurt most in this process of confusion and expectations. It will be hard for you initially to accept and get adjusted with the situation but believe me once you get adjusted and moves on, then you will not regret this decision of not being friends with him. This friendship will give you more pain than comfort." + }, + { + "id": 1255, + "tgt": "How to find the date of conception?", + "src": "Patient: Hi doctor, I just found out that I am pregnant from the home pregnancy test kits. This may sound weird as I am not sure about the\u00a0date of conception was. My last period was on the 17th of last month. I had sex on the 14th of last month and also on the 4th of this month. I have a 38 day cycle. Is there a way to tell which date the pregnancy has come from without the ultrasound? Doctor: Hi. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13718, + "tgt": "What causes mid-cycle bleeding after taking Option 72?", + "src": "Patient: Hello doctor, I had my periods on 2nd of this month that ended on 6th. After having the intercourse on 9th, I ate Option 72 on 10th at 8 AM. But now my periods came on 15th again. I had clot once and bleeding is also not very much. Am I pregnant? 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. However, if you have a doubt, then get back to me. Take care." + }, + { + "id": 17765, + "tgt": "Will I get HIV if I share vibrator?", + "src": "Patient: Hi doctor, I am a 22 year old female. I am not sexually active. Recently, my friend gave me one of her toy things. I am not sure what it was at first glance until she told me. She said she cleaned it and to be safe; I cleaned it again. But, after a few days, my vagina felt unusually weird like something was in it. It started feeling different and turned red. I was scared and kept wiping and caused it to flare up. I am not sure about the reason. A couple of days later my throat starts to hurt. It is sore, and my nose is runny. I do not have\u00a0diarrhea, but my poop is a little runny. I am nervous, and I want to know could I have caught something from using her toy. I have been told numerous times while growing up that HIV dies once it makes contact with air. So, I have been freaking myself out looking my symptoms up. Please help me or point me in the right direction.\u00a0Also, I am not sure the last time she used it. Please give me a hand. Doctor: Hi. For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 10183, + "tgt": "My throat hurts after I smoked for the first time. Why?", + "src": "Patient: Hello doctor, Why does my throat hurt after smoking cigarettes for the first time? Doctor: Hello, Welcome to iclinic.com. For further queries consult an\u00a0ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 22605, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15736, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 19665, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9748, + "tgt": "I am having a round spot on the back of my foot towards my toe. Is this freckle?", + "src": "Patient: Hello doctor,I found a dark, round spot on the back of my foot towards my toe. Unfortunately, I do not know how long I have had it. I was told by my mom, who is a nurse, that it was probably a freckle. I am not sure because it is pretty big. It is still smaller than an eraser on a pencil though. When I rechecked it last week, I saw a little tip at the edge of the mark that I did not notice the first time I saw it, so I do not know if it is growing or not. Even after searching a lot of sites about this, cancer, etc., and knowing that my family does not have any history or genetics linked to cancer, I cannot tell what it is. Let me know if I should panic. 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": 3461, + "tgt": "How can I stop passing stools several times a day?", + "src": "Patient: Hello doctor, I am 23 years old. I weigh about 70 kg. I usually pass stools several times a day. That means after wake up at 6.15 AM I pass stools then again after break fast at 6.45 AM, then I pass again at 9.00 AM, then again after lunch and once in the evening at 6 PM. I have a stooling sensation through out the day. Is this a serious problem? Please suggest. Doctor: Hi. Frequent passing of stool is definitely abnormal. But the cause depends on the consistency of stool. If it is loose then we need to be worried. I need some information and would suggest a few investigations. What is the consistency of stool? Is there any blood or mucus in the stool? Any fever? Weight loss? Pain in the abdomen? If the answer for all these questions are no, then do x-ray abdomen. Is there any constipation? We also need to do a complete blood count (CBC) with ESR (erythrocyte sedimentation rate) now. tTG (tissue transglutaminase) can be done later if there is any abnormality in these tests. CBC, TTGA, x-ray abdomen. Tablet Albendazole 400 mg one tablet stat and one tablet after two weeks. Rest of the things to be decided after reports or details. Review back with details." + }, + { + "id": 27496, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 5732, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 21940, + "tgt": "Can use of stem cell creams worsen melasma by increasing melanin?", + "src": "Patient: Hello doctor,I am undergoing Q-switched laser treatment along with the use of Hydroquinone to treat my melasma. However, I would like to know if the use of stem cell creams can worsen the melasma by encouraging the growth of melanin? Currently, I am taking Tranexamic acid, Cipramil, Valdoxan. Doctor: Hello. Stem cells have higher doses of pigment in them. So, theoretically yes, the creams that stimulate stem cells may worsen melasma. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 2857, + "tgt": "I am having gap between two teeth in the front. How to fix the gap?", + "src": "Patient: Hello doctor, There is a gap between my front two teeth. I want to close the gap. Can you please suggest any process for it? Doctor: Hello. Yes, there are two treatment options. 1. Ortho (braces) treatment. 2. Tooth-colored fillings. Gap closure by braces is a permanent solution. Your teeth will be aligned and the gap can be closed naturally. This option is suggested when the gap is very wide and this helps correct other tooth alignment issues if present. Whereas in the second option, the gap is closed with a tooth-colored filling material. This is not a permanent solution. This filling can last anywhere between three to seven years. If this filling fractures in the future, you may require a new filling in its place. However, the longevity of this filling depends on our maintenance. This will best suit if the gap between the two teeth is less than 4 mm. The option that best suits you is determined by the amount of gap present, general oral hygiene, and your gum health. A clear picture of the gap will help suggest. If you want to close your tooth gap naturally without any filling, please visit an orthodontist to start a braces treatment. But if the gap is minimal and you want a filling to close the gap, this procedure is best done by a cosmetic dentist. I hope this helps." + }, + { + "id": 18389, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17984, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1866, + "tgt": "My dad is not able to hear from the ear that has a hole in the eardrum. Is it curable?", + "src": "Patient: My dad is 57 years only and he is a diabetic. 6 months back he was experiencing ear discharge and visited an ENT specialist and was diagnosed with an hole in the eardrum. He was given medication. But the discharge hasnt stopped yet. Now is not able to hear from the left ear. Why is this happening? Is it serious? Is it curable? Doctor:" + }, + { + "id": 11362, + "tgt": "Will there be any cure for HPV in the near future?", + "src": "Patient: Hello doctor, How common is HPV in our country? Doctor: Hello. Hope this helps. Please feel free to ask more if you need further assistance. I would be happy to answer any queries. For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 63, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 20703, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28648, + "tgt": "How to confirm if I have a pelvic inflammatory disease?", + "src": "Patient: Hi doctor, I am a 19 year old female, and I was diagnosed with a pelvic inflammatory disease, five days back. Today my primary doctor called and said my test results were all negative. Does that mean the PID was false? Have I been cleared from STD or STI? I was prescribed Doxycycline and Metronidazole for PID. Doctor: Hi. For more information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 4790, + "tgt": "How to treat red circular lesions on lower extremities?", + "src": "Patient: Hi doctor, I have red circular lesions on lower extremities. Currently I am taking Amlodipine 10 mg qd, Benazepril 20 mg and Clonidine 0.2 mg. I have not yet taken any tests. Kindly suggest what can it be? Doctor: Hi. Kindly revert back with the pictures and answers to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21909, + "tgt": "I am not getting periods from last three months. Is it due to high prolactin levels?", + "src": "Patient: Hello doctor, I am not getting periods for the last three months. I have with me some blood tests and USG pelvis scan. The report of that scan is normal but in the blood test, I found my free testosterone level has increased to 1.04 nq/dL and prolactin is 33.2 ng/ml. Please tell me if this is a serious problem. Doctor: Hello. I have seen your reports (attachment removed to protect patient identity). Free testosterone is very slightly increased but serum prolactin is remarkably increased and that can reduce or disturb cycles and even stop these. Are you on any treatment or hormonal intake or any symptoms of a headache or secretions from the breast? If any breast secretions are present, that is also a sign of excessive prolactin levels. Antidepressant tablets can increase prolactin or a few other treatments also can stimulate prolactin secretions or some brain mass can also increase prolactin secretions. It is better to consult an endocrinologist. After a detailed history and examination, you might get advised to do a CT/MRI of the brain to exclude any brain space occupying lesion that can stimulate excessive secretion of prolactin. You might have to take treatment to reduce prolactin but only after a complete investigation has been done to find the exact cause. Do not stress about it. Do yoga, exercise, and other recreational activities. Discuss your detailed history with an endocrinologist as well. I hope after the radiological investigations of your brain, you receive appropriate treatment and have regular cycles. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17520, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3360, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 1718, + "tgt": "Glucometer reading shows 103 mg/dl after 16 hours of meal. Am I prediabetic?", + "src": "Patient: Hello doctor, I recently bought a blood glucose meter because diabetes runs heavily in my family. I have not been diagnosed with diabetes, but I checked my blood sugar today 16 hours without eating and it was 103. I know that it should be below 126 after eight hours of eating, but what is it supposed to be for 16 hours after eating? I am 21 years old and I weigh 230 lbs. Doctor: Hi. From the above history, it is noted that you are having a strong family history of diabetes and also you have been noted with prediabetic range blood sugars in the past. Coming to your query, it is ideal to have less than 100mg/dl blood sugars after 12-16 hours post meal. But we cannot label you as prediabetic or diabetic by noting a single value. So I would take it as a prediabetic state, if you have been noted with increased blood sugars in this range on multiple occasions or if three months average blood sugars are between 5.6-6.5%. I would like to stress the point that from the data it is found that you are having class 3 obesity, which must be addressed with due importance because it can lead to early diabetes, any lifestyle disease, and sleep apnea too. HBA1c (glycated hemoglobin). Lifestyle modification. Diabetic diet. Regular aerobic exercises 45 minutes daily." + }, + { + "id": 26024, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17299, + "tgt": "How to improve my height at the age of 19?", + "src": "Patient: Hi doctor,I am 19 years old. How can I improve my height? Doctor: Hi. For further information consult an endocrinologist online -->https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 14316, + "tgt": "Will Trust pills work as emergency contraceptive pills after unprotected sex?", + "src": "Patient: Hello doctor, We just had sex about seven hours ago, and we did it without any protection. So my penis was inside her vagina and we did a handful of up and down movement (she was on top of me, basically sitting on me- cowgirl position), and we decided to stop because of the consequences unsafe sex may lead up to. My concern is that although we stopped way before I could have reached orgasm, precum could have secreted out of me. I am considering buying her Trust pills as it is said to work as an ECP would. In my country, Plan B is not available. Doctor: Hi. The Levonorgestrel content from trust pills is too low. You will need five pills taken at the same time, then another five pills after 12 hours. However, your partner may feel nauseous and uneasy because this pill also contains Estrogen and a high dose of it also have side effects of nausea and vomiting. But yes, theoretically you can substitute it but be ready for the estrogen effects." + }, + { + "id": 4205, + "tgt": "I have occasional muscle spasm on the right side of the lips. Should I consult a doctor?", + "src": "Patient: Hello doctor, I have had a muscle spasm on the right side of the lip that has been going on for a little over 12 hours and it is a constant muscle spasm. It goes on for like a minute or two and then stops for a few seconds and happens again. I have had muscle spasms before but never one to last this long. I am not sure about what I should do? I am unsure if it is a bad thing or what is causing it? What would cause something like this? Is this a bad thing? should I go to the doctor? Doctor: Hello, Welcome to icliniq.com. I have gone through your history and I want to explain something about lip twitching. You told that you have muscle spasm on the right side of the lip, this condition is known as lip twitching. It is not a serious symptom. So do not worry. It will happen because of excess stress, fatigue, excessive intake of caffeine, such as cold drinks and coffee. The pathological cause is deficiency of potassium ion in the diet. It is self-limiting. It will not cause any residual problems. If you have this problem per hour or more than that, there will be some underlying pathologies that you have to be investigated. But in 90% population, lip twitching does not cause any problem. It is one type of involuntary contraction of lip muscles. It may also be due to the contraction of the muscle fibers as a result of direct stimulation or irritation or injury of the nerve supplying these muscles. Tics, spasms, tremors, bells palsy, and fasciculations (general muscle twitching) may also cause twitches of the lip. But all these disorders have other major symptoms also. So there is no need for any treatment and other investigation. Idiopathic." + }, + { + "id": 12968, + "tgt": "I am having sciatica, neuralgia and migraines. Are these due to epidural anesthesia?", + "src": "Patient: Hello doctor, 12 years ago I gave birth to my first baby. I was healthy when I walked in and then, not even for a single day I felt well. When I was given my epidural, my heart rate shot up to 150 and you could see it beating from the outside. They took it out and replaced it. The anesthesiologist said he must have hit a blood pocket. What does that mean? The epidural caused my BP to drop every time I lay on my left side. My baby's heart rate dropped every time I lay on my right side. After what felt like an hour, they made me lay on my left and gave me a shot to keep my BP up. Is that normal? Because I stayed on my left side, I could not move or feel anything on that side but could feel everything on my right side. I now have migraines, glossopharyngeal neuralgia, peripheral neuropathy, sciatica, and fibromyalgia, all on my left side. Could the issues I have now have been caused by the issues with the epidural? Please help me. Doctor: Hi. Maybe unintentionally epidural needle must have hit a blood vessel in epidural space and so needle was withdrawn and reinserted in order to place it in epidural space avoiding blood vessel. Hypotension in pregnancy may be caused by supine hypotension syndrome and also due to regional anesthesia. So you were placed in left lateral position and you were given an injection to keep your BP up. It is not unusual to have these situations and are treatable. The issues you have mentioned are due to a spine problem most likely prolapsed intervertebral disc, etc., and very less likely due to epidural. May require MRI of the lumbosacral spine to diagnose. Need to consult an orthopedic surgeon." + }, + { + "id": 13391, + "tgt": "I feel alone as my partner is not supportive. Kindly advise", + "src": "Patient: Hello doctor, My husband is not available whenever I ask him. Whenever his family treats me bad, he never asks anything. If we fight suddenly he is asking me to take care of myself alone. He is not helping me in my work. I am really stressed. I need someone badly to talk. Doctor: Hello. You are reporting relationship problems which is quite common. Almost all couples go through difficult phases early on in their relationships. Remember there are no perfect couples and no perfect marriages. Everyone has to work proactively to maintain a healthy relationship. Try talking to your husband when things are calm. Discuss with him in a calm manner about situations you find difficult. He may have a different perspective. Both try to approach the problem without accusing each other and follow a problem solving approach. Speak to trusted family members or elders who can discuss with you both in a neutral fashion. Relationship difficulties can be very stressful for both of you. Try to do relaxing activities like walking, exercise regularly, meditation, etc. If things are really difficult, marital counselling can help. You can contact again if further advice is needed." + }, + { + "id": 15883, + "tgt": "I have brown spotting after taking I-pill. Is it my period?", + "src": "Patient: Hello doctor, I took an I-pill at 12 hours post intercourse 10 days ago. Now, I just see a minor brown spotting. My period is due. I am unsure if the brown spotting is my period. Or am I pregnant? Doctor: Hello For more information consult an obstetrician\u00a0and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20393, + "tgt": "I had a blister after five months of a massage session. What is it?", + "src": "Patient: Hi doctor, I had a blister forming five months later after a massage. No blowjob was involved but it ended with a handjob. Had a full STD done. The result came back with herpes 1 diagnosis with a 1.1 result (the test was done 21 days after the massage). Test result 21 days after massage: HSV type 1 IgG AB 1.1. Doctor: Hello. It appears to be herpes only (attachment removed to protect patient identity). It is not clear on the image, but it appears to be a fluid-filled vesicle, so suggest a strong possibility of herpes only. Another factor which would favor herpes is the presence of pain. Was there any pain in those vesicles, if yes, then it further makes herpes a strong possibility. Next thing, history of hand job further add to the possibility. If you get lesion anytime, please get a swab and PCR (polymerized chain reaction) done. Also, get HSV 1 and 2 antibodies level done now." + }, + { + "id": 7490, + "tgt": "Are stomach spasms and indigestion symptoms of IBS?", + "src": "Patient: Hello doctor,I am 16 years old with 5'7\" height and weigh around 133 pounds. About two weeks ago, I was sitting in class, and I started having these excruciating stomach spasms. It was not an out of the blue thing because I had been having issues concerning my abdomen for about three months before this incident in class. The pain was so bad I had my mom pick me up from school and take me to the doctor.My mom explained that my sisters and I have been under a lot of stress-causing indigestion issues. My older sister was diagnosed with IBS about two weeks before this visit. The doctor prescribed Hyoscyamine, and I have been taking that every four hours, and it has not helped at all. The doctor also took blood and urine tests and discovered I had a blood glucose level of 111 and had a high level of carbon dioxide.This is almost five months of feeling completely awful. This past week I got a cold on top of what I assume to be prediabetes and IBS. My question is, do you think my prediabetes symptoms are caused by IBS or do you think I maybe do not have IBS at all and the symptoms are due to prediabetes? Doctor: Hello. The IBS (irritable bowel syndrome) has a familial association, and it usually causes pain in the left side of the abdomen and sometimes in the epigastrium with dyspeptic symptoms. The diagnosis of IBS does not doubt in your case. The blood glucose of 111 is average. We need blood pH, not the CO2 for this conclusion. I need more information regarding your diabetic query, is there is a family history of diabetes? Frequent urination? Rapid breathing? And you must have other investigations done if you attach that it could be beneficial to conclude. So the crux is, there is no doubt regarding the diagnosis of IBS. For IBS, we give a high fiber diet and methylcellulose to regularise the bowel habits. In case somebody does not respond to this and have vomiting or headache, then we provide other medicines but not Hyoscyamine. Follow, 1. Methylcellulose three spoons two times a day in 200 ml water or milk, continue it. 2. High fiber diet, at least seven-liter water in a day. 3. Do not sit in the toilet for more than five minutes. 4. Post the copy of your report. You will see improvement after the first week.Report back if you need any assistance." + }, + { + "id": 4569, + "tgt": "What is the treatment for cyclic itching of skin in arms and back?", + "src": "Patient: Hi doctor, My grandfather aged 85 years is having a lot of itching on his body. The main areas are his arms and back. There is a lot of inflammation at times and all of a sudden the inflammation increases and then goes down. It appears in cycle. He has been prescribed with the following medicines namely tablet Teczin 5 mg and Momate cream. He used these medicines for 3 weeks. It was good while he was using them but then again itching started slowly once he stopped using them. Please advice some other medicine as there is dryness in mouth when he uses these medicines. Thank You. Doctor: Hello. I have examined the pictures (attachment removed to protect patient identity) as well as carefully noted the details provided. I understand your concerns and will do my best. For further information consult a geriatrician online --> https://www.icliniq.com/ask-a-doctor-online/geriatrician" + }, + { + "id": 5316, + "tgt": "There are tiny cuts on my penile skin for more than a month without healing. Why?", + "src": "Patient: Hello doctor, My penis skin end has got tiny cuts around and it is not healing for more than one month. Please help. Doctor: Hello. You need to apply the following things: Clean with Betadine solution twice a day. Apply Candid-B ointment twice a day. Take tablet Kineto Forte 15 mg once a day for ten days. Update your condition after ten days." + }, + { + "id": 14306, + "tgt": "What can be done to remove black spots caused by acne?", + "src": "Patient: Hello doctor, How to remove black spots caused by acne? So many black spots are there on my face. Doctor: Hi. I can understand your concern. It would be of great help if you can send me a picture of your spots. You can apply Clear Z cream on face. It is having Hydroquinone, Triamcinolone, and Isotretinoin. It will remove black spots and make your skin glow. I will be happy to help you further. Wish you good health." + }, + { + "id": 1483, + "tgt": "What is the reason for spotting with positive pregnancy test?", + "src": "Patient: Hello doctor, I am 19 days late for my period. I got my home pregnancy test positive.\u00a0But, the next day I had a brown color spotting and yesterday afternoon I had brown color bleeding with heavy abdominal cramps. And today, there is no bleeding, but spotting just like on the first day. I am confused. Am I having a miscarriage? 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": 14563, + "tgt": "Why am I having creamy and black teeth with bad smell?", + "src": "Patient: Hi doctor, I am 18 years old. My problem is the teeth has become white for the past few years. The back portion of the teeth has become dark or black. Teeth are quite creamy. Often a bad smell spreads out from my mouth. My mother also suffers from this problem. I use whitening toothpaste but all are in vain. So, please doctor help me and give me a suggestion. Doctor: Hi. I read your query and can understand your concern. It seems like you have staining of teeth and plaque accumulation. Our mouth contains a great number of resident bacteria. Sometimes some individuals have staining bacteria which leads to physiological stains. This is not any pathology or disease. This staining often leads to plaque accumulation and bad smell from the mouth. You need professional teeth cleaning (scaling and polishing) regularly (usually every six months). Continue brushing twice daily with any toothpaste that suits you." + }, + { + "id": 19655, + "tgt": "My energy levels are low, and feel sad and cranky. What can I do?", + "src": "Patient: Hello doctor, Lying all day not interested in literally anything, energy levels low, feel tired without any reasons, sad, cranky and not doing any work. This happens in cycles, might work for a day and then shut off for weeks doing nothing productive and feeling stuck. Been quite a long time experiencing this. Sometimes does not even change clothes and bathe for weeks and days. Also got hair chopped off for avoiding combing. No suicidal tendencies but cannot feel things and am upset most of the times. Unmoving. I mean like I do feel normal to good at times but I am largely unproductive and mostly feel that if I am happy for now the next day I am gonna feel down again. I badly want to come out of this and feel normal. I am a 20-years-old female. Doctor: Hi. You seem to be suffering from major depressive disorder. You need to take medication for your disorder and be active in your life. Try to do exercise daily like just go for walk for 30 to 45 minutes, take good food avoid junk food, take good sound sleep at least 6 to 8 hours, develop some creative hobbies like reading books, play some instrument, painting, writing, etc. You need to start SSRI group of medication like Sertraline 50 mg daily in morning after breakfast and for sleep disturbance take tablet Clonazepam 0.5 mg daily before bed. Do an investigation to rule out thyroid disorder, TSH (thyroid stimulating hormone) and serum B12 level for vitamin B12 deficiency. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 21886, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 18873, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14033, + "tgt": "I am depressed and I am having headache. Kindly advice", + "src": "Patient: Hello doctor, I am preparing for MBBS for last three years but have not gotten selected till now. My friends got selected. So, I feel this is really harassing me. Because of this, I am very much depressed for the last year. My problem is not that I have not got selected in MBBS but my problem is that I am having headache for the past year. Sometimes it stays for four to five days. Before one year there was no problem when I travel in bus or four-wheeler but from last one year, I am having headache and vomiting feeling while traveling by four-wheeler or by bus. Because of this, I am getting more and more tension and depression. So, please suggest me if it is necessary to go to a neurologist. Doctor: Hi. You are having headache for the last one year, so definitely treatment is needed. There are two possibilities in this case. It may be a tension-type headache (as you are tensed due to preparation) or a migraine (of adolescent-onset). For making an exact diagnosis and prescribing treatment, I want to know about your headache in detail." + }, + { + "id": 25571, + "tgt": "Is my weight loss due to hepatitis B?", + "src": "Patient: Hello doctor, I am a 28 year old male. I would like to describe the series of events to you and need your advice as I have been most disturbed post this event in my life. It has been eight months since my first ever sexual encounter, but I am still tensed and lost. I am too scared to get a blood test done for hepatitis B\u00a0as I fear the worst. It was a protected sex with a CSW for a less than half a minute.\u00a0Four months later, I had a heavy meal at a local restaurant. I also had a strong beer. Later, I felt heavy, bloated and fullness in the stomach. Note: I have always had this gastric problem coming and going as my lifestyle is that\u00a0of a software engineer with no physical activity. I had mucus in my stools, and it increased slightly in the next few days. There was no loose motion. But, I use to pass gas and stools both at a time, and I saw the stool very closely. It had a little pink spot. I think it was blood and panicked. I also started to have pains and cramps in both sides of the stomach, in the hip region and sometimes in the\u00a0center of the stomach. Then again, a few days later I had stomach bloating because I had skipped meals as I was not hungry. This worsened the trouble, but I had more beer and smoked a lot and had vomiting sensation. The stools were loose, and I saw a light red tinge in it. I was sure it was blood. Again, I had a pain\u00a0in the side of the stomach and at the center and below the right rib. I had a burning sensation in the anus. I then consulted my general physician and told him all these. He told me that I had IBS and gave me Pre Pro IBS for six days and then I was taking it, and mucus stopped, and stools also were hard. Four days later, I had the same symptoms, and he advised me to take Taxim OZ twice a day for five days with Pre Pro IBS tablets as I had some infection. He also advised me to take liver function test and abdominal scan. Two weeks after that, I took the liver function tests, and I have attached the reports of the same. Last week, I took the abdomen scan, and it was normal with just fatty liver observation. From the past few months, the pain and cramps have reduced. Some days back, I again started to feel pains below my ribs on the right side now and then.\u00a0Also two weeks back, I was around 79.3 kg, but now when I checked, I was only 78. Is it because of hepatitis B as I have read online that it causes weight loss. Even my stool color keeps changing from yellow to pale, and also the texture keeps varying. I keep reading and always check hepatitis B symptoms on the\u00a0internet, and I am very disturbed and unable to focus on my work. I am losing my mind. Please help me relax and alleviate my anxiety. As it has been eight months after the exposure, should I stop worrying? When do people get symptoms for hepatitis B infection? Doctor: Hello. From your detailed summary, I can understand how anxious and tensed you are. I have tried to clear your concerns. Please revert with your doubts so that I can guide you further. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 30125, + "tgt": "I am hypothyroid. Will it affect my ability to get pregnant?", + "src": "Patient: Hi doctor, I am a 21 year old female. I am having hypothyroidism. Will hypothyroidism affect my ability to 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": 28134, + "tgt": "I have two cysts on my upper jaw and a soft tissue growth in my maxillary sinuses. Please advice", + "src": "Patient: Hello doctor, I have two cysts on my right upper jaw on tooth number 3 and 4. I have attached the OPG x-ray of that area. I also have a soft tissue growth in my right and left maxillary sinuses. Under these circumstances, what should I do? Should I visit a dentist or an oral surgeon? Please tell me. Doctor: Hello. I have seen both the x-rays that you have attached (attachment removed to protect patient identity). For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 18346, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 5688, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 10180, + "tgt": "I had LASIK done. My vision is all right, but I feel burning sensation in my eyes", + "src": "Patient: Hi doctor, I had LASIK done for my eyes two months back. My vision is all right but, I feel a burning sensation at the corners of the eyes (corners from where tear comes). After 20 days of LASIK, (back then) whenever I put any eye drops my eyes started burning. Due to the burning sensation, my eyes started watering. I had consulted many doctors, and they prescribed eye drops like Systane Ultra, L-Pred, and Eubri. But no eye drops help me. I do not know what to do. Sometimes I also get redness in the eyes. Is it dryness or something else? Doctor: Hi. LASIK when it is done, corneal nerves will be cut. These corneal nerves take several months to regenerate. This can lead to continuous dryness and irritation in the eyes. Eyes also become hypersensitive. Systane ultra is artificial tear eye drops which is a substitute given for this dryness. But, the burning sensation in the corners can be due to an allergic reaction. L-Pred may help that. Please avoid rubbing your eyes in case of irritation, as it may take a long time for healing the corneal flap; they create in LASIK. Sometimes, eye drops may themselves can cause an allergic reaction to your eye and can cause irritation. You can use different company drops of same content medicine to avoid this problem. Try Levocetirizine tablets. You can a send a picture of your eyes for a detailed evaluation." + }, + { + "id": 6931, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6122, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 8814, + "tgt": "What signs should I look for in a newborn to see if he has a concussion?", + "src": "Patient: Hello doctor, What is a concussion? What signs should I look for in a newborn to see if he has a concussion? Doctor: Hi. A concussion is an injury to the head and consequently brain, that is caused by a fall or a hit. The danger is baby might bleed inside the brain. Three danger signs to look for in a baby with a concussion are: The type of injury also matters. Sometimes even if no signs may be present, it is better that the baby is seen by a doctor. Usually, if the baby is fine for 48 hours after the injury, then it is unlikely that baby could have suffered a serious injury. CT scan of the brain is done to rule out any bleeds, in case of suspicion." + }, + { + "id": 27600, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23974, + "tgt": "My upper front tooth is brown since childhood. What is to be done?", + "src": "Patient: Hello doctor, I have a problem in my front upper tooth. It is brown since childhood. I do not know what to do. I need suggestions. I got into an accident a couple of years ago. Since then, it is in this condition. Doctor: Hi. I have read through your complaint and the relevant details along with the picture attached (attachment removed to protect patient identity). The upper front tooth has the brown discoloration because of no blood supply to the tooth. The accident you had before two years would be the reason for the tooth\u2019s trauma. Because of the sudden impact the tooth, it has lost its vitality and slowly changed color. You would have no pain at all in this particular tooth. The treatment procedure is a root canal treatment followed by a tooth-colored ceramic crown (cap) that matches your adjacent teeth. This should take a maximum of four appointments totally. An X-ray will also be taken prior to root canal treatment. I am sure you will be happy after this treatment is done. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 20850, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9033, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 5431, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 20878, + "tgt": "Why am I having swelling and pus discharge from gum?", + "src": "Patient: Hello doctor, I had a swelling on the gum by a back molar. It opened and discharged some pus and blood. Currently, I am taking Norvasc, Levothyroxine, Lisinopril, and Gabapentin. Doctor: Hi. Swelling of the gums with pus discharge is definitely a sign of an infected tooth. The tooth should be loosened in the socket by now because of the pus formation. Ideally, depending on the total number of remaining teeth you have and the strength of the tooth, the treatment plan can vary. If it is not strong enough to undergo a root therapy, then it is best to get it removed. Removal of the tooth has to be done keeping in mind your medical history as well (considering the drugs you are taking at the moment). For momentary pain relief, you shall take tablet Paracetamol 500 mg thrice daily for three days or until you visit the dentist. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 6401, + "tgt": "What could be the reason for burning sensation of tongue in a HIV patient?", + "src": "Patient: Hello doctor, I would like to know what happens biologically in the body, causing a burning sensation in the tongue when a person has HIV. Doctor: Hello. As you very well knew, HIV (human immunodeficiency virus) virus lives in a body for a very long time. It causes significant damage to the central and peripheral nervous systems. The virus affects our nervous system and causes dysfunction of nerves and muscle cells. The burning sensation is a symptom of peripheral nervous system dysfunction or disorder, and it is caused as the nerves that lead to and from the spinal cord and connect with all the various parts of the body are affected by HIV. The nerve root gets exposed, and the person feels burning sensation or numbness, starting with hands, feet, and tongue. I hope this helps." + }, + { + "id": 25683, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2598, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 29925, + "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": 25922, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 30836, + "tgt": "Should I take BP medicine lifelong?", + "src": "Patient: Hi doctor, I am a 35 year old male. I have recently been undergoing a lot of stress in my life in spite of following a healthy lifestyle. Sometimes, I do not even sleep for eight days continuously. A few months back, I have been diagnosed with hypertension and my BP was 160/110 mmHg. My\u00a0doctor prescribed me Ciplar LA and sleeping pills for 28 days. Then,\u00a0my BP reduced to 120/80\u00a0mmHg.\u00a0For the past two weeks, there was a fluctuation in my BP level, that is, it increases in the morning and decreases in the evening. Currently,\u00a0I am taking Zolfresh 5 mg and Nexito 5 mg daily, but still cannot sleep. If I have hypertension, should I have to take BP medication for the whole life?\u00a0Will it affect my sexual life? After marriage,\u00a0should I tell my partner that I am taking medicine for hypertension? Doctor: Hi. Continue medications and exercise Revert back with the answers to the above questions to a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 20618, + "tgt": "Is high WBC without infection worrisome?", + "src": "Patient: Hi doctor, I am a 29 year old female. I am overweight. My regular doctor noticed my WBC has been high every single time he has drawn my blood. He even asked me to come back several times to double check. It has been like this and climbing slowly for a year. He referred me to an oncologist. But in the mean time, I am going crazy on what could this be. I am scared and unsure of what I can expect. I understand that everyone is a different case. But I am curious as to if this is something small or potentially something life changing. Following details are from my last draw, WBC count 15 on a 10 scale, MCV 77, MCH 24, RDW 16.2, neutrophils 10.1 and lymphs 3.8. Doctor: Hi. Based on your query and report (attachment removed to protect patient identity), my opinion is as follows: A rising WBC (white blood cell) count in the absence of any infection, however mild is sometimes worrisome and that is being at present felt by your doctor. Mild increase in neutrophil is present. I assume there is nothing abnormal in the peripheral smear. Peripheral smear is most important here to confirm the absence of any immature cells. Rising count sometimes signifies leukemia. However, in leukemia, the count is usually more than 100000 or less than 4000 on a 10000 scale. The absence of any immature cells virtually rules out any leukemia. Possible causes here could be stress; lipid abnormalities induced inflammation in blood vessels or liver (over weight) or mild infection somewhere, which is currently asymptomatic. Reduced MCV (mean corpuscular value) and MCH (mean corpuscular hemoglobin) indicate possibly early iron deficiency anemia. Iron studies can confirm or start of treatment with Ferrous Fumarate daily will help. If anemia is present with rising WBC count, a chronic inflammation cause will require evaluation. C-reactive protein levels and ESR (erythrocyte sedimentation rate) can help in the evaluation of chronic inflammation if any.Do get a C-reactive protein, ESR study and iron studies done. Nothing worrisome at present. If not sure, attach your whole report as a PDF for better opinion. Revert back with your new report and PDF to a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 17925, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7943, + "tgt": "I took I-pill after 6th and 14th hour of intercourse. Can I be pregnant?", + "src": "Patient: Hi doctor, I took two I-pills after sixth hour and 14th hour of sexual intercourse. Then, a week later I got vaginal bleeding for five days. Am I pregnant? When can I expect my next periods? Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10719, + "tgt": "I am suffering from nausea, headache, and chest pain after having cold foods. Why?", + "src": "Patient: Hello doctor, I am 28 years old. My weight is 55 kg. Whenever I am taking cold foods, I am suffering from nausea, headache, and chest pain. Kindly advice. Doctor: Hello. You feel those symptoms when you take cold foods, and so you may likely be having symptoms of common cold and malaria. The chest pain could be a symptom of an ulcer. There may also be fever, I presume. You can run a test for malaria (blood film) if it is positive then treat it. Tablet Artemether Lumefantrine 80/480 mg b.d (twice a day) for three days, tablet loratadine 10 mg b.d for five days, tablet vitamin C 2 t.d.s (thrice a day) for five days. Add tablet Rabeprazole 20 mg b.d in case of ulcer." + }, + { + "id": 11768, + "tgt": "My erection does not last long. Is this due to fear?", + "src": "Patient: Hello doctor, I got married 2 days before. My penis got erected while doing foreplay. However, after some time penis gets loosen and become small. So, could not penetrate my penis. Is there any issue in my health? Or is this due to first time fear? How to approach this? Please advice. Doctor: Hi. Since you got proper erection during foreplay and there is no history of difficulty in erection it was the result of performance anxiety. This generally occurs in first timers and especially in young age. I do not think you need to be concerned at this level as occasional failure is rule rather than exception. Almost all men report such problem in erection psychologically on certain occasions without suffering from any disorder." + }, + { + "id": 545, + "tgt": "Would you recommend photo test for solar urticaria?", + "src": "Patient: Hi doctor, Eight years ago, my family and I went on a vacation. When my mother got out of one of the outdoor pools, she started feeling a sting on her arms and all of her legs below the knees. She has been to the doctor for this condition and she has gotten numerous ointments. The only ointment that does help the uncontrollable itching and stinging has been Zyrtec. But, she still continues to have itchy and stinging skin. She cannot take any exposure to the sunlight, which is why she wears long sleeves and pants during summer days, along with an umbrella. I recently looked online and I found some symptoms of solar urticaria. When I read them to my mother, she confirmed to have all the symptoms. She does not have any noticeable rashes, but she does say that her skin is extremely stingy and itchy which really impacts her days and some of the sleepless nights that come with this itching. Would it be possible that she has solar urticaria? Would you recommend her to take a photo test to see if it is solar urticaria? Doctor: Hello. As you explained that your mother has developed solar urticaria. Here I explain a few other importance of solar urticaria. Intense itching, swelling and rashes develop in sunlight. You can correlate it. Whenever she goes in the sun, she gets these things. If you are able notice this then undoubtedly it is something related to the sun. Many times only itching is the main symptom which your mother has. Now, once it has started, avoiding the cause is the best way to treat. Once you are sure that it is happening due to sun just avoid going out in the sun. Photo test is not a treatment. It is a test to know that your mother has a sunlight allergy or not and it can get noticed by symptoms. So, no need to get tested if you already sure about the cause. Regarding treatment, sunscreen is must. Use sunscreen without fail. It does not matter whether you are going in sunlight or not. You have to use it. It should be thrice in a day. It could be like 9 AM, 12 PM and 3 PM. Anti-allergic tablets like Levocetirizine, Avil (Pheniramine maleate), Teczine, etc. Continue it for three to five months. These have totally no side effect and subside the allergy and itching. Consult a specialist doctor, discuss with him or her and take the medicine with consent. Continue using your ointment with a good moisturizer too. Avoid sweats. Sometimes, sweating itself increase allergy. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18700, + "tgt": "How long should I continue Krimson 35 for acne problem?", + "src": "Patient: Hi doctor, I am a 25 year old unmarried female. Three years ago, suddenly I had lots of acne and my periods was little irregular. After some failed attempts with a skin specialist, I went to a gynecologist. He suggested me to take Krimson-35. My ultrasonography report was normal and no polycystic ovarian disease was diagnosed. After one year, my acne was completely gone. When I stopped taking Krimson-35, they came again. So, my doctor advised me to continue Krimson-35 and I am still having the medicine regularly. My problem is that I have observed several times that if I masturbate (by clitoral stimulation) before a few days of periods and have an orgasm, then my period becomes very heavy and does not stop. When it happened for the first time, I told the doctor that my period is not stopping, but I did not tell him that I masturbated. He prescribed Trapic-500. Later it happened for a few more times also and I took Trapic-500 without asking the doctor. Sometimes, the next cycle also does not stop and I continue having Trapic-500. I used to masturbate at most three to four days a month and usually these are consecutive days.\u00a0Please tell me whether this masturbation habit has done any harm to me. Are they harmful? And how long should I keep having Krimson-35 for my acne problem? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3487, + "tgt": "Will anilingus cause sexually transmitted infection?", + "src": "Patient: Hi doctor, I visited an Asian massage parlor and received anilingus and a whole body tongue massage on an exposed pimple on my back that was slightly bleeding from irritation during the massage. After the massage, I immediately showered with soap. Am I at risk for any STDs or STIs? I do not currently have any symptoms or visual changes but I am still worried. Also, should I be concerned about rabies? She was not symptomatic but she mentioned that she was recently from Shanghai and had a dog. I did not notice any bite marks on her and she appeared in good health but I am still worried. Is rabies a concern at all? Doctor: Hello. Rabies can only be transmitted only if she is infected and her saliva is having rabies viruses. So rabies is not a concern because probably she is not infected as she is not having any symptoms. If she does not develop any symptoms for another ten days then it is highly unlikely, because this is the time period within which she develops symptoms if her saliva is having viruses. However, the possibility of STI (sexually transmitted infection) is definitely possible and depends whether she is infected or not. I hope this helps." + }, + { + "id": 4143, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 6112, + "tgt": "I am getting recurrent diarrhea, nausea, fatigue and much more. What is the reason?", + "src": "Patient: Hello doctor, I am having some recurrent symptoms: \u2022\tNausea (intermittent). \u2022\tDiarrhea. \u2022\tExtreme fatigue (daily). \u2022\tSevere insomnia even on Ambien (falling asleep faster but still wake up three times a night, and I always wake up exhausted). \u2022\tMuscle weakness especially in the arms. \u2022\tLow exercise tolerance. \u2022\tCold sensitivity. \u2022\tDry skin and hair; hair loss has gotten worse since surgery. \u2022\tBrain fog and forgetfulness 95% of the time. \u2022\tEye pain and blurriness (intermittent). \u2022\tAnxiety and depression after oophorectomy. \u2022\tDizziness, intermittent when standing for longer. \u2022\tBone pain in shins, hips, and hands. \u2022\tJoint and muscle pain (better now on Cymbalta). \u2022\tFrequent urination. \u2022 My weight before five months was 226 lbs and my current weight is 179 lbs (47 lbs lost in 5 months). \u2022\tNo stomach pain. \u2022\tRarely constipation. I have attached my lab report. Doctor: Hello. I have read the attached reports. (attachment removed to protect patient identity). The red blood cells count, hemoglobin and HCT (hematocrit) are slightly raised. So secondary polycythemia seems most likely. The smoking habit, heart problem, chronic lung disease, dehydration are some of the causes for it. You are having repeated diarrhea history. So, diarrhea can cause dehydration and that is the reason for secondary polycythemia. You need to maintain hydration with lots of water at least two to three liters per day. You need to investigate with endoscopy or CT (computed tomography) colonoscopy, virtual colonoscopy like investigations for further work up for diarrhea. Stool routine microscopic examination and culture are also needed to be done. Diarrhea can cause electrolyte loss in fluid, so muscle weakness and bone pain can occur. I suggest you take Vital Z with water to replenish the lost electrolytes. You need to investigate with SGPT (serum glutamic pyruvic transaminase), urea, creatinine, serum vitamin D, and serum TSH (thyroid-stimulating hormone) estimation as well. You can revert back once all reports are done." + }, + { + "id": 30360, + "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": 14818, + "tgt": "What is the reason for often getting angry with the baby?", + "src": "Patient: Hello doctor, Why do I feel so angry with my baby? I get angry to the point that I even hit him. I do not want to hurt him but things get so out of control that I cannot control anything. I am always irritated by him. He gives me a constant headache. He is 1.5 years old. Doctor: Hello. There could be some aspects in this particular situation. You always had a low frustration tolerance. A baby is not easy to handle. Their immaturities often increase frustration and provoke anger but you need to understand they are too small to understand anything. You need to learn effective ways to tackle your child. There are counseling sessions on parenting which could be taken. Either you are upset or frustrated with some other social, professional or personal issues in life and because the baby is a soft target, people usually displace their anger on them. Find out if this is the case with you. Then work on it. You are suffering from some psychiatric problem like depression or anxiety disorder, it needs to be evaluated and treated. Do you have some hormonal imbalance like thyroid or any other physical problem? Find out the case with you and work on it." + }, + { + "id": 11790, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16542, + "tgt": "Shall I take Tadalafil tablet to maintain erection?", + "src": "Patient: Hello doctor, I am 32 years of age weighing 76 kg and my height is 5 feet 6 inches. I am unable to maintain erection. I have been experiencing this since a year. Prior to that, it was all fine and great. I have not had any other health issue and my BP, sugar levels, cholesterol are all normal. I exercise three to four times a week. I have attached my test reports for your reference. Please advise whether I can take Tadalafil tablets. Doctor: Hi. You can safely take tablet Tadalafil (10 mg or 20 mg) half an hour before sexual activity. It can be taken on alternate days if needed because the effect lasts for two days. You could also take tablet Tetrafol plus (combination of Levomefolate calcium, Pyridoxal 5-phosphate and Mecobalamin) one tablet daily for three months. It is helpful in erectile dysfunction. For further queries consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 4751, + "tgt": "Do arterioles and capillaries feel pain?", + "src": "Patient: Hi doctor, Does MRA show arterioles? Does CTA show small vessels? Can SPECT tell microvasculitis from vasospasm in microvessel? Do arterioles and capillaries feel pain? Doctor: Hi. I have read through your query in detail.\u00a0Please find my observations below. For further information consult an interventional radiologist online --> https://www.icliniq.com/ask-a-doctor-online/interventional-radiologist" + }, + { + "id": 20416, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 11433, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20131, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 2182, + "tgt": "How to overcome my speech problem?", + "src": "Patient: Hi doctor, I am 45 years old. Normally my speech is good, but when I am doing a television show, serials or in films my speech is blocked. I cannot throw proper dialogs as per the script. My ear gets clogged due to some\u00a0breathing problems. I am feeling panic to see that many more people watch me and concentrate on me. So, it is my great fall in my profession. My weight is 70 kg and height is 5'4\". Please help me. Doctor: Hello. For further information consult a speech therapist online --> https://www.icliniq.com/ask-a-doctor-online/speech-therapist" + }, + { + "id": 5154, + "tgt": "Is there an alternative pill for Yasmin?", + "src": "Patient: Hello doctor, I am 25 years old. I am on Yasmin pill and my last pill was two days back. I had sex yesterday without condom. I am unable to get a Morning after pill as it is banned in our place. I can start Yasmin pill only after five days. I did not get my periods yet. Is there a possibility that I will become pregnant? If yes, are there any alternate pills that are available for preventing this as we had not planned for pregnancy yet? Thank you. Doctor: Hello. Hope this information has put your doubts to rest. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4148, + "tgt": "What causes jaw pain with swollen face after tooth extraction?", + "src": "Patient: Hello doctor, I had my tooth out a few days back because of pain that has been going on since I have had an absess for over a year and not been treated, my face is swollen on the one side and my jaw is very painful I have lost so much weight since my tooth has been removed and I am in so much pain. I did not have an X-ray before having my tooth out to see if I still had my absess. What should I do? Doctor: Hello. I have gone through your query and understand your concern. Pain after an extraction is quite normal for the next 3 to 5 days. However, the intensity of pain comes down each day. Please take the prescribed medicines without skipping and follow the instructions given by your dentist. If the pain is unbearable even after taking painkillers and it is not fading out each day, please visit your dentist and get checked for healing. Sometimes left out root portions, disturbed clots could also cause delayed healing and intense pain. And you should talk to your dentist and get the dosage increased if the pain management is not adequate with the prescribed pain killers. Abscess below the tooth drains immediately followed an extraction of the involved tooth. So this could probably not be from the abscess." + }, + { + "id": 27205, + "tgt": "What precautions must I take for dental treatments if I have a bleeding disorder?", + "src": "Patient: Hello\u00a0doctor, I have von Willebrand disease. My current health concern is that I need to get a scaling of my teeth done. What precautions should I take while scaling to prevent the loss of blood? Doctor: Hello. Take care. Hope this information helps. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist \u00a0" + }, + { + "id": 15357, + "tgt": "Will I get pregnant with pre-semen entering vagina through fingering?", + "src": "Patient: Hello doctor, Please help me out. I am 25 years old, weigh 85 kg, and height is 5'4\". I have PCOD and every time I have irregular periods. Last month for religious festival took Regestrone for five days. I got my period within two days after that. Might be withdrawal bleeding. I do not know but it was very heavy. I missed my period this month may be due to PCOD. My ovulation time was between 27th to 1st. My problem now is for my uncertainty. I got intimate with my partner on ovulation day. It was not intercourse. He did not cum as well. But his pre-semen just contacted my clitoris and opening of my vagina, later, he masturbated me. I am worried if the pre-semen which touched at opening entered my vagina due to masturbation. He did not insert or cum. It was just the pre-semen which contacted my clitoris and vaginal opening. Now I am literally tensed. Does it cause conception? Will this situation of mine lead to conception? Please help me. Do I need to take contraceptive Ipill? Can I take Regestrone for five days starting yesterday? I have already taken one. Does Regestrone act as a contraceptive? If I take Ipill will I get my period? Do I need to get a pregnancy test after a week or so? By using Regestrone can I get periods by eliminating conception? Doctor: Hello. Firstly relax. Your next menses naturally should have been expected only by the same date as the previous one after taking Regesterone, as your dates have changed now). So now you are 14 days late for your scheduled menses. Also, ideally you should get an ultrasound pelvis done to check for state of ovulation in the ovaries, as to whether you have already ovulated or ovulation is still pending secondary to PCOD (USG would be gold standard), but if we still consider that you may have ovulated late and hence no menses, considering that pre-cum got rubbed inside vagina during fingering in your case, this can logically lead to pregnancy. But chances of conception are minimal but still exists. The best would be to opt for an emergency contraceptive pill like an Ipill within 72 hours of intercourse to avoid unplanned pregnancy if at all chances occur considering even pre-cum contains live sperms. Post Ipill intake, you can expect a withdrawal bleed in next 3 to 5 days and once the bleeding occurs, endometrium shall be shed and you would be pregnancy safe. If no bleeding, then the next best step shall be to get a serum beta hCG test done after seven days post last intercourse to rule out any pregnancy. (This is a blood test and most sensitive for pregnancy). If the hCG levels are less than 3 mIU, then you can rest assured that you are not pregnant and then can wait for the withdrawal bleed naturally." + }, + { + "id": 11397, + "tgt": "Kindly guide how to use Kalarchi kai powder?", + "src": "Patient: Hello doctor, I am 29 years old and a mother of 2.5 year old girl. I have PCOD and I am obese. I am continually taking oral contraceptives to get my periods. I have Kalarchi Kai powder but I do not know how to use it? Doctor: Hello. Kalarchi Kai powder is a well known Siddha medicine to manage PCOD (polycystic ovary syndrome). It is very effective in such kind of issues but It will take some time. USG lower abdomen, and thyroid profile. Take Kalarchi Kaai powder 3 gm twice a day with warm normal water after meals regularly for three months. Avoid spicy, fried, and junk foods. Drink plenty of water. Do regular Kapalbhati and Pranayama like Anuloma Vilom Nadi Sodhan and Bhramari. If you are a breastfeeding mother, then you should not take this powder." + }, + { + "id": 19841, + "tgt": "I have not had sex, but I am late for my period. Why?", + "src": "Patient: Hi doctor, I had sex last month after ovulation because I track it on my app and I am pretty regular. But this month, I have not had sex at all. I worked out twice, and each time when I worked out, I had spotting.\u00a0Now, I am due for a period, and I am late. Why am I late? The first episode of spotting lasted for about four days and the second episode for two days. I recently had a cold. I am just confused because I have not had sex since last month. But, last month I had heavy periods and passed\u00a0blood clots that are larger than a quarter. Doctor: Hello. Revert with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28771, + "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": 1015, + "tgt": "Why do I feel itchy while urinating?", + "src": "Patient: Hi doctor, I feel cramped, itching and lower abdomen pain during urination. I had intercourse with my partner last month and since then I have faced this problem. I went to meet a gynecologist and she prescribed some medicine and felt fine for 10 days. Then, again I am facing the same problem. Also, I have PCOD. Please help me. Doctor: Hello. Urine for routine and microscopic examination as well as culture sensitivity. Revert back with the test reports to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6175, + "tgt": "My salivary gland is blocked. Is it related to silent sinus syndrome?", + "src": "Patient: Hello doctor, I went to the ER for a painful gland. It turned out that I have a blocked salivary gland. When the CT scan was taken, there were notes in the report about silent sinus syndrome and other things that were never even brought up to me. I have uploaded the report. Is there anything in this that would cause worry? Doctor: Hi. I have seen the attached report (attachment removed to protect patient identity). There is a calcification in the left submandibular gland, which needs to be removed, as it is troubling you. Silent sinus syndrome is due to maxillary sinusitis, which involves the orbit without any symptoms. Do you have any double vision or any other symptoms in the eye? Do you have any facial pain or recurrent nasal infection or excessive sneezing? Can you please send images of your scan. Also, if you have any eye symptoms, you should get an ocular examination done by an ophthalmologist. Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 21942, + "tgt": "Can a corneal ulcer be treated without seeing a doctor?", + "src": "Patient: Hello doctor, I am pretty sure I have a corneal ulcer. I have had them in the past although. It has been a little over 10 years since my last, I know the pain associated with getting one and I do have a history. However, I had never actually seen exactly what it looked like as my eye would be too red. This time though, I see an off white dot on my cornea near the iris. I am a contact lens wearer and I know not to sleep with my contacts. I have been slacking some lately. It feels like something is in my eye and sticking a thin needle down through it. The pain goes through the whole eyeball. It feels like deep in my brain. It hurts like hell and I could not sleep. The moment I was finally able to relax my eye from fluttering, a painful vibration would erupt through my eye. I am also extremely sensitive to light. I know I need a topical antibiotic to put in my eye and no contact use. Can it go away on its own without having to see a doctor and get the solution? Or can I just get an RX without having to do all of that? It is not super easy right now to do. I also do not have any of my medical files on this as it has been over 10 years and I am currently in the middle of a moving transition and cannot locate them easily. Doctor: Hello. From what you have mentioned, you seem to be having contact lens induced keratitis (corneal ulcer) or marginal keratitis. A corneal ulcer develops when there is a break in the corneal epithelium. Normally, tears play a major role in maintaining the integrity of the corneal epithelium. However, there are several risk factors associated with corneal ulcer formation among contact lens users like overnight wear, duration of wear, lens hygiene practice, dry eye, and smoking. Marginal keratitis is known to occur as a reaction to staphylococcus toxins, or coexist with blepharitis or rosacea. If so, please revert back to me. The symptoms mentioned by you point towards corneal ulcer. However, the diagnosis is made by a slit lamp examination, which is done by an ophthalmologist. Hence, an eye examination by an ophthalmologist is necessary for the diagnosis and treatment. Also, corneal scraping maybe done to detect the infective organism. The most common being pseudomonas, followed by acanthamoeba. Delay in diagnosis and treatment can lead to further complications. So please see an ophthalmologist at the earliest. Further, you must stop using the contact lens (the one you have been using). You must take the contact lens along with the lens solution when you visit the ophthalmologist, as they will need microbiological testing as well. Conditions leading to extreme dryness of eyes like environmental dust and smoke have to be avoided. You can also use dark tinted goggles as you have intolerance to light. And please visit the ophthalmologist at the earliest. After the diagnosis is made, you will be started off with fortified antibiotic eyedrops and cycloplegics along with lubricant eye drops. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 15282, + "tgt": "Is it safe to smoke marijuana following a root canal treatment?", + "src": "Patient: Hi doctor, Is it safe or risk to my healing process, if I smoke marijuana following a root canal treatment? Doctor: Hi. It is not safe to smoke marijuana after a root canal treatment. It can increase the pain in the root canal treated tooth. It delays the healing process, and it causes pain. If there is a pain, you can consider taking medications prescribed by your dentist. Stop smoking marijuana, and it is not good for your oral health now. Frequent smoking of marijuana causes dry mouth, and you are at high risk of developing gum disease. Avoid smoking marijuana, and it is good for your health." + }, + { + "id": 29400, + "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": 16444, + "tgt": "Kindly tell me the treatment for vitamin D deficiency in a child", + "src": "Patient: Hello doctor, My son is 1.7 years. He had rickets sometimes back and was put on supplements for six months. Upon taking him for review, alkaline phosphatase was extremely high but calcium level was okay and was referred to an endocrinologist. Upon doing several laboratory tests, TSH was okay, PTH was low, vitamin D levels were fine and wrist X-ray was normal. The boy cannot walk and does not look as if he will soon. When standing, he bends his legs at knee point and also clenches his fists when grasping. From the looks, he seems okay. Please help. Doctor: Hello, Welcome to icliniq.com. Rickets can be due to vitamin D deficiency or hypophosphatemia. You did not tell me the phosphate level in blood of your child. The hypophosphatemic form of rickets is resistant to vitamin D supplement. As X-ray is normal, this is a remote possibility in your child. Alkaline phosphatase is very commonly found to be high in growing child. But it is also high in rickets. With treatment, ALP comes to within reference range. I suggest you continue with the Vitamin D and Calcium supplementation and get a phosphate level in your child's blood. Do not worry if minor deformities are present. Because these deformities will disappear as the child grows. But if the child cannot walk properly despite having a normal X-ray, and normal phosphate level, then consult with an orthopedic consultant. He will help your child by suggesting some good orthoses. I suggest you do a repeat PTH test and to do a serum phosphate level. Also, continue the Calcium and Vitamin D supplementation. Inadequate treatment. PTH, serum phosphate. Vitamin D resistant rickets, hypophosphatemic rickets." + }, + { + "id": 2786, + "tgt": "My menstrual cycle becomes irregular recently and I get spotting. Is this early sign of pregnancy?", + "src": "Patient: Hello doctor, I am 22 years old. I am trying to conceive for the second time. I have a 3-year-old son and it was a natural birth. I am not on any medication. My period was always regular and I get them every month. But about 3 months ago, my period days changed from the beginning of the month to the middle, when it was all messed up I was getting a period twice a month but that has stopped. About two days ago, I thought I was getting my period but I am lightly spotting it is a light red color it is not dark or anything it is more faint. When I am usually on my period I bleed a lot. I have been pregnant before and know the symptoms but would it be possible? I do not understand this light spotting, am I on my period? Do you think can I be pregnant? Or it can be my cycle changing? Doctor: Hello. There are multiple reasons for not being able to conceive. First, it depends on the time for which you guys are trying. Only after a year of unprotected intercourse, we can start the evaluation. And that you have conceived once naturally means the mechanics are all correct. I see that your BMI (body mass index) is high. That could be the reason for irregular periods. You must work on your weight and bring the BMI between 18 to 25. If you are concerned about your cycles, you will be prescribed contraceptive pills. If you want to conceive they might start the evaluation depending on the policy." + }, + { + "id": 643, + "tgt": "I have soreness in vaginal lips with fever for the two days. Please suggest solution", + "src": "Patient: Hello doctor, I have soreness in vaginal lips for the past four days and having a fever of 102 F for the past two days. I had a preauricular sinus infection drainage procedure done. I took 45 days of antibiotics Taxim-O for 20 days, Augmentin 625 for 7 days, Cetil 500 for 10 days, and Lizobact 600 for 14 days. I stopped taking them on this Sunday after ear properly healed. Doctor: Hello, Welcome to iIcliniq.com. I have gone through the attachment picture (attachment removed to protect patient identity). Based on that it appears like a genital yeast infection or other possibilities can be a developing Bartholin's cyst/abscess (which can be confirmed only by examination, when your gynecologist can feel any cyst or collection of pus there). A check up with gynecologist in person would help you rule this out. But the yeast infection never causes high-grade fever of 102 and less commonly with Bartholin's cyst too unless infected. I would like to know if you are having any increased frequency of urination,r burning while passing urine, if so that could be a cause for your high-grade fever. Also, as you have mentioned about the preauricular sinus infection being treated for a long time, it would be advisable to check with your doctor regarding any recurrence of the infection at the same site. If none of these are a possibility, then it would be advisable to get fever workup investigations to be done to find the cause for your fever. Check with your physician for any other signs which can be the cause for your fever, like cough, cold, gastric upset, vomiting, etc. ? Fever under evaluation. Urine routine and microscopy. Urine culture and sensitivity. Complete hemogram. LFT (liver function test). RFT (renal function test). Serum electrolytes. Peripheral smear for malarial parasites. Dengue NS1, IgG and IgM serology. Widal test. Tablet Dolo (Paracetamol) 650 mg SOS for fever. Candid V6 cream local application at the sore area. Follow up with the blood test. Review with the doctor for ear infection issue check up." + }, + { + "id": 13870, + "tgt": "Kindly tell me the management of bad taste with tooth infection", + "src": "Patient: Hello doctor, My dentist told me I have a tooth infection, but did not seem too worried and said I could wait until next month to extract it as that is when I will have insurance. This was a week ago. Since then I have been having moderate sinus headaches. Is this something that I should be worried about? There is a gross taste in my mouth from the tooth as well. Doctor: Hi. I had gone through your question, I can understand your concern. The taste may be because of the pus discharge from the draining sinus into the mouth. In case there are such symptoms, you need to take a course of antibiotics and you can wait till next month and if the symptoms are not so much you can wait as you do. In case you need any medication or treatment for any particular symptoms, mention it in next query. You can also use mouthwash Chlorhexidine." + }, + { + "id": 674, + "tgt": "I have weird pattern on the back of my arms with no pain and other notable symptoms. Please help", + "src": "Patient: Hi doctor, I am a female in my mid 20's. I have noticed a weird pattern on the back of my arm today. I do not know how long it has been there. It does not hurt or do anything. Just wondering what it is? And what I need to do about it? Doctor: Hi. I have seen your photographs (attachment removed to protect patient identity) and to me it seems like pityriasis versicolor. It usually occur in humid weather or sunny season. Apply the following medications and it will be helpful. Increased humidity or sweating. Pityriasis versicolor. Ketoconazole 1% cream for local application in the evening and morning over the affected area." + }, + { + "id": 10091, + "tgt": "Are my weakness and confusion due to low sugar or stroke?", + "src": "Patient: Hello doctor,I am suddenly feeling faint, weak, shaking, confused, and as if moving in slow motion. It has been going on for nearly 24 hours. Is this low blood sugar or stroke? Doctor: Hello. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30878, + "tgt": "Whom should I consult for my long-term cough?", + "src": "Patient: Hi doctor, I am a college student. Since last years, I feel cough all the time. Before two years, I had cold and fever and since that time I am having cough. I have consulted an ENT specialist regarding this, but nothing happened. I have attached the prescription as well. Earlier, I was able to visualize things very well, but now I am unable to do the same. It is very hard to do the problems now, which I was able to do effortlessly earlier. Whenever I think deep, the cough started coming in my throat. Also, it increases while studying and my eyes starts tearing. I have also consulted with eye specialist regarding this and he advised me power glasses. The thing that happened a minute ago seems like long time ago and my brain sometime suffers to think deep. I am too sensitive. But, I am happy and not depressed. I do yoga and enjoying life. But, some doctors say that I am taking too much stress. Please help. Doctor: Hello. I have gone through your query in detail, the reports (attachment removed to protect patient identity) and have the following observations: 1. Vasculitis. 2. Seizure disorder. Major depressive disorder. Tablet Fluvoxamine 50 mg at night. Revert back with the reports to a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 14953, + "tgt": "Please suggest methods to control BP in a diabetic", + "src": "Patient: Hello doctor, My mother is 76 years old. She is diabetic and has high BP. She takes Co-Diovan 160/12.5 in the morning, Bisoprolol 10 mg on lunch and Lekarnidipine 10 mg in the evening but the BP yet is not stabilized. What should be done? Doctor: Hi. What is your mother's BP on these medicines? Your mother is taking multiple medicines to control BP, still, BP is not under control, the cause may be due to secondary hypertension. The most common cause is kidney disease. Is there any history of heart disease or stroke? For proper BP control follow these guidelines. Avoid junk and fatty foods, reduce salt intake in the diet. Maintain a healthy weight, BMI should be less than 25. Measure BP at home, with the patient seated and backrest, the cuff should be at the heart's level and arm resting on the table. The patient should be relaxed for 15 minutes. Then measure BP. Repeat BP check in other arm. Remeasure BP in the arm with higher BP after 10 minutes. Lower of the two readings is the patient's BP. Take medicines at same times daily, take sound sleep. Regarding BP control, I would recommend to have renal function tests and electrolytes done and ultrasound of kidneys. These reports may change medicines or doses for hypertension. I recommend tablet Amlodipine, Valsartan, HCT 10/160/12.5 daily in the day time. Measure daily BP at random times and note it for 10 days. Continue Bisoprolol. No need for Aldomet. After 10 days, we will see how much BP is controlled and what is the BP trend. Then will decide further about management. Continue Insulin, keep blood sugar levels under control. Non or poor compliance to medicines, inappropriate doses, renal disease. Urea, creatinine, electrolytes, ultrasound of kidneys for size and parenchymal changes. Reduce salt intake, avoid junk, fast food, fatty foods, avoid alcohol, smoking." + }, + { + "id": 27821, + "tgt": "The muscles of my left leg get pulled when I move my pelvis. Please help", + "src": "Patient: Hi doctor, I am a regular runner and have recently been trying out a new programme running five days per week, with lots of gentle short runs. I have had a few running related injuries in the past year. I got shin splints and peroneal tendonitis on the outside of my left foot for several months, \u00a0last year. I had physiotherapy for the tendonitis. The physiotherapist discovered that my left hip flexor is weak and the hamstring is too tight on that side, which was causing the foot issues. Last weekend, I seem to have pulled a muscle in my left hip. I did a steep trail run and feel like it was on the downhill that I triggered the injury. It was hurting when I tilted my pelvis forwards.\u00a0I tried swimming, but the side-to-side tilt of the pelvis caused little sharp pains what felt like inside my pelvis.\u00a0The sharp pain has now gone, but all of the muscles in my lower back, mainly on the left, but also on the right are now tensing up causing me discomfort. Any ideas about this? I have done a bit of self-diagnosis and it sounds like one of the muscles that do balancing on the hip. Doctor: Hello. If you have questions after seeing the physiotherapist, then please let me know, as I can rely on the physiotherapist's examination findings to guide me Revert with more information to a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 24889, + "tgt": "What are the chances of getting HIV after protected sex?", + "src": "Patient: Hi doctor, I am a 26-year-old male. I had protected sex with a sex worker a month back. I used one condom, she gave oral sex and post that had vaginal sex for 5 minutes. Once I finished off, I went to the bathroom and got cleaned off. I could not see any tear as such on the condom. I just washed my penis and got back home. The same night after 2 hours I pulled my foreskin behind to clean my penis with soap. The frenulum got too tight and tore. It started bleeding. I washed my penis and let it heal for 2 weeks. What are the chances of getting HIV from what had happened? I do not have any symptoms. Just had fever for a day and now I have a common cold. On the 15th-day post exposure (yesterday), I went for the HIV PCR RNA yesterday. The results are yet to come. Will the torn frenulum give chance for HIV virus to get in after 2 hours? I am feeling very anxious and stressed out. I really need your guidance. Please suggest what I need to do to rule out HIV and live a normal life. Please help. Doctor: Hi. The chances of transmission of HIV with given description is almost nil. The HIV test is likely to be negative. If the test is negative, it is almost conclusive provided there is no further risk exposure. The chance of test result coming positive later is almost nil. You can go for HIV antibodies tests after 3 months exposure to have final conclusive results to relieve your anxiety. For more information consult a community medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/community-medicine-physician" + }, + { + "id": 18781, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 20547, + "tgt": "Had Duralast for premature ejaculation and felt drowsy. Is there any alternate medicine?", + "src": "Patient: Hi doctor,I am a patient of premature ejaculation, and today I have taken my first dose of Duralast 30 mg. There was no significant improvement in the ejaculation time, and after a couple of hours I felt drowsy and kind of drunk. Should I continue with the medicine? If yes, for how long and what dose? Doctor: Hello. At your age, it is unusual to have premature ejaculation. PME is called when intravaginal ejaculation time is less than 1 minute, and there is a lack of satisfaction from coitus. Yes, Dapoxetine is an effective drug for premature ejaculation. 30 mg is the dose to begin with, which can get increased gradually. Besides Dapoxetine, Paroxetine can also be used. Once started it needs to be continued for a period of about four to six months, then after gradually stopped over a period. If taken for a more extended period, its efficacy decreases, cardiac and GI symptoms can also occur. Before starting it on your own, do consult a psychiatrist. Thank you." + }, + { + "id": 10319, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 30488, + "tgt": "How to find out the reason for my baby's urinary infection?", + "src": "Patient: Hi doctor, My 1.5 year old baby is suffering from urinary infection for last 10 days. Her culture report shows Colistin sensitive. Her doctor started her on Colistin five days ago, but her infection is not going less. She had another test today and the report showed that her pus cells are abundant, Leukocytes esterase 3 +, nitrites positive and bacteria 2 +. What may be the issue? What shall we do? Please guide us. Doctor: Hi. For further information consult a urologist online -->https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 18707, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 9867, + "tgt": "Which diet and medications are advisable for fever with body pain and fatigue?", + "src": "Patient: Hello doctor, I am 22 years old, girl. I am suffering from fever and full of body pains and fatigue. Please recommend me the medicines and diet. Doctor: Hi. I have read your query carefully and just want to tell you that you should take following prescription. 1. Tablet Paracip 500 mg (Paracetamol) twice daily for five days. 2. Tablet Ibuprofen 400 mg twice daily for five days. 3. Tablet Azee 500 mg (Azithromycin) once daily for three days. 4. Tablet Neuronvit (Multivitamin) once daily. You should take one glass of milk daily, green leafy vegetables, green salad and non-vegetarian food, if you can." + }, + { + "id": 735, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 6809, + "tgt": "Why is the baby's butthole and its surrounding area red?", + "src": "Patient: Hi doctor,I am the mother of a two months old baby boy. Last week I have noticed that my baby\u2019s butthole and its surrounding area has turned red in color. I have been using pampers on a daily basis, but I have always made it a point to change the diapers within four hours time. I have been using rash cream to get rid of this rash but seems to have no effect. Is there something that I should do about it? Secondly, after cutting my baby\u2019s nails, I could see that his thumb has become a bit red in color, there is no swelling and he does not seem to have pain. Should I do something about it? Currently, he is taking Cholecalciferol (Vitamin D3) drops only. Doctor: Hi. There is no need to worry. I have gone through the pictures of your baby (attachment removed to protect patient identity). First of all, answering your first question, sometimes rashes appear due to dryness or lack of care. So, you can apply vaseline or Polyfax (Polymyxin B and Bacitracin) skin ointment on that area before using pampers and do wash your baby properly with lukewarm water and then apply vaseline and then pampers. This sequence of washing, drying, applying vaseline and pampers should be done every three hourly basis. Coming to your second question regarding nail, there is nothing to worry. You would have cut your baby's nail deep which you did not realize at the time of cutting. So do the same. Apply Polyfax or Mycitracin (Neomycin, Bacitracin and Polymyxin B) ointment on affected nail only. Do it for three days and let me know. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 20271, + "tgt": "Though I did not penetrate, is there a risk for HIV?", + "src": "Patient: Hi doctor,I recently had a contact with a sex worker. I am sure that there was no penetration at all, but I am worried since I was not wearing a condom. Is there any risk for HIV? Do her secretions contain virus?\u00a0I am very scared. Please help. 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": 18832, + "tgt": "Am I under correct medication for my symptoms? Is it GERD?", + "src": "Patient: Hi doctor, I am a 50 year old male. My weight is 72 kg and height is 168 cm.\u00a0I am a vegetarian. I do not drink alcohol and I do not smoke too. I have recently stopped taking tea and coffee. I do exercise regularly.\u00a0I am suffering from the following symptoms for the last five years but not on a daily basis. There is sudden awakening from sleep due to feeling of suffocation,\u00a0sometime feeling of breathlessness even if I am awake. Sometimes, flu like experience passing throughout the body. This\u00a0is quite evident immediately after a sexual ejaculation. My ECG, 2D echo, treadmill test, pulmonary function test, chest x-ray, MRI brain scan were normal. I do not\u00a0feel any heartburn or acid entering the throat.\u00a0For the last three months I am under medication for suspected gerd. My current medications are Topcid 40 mg, Nexpro 40 mg and\u00a0Perinorm CD.\u00a0Especially with the last medicine I am a little bit apprehensive as I feel uncomfortable after having it. I would like to\u00a0have a second opinion on my symptoms, the probable causes and about the medicines prescribed. Thank you. Doctor: Hi. Welcome to icliniq.com. From going through the information you have provided, it is clear that currently you are on treatment for suspected GERD - gastroesophageal reflux disease (acid reflux disease). You have been having intermittent problems over five years. Acid reflux can cause breathlessness and waking up from sleep at night. Some might feel and describe heartburns, but others may not actually feel the burning sensation. The symptoms can be worsened by stress, anxiety and panic attacks. My recommendations are an endoscopy procedure called gastroscopy will help to check for any weakness in the valve at the lower end of the food pipe (gullet or esophagus) and to directly visualize any evidence of inflammation there that is reflux esophagitis. Following the above test, you may require a 24 hour pH monitoring study and a manometry test to confirm that acid is refluxing back whenever you have symptoms and that there is no problem with motility of the gullet. I agree with you that I would not continue on Perinorm CD (Metoclopramide). I tend to give it only for nausea or vomiting. Some people with GERD may find that eliminating certain food helps to improve their symptoms. For example avoiding spicy foods, raw onion, garlic, black pepper, citrus products and juices of orange, grapefruit or cranberry, tomato products, chocolate or brownies, caffeine, sodas, coffee, tea, etc., peppermint, fatty or greasy foods. 1. Gastroscopy. 2. 24 hour esophageal pH monitoring and esophageal manometry. 1. GERD. 2. Functional dyspepsia. For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 28549, + "tgt": "Is it true that my urinary problems cannot be cured?", + "src": "Patient: Hello doctor, Since the last 20 days, I am having urinary problems. My symptoms are poor urine stream, less volume of urine, the\u00a0frequency of urination is more if I drink more fluids, urinary retention, pain in the area which is near the left side of the penis, and post void dribbling. My doctor told me that I have bacterial prostatitis, after doing a rectal examination and there are no bacteria in my urine culture. My KUB scan was also normal. He gave me Cefakind 500 mg and Contiflo 0.4 mg for a\u00a0month. My condition improved in three days and remained fine for about ten days. But, now I have the same problem again. Through the internet,\u00a0I came to know that my problem cannot be cured. Is it true that it cannot be cured? Will it affect my sex life? What should I do? Should I get any test done? Should I consider changing my doctor? Kindly tell me everything regarding my problem, as I am very worried. Doctor: Hello. For further queries consult \u00a0a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 28854, + "tgt": "How do you identify people on the bipolar spectrum?", + "src": "Patient: Hi doctor,How to diagnose and treat bipolar II? How is it different from bipolar I? How do you\u00a0identify people on the bipolar spectrum? What are the biggest misconceptions about Bipolar II? Is it the same thing as bipolar\u00a0depression? Kindly explain me. Doctor: Hi. Alike any psychiatric disorders, diagnosis of bipolar disorder is completely based on the history. This is elaborated from the patient, family members, colleagues and significant others. There are set of symptoms and the history need to suggest the presence of a certain number of symptoms for some duration (two weeks for depression and one week for mania and hypomania) conclude bipolar disorder. The examination part is called mental state examination. Alike blood investigations in other branches of medicine mental status examination is integral part of diagnosis formation and generally used to confirm the symptoms elicited by detailed history. The above description is correct for both bipolar I and bipolar II disorder. There are certain symptoms which are present in bipolar I but not in bipolar II. To clarify, bipolar I is characterised by depression and mania while bipolar II is marked by depression and hypomania. Hypomania is a less severe form of mania where the severity is much less than the mania. The identification of individuals on the bipolar spectrum is made by the persistent presence of mood symptoms. The mood can be depressed, euphoric, elated or mixture of them. People think that bipolar II is less severe, but if you consider the morbidity, it causes more loss of DALY (disability-adjusted life year) across the world. Also, contrary to popular belief, it is hard to treat. It is not equal to bipolar depression. Bipolar depression is a part of bipolar I and bipolar II although it will be right to say that bipolar depression often misdiagnosed as unipolar depression. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 17976, + "tgt": "What is the reason for white coating on the tongue?", + "src": "Patient: Hi doctor, For the last few days, there is a\u00a0white or yellow coating\u00a0in the back of my tongue. It has been hurting.\u00a0My taste buds in the back are swollen and bleed when I use the tongue scraper, which is on my toothbrush. What could this be? Doctor: Hi. I have read your query. Revert back with the information to a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 10095, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 3003, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 25552, + "tgt": "Are the white spots on my teeth an allergic reaction?", + "src": "Patient: Hello doctor, I am a 13-year-old male. I tried this relatively cheap BleachBright StarBright Dual-Action whitening pen. After using it I noticed white spots forming all over my teeth. It was the weirdest thing. I have always had white spots on and off throughout my life, but after using this, within five minutes I had a bunch of them appearing. Is this an allergic reaction? How do you recommend I get rid of them? Should I consult my dentist? Should I continue using my whitening pen? Of note, I am currently on Guanfacine. Doctor: Hello. As per your symptoms, the white spots on the teeth are due to hypocalcified areas that are areas of poor mineralization. Bleaching makes them more pronounced and they can further stand out on the teeth. It is not an allergic reaction but this has happened due to a more clear appearance of hypocalcified areas. The spots will become less pronounced as the days pass by and teeth will continue to hydrate. Please do not use your whitening pen further and for any cosmetic dental treatment, it will be better to consult a cosmetic dentist. Regards. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 25170, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2099, + "tgt": "Even after 9 days of wisdom tooth extraction, I have severe pain with swollen gland. Why?", + "src": "Patient: Hello doctor, This is the 9th day after wisdom teeth extraction and I still have a painful swollen gland under my jaw. Doctor: Hi. I know it is a bit hard for you at this stage after wisdom tooth surgery. Some of the times the wisdom tooth surgery is a little aggressive because the tooth is lying deep into the bone and to remove it a lot of work has to be done. And some of the bone has to be removed to achieve this. But do not worry this is a temporary phase and you have been through most of the hard time. Hot and cold application in the beginning may help to reduce the pain and swelling. You can still apply the cold application. You can buy a cold pack in the drug store, put it in the freezer and then apply on the area for at least 10-15 minutes. Also, take the pain killer your doctor gave you. In case you do not have any prescription medicine left, try over the counter painkiller like Ibuprofen 400 mg at least three times a day. Use Listerine mouthwash and clean the area with a soft brush. I hope this helps." + }, + { + "id": 26804, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24919, + "tgt": "I think I have a fissure in my anal area. Please check and tell me", + "src": "Patient: Hello doctor,I think I have a fissure in my anal area. I do not have any constipation, rectal, or anal pain. I do not have bloating or any abdominal pain. I also do not have any piles. I do not have any straining during bowel movement. I do not have any blood in the stools. I am sending you anal pics. Is there any abnormality around it? Please tell me. Doctor: Hello. I have gone through the clinical images (attachment removed to protect patient identity). It looks like small external piles with a suspicious fissure. No active intervention is needed. Hope your queries have been cleared. For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 4961, + "tgt": "What type of diet has to be followed in type 2 diabetes?", + "src": "Patient: Hello doctor, I have type 2 diabetes. I am 29 years old. My height is 5'7\" and weight is 58 kg. 34 days back I gave blood tests. My fasting blood sugar was 313, postprandial 599, HbA1c-14.9,\u00a0T3 109.6, T4-12.30, vitamin D-6.2 and TSH-2.29. After five days, I consulted a doctor and he gave me medicines and asked me to get back for a checkup after having them. The medicines he suggested were\u00a0Cobadex-CZS, Isryl M1, Glyciphage SR 500 mg and Teneligliptin tablets 20 mg. Then again three days later my fasting blood sugar \u00a089, postprandial 195, lipid profile - total cholesterol 186, triglycerides 252, HDL cholesterol 46, LDL cholesterol 90, cholesterol/HDL ratio 4, VLDL cholesterol 50 and total lipids 624. Then I took these medicines and took a test again after 17 days. The result was blood sugar fasting 100.30 and postprandial 136.20. Now, I stopped medicines. Please advise me what should I do? How do I increase my weight without affecting my diabetes? What type of diet should I take? Please guide. Doctor: Hello. Coming to your diabetic diet: For further information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 898, + "tgt": "I get cold in the morning with pruritic rashes, nasal congestion and eye itchiness. Please help", + "src": "Patient: Hello doctor, I would like to consult for my disturbing allergic flares. I am a 33-year-old female. I am not known hypertensive, diabetic, or asthmatic. Within these three months I have history of morning colds, nasal congestion, pruritic rashes, and eye itchiness. I have no fever, no cough, shortness of breath, headache, and sore throat. I took Monetlukast + Cetirizine once a day and applied Olopatadine optic drops four times a day which did not relieve my symptoms. Therefore, I added Loratadine 10 mg 1 tablet at bedtime. I tried a hypoallergenic diet as well. After two weeks, still, without relief, I added Prednisone 5 mg tablet with a tapering dose for two weeks. There was no significant relief of symptoms. Now, I am still on Montelukast + Cetirizine once tablet once a day, and Loratadine 10 mg one tablet once a day at bedtime. My rashes are getting worse and my sneezing as well. Please help. Doctor: Hello. Regarding the treatment, I suggest you continue the medicines as they are. I would like to know how much of Prednisolone did you start with? Nextly, you must start on intranasal steroids to help relieve the nasal symptoms. Use Fluticasone furoate twice daily two puffs in each nostril twice daily. The brands available in the Philippines are Avamys, Flutiair, Nasoflo, Flusort. If you feel the antihistaminics are making you drowsy, then you may keep the Cetirizine for the evening and take Loratidine in the morning. Apply a mild steroid cream like Betamethasone valerate 0.1% topical cream over the affected skin. The brands available in your country are Diprolene, Diprosone, and Betnovate. Long term solution: You must do a skin prick testing to check what you are allergic to. Skin prick testing is better than blood allergy testing. Both the methods check for food and aeroallergens. Remember that before the testing you should stop the antihistaminics for five days. With such a test we will come to know the offending agent and give you the right advice to prevent that particular allergen. Do revert back for more details. Apply mild soap and wear loose-fitting clothes to avoid friction over the affected area on the skin." + }, + { + "id": 18468, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18528, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17176, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 2787, + "tgt": "I lost my voice due to screaming and it hurts while talking. Please help", + "src": "Patient: Hello doctor, It hurts to talk because I had screamed and lost my voice. I screamed again the next day before my voice was back and that is when it hurt. My doctor said I had laryngitis but that was like a month ago. He gave me some antibiotics to take and keep quiet for 10 days which I did. I still cannot talk fully. I do not have hoarse, my normal speaking is clear but I cannot talk louder or in higher pitches. It kind of feels like there is a lump in my throat. Doctor: Hello. When you had screamed some micro bleeding and abrasion of vocal cords would have occurred. The same would have caused you pain and loss of voice temporarily. The doctor would have tested laryngitis. Now you are possibly suffering from mild inflammation and edema of the region due to the said trauma. The same makes you feel that there is a lump in the throat. You need some supportive treatment for another few weeks. I would suggest you take a proton-pump inhibitors medicine like Rabeprazole 20 mg or Pantoprazole 40 mg twice daily in empty stomach for 15 days. You also would have to take anti-inflammatory medicines like Trypsin-Chymotrypsin Rutopside combination in an empty stomach twice daily for a week and then once daily for next week. You should take antacid syrup like Mucaine gel one teaspoon after each meal. You are advised to avoid masala, curries, spicy food, alcohol and smoke until you are better. This way we help the tissues heal properly and vibrate normally. Do revert back if you need any further support or clarification." + }, + { + "id": 21701, + "tgt": "Can Primolut or Sysron N be taken to delay periods in an unmarried female?", + "src": "Patient: Hello doctor,I am a 34-year-old unmarried female. My last cycle was two weeks back. I want to postpone my next period by almost 10 days. Should I take Primolut or Sysron N for delaying my periods? I have a 30 to 35 days cycle. Please suggest. Doctor: Hi. As per your description, you want to have some hormonal pills in advance to delay periods for 10 days. The body takes time to adjust according to hormonal support to induce or delay periods. Start Primolut N (Norethisterone) 10 mg twice daily 7 to 10 days before the expected date of periods. You have to continue medication twice daily 10 mg till 3 to 4 days before you want to have the periods. You will get a withdrawal bleed within 1 to 2 weeks. Periods might get upset for a few months as well. Mood variations, breast engorgement also can be observed. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21615, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9708, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 15245, + "tgt": "I bleed after sex, but not always. What could be the reason behind it?", + "src": "Patient: Hi doctor, I am 23 years old. I have bleeding after sex for a few years. It does not happen every time. I consulted a doctor, and I got tested for STI. The results came negative. The doctor did a physical examination and told me that everything is fine. I also had constipation for a week. Please suggest. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Having bleeding after sex is not normal. The reasons are multiple. It can be due to STD (sexually transmitted diseases), PID (pelvic inflammatory disease), cyst near the vaginal opening, and trauma due to vigorous sex. Since you have negative results for STD, then there is nothing to worry. I would suggest you use lubricants to have proper lubrication. Dryness of vagina or rough sex can also cause bleeding after sex. If you are allergic to lubricants, then it is better to wait for a proper stimulation with the right use of foreplay before having intercourse." + }, + { + "id": 30486, + "tgt": "I feel hard to sleep at night. Can you help me?", + "src": "Patient: Hi doctor, I am having trouble with sleeping at night. I feel exhausted all day. I do not understand the reason. Can you help me? 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": 11756, + "tgt": "Can papilledema occur bilaterally?", + "src": "Patient: Hello doctor, I have elevated optic disc with blurred edges only in the left eye, that was discovered on routine eye examination. I have developed headaches in the last few weeks. If this was papilledema would it be bilateral? Doctor: Hello. Papilloedema is always bilateral. It is due to increased pressure in the brain. If it is unilateral, it is called papillitis, that is due to underlying inflammation." + }, + { + "id": 19390, + "tgt": "My baby is 5 months old and has loose motion. Please help", + "src": "Patient: Hi, My baby is 5 months old. In the past 24 hours, when she passes stools, it is semi-thin and very less quantity. She passes stools for around 6-7 times a day instead of once or twice. Please help. Doctor: Hi, Thank you for your query on icliniq.com. Hope I have answered your query. If you have any clarification, consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 24828, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18409, + "tgt": "How to reduce high uric acid?", + "src": "Patient: Hi doctor, I have attached the laboratory report of my husband. Currently, he is not on any medication.\u00a0His uric acid is high as per the report. Please examine the reports and let me know if any supplement required. Thanks. Doctor: Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. I will comment thoroughly on the laboratory results (attachment removed to protect patient identity) which are deranged ones and that is more than only uric acid or iron. 1. He has deranged high lipid profile and uric acid is also high. For the best of his health he needs to go for a regular physical activity and jogging. If unable to do outside, better to join the gym and keep it in routine. It will help him lower the numbers. 2. He also has to refrain from fatty and high protein meals. No proteins from animal source and no fats. This lifestyle modification can ensure better results for him. 3. For iron, he definitely needs to take green leafy vegetables like spinach, fruits such as avocado and kiwi. Along with this he needs to have salmon, skimmed milk, and an Iron supplement tablet like Fer-In-Sol. 4. He needs to keep away from any illicit drugs, smoking and alcohol. His liver enzymes are also out of range and needs strict control as said. 5. Spend 20 minutes in direct sunlight and remember to wear sunglasses and apply sunscreen lotion to avoid skin damages. It is better to take vitamin D normal. 6. He needs to lose weight and keep a balanced body shape. He is going towards prediabetes I am afraid. So, please ask him to reduce weight and keep the BMI (body mass index) below 24.9. Right now he has 31.88 and that is too much. Six to eight weeks after starting all that I have mentioned above go for another blood work and revert back. 1. Fasting blood sugar levels and HbA1c levels. 2. Fasting lipid profile. 3. Vitamin D levels. 4. Free T3 levels. 5. Free T4 levels. 6. Serum iron studies. Revert back with the investigation report after six to eight weeks for a follow up to a general medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 8605, + "tgt": "Kindly advice about the correct time in a month to get pregnant", + "src": "Patient: Hello doctor,Kindly clear me these doubts. 1. How does exercise help mental health?2. Which is the best time of the month to get pregnant? 3. Give some tips for trying to conceive a boy (or girl), any truth to old wives tales?4. And tips for how soon a woman can take a pregnancy test. Doctor: Hello. From day 1 to 10 days 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. Conceiving a boy or girl depends on the chromosomes, and it is difficult to predict. Still, according to old tales, it depends on your date of birth, last period date, and time of ovulation. Once you have missed your period, you can get a urine pregnancy test done with early morning urine sample after three to four days, in case of a regular cycle." + }, + { + "id": 8703, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 16, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 8079, + "tgt": "What does tingling mean in cold sore?", + "src": "Patient: Hello doctor, I have a cold sore, and I put Zovirax on, and a few hours later, it is tingly. My cold sore has blistered and fully formed is the tingly feeling meaning it is going away? Doctor: Hello. I have gone through your history, and according to me, you are suffering from herpes virus infection. Most of the patients experience a tingling sensation before the appearance of blisters, but this is soon followed by painful ulceration. This lasts for 7 to 10 days. You have mentioned the application of Zovirax cream on the cold sore, but that is not very effective. Instead, you should take tablet Acyclovir 400 mg three times a day for five days. I would recommend you to send me your photographs as I would like to confirm the diagnosis." + }, + { + "id": 28486, + "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": 28235, + "tgt": "Why did the ultrasound scan at the eighth week show 5. 5 weeks baby with no heartbeat?", + "src": "Patient: Hello doctor, The first ultrasound scan at six weeks showed a baby with heartbeats. But, after 15 days, it shows 5.5 weeks baby with no heartbeat. The doctor told me to take MTP pills. After taking these pills, I had heavy bleeding for six days, and from the seventh day, I started expelling black blood with lumps for three days. I did not have any symptoms of failing pregnancy. According to me, I am three months pregnant, then why did the scan show only five weeks pregnant? I am attaching all my reports. Doctor: Hi. How are you doing?\u00a0Am sorry for the loss you had. I have seen all the reports (attachment removed to protect patient identity). Pray well and hope for the best in the next pregnancy. You will do well.\u00a0All the best. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18890, + "tgt": "Why do I get joint pain, rashes, dry mouth and eyes, bruises along with fever?", + "src": "Patient: Hi doctor, I have had a fever for over a year now. I have joint pain in wrists and awaiting ultrasound guided steroid injections. I have three deformed fingers, premature ventricular contractions, shortness of breath, chest pain, upper back pain, neck stiffness, cracking and pain. I have dry mouth, nose, throat, eyes and now choking regularly. I had surgery for a prolapsed spinal disc and loss of sensation or power to the entire right leg. \u00a0Now, I have a rash on my face and neck and unexplained bruises and rashes. My joints crack and creak. My wrist and knuckles swell and turn red. I have ulcers in my mouth and lost weight. My BP keeps fluctuating between 69/49 mmHg and 220/202 mmHg and pulse too remains irregular between 39 bpm and 115 bpm. I also feel fatigue, irritability, aggressive with low vitamin B12. The rheumatologist, who I am visiting once in six months, is not keen to diagnose me. Please help me. Doctor: Hi doctor. 1. ANA (antinuclear antibodies). 2. ENA profile (extractable nuclear antigen antibodies). 3. Complete blood count. 4. ESR (erythrocyte sedimentation rate). 5. Urine routine. 6. Liver function tests. 7. CPK (creatine phosphokinase) and LDH (lactate dehydrogenase). 1. Lupus (inflammatory disease in which immune system attacks own tissues). 2, Dermatomyositis (skin rash, muscle inflammation and weakness). Avoid sun exposure for the time being. Revert back with the reports to a rheumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 5734, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 30597, + "tgt": "Due to constant rejection, I have lost my sex drive. Please help", + "src": "Patient: Hi doctor, My boyfriend and I have been together for 11 months. The honeymoon phase did not last long and on the end anyway. I noticed that within two to three months our sex life really slowed down. At first it did not bother me because he is more of a passive or shy personality. So, I thought I would initiate more. That worked for another month or two, but by the second month it was more no than yes. Then, I stopped initiating and figured I would let him initiate at his own pace and two weeks went by with no sex. I asked him if he still found me attractive and he insisted he did and nothing was wrong. We did have sex only because I was the one being suggestive. In these almost one year of life, we had not had sex for the last two months or maybe more. We recently had an argument about something else and the lack of sexual intimacy came up. Once again, he swore it had nothing to do with me. I am so torn. I care about him very much, but I have recently had lost my sex drive. The constant rejection and lack of interest shown on his part leaves me feeling unattractive and confused. I should mention that he has made unflattering comments before about my body. Before six months, when I asked him about our sex life, he mentioned that sometimes he cannot feel anything. I felt lost, but not all the time. I tried not to make a big deal of it. But, I was extremely hurt and still I am. I personally enjoyed having sex with him. Till this day he claims he is still into me and says that he just does not really get the urge to have sex. He has even mentioned a couple of times that he would get that checked out. Of course, that has not happened. Where do I go from here? I enjoy his company but,\u00a0he started to feel like a best friend and not a boyfriend. I do know if he is comfortable with the relationship the way it is I will eventually have to end it. I am not sure how to bring it up without hurting his feelings though. Doctor: Hi. For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 14359, + "tgt": "I am having terrible acne issues since my teenage. Can I take Isotretinoin?", + "src": "Patient: Hello doctor, I am a 28 year old male, having terrible acne issues since my teenage. Now I am married and a father of a child, and I still have pimples all the time. I have been treated for acne for many years. Some of the doctors suggested me to take Doxycycline 20 mg daily for 3 months. It delayed the appearance of pimples but did not stop them. Then, I moved on and got help from another skin specialist. He treated me and gave me soap and face wash. He also gave me another antibiotic called Azithromycin 500 mg for 3 days in a week for about 2 months. He also gave me topical creams (Deriva-CMS, Adapalene microspheres, Clindamycin phosphate gel). But the same thing happened again. The acne eruption stopped only for a few months when I was taking medicines, and after that, it started coming back.These pimples are also seen in my back. But now, only very few pimples are left in my back. I guess due to all these medications it has reduced but not permanently gone. I heard about Isotretinoin medication which is also an option for acne, but I have not tried it. I am really suffering from acne issues for quite a long time. Please help me get rid of this. Doctor: Hello. I have reviewed the images (attachment removed to protect patient identity) Moderately severe to severe grade of acne and persisting since years such as in your case is an automatic choice for treatment with Oral Retinoids i.e Isotretinoin. You may continue with other topical medications like Adapalene, Clindamycin, and Benzoyl peroxide gel and oral antibiotics such as Azithromycin." + }, + { + "id": 4289, + "tgt": "I have low sexual drive with occasional morning erection. Please help", + "src": "Patient: Hello doctor, I am a 30-year-old male. I have been married for one year. My problem is low sexual drive. I do have morning erections but not regularly. When I have sex one to two times a week, I do not masturbate. Otherwise, I masturbate two to three times a week. Unlike having sex, I get enormous pleasure when masturbating. When masturbating, I withdraw for a few seconds when I am about to ejaculate so that I get a long session of masturbation and also a good climax. When having sex I do not get the same pleasure when sliding my penis inside her. I guess I have a low sexual drive from the past one and a half years. I do not feel any arousal when I see her naked. But when I watch a porn movie, I get aroused sooner. I consume Himalaya Gokshura capsules for vitality for the past one month. Apart from that no medications. I am a strict non-smoker and non-alcoholic. I do have some stress out of workplace and family issues. I do not get enough sleep. I did my circumcision when I was 7 years old. My penis is dry and I feel less sensitivity. When having sex, I normally ejaculate within five to ten minutes after insertion. No medical conditions like seizure of fits. But I feel tired at times. I had been watching porn for the past several years. Could that be a reason for my low sexual desire? Or is it masturbation? I had consulted a doctor in the icliniq. She prescribed me Bupron XL 150 mg for 15 days. I understand that it is an antidepressant. Will it help to increase my libido? Are there any short term or long term side effects? Can I use this pill on a regular basis? Please help me to overcome this situation. Doctor: Hi. At the age of 30, the neurological illness, diabetes, and hypertension are not common. So mostly the cause is anxiety and stress for erectile problems. Stress and worries can make a person distracted even while masturbation. When a person watches a porn movie because of the visual content, a person cannot have much distraction but when a person is doing masturbation or sex, he may have distraction because of stress. In addition to this, stress and anxiety can cause low sexual desire. Financial issues, work load at job, daily hustles, conflict with spouse, repeated worry about failure in bed and partner satisfaction are the main reason for psychological erectile problems. These are the sources of stress. What you have to do is forget about the past failures and make a new beginning, for initial four to five encounters in sex you should not go for penetration and just enjoy the foreplay. Spending more time in foreplay helps in holding erection for longer. It also helps in identifying the sensitive areas for arousal in your partner. The sensitive areas in female are neck, nipple, clitoris and anterior wall of vagina. During foreplay, you have to concentrate on these regions. After four to five sexual encounters without penetration you can start intercourse and with prolonged foreplay, take help from your partner for holding erection longer like oral sex and masturbation by your partner or whatever she is comfortable with. If you are not confirmed about your morning erection then you can perform a bedside test like a paper test. In this test you have to apply a strip of paper [about 1 cm] around your penis base while it is in the flaccid state. It should be tight enough and use gum to stick both the ends of paper around the penis base. When your penis gets an erection during the early morning, the paper will be ruptured and this will be the positive finding that it gets normal morning erection. If you are depressed then take a visit to a psychiatrist and get treated with antidepressants. You can visit a good psychiatrist or sexologist in your city and undergo sexual counseling and therapy. Bupropion can help in increasing your libido. Continue it. Other drugs that can be used for the same are Pramipexole, Cyproheptadine, etc. Pramipexole can be started at a dose of 0.125 mg three times a day. Dose can be increased to 0.25 mg three times a day after one week. I suggest you to continue Bupropion and wait for one month. If you do not find any improvement then change to Pramipexole. There is no need to worry about circumcision, it can cause this abnormality or decrease sensation in penis glans. More you ruminate about having a problem, more will be the actual problems. For anxiety purpose, yoga and meditation will be helpful along with jogging or walking. I hope this helps." + }, + { + "id": 7991, + "tgt": "What does my blood test report indicate?", + "src": "Patient: Hello doctor, I have got my detailed blood test report and I need consultation for the same. Doctor: Hello. Kindly attach the reports." + }, + { + "id": 15185, + "tgt": "Kindly explain the MRI taken for neck pain", + "src": "Patient: Hello doctor, I am uploading the MRI report of my mother. Kindly review and advise what is the best treatment for such patients. She has a neck pain and is using Myrin P for the past four months. Doctor: Hello. Your mother's MRI report suggests a very serious problem and you need to see a spinal surgeon or a neurosurgeon urgently (attachment removed to protect patient identity). The top of your mother's spine has tuberculosis of the bone and that has left her with a very unstable fracture which is life-threatening and your mother needs urgent attention. She needs to keep lying flat till you see a doctor and a collar needs to be applied before you move her. Do not delay, as she may need surgery and anti-tubercular treatment." + }, + { + "id": 4447, + "tgt": "Can I continue the pregnancy happened after intake of i-pill?", + "src": "Patient: Hi doctor,I have taken i-pill (72 hours) within 18 hours of intercourse but still, I got pregnant. Will it cause any bad effect on the baby during pregnancy or after delivery? Can I continue this pregnancy? Doctor: Hi. Generally, i-pill (emergency contraceptive pill) does not cause any serious effects on pregnancy. But, you need to follow up with sonography at 11 weeks and double market test at 11-12 weeks to make sure that everything is fine." + }, + { + "id": 23116, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 13058, + "tgt": "Do I compulsorily need a crown after root canal treatment?", + "src": "Patient: Hello doctor, A portion of right lower number 7 tooth chipped off (the light cured section was done two years back) along with partial silver filling done in that tooth during taking food. The dentist took an X-ray and suggested RCT with a crown. I have started the RCT but she has said that the RCT will be completed in two sessions. My questions are: My previous experience with RCT is that it took 5 or 7 sittings. Can RCT be completed in two sittings? Can I go for a permanent filling after RCT rather than going for the crown as suggested? Doctor: Hi. Your first concern is regarding the number of days of your RCT. RCT can be done in a single session or 2 or 3 sittings depending upon the severity of your case. If there is severe pain or infection, the dentist may have to delay for treatment for 3 or 4 sittings. You should go for a permanent filling after RCT, which is mandatory. But, you definitely should wear a crown because your teeth are more brittle after RCT, so there is more chance to break off. You can go for a crown after six months once you make sure you have got no pain." + }, + { + "id": 3462, + "tgt": "My 2-year-old kid is having cough and cold for the past one week. What medicines shall I give?", + "src": "Patient: Hi doctor, My son is 2 years old and his weight is 11 kg. He has a problem of cold and fever since last week. I consulted a doctor on icliniq and he suggested tablet Combiflam thrice a day and Allegra 500 mg before sleeping. However, I took syrup of both and understand that the doctor would have missed the kid's age and prescribed the tablets. I have been giving him both for the last four days but there is no improvement in fever and it comes back as soon as the medicine effect goes off. Please advise further. Doctor: Hi. I can understand your concerns. Fever for four days in a child with mild cough can be due to upper respiratory tract infection, typhoid, or malaria. Kindly do tests like CBC (complete blood count), malarial antigen test and widal test. Give Syrup Ziprax 3.5 ml three times a day for three days, syrup Sinarest 5 ml three times a day for three days, and syrup Crocin 6 ml if fever occurs. Review with reports." + }, + { + "id": 25446, + "tgt": "Injection spot is hard and swollen. What can be done?", + "src": "Patient: Hi doctor,I took an injection some months ago. Four days ago, I found out that the spot I took the injection is hard and swollen and am feeling pain at the spot. What can we do about it? Doctor: Hello. From what you mentioned, it is most likely an abscess. Treatment includes antibiotic plus drainage if size is large. 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": 8417, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 24176, + "tgt": "My sexual partners seem to develop sore throats shortly after intercourse. Why?", + "src": "Patient: Hello doctor, I am a 32 year old male. A number of my sexual partners have developed sore throats and or flu-like symptoms a few days after we have had intercourse even though I do not develop the same problems. Doctor: Hello. I can understand your problem. Even if you are not developing symptoms, still this can be possible. Avoid oral intercourses for some time and see if the situation remains the same. In that case, we can think that you might have some chronic infection in the oral cavity like in tonsils or pharynx. This should be treated with broad-spectrum antibiotics like Azithromycin or Ofloxacin. Metronidazole should also be added in order to complete the cover. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. This prophylactic course should solve the problem. Take the course for at least a week. Get your urine culture and routine done to rule out any UTI (urinary tract infection). If that comes normal, then there is no need to get worrried. Thanks. I hope this helps you. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 10594, + "tgt": "What would be the reason for development of large number of moles?", + "src": "Patient: Hello doctor, My wife is 25 years old. She has been developing lot of moles on her body especially on hands and face. Initially they are very light almost like a small brown spot, but gradually they are becoming darker. They are incrementing periodically. What would be the reason for it? Is there any medication for it to stop and eradicate the issue? Thank you. Doctor: Hi. As you explained the disease that your wife has multiple small moles over face and hands, it certainly indicates solar lentigines. It is a multiple freckles type mole due to sun exposure. Now, let me explain the treatment and precautions. Avoid exposure to sunlight as much as you can. Cover body with clothes and cap while going out. Use sunscreen over face and hand every four hourly till evening. This will prevent further development of disease. Now to treat existing lentigines we can opt for laser. Creams will not be of much helpful in this. Q-switched Nd:YAG laser (neodymium-doped yttrium aluminium garnet) will be very useful. You can consult a doctor around you for this laser. One or two sitting would be enough to remove it completely. There is no side effect. It could be costlier, but results are good." + }, + { + "id": 11899, + "tgt": "Is it fine to have PCR tests negative but antigen test positive for hepatitis C?", + "src": "Patient: Hello doctor, I want to know your opinion. I have had two positive hepatitis C antigen tests and the doctor had a polymerase chain reaction test that was negative for hepatitis C. He said I was one of the lucky ones. He said he could repeat and I did and again negative. All blood was concerning liver normal for 20 years. I had my gallbladder out and the doctor said the liver is perfect. I had a ruptured ectopic pregnancy on Easter day 25 years back. Subsequently, nine IVF procedures and one exploratory surgery, one open surgery to tie the fallopian tube to prevent fluid washing out embryos. Necrotic ovary half removed 14 years back. A CT scan of organs all normal lately. All blood tests are normal except TSH thyroid and low vitamin D. Doctor: Hi. You had a history of laparotomy operation as a consequence of ruptured ectopic pregnancy. But none of the surgical management has been related to your low TSH level. TSH level can be altered in infective condition or sometimes temporary due to non-thyroid illness. I suggest you repeat your serum TSH estimation and serum free T4 estimation after few days and revert back with that report. For low vitamin D level, you need to take Cholecalciferol sachet once a week for eight weeks or tablet can be prescribed. You can rely on PCR testing for HCV as it can be considered superior testing." + }, + { + "id": 14593, + "tgt": "How can muscular dystrophy be controlled?", + "src": "Patient: Hello doctor, What is the procedure to control muscular dystrophy? Doctor: Hi. Most of the muscular dystrophies are genetic diseases, like myotonic dystrophies, Duchan- baker dystrophy. If someone has that, no treatment discovered yet, we did not have anything to cure disease, rather diseases are progressive. But dystrophy is due to some medication like statins medication or steroids, we can discontinue medicine and dystrophy will be reversed. Hopefully, I answered your questions. In the meantime, an aggressive fluid should be given to prevent kidney failure." + }, + { + "id": 1744, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 3207, + "tgt": "I behave like a 10-year-old kid. Do I have dyspraxia?", + "src": "Patient: Hello doctor, I am a 24-year-old male. My main issue is people say that I behave like a 10-year-old boy. I think I have dyspraxia. I lack gross motor skills. I cannot play any sports. I cannot drive a car properly. People get averted due to my behavior. I have bad handwriting and I attempt things in a clumsy way. I have an unusual gait. So basically I have learning disabilities in everything. I have a migraine and bipolar depression too. People often tell me that there must be definitely some maturity problem with my brain as I behave very oddly. Please look for any developmental anomalies in my brain MRI or any abnormalities. I have attached the file. Currently, I am using 5-HTP anti-depressant for my mood enhancement. Doctor: Hi. As discussed earlier, there is no doubt about the diagnosis of motor coordination disorder or dyspraxia. Many of your problems can be explained on the basis of dyspraxia itself and I feel you are right in saying that you have dyspraxia. However, your current post does not contain any file or attachment for view. I request you to attach the file in proper format or possible way so I can see whether there is any structural abnormality. I hope this helps." + }, + { + "id": 3479, + "tgt": "How does epsom salt bath and foam rolling help in relieving muscle soreness?", + "src": "Patient: Hello doctor, How to relieve muscle soreness? What works on Epsom salt baths? Foam rolling? Using a Theragun or a similar tool? Hydrating? Eating foods that are high in antioxidants? Sleeping a lot? Eating foods high in antioxidants? Cryotherapy? Active recovery? Lacrosse ball fascial work? Stretch? For each reason can I ask you to explain how exactly that helps the sore muscles? What are the signs that your sore muscles are something more serious than just sore muscles? Anything else you would like to say about DOMS? Doctor: Hello. Muscle soreness or DOMS (delayed onset muscle soreness) generally occurs if someone does strenuous physical activity in any form. Strenuous physical activity means when one's body is unable to do more physical work but that person pushes his body to do that. It can occur within 24 to 72 hours. It occurs due to small scale damage in the muscle fibers. The best way to get rid of it is to increase any physical activity gradually because it will help in increasing the strength and stamina. Epsom salt bath, massage or sauna, etc. are helpful in muscle soreness because first they relax the muscles and second they increase the blood flow. The clear role of cryotherapy is still not understood. I hope this helps." + }, + { + "id": 29026, + "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": 5198, + "tgt": "My PP blood sugar level remains in the range of 150 to 176. How to reduce it?", + "src": "Patient: Hi doctor, I am a 65 year old male. Before 12 years, I went for my first master checkup without symptoms. The result showed high 2 hours PPBG while FBG and A1c are normal. The consultant physician advised me to eat less at a time and increase the\u00a0number of feeds in a day and encouraged me to check BG level once in every three months. Accordingly, I have done the tests both at home and labs every three months. My FBG is always normal that is 80 to 85 (rarely crosses 100 but within 105). My A1c is also quite normal of around 4.2 to 5.4. However, my PP (2 hours) is always in the range of 150 to 176. However, when I take reading after three hours of ingestion, the PP value is in the normal range 120 to 140. I do not take any medicine or Insulin. I have no symptoms like frequent urination or too much thirsty and head reeling. Nevertheless, a few months ago, I suddenly developed tinnitus in both my ears. MRI was taken and found normal. My hearing is excellent. Meniere's disease is ruled out. The volume in left ear is more than right ear (Left 6/10 whereas right 3/10). It is the insect cricket's sound.Last week, while I was working on my computer sitting in my usual chair, I developed a catching sensation on both my calves all of a sudden. A bit burning sensation in the calves also felt. It continues. I walk without any difficulty and do the routine. No tickling or pinning sensation. I am in a remote village spending my post retirement with family. My wife being a clinical biochemist advised me to rule out peripheral neuropathy as my 2 hour PP test is always in the range of 150 to 176. I also have a mild pulling sensation at the back of my right thigh. Hence, I request you to suggest tests find out the cause of the problem.Yesterday, my blood sugar levels were FBG 80, PP 176 ( 2 hours after BF bread upma, a teaspoon of ghee and tea with milk) and PP after 3 hours it is 106 (nothing was eaten in between) and randomly done at 7 PM before dinner was 108. Today, my blood sugar levels are as follows: FBG 80, PP 174 (2 hours after BF that contained one full banana, cornflakes, milk and one and a half cups of tea with milk) and 2 hours after lunch 178 (that included one whole banana, 4 pieces of papaya, rice, cabbage, rasam and sambar, buttermilk, one teaspoon of ghee).My BP is always 110/70 mmHg or 120/80 mmHg. I generally walk 2 km\u00a0a day. I do not smoke or drink alcohol, and I am a vegetarian. Lipid did a month ago, and it was quite normal. It may be helpful to mention my total cholesterol, and LDL counts are always low (120 and 45 respectively) for several years now. I weigh 67 kg, and my height is 171 cm. Thank you. Doctor: Hello. On going through the details provided, it is clear that you are in a prediabetes situation. Following are the criteria for diagnosing diabetes: Considering this, currently, there is no diabetes. You can prevent it from progressing it to diabetes by adopting a modified lifestyle, which includes properly planned balanced diet, with restricted caloric intake, regular exercise for at least 1 hour a day. Brisk walking is a good option. Avoid sweets, deep fried foods, pastries, other bakery items, foods made out of maida, sweetened aerated drinks (colas), sweet corn syrup containing food products, red meat and high-fat dairy. Also, better to refrain from alcohol and smoking. As regards the sound in the ear (tinnitus), there is hardly any treatment. If it is not really disturbing, then better ignore it. As regards sudden catch in the calf muscle, these are cramps, which may occur due to lack of vitamin D3, calcium and sodium. To see if there is any neuropathy, a test with biothesiometer can be done to see there any affection. Presently, there is absolutely no need for taking any drug. Your blood pressure and lipid profile are quite good. If you have any doubts please do come back, I will be glad to clarify. Biothesiometer test may be done to see if there is any affection to peripheral nerve sensation. Restricted diet and regular exercise for over one hour every day. For further information consult a diabetologist online.---> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 24239, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6733, + "tgt": "I have fast heartbeat. Is my ECG normal?", + "src": "Patient: Hello doctor, I was recently told that I have nothing to worry about with my heart but when I received a copy of my ECG online I see a number of odd beats and am looking for a second opinion. My heart feels like it stops for a second and then there is a number of fast beats followed by a very strong one. I am currently taking Effexor 37.5x3, Wellbutrin XL 150 mg and Saxenda 3 mg. Doctor: Hello. I have gone through your ECG results (attachment removed to protect patient identity). There PVCs. Majority of the time, they are of benign origin and does not pose a threat. Some of the common causes could include taking tobacco, alcohol, caffeine. High blood pressure, anxiety and rarely heart diseases could also be a cause. In your case the Effexor you are using could make you experience more PVCs. Should it continue to occur more frequently, you might have to talk to your doctor to adjust the dosage or substitute it. You will be fine, no need for worry." + }, + { + "id": 21915, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10621, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 25352, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 6254, + "tgt": "I going for motion thrice daily immediately after having food. Please suggest a medicine", + "src": "Patient: Hello doctor, I am a 32-year-old male. I am going to motion normally about three times a day immediately after having the food. I took Loperamide tablet but, it worked for only one day, and the next day the same problem recur again. Can you please suggest some medications to overcome the problem? Also, can you please advise some medications to clean my digestive system. Doctor: Hello. I can understand your concern. First of all, let me clarify the details. Motion once in three days or thrice daily is normal. So, if you do not have any problems like abdominal pain, loose stool, foul-smelling stool, etc., then no need to worry about this. And better not to take Loperamide tablet as it is not good drug. Please let me know if you have any other symptoms." + }, + { + "id": 18797, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 20679, + "tgt": "What is the floating brown color dot with a white substance in eye?", + "src": "Patient: Hello doctor, A brown color dot along with a white color substance is floating in my left eye. What to do? Doctor: Hello. I have gone through what you have mentioned, these dots are called floaters in medical terminology. I can tell you that such a problem arises due to a cause mostly in the back portion of the eye (vitreous or retina). This requires a dilated retinal examination by an ophthalmologist. A single floater which has been present for at least 6 months to a year has no major implications and is nothing to be worried about. I advise you to see the ophthalmologist urgently in case of the following: Multiple floaters or sensation of flashing lights or blurred vision in either eye. Floaters appeared after being hit in the eye, pain, redness in either eye. If you are a diabetic or on anticoagulant treatment or suffer from blood clotting or blood vessel or autoimmune diseases." + }, + { + "id": 5793, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 2652, + "tgt": "Cialis for ED is not working recently. Why?", + "src": "Patient: Hello doctor, I have been using Cialis for years with great results but recently it is not working well. What could cause this? Doctor: Hi. Tadalafil has no known interaction with the drugs you have mentioned but Magnesium must be taken two to three hours apart from the drug to prevent decreased absorption. Do you have morning erections? Is it situational difficulty or on all occasions? On a scale of 10, how do you rate previous and present erections? Any recent stressor? For how long are you having the issue? Any other comorbidities? Smoking?" + }, + { + "id": 19280, + "tgt": "My BP is normal at home, but high in the clinic. Why?", + "src": "Patient: Hi doctor, I have been regularly taking hypertension medicines Amlopin-M and Omnitan-H for a long time. My blood pressure was normal when measured at home with the help of an automatic BP monitor and a mercury sphygmomanometer by a doctor's assistant in my home. But, in the clinic, my doctor diagnosed me with a blood pressure of 190/110 mmHg. He changed my medicines and I have uploaded the same prescription for your reference. When I had the tablet Vinicor XL at 9 PM, I started having severe problems like excessive thirst, severe headache, sleeplessness and dizziness after 1 hour. When I consulted my doctor the next day, he told me to stop taking Vinicor XL. I had a better sleep next night, but still I feel like I have an overdose as I am feeling weaker, lightheaded and have tremors. My blood pressure readings at home have dropped lower than their usual values. The blood pressure readings at the hospital are still 160/100 mmHg. Please suggest the correct dosage of prescribed medicines. Doctor: Hi. Renal function tests, ECG (electrocardiogram), echocardiography and urine routine test. Revert back with the reports to a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 8685, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22465, + "tgt": "How long do I have to continue medicine for bipolar disorder?", + "src": "Patient: Hi doctor, I suffered from bipolar disorder four years back. At that time I was told to take Risperidone and Lonazap. I continued medicines for about one year and slowly stopped them as told by my doctor. Then again one year back I faced same bipolar disorder again but this time it was more severe. The doctor recommended 1000 mg Dicorate along with Risperidone and Lonazap. Now for last three months, I am taking only Dicorate 500 mg and I am absolutely fine. Please let me know how long I have to continue the medicine and am I going to face same problems to stop taking the medicine. Doctor: Hi. I read your query and understand your concerns about the ongoing medications and bipolar disorder. As per the available literature, individuals with bipolar disorder need long-term treatment as discontinuation of medication often brings further new episodes. Since you already suffered from two episodes in last four years, I do not feel you should discontinue medication as long as your doctor says so. I would also like to inform you that decision to discontinue medication depends on multiple factors such as severity of symptoms, duration of the index episode, the disruption caused during the episode, the time taken to receive medication and their effect on symptoms as well as side effects. Many of these information are not available to me in regard to your case and I think it will be an injustice if I speculate the duration of treatment without proper information. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 27113, + "tgt": "Is it possible to cure a zero sperm count?", + "src": "Patient: Hello\u00a0doctor, I am a 36\u00a0year\u00a0old\u00a0male and my wife is\u00a028\u00a0years old.\u00a0I have been suffering from azoospermia and have been in touch with different doctors for the last eight to 10 months. I have done many tests and everyone is ending up with a suggestion of testicular biopsy. My wife is not in favor of this and both of us would like to go for other tests before going for a biopsy. I am attaching all the reports. Can you please let me know whether there is any hope of the sperm coming back? \u00a0Please suggest. I had four cycles of chemotherapy six years back and now I am completely cured. Doctor: Hello. I read your query and reviewed the attached reports of USG and semen analysis (attachment removed to protect patient identity). I hope this helps you. Feel free to write back to me if you have more questions. Thanks again. For more information consult an andrologist online --> https://icliniq.com./ask-a-doctor-online/andrologist" + }, + { + "id": 15084, + "tgt": "Why is there lower abdominal pain and chest burning with blood in vomit?", + "src": "Patient: Hello doctor,I am experiencing lower abdominal pain and chest burning and constant bloating and I am gassy today and when I threw up it burned even worse in my chest and throat with some blood mixed in it. I am a smoker. But what could this be? I have been told before without tests that it is gastritis but I am so scared. This has been happening since I gave birth to my son. Doctor: Hi. In your query you have mentioned a little bit of blood, a little for you could be a sizable amount in the eyes of a physician. Also, you have mentioned that you developed vomiting mixed with blood during or after your pregnancy. During the course of pregnancy some mother's can develop esophageal varices (dilated veins), but usually, these varices do not bleed. You should get an upper GI endoscopy done in consultation with a gastroenterologist. Endoscopy will just rule out the worrisome diagnosis and if it is esophagitis it can be treated with PPI (proton pump inhibitor) and dietary and lifestyle modifications." + }, + { + "id": 11896, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 27493, + "tgt": "I have a lump on my right labia. Could it be herpes?", + "src": "Patient: Hello\u00a0doctor, It started with a burning pain during urination, which lasted two days with no other symptoms. The doctor said I\u00a0have a UTI and advised me to\u00a0drink plenty of fluids, which I did. Then two days after, there was a lump on my right labia. The painful urination has gone, but this lump on my right labia is still there and it is very painful, more when I touch it. A nurse said that I have genital herpes. Could it be something else? I have taken pictures. Doctor: Hello. This is a painful blister, and a possible cause\u00a0is genital herpes, with a previous history of urine infection for which you are taking treatment. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19299, + "tgt": "Will mechanical penis straightening devices fix Peyronie's disease?", + "src": "Patient: Hello doctor, I recently have come down with Peyronie's disease. Will the mechanical penis straightening devices fix this condition? I am 59 years old and I have never had this condition before. Also, it seems like this condition started when I started taking a Viagra lower cost substitute simply sold as Sildenafil a couple of months ago. The start of the condition seems to coincide with the start of taking Sildenafil. Maybe just a coincidence? Doctor: Hi. Firstly, the reason for developing Peyronie's is due to repeated microtrauma which slowly gets fibrosed. It takes many months to develop and it is not related to the change of medication. Secondly, for management, it depends on how severe the fibrosis is. Mechanical stretching and straightening do help if the lesion is small and the fibrosis is not very severe. It is unlikely that they will completely fix the condition, but you will be able to achieve enough straightening to engage in intercourse. For further queries consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 26397, + "tgt": "I have been on a lot of antidepressants but I am no better. What can be done?", + "src": "Patient: Hello doctor, I am 65 years old and I have seen a few psychiatrists from a\u00a0young age. I have taken a lot of antidepressants. In the past, I have been on Anafranil, Zoloft, Aropax, Cymbalta, Pristiq, Lithium, Avanza, Amitryptiline, Allegron,\u00a0Tofranil, and Luvox. I have not been on any antipsychotic or bipolar drugs.\u00a0Now, I am on Parnate 10 mg times two per day and Xanax 1 mg. The doctor has asked me to take it for four to six weeks. I am on\u00a0it for four weeks now. I do not feel any better. I feel down. I like to stay at home. I do not want to socialize. I feel it is the end of my life. I am fine at the moment. I have had depression, OCD, and anxiety. I have also had a low testosterone. I have blood pressure and diabetes problems. Is there any treatment for me? Any new drugs? I feel my psychiatrist wants to give up on me. He is not good to make any new treatment. Please suggest any new treatment. Doctor: Hello. Feel free to ask if you have any further queries. For more information consult a\u00a0psychiatrist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist \u00a0" + }, + { + "id": 730, + "tgt": "What shall I do for allergy on the head of the penis?", + "src": "Patient: Hi doctor, I have some kind of allergy on the head of my penis. Please tell me how to resolve it and which doctor should I consult. My age is 25. I did not consult any doctor before this. I do catch a cold in a month or two and I skip my diet many days. I saw this allergy a month ago when my girlfriend got tonsillitis after having oral sex. She said it was because of this. It has still not resolved, I thought it as nothing much and it is in the same manner since then. I do wash it regularly and I use to masturbate too much. 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": 5123, + "tgt": "My mother is bleeding continuously after vestibuloplasty. Kindly suggest a solution to stop bleeding", + "src": "Patient: Hello doctor, My 61 years old mother underwent vestibuloplasty for lower jaws. Since she arrived, it seems to be bleeding. I know blood and saliva mixed together will seem like bleeding than it actually is. We live in an isolated area. And reaching a doctor was not possible. Could you please let us know what to do to clot the blood for now? Doctor: Hello. I understand your situation. Bleeding after vestibuloplasty or any oral surgical procedure is normal for the next two hours. There are certain instructions you can follow at home to stop bleeding. 1. Apply pressure to the surgical site. Place a thick cotton or gauze pad (probably from the first aid kit of your car) and ask your mother to bite it with pressure for the next 45 minutes. 2. Swallowing saliva. It will be difficult to swallow saliva with the blood taste. Saliva helps faster clotting. Avoid spitting which will increase bleeding and delay clotting. 3. Avoid disturbing the area frequently (to check for clotting). Leave it undisturbed. If the surgical area is disturbed after the clot formation, bleeding will start again. 4. Ask her not to disturb that area with the tongue. 5. Take some ice cubes in a ziplock. Wrap a clean cloth/ tissue over it. Give periodical and very gentle cold compress extra orally (not directly to the surgical site) after 45 minutes of gauze biting. You should seek emergency care if the bleeding is profuse even after three hours. Whereas, very mild bleeding is absolutely normal for today. And place an extra towel over the pillow before laying on the bed, which prevents pillow staining. I hope this helps." + }, + { + "id": 4903, + "tgt": "I am getting on and off ulcer in my penis. What it is?", + "src": "Patient: Hi doctor, I am a 32 year old male. I have a very small topical cut on my penis where the shaft ends. It does not pain normally but pains on stretching. It happened last month once and went away. Now it recurred while having sex. I am not on any medication. Doctor: Hi. Please send the good quality photographs of the lesion for better help. Revert back with the photographs to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27724, + "tgt": "I have a pricking sensation when I hold my phone. Why?", + "src": "Patient: Hello doctor,I am an 18 year old female. I have a problem with my fingers. They keep hurting, even if I hold my phone for just fifteen minutes. At the beginning, it was just a prick that came a few times per day. Now, I feel my fingers burning and itching, to the extent, I have to stop whatever I am doing. One year ago, in a hospital, they told me I had a slight lack of calcium and honestly I do not drink a lot of milk or eat cheese. Is it the cause? 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 a family physician online --> https://icliniq.com./ask-a-doctor-online/family-physician" + }, + { + "id": 9116, + "tgt": "My friend has dengue with low platelet count. Will papaya increase the platelet count?", + "src": "Patient: Hello doctor,I am asking this question for a friend. His platelet count has dropped to 33000, and he has also been diagnosed with dengue. We have heard papaya, and papaya juice helps increase the platelet count. However, he has diarrhea and vomitings as well. He is admitted in a hospital and is on IV for three days. Doctor: Hello. I have read your query carefully, and I want to suggest you that papaya helps increase the platelet count. The only treatment for dengue is fluid therapy, your friend must be on i.v fluid, and he will recover soon.Secondly thing, you told me that your friend also has diarrhea and vomiting. I prescribe you some medicine which will be helpful. 1. Tablet Domperidone 10 mg twice daily for five days. 2. Tablet Metronidazole, Norfloxacin twice daily for five days. For any other queries, contact me, and I am always available for you." + }, + { + "id": 1179, + "tgt": "What to do for sleep disorder?", + "src": "Patient: Hi doctor, I am a 46 year old male. My weight is 74 kg and I am having an excellent physical shape. I think I have some\u00a0sleep issue. I did not get proper sleep for any days and hence, I feel tired and irritable at times. I am very active professionally and leading very engaging life. I am not suffering from any depression or mental issues. I get a little bit of anxiety at times, but nothing serious that I can feel. What could be the reason for this? What are the remedies? Please suggest 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": 18488, + "tgt": "I have a congenital malformation of the L5 lamina, retrolisthesis and spondylitis. Please advice", + "src": "Patient: Hello doctor, I am a 31 year old male, 6 feet tall, and I weigh 215 pounds. Based upon an MRI scan 3 years ago, I have a congenital malformation of the L5 lamina, retrolisthesis and spondylitis. Degenerative disc in L3 L4 and L5 S1, slight curvature is seen in my neck. For the most part it is a nuisance that I tolerate. I went through pain management for a while, but could not afford the 200 plus medicines every month. Recently however the left side of my head and neck feel as if it has been caved in with a bat. No relief, no abation, just constant pain. As of last night, laying on my back causes both of my hands to go numb and a pain in my groin shooting to the back of my right leg has presented itself.\u00a0 I am no stranger to pain, but my day to day pain has elevated from a score of 6/10 to 8/10 and is pushing me to the edge of my endurance. Please advice. Doctor: Hello,\u00a0 Welcome to icliniq.com. I have studied your case. Consult an orthopaedician online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist Take care." + }, + { + "id": 16344, + "tgt": "I have nausea, headache, and excessive burping with cold hands and feet. Why?", + "src": "Patient: Hello doctor,I have been suffering from nausea, headaches, and excessive burping. My hands and feet would get very cold whenever I have my attacks. I would have difficulty breathing. Doctor: Hi. You do seem to have a case of chronic gastritis due to Helicobacter pylori infection evident from the endoscopy report. You need prescription antibiotics to treat that given in the form of a regimen called triple therapy for 10 days to two weeks. This also contains antiulcerants which protect your gastric mucosa from stomach acid and will allow your ulcers to heal. Now, coming to the hands getting cold could be Raynaud's phenomenon that can be due to stress caused by the attack and difficulty in breathing may be due to the severe dyspepsia and heartburn that you may feel because of gastritis. If you take the triple therapy as per doctor's prescription you carry on the antiulcerant medication for two more weeks, your symptoms should improve significantly. Please let me know if your symptoms do not improve after taking triple therapy and antiulcerant for another two weeks. Avoid spicy food, going without food for several hours. Eat frequently. Avoid constipation. Avoid caffeine, alcohol, tea." + }, + { + "id": 1611, + "tgt": "I have tooth pain with swollen gums for the past 3 days. Please suggest solution", + "src": "Patient: Hello doctor, I have been experiencing tooth pain and mild gum swelling for the last two to three days. It is paining a lot and I am unable to eat food too. Kindly suggest remedies. I am consuming Rajnigandha (pan masala) for the last two years, have reduced the consumption since pain is there. Doctor: Hello. I suggest some medicines, but please stop the consumption of Rajnigandha immediately. Do not take spicy and hot food. Take tablet Augmentin 625 (Amoxicillin and Clavulanic acid) twice daily, Zerodol SP (Aceclofenac, Paracetamol, and Serratiopeptidase) twice daily, Hexigel ointment (for topical application) all medicine for three days. If you have any drug allergy history or allergy please consult your physician before taking medicine. Follow up after three days." + }, + { + "id": 28058, + "tgt": "Will Koch's disease cause irregular and painful periods?", + "src": "Patient: Hello doctor, My wife is suffering from irregular and painful periods from more than a year. We went to the doctor, and he told us to perform several tests like serum vitamin, serum prolactin, thyroid function, hemogram, calcium level, and Mantoux test. The reports, which I have attached,\u00a0showed the level of vitamin D3 and calcium to be low. Her hemoglobin level is 11.5 g/dL, and Mantoux test is also\u00a0positive. Is it a form of Koch's disease? She was prescribed AKT-4, Ondem MD, Betnesol, and Neurobion forte. But after she started taking them, she has some allergic reaction. Her body has become red, and she has eruptions, which are itching. She has a burning sensation in her stomach. I want to know if this is a reaction to the medicines. What does this Koch's disease mean? Doctor: Hello. This is a case of irregular, painful periods, which is not uncommon among the woman who has not become a mother yet. Get the USG and biopsy done.\u00a0Stop steroids and ATD (anti-tuberculosis drugs). For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30146, + "tgt": "Which medicine should I use for stiffness caused by ankylosing spondylitis?", + "src": "Patient: Hi doctor, I have been diagnosed to have ankylosing spondylitis approximately 2 years back. I also had psoriasis, probably due to the same and it is chronic.\u00a0Of late, there is extreme pain and even more stiffness, especially during the morning. It is no more tolerable and hence I am writing this.\u00a0I am not taking any medication and I am using a waist orthopedic belt while driving two wheeler, etc.\u00a0How to proceed in this situation?\u00a0What medication should I use for extreme pain and stiffness, especially during morning and whenever I take rest?\u00a0Can it cause permanent disability in future as this almost makes me motionless in the mornings?\u00a0Which specialist should I contact and can this be cured?\u00a0I travel a lot on bumpy roads in two wheeler. Will it make my condition worse?\u00a0I also have red eyes and irregular bowel movement. Are they related to this issue? I had very high levels of C-reactive proteins in blood a year ago in random comprehensive blood test. Is there any link with this disease?\u00a0Please advise. Doctor: Hello. Here are the answers to your questions. You have been diagnosed as a case of ankylosing spondylitis with psoriasis. Both the condition will affect your joints. Ankylosing will affect mainly axial skeletal joints. Psoriasis mostly affects peripheral joints and is of variable types. Indomethacin is given for pain relief in case of ankylosing spondylitis. It should be used only during exacerbation rather than taking it on a daily basis. Stiffness after a period of rest is a feature of the disease and is to be tackled with exercises. Yes, it will cause permanent damage to joints and can ultimately lead to the ankylosis or fusion of the joints. For further doubts consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 10760, + "tgt": "I am obese and my period flow is not proper. How to reduce my weight?", + "src": "Patient: Hello doctor,I am 17 years old, and my weight is 98 kg. I am obese, and I need to lose weight. I feel lazy, sluggish, and sleepy all the time. I am on the second day of my period, and the flow is not proper. Kindly advice. Doctor: Hello. Your history prompts me to go through further questions. Do you have a regular menstrual cycle? Any hair growth on the face, arms which is unusual than before? Scanty periods can mean oligomenorrhea (the medical term for decreased blood flow). Weight gain, hair growth, and oligomenorrhea are typical symptoms of a condition called PCOD (polycystic ovarian syndrome) which happens in girls, and multiple cysts are present in ovaries, and this leads to these symptoms. Sugar level also gets high due to this. So I would suggest getting blood glucose level fasting done, and ultrasound abdominal to see ovaries as it is confirmed whether you have it or not as it leads to treatment strategy. Cysts in ovaries, and oily food consumption. Blood glucose, abdominal ultrasound. Metabolic syndrome. Polycystic ovarian syndrome. After getting the reports. Avoid oily food." + }, + { + "id": 18517, + "tgt": "Please explain my abdominal CT scan report in detail", + "src": "Patient: Hello doctor, A psychological stress-induced gut trauma and insult three years back resulted in a gut inflammation, distention, swelling with and without eating, malabsorption, disturbed gut flora, digestive issues, IBS, and bladder irritation. I am attaching some files. I am looking for a complete reading. Is there anything abnormal with my liver, kidneys, bladder, small intestine, large intestine, pancreas, or gall bladder? Are there any tumor, cancer signs, or organ issues? My gut is not the same anymore. Structurally, it is enlarged, swollen, and falls when I lay on a side, unlike three years back when it was always firm and flat. What is the reason behind this? I am a skinny person. I do not have fat on my body. The inflamed gut is out of shape for my normal body. Another thing I noticed in the CT scan, is that the small intestine is bundled up over the bladder, probably pushing against the bladder adding to the bladder irritation. Is it normal? Doctor: Hello. Please write back if you have any doubts. For more information consult a family physician online --> https://icliniq.com./ask-a-doctor-online/family-physician" + }, + { + "id": 24640, + "tgt": "I find clotted blood whenever I clean my nose. What should I do?", + "src": "Patient: Hello doctor,I am having clotted blood whenever I go for cleaning the nose from the last few days. After every four hours, my nose is choking. Doctor: Hello. Use Solspre nasal spray (Sodium chloride) two to three puffs every few hours. It will help keep the mucosa lubricated and avoid excessive dryness. These days due to weather change and pollution, extreme dryness occurs which causes abrasions and bleeding in the nasal mucosa. Keep yourself hydrated and wear a mask when you venture outdoors. Do write back to let us know of your progress. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 248, + "tgt": "I have abdominal discomfort with CT showing lot of stools in bowel. Please help", + "src": "Patient: Hi doctor, I have been having abdominal discomfort for a while. At first, the discomfort was in the flank portion. I went to a urologist he gave me muscle relaxers and a few tablets for clearing any small stones. The discomfort went away after taking the medication. But after some days may be due to sex or workout am not sure, the discomfort returned back. I went to the doctor again he suggested a CT scan. CT scan results showed a lot of stools in the bowel. He said to maintain a healthy diet and add more water and fiber and do some exercises if the problem persists he asked to check with the general practitioner. I had an appointment with my family physician who said the discomfort can be due to lack of bowel movements in the colon. He asked me to take a fiber supplement (Metamucil) after taking it I had clean bowel movements and I felt I was relieved. Of late, I stopped taking the fiber supplement for a couple of days I started having hard stools. Again I called up the doctor, he said no harm in taking Metamucil. So I started it again and drinking at least three liters of water. I am doing like he said to have clean bowel movements. Sometimes the discomfort switches sides left or right. At times my backache as well. I told the doctor and he said it can be chronic constipation can go for many days. I sense my stomach or colon may getting inflamed as the day goes by. After bath everything looks normal. But as day goes by I feel like stiffness or inflammation in the stomach. I am worried because this is been there for like starting January and not going away. There is no real pain but it is the discomfort and inflammation that disrupts my day to day activities. Please advise. Should I book an appointment with gastroenterologist may be to dig further? I read about ulcerative colitis or Crohn's disease, but I could not conclude anything based on symptoms. I do have an observation that if I masturbate or have sex, after having ejaculation discomfort increases the following day. Doctor: Hello. I can imagine your reason of concern for such ongoing on and off symptoms. Well first of all, if it were ulcerative or Crohn's disease it should have shown something abnormal on CT scan which I presume it did not. However, remember the CT scan reporting is completely a subjective thing. It depends highly on the expertise of radiologists who has reported that. I would urge if you upload the report in reply to this response, I would be glad to see that. There will be no charges for that I will allow you one free follow up. Now the presence of too many stools is not an uncommon finding on CT Scan. Since it is basically the function of the colon to reserve stools transit them timely in anterograde direction and finally to be evacuated through the rectum and anal canal. If the presence of stool with dilation of the lumen of colon or presence of stools within small bowel (fecalization of small bowel) and/or dilation of the lumen of small bowel suggest an alarming finding. Normally our small bowel does not usually contain stools, it rapidly empties matter to in to large bowel, hence the presence of stool in small bowel suggests an abnormal finding. I will tell you why this information on CT scan is important. For example, you have a normal size of the lumen of bowel (ideally less than 3 cm of small bowel and less than 5 cm of large bowel) with the symptoms you mention, it can be irritable bowel syndrome with constipation. If the diameter of the lumen is above the normal it can be functional constipation of which two further types. The one is chronic colonic constipation or colonic pseudo-obstruction called as Ogilvie's syndrome. The other where the small bowel is dilated called chronic small bowel pseudo obstruction. I hope you now have an idea why it is important to correlate symptoms with the CT scan findings. Now coming to your symptoms, the pain or discomfort is often common when bowel loops are distended with gas or stools and your discomfort which readily resolves after you have good bowel movements suggest the possibility of the same and not otherwise due to a serious underlying cause. The intensity of discomfort that changes with the bowel movement again suggests it might secondary to irritable bowel syndrome IBS. Metamucil is fiber laxative and really it does not have any harm if taken for years and years. The fiber is nonabsorbale molecule it does not go into blood circulation so have no side effects. However, in some it can cause bloating or belching. You can switch to other fibers such as Fibrocol if Metamucil does not suit you. Otherwise, it is completely normal if you want to resume the same. Take plenty of water it makes stool bulk large and soft and easy to pass. I myself have a habit of taking 3 liters of water in a day and this really makes wonder. You should continue that. I would wait for your CT scan report to see the findings then I will right you some investigations to rule out other possibilities. I believe you would not have anyone but just to be on the safe side." + }, + { + "id": 25281, + "tgt": "When do amylase and lipase levels become normal after heavy drinking episode?", + "src": "Patient: Hello doctor, I drank for five days heavily and was admitted to a hospital with hangover and heartburn. They took the test and my amylase and lipase were little high. Then they gave me medicines. Past one week, I am taking Panblock morning and night and Encremin. My health is alright now but my amylase and lipase is little high. Can you give me a clear answer, when does it become normal? I am anxious about it and worried a lot about this test. I have stopped drinking forever. Can it reverse? Please help me. I am attaching my reports. Doctor: Hello. I have seen the reports (attachment removed to protect patient identity). You had a mild attack of acute pancreatitis. The amylase level shoots first and slowly decreases over two to three weeks. Lipase shoots slowly. No point in checking it very often as it usually takes time to normalize. Yours looks like a mild attack only and not a severe one. Once you are symptom-free you can relax. Get an amylase (amylase only, not lipase) after a month. Get an ultrasound scan also after a month. The disease needs avoidance of precipitating factors so that further damage to the pancreas can be prevented. Hope your queries have been cleared. For more infotrmation consutl a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 17913, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25693, + "tgt": "Can ovarian stimulation for IVF be started on the fifth day of menstruation?", + "src": "Patient: Hello doctor, I would like to know if the ovarian stimulation for IVF can be started on the fifth day of the menstruation or is it too late? My doctor said I should start the medication for ovarian stimulation on the fifth day of the menstruation because of her schedule but normally I used to start it on day two or three. Do not you think day five is too late and the ovocytes can be compromised? Currently, I am on Rekovelle and in the past, I have been on Clomiphene. Doctor: Hello. You can definitely start the ovulation induction within the first five days of periods. The principle behind this is that the FSH (follicle-stimulating hormone) starts to rise from the second day of the period and by the fifth day, the follicles to be recruited this month have been selected. So any day from third to the fifth day of periods is fine to start the stimulation. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 28013, + "tgt": "According to NCRP guidelines, why is maximum radiation exposure high for hospital workers?", + "src": "Patient: Hello doctor, Why do the NCRP guidelines have the maximum exposure to x-rays radiation for hospital workers higher than the normal public? What does the hospital workers have, that makes them fine to get exposed to more radiations than the public? Doctor: Hi. Regards. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 2289, + "tgt": "I get weak urine stream with incomplete urination. Please help", + "src": "Patient: Hello doctor, I have always had a weak urine stream. I had medicines several times for bladder infections, never feel like I fully urinate. But lately, I have a bigger issue, I find myself not able to urinate sometimes, I recently realized if I ejaculate then it is worse. Two nights ago, after sex I went to urinate and not a drop, by morning I felt like I was gonna explode so I was headed to the ER when on the way it finally released. I decided to wait till I got home (I am a truck driver) to go see someone, probably tomorrow. I am currently able to urinate. I am a 36-year-old male, been going to the doctor all my life for bladder problems but this too much. Please help. Doctor: Hi. I have a few queries before jumping on to the conclusion. Have you ever been catheterized? Any history of trauma? smoker? Or any chronic illness (diabetes or hypertension)? Any record of RGU or MCUG or ultrasound is done before? Have you been on any medications for this improper urination other than antibiotics? How many times in the past year did you take antibiotics for a bladder infection? Where do you live? If you have that much recurrent infection why you never get investigated thoroughly until now? Any blood investigations or urine culture done in the past? During sex what happens is bladder neck contracts just before ejaculation so that one can ejaculate properly, but in your case, it does not relaxes due to which you feel retention like condition. Before prescribing your medication I want to know certain answers to the above questions which are very important." + }, + { + "id": 13788, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23843, + "tgt": "Optic disc was smaller than normal. Is a visual field test necessary?", + "src": "Patient: Hello doctor, I am a 70 year\u00a0old male. I just moved to a new area and found a new ophthalmologist, and he said my optic disc was smaller than normal, and he recommended a visual field test, to get a baseline, should it be needed for the future. I called my ophthalmologist for the previous two decades, and he said he never bothered to look at my optic disc. From what I can find on the internet, a field vision test is used to check the progression of glaucoma, among other things, but not to diagnose it. My new ophthalmologist gave a diagnosis of low tension glaucoma, stage unspecified. He did not start treating me for it. When I questioned the diagnosis, he explained that the visual field test is the only way to diagnose it. I hate testing for the sake of testing. I am finding some articles on the internet that support the idea that a field vision test can be overused and a waste of time for a variety of reasons, including the management of glaucoma. My peripheral vision, as best I can tell is fine. I can certainly look straight ahead, cover one eye and see an object at 90 degrees. The doctor did no vision testing in his office. He only saw what he thought was a smaller than normal optic disc. He admitted this could be perfectly normal for me. My manual and online computer tests show no loss of peripheral vision. Do I really need this test? Doctor: Hello. The spectrum of the disc and the cup size is hugely variable in people. The size of the optic disc is not the only determining factor. The size of the cup, average rim size and pattern, nerve fiber pattern, and intraocular pressure, are together taken into consideration before conclusively making a diagnosis of glaucoma. For further queries consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 26029, + "tgt": "I developed cold after having protected sex. Do I have HIV?", + "src": "Patient: Hello doctor, About six weeks ago, I had protected sex with a male. About two weeks later, I developed a cold, which got better. Now, I have been feeling random zings (not really painful) in my armpit. I have also got five \u201cpimples\u201d in a cluster on my back. Do I need to be worried about HIV? Doctor: Hello. Protected sex is safe and there is no risk of HIV (human immunodeficiency virus). Having cold or flu is not a specific symptom or sign of HIV. Cold is otherwise very common in the general population and is not a reason to suspect HIV. For pimples, I would suggest you use a triple antibiotic like Neosporin ointment (Bacitracin Topical, Neomycin, and Polymyxin) twice daily. I do not think you even need to worry about HIV. Moreover, since it has already been six weeks from your sexual encounter, you may take a fourth generation HIV screening test for your own satisfaction that is HIV combo test (p24 antigen and anti-HIV antibody). The results would be conclusive. Regards. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 23820, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29184, + "tgt": "According to scan, the fetus growth is lagging. Kindly clarify it", + "src": "Patient: Hi doctor, My wife is three months pregnant, and the doctor is telling that the baby is lagging in growth for about one month. The fetus heartbeat is good as per ultrasound, but the fetal growth is less. My wife's weight also dropped from 57 to 55 kg and recently, she is having stomach ache and back pain. The doctor has given some tablets for baby's growth. I am attaching her ultrasound reports and a picture of ultrasound also. Your answer will be highly appreciated as I am worried about them. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5946, + "tgt": "Could CT scan miss appendicitis?", + "src": "Patient: Hi doctor, I was in an\u00a0emergency last night because of 48 hours of pain that moved to my right lower abdomen. Also, I am not eating, and I have severe diarrhea if I do. They said my white blood cells were a bit elevated.\u00a0The CT scan without contrast did not show an inflamed appendix. Now it is the next day, and the pain is still there along with a burning kind of feel. What could be the problem?\u00a0Can a CT scan miss appendicitis? Doctor: Hi. Revert with the photo to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26258, + "tgt": "Does heavy bleeding even after having positive pregnancy test mean I have miscarried?", + "src": "Patient: Hello doctor, Six months back, I had a\u00a0miscarriage at 13 weeks. I thought my periods might take a while to go back to normal but I was shocked that it was on time the next month and every month thereafter. One month after my periods, I started getting a\u00a0very faint brown discharge. This lasted for four days which was unusual for me since my actual period has always started right on time every month. Well, two\u00a0days ago I decided to take a pregnancy test. It came back positive. Yesterday, I started bleeding quite a bit and I am still bleeding today. I took a pregnancy test again today and it is still positive. The bleeding is heavy but not as heavy as I\u00a0usually get. I do not have cramps or pain.\u00a0Have I\u00a0miscarried again? Doctor: Hello. Hope I have clarified your query. Regards. For more information consult an\u00a0infertility specialist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 7376, + "tgt": "I suspect my knee pain as calcium deficiency. Please advise", + "src": "Patient: Hello doctor, I am 30 years old. I have been feeling pain in my left knee when I sit on the ground. When I get up it takes two minutes for the left knee to get normal and function without pain. I got a massage, but that did not work. Instead, my back started hurting slightly after that. Please advise whether it is calcium deficiency or any other cause. At normal times, it does not hurt much. My height is 6'1\" and weight is 96 kg. Doctor: Hi. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 24473, + "tgt": "70 year old has cough accompanied by wheezing. Is it advisable to try Asthalin?", + "src": "Patient: Hello doctor, My father (aged 70) is suffering from coughing and light fever (varying between 99 to 101) for the past 10 days now. Medical tests (attached) do not seem to reveal anything, and the prescribed medicines (see below) do not improve things. Coughing is now also accompanied by wheezing sometimes, and is at the peak during the dawn hours and causes extreme difficulty in sleeping. Since my mother and I have a slight problem of asthma, is there any chance he might be suffering from the same? I have to take Asthalin/Foracort Rotacaps occasionally which immediately relieves the coughing. Would it be advisable for him to try Asthalin/Foracort when he faces wheezing?Any other suggestions/remedies? Do note that he takes regular medicines for maintaining his blood pressure: Olmax-AM and Prazopress-XL). Medicines taken so far:Five days:MoxClav-625 (1x2).Ebast DC (1x2).Ibugesic Plus (1x3).Zevit (1x1). Another two days:Imunocin (1x2).Esoga-RD (1x1).Syrup Cyp-L (1x3).Surbex XT (1x1).Ibugesic Plus (1x1).Syp Tossex DMR (1x1). Doctor: Hello. I have gone through the reports (attachment removed to protect patient identity). It appears to be bronchitis, likely viral. Has his fever settled now or still continuing? Wheezing and coughing may continue for some more days up to one to three weeks. Yes, he can and he should use the inhaler. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Initially, he should have MDI (metered dose inhaler) or Rotahaler Asthalin (Salbutamol/ Albuterol) two puffs or one Rotacap whenever needed, up to four to six times a day. If coughing and shortness of breath are not relieved then he should also have Foracort (Formoterol and Budesonide) two times a day. He should also have tablet Montair LC (Monteleukast and Levocetirizine) once a day at bedtime for 10 days. If there is no improvement in fever for another four to five days, then he should have chest X-ray to find out the other cause of his fever. 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": 30461, + "tgt": "How can I improve digestion?", + "src": "Patient: Hi doctor, We are living in an area where water having high TDS level. So, here almost 70% people facing stomach and intestine related issue. I am a physically fit person and my age is 37. I am doing regular weight exercise (gym workout) for the past 7 years continuously.\u00a0All areas of my body are well shaped, but only in stomach area fat are stubborn. Also, my digestion is not proper.\u00a0I had started drinking water from RO, changed food habit, started eating thermogenic foods, fibers and tried aerobic exercise and almost everything, but in the morning I am always facing the problem of constipation. Mostly, I am facing gas problem in the stomach.\u00a0My stomach feels bloated for around three to four days in a week and this problem has been there for around 5 years. Today, I had seen blood in my stool and this is the first time. I am worried about that, although I am not facing any kind of pain or anything else. I will be fine whenever I take medicine for digestion and later the problem will recur. How I can improve my digestion system and speed up the metabolic rate? Is blood in stool, a serious issue?\u00a0Kindly suggest me the solution. Doctor: Hello. CBC (complete blood count), stool occult blood test, digital rectal examination, proctoscopy, CT scan abdomen and colonoscopy (if required) Inflammatory bowel disease. Anal fissure. 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": 20943, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30010, + "tgt": "Kindly check my father's biopsy report and advise the treatment", + "src": "Patient: Hi doctor, I am writing on behalf of my father, who is 64 years old. He is a diabetic patient, but his diabetes is completely under control. A few weeks before, he found some blood coming out along with his urine. He consulted a few doctors and went under some tests. He was found to have a tumor in his urinary bladder. His doctor advised him for surgery and biopsy test. His surgery went fine and we have collected his biopsy report.\u00a0Please share your feedback with us and also advise us our next course of action. Please find the reports attached. Doctor: Hi. For further information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 18153, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7153, + "tgt": "How to get rid of the pimple scars?", + "src": "Patient: Hello doctor, I have a little oily skin, 1st I had pimples after they bust that will turn into a black mark, and it will take a very long time to go. Please kindly suggest me to get rid of it. Doctor: Hello. Pimples are very common in this age group due to hormonal changes. Whenever you do try to squeeze out them with your nails then they damage cells near vicinity of the pimples, and these dead cells causes black, brown or red discoloration. You should avoid to squeeze out them. 1. Wash your face by Patanjali Saundarya face wash and apply Himalaya Clarina anti-acne cream twice a day. 2. Orally you should take Himalaya Purim tablet one tablet thrice a Baidyanath Raktashodhak Vati 1 tablet twice a day after meals. 1. Avoid spicy and fried junk foods. 2. Quit smoking and drinking if you have these habits. 3. Drink plenty of water. 4. Do regular kapalbhati, Mandukasana, and Ardhamatsyendrasana as well as pranayamas like anuloma vilom Nadi sodhan and bhramari." + }, + { + "id": 1928, + "tgt": "How much should I eat in a day to gain weight healthily?", + "src": "Patient: Hello, I am writing an enquiry regarding my weight. I am a 18year old female and I weigh 42.8kg and my height is 158-160cm. I have been this weight since I was around 13 years old, my weight has always been around 40kg I was wondering how I could gain weight in a healthy manner. The main reason why I do not eat a lot is that I am not hungry so on some days I eat one meal in a full day, however, there are some days where I will eat 3 meals including snacks, however even on those days, even if I feel as if I have had a lot of food, my weight remains the same. I am concerned as I have realised that I am well below my average age group in terms of weight and I am not sure what to do, also I am not sure how much I should eat in a day because when I ask people around me I realise they eat less than me but maintain a healthy weight so I am really unsure how to approach my problem. Thank you Doctor:" + }, + { + "id": 9500, + "tgt": "I am unable to penetrate my partner. What am I doing wrong?", + "src": "Patient: Hi doctor, I am a 31 year old male. I am unable to penetrate my partner. I have tried twice, and it did not work both the times. She is a virgin and I find it too hard to push and penetrate. This somehow kills my erection as well. I have tried foreplay also but somehow cannot get through this problem. I have tried putting my two fingers inside but she complains of immense pain. Also, though I have engaged in oral sex before this is my first penetration as well. I never had any problem in getting an erection. I am an active guy who plays a lot of sports. Can you please help me understand what is wrong here. This is making me very nervous. Doctor: Hello. You are getting good erections, but are losing them when you try to penetrate. This is happening because of tight vagina of your partner. Because of this, you are taking time during penetration and this results in loss of erection. This loss of erection is occurring because of psychological reasons. You have tried long foreplay but this did not result in improvement. She still feels pain during penetration or when you try to insert fingers. This happens when girls start engaging in sex. You should use lubrication during sex. KY jelly can be used. You can also try using Lignocaine jelly. Ask her to apply this jelly to her vaginal opening. This will reduce the sensitivity and will reduce pain to some extent. You are losing erection because you are not able to penetrate her. There is no physical issue and this is due to anxiety alone. With time, the problem will be solved. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6676, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 19971, + "tgt": "What medicine should I take for yeast infection?", + "src": "Patient: Hi doctor, I have two small sores on my penis head, probably yeast infection. What medicine should I take? I have tried using Cloben G for the same. But, I did not get relief. Please give some advice. 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": 22332, + "tgt": "Will blood dilution help treat high Hb in newborn with jaundice?", + "src": "Patient: Hello doctor,My baby is 4 days old. He is diagnosed with jaundice. His Jaundice levels were 19.6 and post phototherapy they have come down to 13. The doctor has noticed that the baby has high Hb (22.3). The other vital parameters are like PCV- 63.7, RBC- 6.36, WBC- 11600, and platelets- 2.05. The doctor has suggested blood dilution. Please let us know if blood dilution would solve the issue and if we have to be bothered about any other parameters. Doctor: Hello. Your baby's bilirubin is now in safe range. But as his Hb (hemoglobin) is more this may lead to hemolysis, etc. Dilution of blood means they take out blood and replace with saline. This may lead to dilution. But I think in your case if the baby is active we can wait or do a partial exchange. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 20252, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 22740, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26193, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12031, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 14176, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 15608, + "tgt": "What is the reason for the feeling of windpipe compression in a pregnant patient?", + "src": "Patient: Hello doctor, I have had some problems with swallowing for about a year. At first, it was happening with solid food and only from time to time. Then it started to appear more often. I have seen GP about that and they advised me to see a psychologist in case it was due to anxiety because it was not happening all the time. I have seen a psychologist for 10 sessions and he said I do not have more anxiety as other normal people out there and advised to search the solution of my problem in my physical health. My GP did not see anything major and did not give me a referral to any specialist. I have seen a dentist and he commented, I have dry mouth, but we did not go further from it. After six months, I started to have problems with swallowing saliva. I have been in the hospital due to very high pulse for an unknown reason. They did a CT scan of my chest and said they have seen some mass in the neck and advised to see an endocrinologist in case it is a multi-nodular goiter. I have seen an endocrinologist and had an ultrasound. All was good with thyroid. I also was checked for Sjogren syndrome and rheumatoid arthritis. I do not have them. I discovered a lumpish mass in my neck, under the right jaw. Endocrinologist touched the lump and commented it may be something wrong with the salivary gland. I noticed that the color inside of my cheeks and roof of my mouth changed to yellowish, and my palate was whitish. I do not have any soreness, just a bit of feeling that soft palate and tongue are a bit swollen. I have seen a few GPs about that, they all said I am fine. Only one GP said it can be laryngitis and the lump is swollen lymph node so they prescribed me antibiotics. I did not have any reaction. Then, they gave me Erythromycin 400 mg four times a day for two weeks. I noticed lump got a bit smaller but that was it, the color in my mouth did not get back to its pale pinkish normal color. I also had an ultrasound of soft tissue, they said I do not have lymphadenitis and did not say anything about salivary gland. Yesterday, I noticed at the end of the day blood vessels under my tongue got swollen and looked blackish. I thought maybe it is because of my blood thinner. In the morning it looked normal, but today the same happened. I am four months pregnant at the moment and doctors do not want to give me any referrals to specialists. I was asking about a referral to ENT, but they said all procedures are going to be invasive and you do not want to have any problems with your baby. I have a feeling that something is compressing my windpipe and at night, I wake up coughing as I am not able to breathe. I have also got some tickling in my throat so have to cough often and my voice is hoarse and gets tired quickly. My main concern is if it is something serious and will those problems harm the baby in any way? Doctor: Hello. We are happy to help you. I understand your situation and the worries the problem might be causing to you, that too when you are pregnant. With the symptoms you have described, and with the doctor's repeated reassurances to you, I feel there may not be any super significant physical finding that they might have missed. That being said, there is nothing wrong in getting a proper specialist referral from the GP. I do not understand why the GP is reluctant to do that. If you were to come to me, I will do a nasal endoscopy in OPD (office) and do a flexible fiberoptics laryngoscopy also in the office. These two require no special medication except for decongestion of the nose and local spray into throat and passing of endoscopes. These will rule out sinusitis, DNS (deviated nasal septum), nasal disease and also laryngeal problems, say growth, vocal cord changes, movement of vocal cords, pyriform fossae, etc. I do not anticipate anything in these areas, but these two tests will conclusively rule out any issue there. Maximum what I expect is some allergy and allergic post nasal drip. This will get alright with some nasal sprays which will not get absorbed into the bloodstream and will not cause any issue to the baby. Looking at the pictures (attachment removed to protect patient identity), regarding the undersurface, it Is normal to have that color. The veins underneath look so. The color of the palate and posterior pharyngeal wall do appear mild pale and bluish. We need to rule out anemia in you and also allergy. Allergy and nasal discharge and post nasal drip can cause these discolorations. Reflux can also be spotted in laryngoscopy, however, the Ranitidine should solve the matter nevertheless. What I want to know is the exact duration and chronology of all your problems. How many weeks pregnant are you? Has hemoglobin been checked? Are your scans normal? Why the Aspirin and blood thinner? Can you show me the relevant prescription? Any past history of sinus disease or nose block or post nasal drip or allergy? Sneezing, running nose, reduced sense of smell, itching, watering of eyes, etc.? Do revert back to me with relevant details. You should feel better soon. Do not worry." + }, + { + "id": 26164, + "tgt": "I need a second opinion on my oral thrush. What could be causing this?", + "src": "Patient: Hello doctor, I recently had an oral thrush. I\u00a0was taking Candid Mouth Paint and Hexidine Mouth Wash to clear it. It was cleared after two days of using but after two days it started to get black in color. I was still using the above medications, but now I\u00a0have stopped taking the all oral medications. Do you have any idea what could be causing this? Is this a yeast overgrowth? Is there any medicine that can clear this up? I showed this to a\u00a0dermatologist. She said to discontinue all the medications as this would clear up. I just needed a\u00a0second opinion on this. Doctor: Hello. I have gone through your question and I can understand your concern about your erythematous tongue. For more information consult a\u00a0dentist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 3121, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6628, + "tgt": "Does taking contraceptive pills before and after sex avoid pregnancy?", + "src": "Patient: Hi doctor, How can pregnancy be avoided completely without the help of condoms? Doctor: Hi." + }, + { + "id": 18462, + "tgt": "What diet can a chronic kidney disease patient follow?", + "src": "Patient: Hello doctor, I am a 67-year-old male with a weight 65 kg and height of 171 cm. I have been suffering from chronic kidney disease and post PTCA care for 17 years. I was diagnosed 15 months back with serum creatinine to be around 5 and am on medications for 15 months. I am a non-diabetic. In the last 15 months, I have lost 14 kg. Monthly renal lab tests are being done. Six months ago, my serum creatinine was 4.4, hemoglobin was 12.9, uric acid 3.7. I want to know about my diet. I am a non-vegetarian. Presently I am taking 50 to 60 g of chicken or one egg white or two small pieces of fish thrice a week. I am on restricted use of pulses, tamarind, lemons, milk products, fruits in any form, limited to one liter of water per day, very less salt, no cool drinks, outside food, spices, sweets. I am hungry all the day. My urine output is 1500 mL per day. Protein is 2+. Please advise me the suitable diet particularly non-veg. I am at present on rice in lunch and rice items for both breakfast and dinner with vegetables like capsicum, bottle guard, ladies finger, cauliflower, carrot, and cabbage. I do not take chilies. How can I improve the quality of life and eating? I am able to walk slowly for 30 minutes daily. I am not able to stand in a queue for not more than five minutes. If I sit for five minutes I am alright. I am on the following medicines: Tablet KetoCheck two tablet three times daily. Tablet Sevanix 400 mg three times daily. Tablet Nocidos 500 mg three times daily. Tablet Celerab 20 one daily. Capsule Nephrovit-Fe one daily. Capsule Lobun Forte one daily. Capsule Calci CZ one daily. Tablet Febuget 40 mg once daily. Met XL 50 mg once daily. Clopilet 75 mg once daily. I have also enclosed recent lab reports for your reference. Please advise. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity) Your reports are fine. Albumin is good that shows that your nutritional status is fine. Potassium is low that accounts for generalized weakness. So now decrease your food restrictions by 20%. You increase the intake of fruits by one a week. Regarding non-vegetarian diet what you are taking is more than enough because above that it will increase your phosphorus. You can increase the intake of pulses. There are specific books that you can read to cook food for a CKD (chronic kidney disease) diet. You should give maximum focus on salt restriction rather than other things. Chillies can be used as per flavor. THere is no harm. Need to take water in summers and should take at least 1.5 liters of water that is equal to your urine output. In winters, the intake should be slightly less. Medications are all fine. The mainstay to control CKD progression is strict blood pressure control. So keep your blood pressure checked at home in the mornings and evenings and keep a target of less than 130/80. For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 3689, + "tgt": "I have skin problem in both armpits where scratching causes skin rash. Please help", + "src": "Patient: Hi doctor, I have got a skin problem in both armpits. Due to scratching the skin was torn. The images are attached. Please help. Doctor: Hi. I have seen your query and concern. With your descriptions and given pictures (attachment removed to protect patient identity), it seems initially you have tinea corporis of this area due to the application of steroid containing creams like Quadriderm or Zalim lotion or Foderm. Now you developed eczematization this is my assumption since you have not sent detailed treatment history or it may be irritant contact dermatitis due to duo. Now I can make severe eczematization, so I would advise you not to apply any such thing if you have applied in the past. Start applying Mometasone plus, Sertaconazole 2% twice daily over the affected area for seven days, then stop Mometasone and continue Sertaconazole. Also, take Terbinafine 250 mg once daily for 21 days and Cetirizine once daily for five days. Get review after five days with detailed history." + }, + { + "id": 26910, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22924, + "tgt": "How to lower blood pressure? I am a chronic high BP patient and taking Amlodipine and Atenolol", + "src": "Patient: Dear Doctor, I am a chronic High BP patient since 1998. Taking medications\u00a0Amlodipine\u00a05mg and Atenolol\u00a050mg (AMLO Press-AT). Now the BP reading shows as 160/120. How to lower the blood pressure? Doctor: Hi. Since you are a case of chronic hypertension, you must regularly get your blood pressure checked from a local doctor and the dose needs to be adjusted accordingly either to increase or decrease. Investigations:- Routine investigations must be done including blood sugar, blood urea, serum creatinine, lipid profile, urine complete and ECG. I understand from your query that, you have been taking the same medicine and the same dose, and still the BP has not come down as 160/120 is a very high range and can be risky for your health. The dose and may be the medicine also needs to be adjusted after reviewing your overall health, monitoring your BP for a few days. If you can make a chart of your BP from time to time, day wise to know when and at what time does it increase to manage it properly. Also, take below mentioned precautions: Diet control is very important. Cut down on fats. Reduce the salt intake in your diet. Do not sprinkle additional salt from the top on food. Take plenty of fresh fruits and juices. (I assume that otherwise your health is completely normal and you are not suffering from any other medical or surgical conditions) Take salads. You must go for walk in the morning and evening as your health permits, brisk walking which can be done gradually as per the age and health. Avoid excessive tea, coffee. Avoid fried foods. Avoid alcoholic drinks, non-vegetarian. Take a basic healthy balanced, nutritional diet. Add sprouts and other variants to make your diet healthy. Please get back with the reports to a cardiologist online so that the medicine and dose can be adjusted accordingly -->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 11667, + "tgt": "I have myopia and my vision is getting worse. What should I do?", + "src": "Patient: Hello doctor, I am 20 years old and I have myopia (-3,50 ). I always avoided smoking, lived a healthy lifestyle and ate a balanced diet but my vision just got worse. I just became worried about my vision. What else can I do to stop this progress? Doctor: Hello. I understand your concerns. I want to assure you that such myopic progression is quite common at a young age such as in your case. This is mainly because of the exponential growth and development of all the parts of your body at this stage of life. I can confirm that this has nothing to do with the diet you eat. Over a period of time, this growth will cease, and your eye power will stabilize. One suggestion to reduce progression is to avoid excessive near work like reading books, using smartphones, fine near work like jewelry or watchmaking, etc. I hope this helps you." + }, + { + "id": 23093, + "tgt": "I often get a grumbling feeling in my stomach. What could it be?", + "src": "Patient: Hello doctor, From time to time, I get empty stomach or grumbling feeling below the sternum. No pain/ everything else is alright. My appetite is good, bowel movements are normal. The sensation can last several days, subside for days or weeks and then reappear. Ideas? Doctor: Hello. I understand your concerns. From what you mentioned, most probably you have dyspepsia which is a problem due to abnormal gastric acid secretion. I suggest a trial of Pantoprazole 20 mg tablet once a day before breakfast for a month. Eat simple meals. Have Maalox (Magnesium hydroxide and Aluminium hydroxide) sachet after main meals. After one month if symptoms are still present Helicobacter pylori test will be required. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 27640, + "tgt": "I have premature ejaculation after getting circumcised. What to do?", + "src": "Patient: Hi doctor,I had phimosis, so I got circumcised two years ago. But now, I have premature ejaculation after circumcision. I also have loss of sensation in my penis. Before circumcision, I enjoyed masturbating, but now I do not feel such enjoyment. What can I do? Was the decision to get circumcised wrong? Doctor: Hello. Thank you. For more information consult a sexologist online --> https://icliniq.com./ask-a-doctor-online/sexologist" + }, + { + "id": 24856, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 18576, + "tgt": "What is the root cause of pancreas problem in a 17-year-old?", + "src": "Patient: Hello doctor, I herewith attach the medical reports of my son aged 17 years old who had pancreas problem. He does not have any bad habits. He is taking medicine as per doctors advise. Mild home food is being given. But still now and then he reports mild stomach pain. Kindly clarify the following: What is the root cause of this pancreatic problem? How long we should give mild food and when can we give him normal food? Whether the mild stomach pain he reports is normal or any further investigation is needed? Whether it is completely curable? What is the home remedy? We are very much worried since he is very young. When he gets mild stomach pain he gets disturbed. Kindly advice. Currently, he is taking Bronac 1-0-1 and Panlipase 0-1-1. Doctor: Hi. I understand the anxiety you have regarding your son. He has pancreatitis. Is this the first time he is getting this? Does he take alcohol? Did he have any injury to the abdomen? Have you checked his serum triglycerides and calcium? Is he on any long-term medications or recently started in any medicine before the attack of pancreatitis? The cause of the problem is not clear in your son's case. It may be a genetic predisposition for pancreatitis which is the common cause in this age group. Please do the other tests which I have asked. Also, he needs a scan called MRCP (magnetic resonance cholangiopancreatography). Answers to your questions: For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 25705, + "tgt": "Is it ideal to alter the dosage of medicines in a chronic diabetes patient?", + "src": "Patient: Hello doctor, My 73-year-old father is suffering from type 2 diabetes from the age of 7. He has undergone angioplasty. His fasting level is 140 and the postprandial level is 320 after taking Glimepiride 2 mg and Metformin 500 mg once a day. Should I increase his dose once to twice daily? Doctor: Hello. Your father seems to be on the right kind of medication. His blood sugar levels are not controlled, so he definitely requires a revision of prescription. Since he is having other coexisting medical conditions, it would not be a good idea to take an online prescription. By meeting a diabetes specialist or a family physician, he can get his vital parameters checked before changing the prescription. There is a possibility that the doctor may just add a second dose of Metformin or both Metformin and Glimepiride together. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 23324, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 542, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 13218, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14927, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 8181, + "tgt": "I am diabetic and constantly losing weight. How to manage it?", + "src": "Patient: Hello doctor,I am a type 2 diabetic for four years. I was diagnosed at a very high level (520) and have been on a low carbohydrate diet ever since and managing it. I have lost all my body fat and at 6 % body fat right now. I take 1000 mg Metformin once a day and Farxiga once a day. My goal is to gain fatback, but I keep losing weight. I need help with this. Doctor: Hello. Metformin is weight neutral or may cause mild weight loss. Fargixa, which is Dapagliflozin, causes weight loss and some dehydration. So you can omit Fargixa, and take Sitagliptin, Metformin combination, e.g. Janumet XR 50/1000 once a day. Try the suggested regimen and see whether you can gain back some weight in a few months. Otherwise, you have to switch over to Sulfonurea or Insulin which have much higher risk hypoglycemia, though less so if adequately adjusted." + }, + { + "id": 17590, + "tgt": "My pregnant wife started bleeding after a fall. What should I do?", + "src": "Patient: Hello doctor, My wife, who is in the\u00a0first trimester of her pregnancy, slipped on our son's baseball in our garage yesterday and fell. She landed on some workout equipment, which hurt her stomach at a 45o angle at the mid bottom section. She is still in pain, and now she has a\u00a0bleeding with a\u00a0discharge of mucus-like blood chunks. She has never bled before with our first child, and I am in need of some immediate guidance. Doctor: Hello. From your description, it appears that there is a cause for concern. It sounds like a threatened abortion to me. You will need to rush her to an obstetrician as soon as possible, to get a scan done, and see the viability of the fetus. Hope everything goes fine and God be with you. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 14004, + "tgt": "How can I delay periods?", + "src": "Patient: Hello doctor,My date of the period was 10th of this month but I got it on 6th. Next month on 2nd, we have a religious function in the temple, so I want to delay my periods. Which medicine is better to use? Some say Primolut N or Ovral G or Ovral l. Please suggest me any medicine with proper dosage thanks. Doctor: Hi. Generally, to delay periods, Progesterone hormones have better performance. So take the following medications in given dosage, two days prior to expected next date of your periods, till the date you wish to delay. Delaying periods in once a blue moon is fine, but doing it frequently might cause irregularity in periods, or transient cysts in ovaries. Tablet Primolut N 5 mg twice a day after food. Start from two days prior to expected next date and take till the date your purpose is served." + }, + { + "id": 30566, + "tgt": "How can I normalize the level of liver enzymes?", + "src": "Patient: Hi doctor,I have undergone routine CBC, LFT and pancreatic test. In the report, I can see some enzymes are high. I do not have any fever or other symptoms. I often smoke and drink. I have started Alpha-Liv syrup. How can I bring the higher level to normal? Should I take any medicine? 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": 12803, + "tgt": "What is the reason for increase in resting heart rate?", + "src": "Patient: Hi doctor, I am 25 years old. My resting heart rate is above 100. What is the reason? 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. The reasons for tachycardia are as follows. If you have any other symptoms like shortness of breath, dizziness, weakness, fainting, etc., then consult a cardiologist for proper physical evaluation and treatment if needed. He may also prescribe some medicine to control heartbeat and blood pressure. Also, there are ways to treat tachycardia with home remedies." + }, + { + "id": 10275, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 12340, + "tgt": "What is the best treatment for urethral cancer?", + "src": "Patient: Hi doctor, My father, who is 66 years now, had gone through a urethral stricture surgery 8 years ago. The treatment was done for his chronic problem of passing urine. Treatment by the doctor that time ended up in adopting an alternate route for passing urine, which is below the testicles. All was fine for six years and he could pass urine properly only via new exit route that is below the testicles. But, two months ago, he discovered a wound (peri-uretheral) near the place of new exit. For this doctors again did a surgery and recommended a biopsy as well. The biopsy done has concluded into a well differentiated SCC. The details of the biopsy report are attached here. What does the biopsy say? What kind of treatment option is available for his given urological history? Kindly help us. Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 4222, + "tgt": "Which ayurveda medicine can be given for cough?", + "src": "Patient: Hello doctor, Since four days, I am having severe cough. What should I do? Please guide. Doctor: Hello. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 11500, + "tgt": "I am experiencing side effects of Doxycycline, which I took for UTI. Please help", + "src": "Patient: Hello doctor, I have been sick with side effects from Doxycycline for two weeks.\u00a0I had a UTI which has cleared. I have been to the doctor twice, they checked my urine, and there is no infection. I feel tired, have chills, I feel cold, have a back and joint pain. I do not have a fever. I have read that, sometimes it can last up to three weeks.\u00a0Is it possible to last this long? My blood tests are also normal. Doctor: Hello. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3584, + "tgt": "Please help with my acne as I have no idea about this", + "src": "Patient: Hi doctor, I am having something like acne. They are superficial spots and a lot of them are mainly on my forehead, jaw and chin area. I am suffering with this problem for over a year now. Also, I have clogged pores and blackheads. I visited a doctor before and he said that he would not do anything and transferred me to a dermatologist. I have no idea what to do anymore. I am so upset about this. I feel like I have tried almost everything. Please help. Doctor: Hi. I have seen the picture (attachment removed to protect patient identity) and read the query in detail. May be hormonal imbalance and PCOS. Hormone profile and ultrasonography of abdomen to rule out PCOS. Acne vulgaris and Rosacea. Revert back with the investigation reports to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17805, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16890, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26817, + "tgt": "I had a leg injury six months back. When will it heal?", + "src": "Patient: Hi doctor, I got a leg injury, six months back. On x-ray examination, they did not find any fracture. But there is difficulty in movement, and the\u00a0doctor said that the\u00a0anterior tibiofibular ligament is damaged. I used NSAIDs for a short period to avoid inflammation. I am also wearing crepe bandage. How long will it take to bring back normal movements? Please give suggestions. Doctor: Hi. So, see a good physiotherapist near your home and do the exercises with care and discipline.\u00a0Hope that helps. For more information consult a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon" + }, + { + "id": 17248, + "tgt": "Is Adfar injection a better treatment option for ankylosing spondylitis?", + "src": "Patient: Hello doctor, My husband is suffering from ankylosing spondylitis, and he is under treatment since last year. His doctor has now suggested Adfrar\u00a040 injections along with physiotherapy and belt. The doctor has also suggested halting swimming until further instructions. I am looking for a second opinion before going forward with this expensive treatment.\u00a0These days he has been complaining of\u00a0pain in the right leg. As per the doctor, this is due to problems in the spine.\u00a0I have attached his spine MRI reports along with all current medication details.\u00a0Please provide suggestions and opinions. Doctor: Hello. All in all, you are in the right hands. Feel free to contact me for more queries. For further queries consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 23577, + "tgt": "Taking medicines for bipolar disorder, but unable to sleep. Is there any suggestions?", + "src": "Patient: Hello doctor, I am having bipolar disorder, on lithosun 1200mg, fluoxetine 20mg for the last 1 year. Working night shift since last month. Unable to maintain proper sleep. Please guide me. Doctor: Hi, Thanks for posting your query at icliniq. Fluoxetine is not the kind of medication that needs to be taken for straight one year in bipolar disorder except in some rare cases. Problem with sleep may indicate towards relapse of mania or mixed episode. At this moment you need to talk to a psychiatrist either online or in person." + }, + { + "id": 4631, + "tgt": "I have black patches on the periphery of feet. What can it be?", + "src": "Patient: Hi doctor, I have skin allergy on feet. Black patches on periphery of feet. Lack of moisture in those areas causing wide open cracks and even the flesh are exposed outside. I have attached the pictures for your reference. Kindly guide. Thank you. Doctor: Hello. Follow up after 21 days to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25687, + "tgt": "Is swollen node under the chin a symptom of HIV?", + "src": "Patient: Hello doctor,I had unprotected oral sex with a bar pickup girl six months ago. She sucked my cock for about 10 minutes without a condom. I had only this exposure. After that, I ejaculated outside in my bed. I did not ejaculate in her mouth. After this incident, I was a little tensed. I waited for 60 days and got tested. I am fine as of now. I tested negative at 60 days after exposure with CMIA method. I also tested negative for western blot at 60 days. I also tested not detected with HIV PCR RNA after 65 days. Off late, I am feeling an inconvenience under my chin. I have probably developed a swollen node under the chin. Is it a symptom of HIV? Is it any kind of infection? Do I need further testing? Am I am at risk? Doctor: Hello. I have noted your concern. Your tests are conclusive. Most of the HIV infected will have a positive test by three to four weeks. Since you have negative tests even after eight weeks, therefore it is reliable. There is no need for further tests. Moreover, oral sex is a low risk for HIV as compared to unprotected vaginal or anal sex. Swollen neck lymph nodes could be due to another cause - perhaps a sore throat. Regards. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 30562, + "tgt": "I have an itchy swelling on the inner labia. What could it be?", + "src": "Patient: Hi doctor, I had unprotected sex with my husband a week ago. I felt some pain during sex and after a day I started getting itchy\u00a0on the inner side of my left inner labia. I tried to rub a cotton swab to check it and there was fresh blood on it. It happens even now, although itching and irritation has stopped. There is no pain or foul vaginal discharge. I tried checking myself in the mirror and saw a bit swelling on the left inner labia and something like a sort of cut on the swelled portion. I feel mucus like smell when I touch the swollen part. Also, my vagina is too dry. What could it be? Doctor: Hello. Revert back with the photos to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20908, + "tgt": "I accidentally took 20 mg of Inderal instead of 10 mg. Am I in danger?", + "src": "Patient: Hi doctor, My doctor asked me to take 10 mg of Inderal three times a day. I accidentally took 20 mg this time. Am I in danger? Doctor: Hi. You need not be worried about having taken 20 mg of Inderal (Propranolol). The range of dosages of Inderal is very wide. You are not in danger. Revert back to a cardiologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 10951, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 15742, + "tgt": "What is the reason for hives? Are these harmful?", + "src": "Patient: Hi doctor, I am getting red rashes on my skin when I apply some pressure or when I scratch my skin. They disappear after a few minutes. I consulted a dermatologist, and I am following these medicines. I am taking Allegra 120 mg and Rantac 150 mg. My doctor told me to continue the medication for a while. Do I need to take these medications for a few months? Can I have any side effect after using these medicines for a long duration? What is the reason for having hives? Are these harmful? What is the permanent remedy? Doctor: Hi. You have urticaria or hives. These medicines are safe, and they can be continued for a while if the problem persists. Hives can happen in response to a food allergen or food preservative, medications, infections, and alcohol. A large number of urticarias are idiopathic. There is no known cause for having it. Urticaria is mainly symptomatic, and it is treated with oral antihistamines." + }, + { + "id": 6807, + "tgt": "My flaccid penis is less than 2 inches long, but my erect size is fine. Please advise", + "src": "Patient: Hello doctor, My problem is, I guess, a silly problem, but one that has bothered me almost my entire adult life. I am a 35 year old and my flaccid penis, most of the time is less than 2 inches long. If I adjust it or wiggle it some, it will come out and be about 3 to 4 inches. But then, it will just retract back to about\u00a01.5 inches. My erect length is fine. It almost gets to 6 inches, but the flaccid size really bothers me because it is uncomfortable for one, but I am also scared that that size is extremely small for a grown man. I would be extremely embarrassed if I ever had to be naked in front of anyone including a nurse or doctor. This is why I am trying online consultation instead of visiting a doctor in person. Doctor: Hello. Relax and do not worry. Revert with more information to a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 19410, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 655, + "tgt": "My free PSA % is 19. 4. What does it mean?", + "src": "Patient: Hi doctor, I had a total free PSA test done and these were the results. PSA 7.7. PSA free - 1.49. % free PSA - 19.4. What does this mean? Doctor: Hello. PSA (prostate-specific antigen) is only a screening test that can be raised in any prostate abnormality. Coming back to your query, as your total PSA levels fall in the grey zone of 4-10, free PSA is done. If free PSA is more than 25% chances of you having CA prostate decreases to less than 9 %. If your free PSA would have been less than 10% biopsy would have been recommended. So when your free PSA is 19.4 so chances of you having CA prostate is relatively less and you can be kept on three months PSA and free PSA follow up. I hope this helps." + }, + { + "id": 18276, + "tgt": "My mood changes from time to time. Is this schizophrenia?", + "src": "Patient: Hi doctor, I am getting tingling sensation in my head and my perception changes. Sometimes I feel fine but sometime depressed and anxious. This process goes on in a cycle and I feel very difficult to continue my life like this. I do not have any motivation and there is no sense of pleasure. I am always unsatisfied. Is it schizophrenia? Doctor: Hi. You need not worry by diagnosing yourself. Kindly answer the questions given below. 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": 22582, + "tgt": "Why do I have daily headaches, dizziness, lightheadedness and fatigue?", + "src": "Patient: Hi doctor, I suffer from daily headaches, dizziness, lightheadedness, and fatigue. My platelet count is 514, and my iron binding capacity is 506. My doctor says it is normal and referred me to hematologist due to the high platelet count. However, all my test results show that things are high or low. Doctor: Hello. May I know since how long you are having headache and dizziness? Your platelet count is slightly high. Your Hb level slight low and iron binding capacity increased. So iron deficiency anemia could be the possible cause for dizziness and headache and for that Iron tablets can be prescribed like Ferrous ascorbate. Platelet count can be high in iron deficiency anemia, post-hemorrhage, inflammation in the body, infection, etc., like secondary cause. Your physical examination should be done. Check your blood pressure and sugar level as well. Your otological ear examination also has to be done that can lead to referred headache and dizziness. So, just now secondary cause can be the possibility for high platelet count by IL (interleukin) 6 release. After Iron therapy, repeat your CBC. Let me know if you are having any bleeding problem. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 4408, + "tgt": "My mother is suffering from painful uterine fibroids. Please help", + "src": "Patient: Hello doctor, My mother is suffering from\u00a0painful\u00a0uterine fibroids. She has also been diagnosed with hepatitis B. Please advice us regarding the operation for this uterine fibroids. Doctor: Hi. We are here to help you. The presence of multiple uterine fibroids causing pain or symptom warrants surgery to remove them. Presence of hepatitis B will not hinder from surgery. However, following investigations should be performed before surgery: She should receive vitamin K 10 mg injection once a day for three days prior to surgery. And avoid taking painkiller. Revert back after the tests to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18898, + "tgt": "How to deal with teeth grinding that developed due to brain tumor?", + "src": "Patient: Hello doctor, My nephew is 2 years and 5 months old and he had a brain surgery two months ago to extract a brain tumor. It was an anaplastic ependymoma on his fourth ventricle. After brain surgery, his awareness was low and he was on a ventilator for 50 days. He is doing well know, but our main problem is his teeth grinding (bruxism). It started five days before the surgery and it got worse after surgery. His teeth grinding made us extract three of his teeth and it is getting worse and it makes him cry and while crying he goes out of breath. His doctors do not know what to do about it. Please help us if there is any drug to make it better. Doctor: Hello. Sorry to hear about your nephew. Due to the tumor for which he was operated, the cerebellum (small brain) was affected. Due to that, he has developed bruxism which is a rare complication. Unfortunately, there is no effective established recommended treatment. Some have tried different groups of drugs like short course of L-dopa, Bromocriptine, and Baclofen. Out of all these, Baclofen has the least side effects which can be tried. Baclofen can be given as 10 to 15 mg per day in two divided doses. Let me know if the bruxism is more during daytime or while sleeping. For more information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 21473, + "tgt": "Had protected sex, but my periods got delayed. Why?", + "src": "Patient: Hello doctor,I had protected sex on the fourth day of my periods. And I did not take any emergency contraceptive pill after that. Now I am eight days late. Am I pregnant? Please suggest some medicine to bring my periods. I am a hypothyroidism patient and was suffering from irregular periods for almost 13 years but from last one year under medication and am working out. I was having my periods regularly. Doctor: Hello. As you were on the day four of your cycle, which was your safe day and also that the sex was protected, the chances of pregnancy are minimal. However, the best way to rule out pregnancy anyways would be to get a urine pregnancy test done at home with a home pregnancy kit. If the test is negative then you can be sure that you are pregnancy safe and the delay is likely to be stress induced during this cycle. In that case, you may then opt for a withdrawal bleed with Progesterone tablets. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11352, + "tgt": "My LDL level is 188. What should I do now?", + "src": "Patient: Hi doctor, I am a 28-year-old male. My weight is 70 kg and 5'4\". I diagnosed of LDL 188 for the first time. So what can I do? Doctor: Hi. Well, not only the LDL (low-density lipoprotein) but the triglycerides, the HDL (high-density cholesterol) and their ratio are equally important. You need to do some dietary and lifestyle changes according to your current LDL score. Consult a physician for a thorough examination, ECG and discussion for changes in your lifestyle. As per the latest guidelines, you might not need any medication for your level of LDL unless any other problem does not exist. Take care." + }, + { + "id": 28548, + "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": 28090, + "tgt": "My tooth hurts. Should I undergo an RCT?", + "src": "Patient: Hello\u00a0doctor, I have tooth pain, and the dentist has suggested a root canal treatment be done on one of the lower teeth based on the x-ray attached. Do any of the lower teeth require a root canal treatment\u00a0in your opinion? Doctor: Hello. For more information consult a maxillofacial prosthodontist online --> https://www.icliniq.com/ask-a-doctor-online/maxillofacial-prosthodontist" + }, + { + "id": 13918, + "tgt": "Is it something serious to get a bad smell from vagina of a sexually active person?", + "src": "Patient: Hello doctor, I am active in sex with no protection. Before three months, I had a boyfriend who had two other girls. They also have sex. I was there during every weekday and the other girl every weekend. And then, I had a new boyfriend. We had unprotected sex also. Then two weeks later, I met a guy. We had sex. So right now my vagina smells really bad. When I am at home, it does not smell but when I am at work, it really smells bad. Yeah, I know that the vagina really smells. But this one is different, it is like a mixture of rotten fish, or something expired. And I am using pH care every day. I am also using panty liner. What is happening? My other concern is that one week before my menstruation, I am experiencing spotting. Like one week also. Please help. Doctor: Hi, Welcome to iclinq.com. You seem to have contracted a vaginal infection and need to take a course of antibiotics. Your current partner also needs to take the medicines, otherwise, the infection will be recurrent. If you are in a flexible sexual relationship, kindly use condoms, it greatly reduces the chances of sexually transmitted diseases. Please take the following medications, as prescribed. 1. Tablet Fluconazole 150 mg once a week for four weeks after food orally for both partners. 2. Tablet Doxycycline 100 mg twice a day for 14 days after food orally for both partners. 3. Clindamycin with Clotrimazole pessary inside the vagina for six nights before going to bed for the girl. 4. You may have acidity with the oral medicines, So take tablet Pantoprazole 40 mg orally in empty stomach for two weeks. Please use condoms." + }, + { + "id": 23439, + "tgt": "I got my periods after taking an I-pill. Is pregnancy ruled out?", + "src": "Patient: Hello doctor, I got my period after taking an I-pill the very next day that was heavy and the period lasted for five days. Is it safe? Is pregnancy ruled out? Doctor: Hello. It is better that you get a serum beta hCG (human chorionic gonadotropin) test done to conclusively rule out pregnancy as bleeding usually do not start the next day post the intake of the I-pill. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16526, + "tgt": "I pass huge blood clots during my period. Please help", + "src": "Patient: Hello doctor, When I have my period, huge blood clots are seen in my sanitary napkin. Will it affect my fertility? Doctor: Hi. Passing clots on the first day of your menstrual cycle is normal. This does not affect your fertility. But, if you are passing it on all the days of your cycle, then it requires attention. You need to be treated. You may have to take medicines which will control the amount of bleeding. Consult a gynaecologist online to know the severity of the problem --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29622, + "tgt": "May I know if synacthen test is accurate to check pituitary gland function?", + "src": "Patient: Hi doctor, I was diagnosed with Cushing's disease, which caused a high level of cortisol before two years. The tumor size was 2 mm. I had surgery and the pituitary gland tumor\u00a0was removed. Then, I am having a low level of cortisol and T4. After the operation, I am taking Hydrocortisone (10 mg or 5 mg daily) and Levothyroxine. My latest blood test showed cortisol (AM ) 141, cortisol after medicine 261 (reference range 171 nmol/L - 526 nmol/L) and 24 hours urine test showed 547 nmol (reference range 57.7 - 806.8).\u00a0I had an appointment with my endocrinologist last month. I had a short synacthen test and the results as per attachments are here. May I know is this test accurate to check my pituitary gland function? If yes, how this test ensure my pituitary gland function well? If no, why this test is not suitable for me? What is the suitable alternative test? Doctor: Hi. I understand your question.\u00a0I have noted all your laboratory test results (attachment removed to protect patient identity). For further information consult a neuro surgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 15973, + "tgt": "Is there any aberration seen in hemogram?", + "src": "Patient: Hi doctor, My partner is 62 years old. She has diabetes. Her fasting sugar is 138 mg/dL, and PPBS is normal. Her TSH is usual at present. The HbA1c test is standard with 5.5 %. We did hemogram along with a sugar testing last week. It showed some aberration. The WBC was normal. Total WBC was marginally high. Her hemoglobin was 14.4 g/dL, and her hematocrit was normal. But the red cell distribution width was marginally high. Her platelet count was 164,000 platelets per microliter of blood. Her platelet distribution width, mean platelet volume, and platelet to large cell ratio were higher than normal. Her lipid profile was normal. She does not have any obvious abnormal symptoms. She takes Vysov-M 50 by 500 mg for diabetes and Thyrox 50 for thyroid. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). The RBC (red blood cells) count is normal. The red cell distribution width indicates the variation in the size of the RBCs. It is usually seen in iron deficiency anemia where the RBCs become smaller in size. The hemoglobin is normal, and the elevation is only marginal. There is nothing to worry. The platelet distribution width indicates the variation in the size of the platelets. It is seen generally. Sometimes, the rate of production of platelets is accelerated in bone marrow, and it results in larger sized platelets in the blood. There is nothing to worry." + }, + { + "id": 16209, + "tgt": "I am a hypertensive. Can I take Valium during travel?", + "src": "Patient: Hello doctor, I am 5'10\", male, 175 lbs. Blood pressure is a little high. Otherwise in general good health. Doctor: Hello. How are your BP readings? What is your age?" + }, + { + "id": 27628, + "tgt": "I am trying to conceive for the last 6 months. Should I go for tubal laparoscopy?", + "src": "Patient: Hello doctor, I am trying to conceive for the last six months, so my doctor advised to take Caberlin, Siphene, and Duphaston, in the first three months. In the third and fourth month, Gestin. And this month, Letrozole and Duphaston. My doctor said if I do not get pregnant this month, then I should go for tubal laparoscopy. Today I have brown discharge, and I think my periods will come. Does this mean that I will not get pregnant this month also? I have a 7 year old\u00a0daughter. I do not understand what the problem is. Am I under right treatment? Should I go for tubal laparoscopy? Doctor: Hi. Take care. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2205, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 15993, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25499, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1629, + "tgt": "Is it dangerous to have high levels of creatinine and BUN in hypertension patient?", + "src": "Patient: Hello doctor, I am a 52-year-old male. My recent labs show elevated levels of BUN and creatinine. I have hypertension and it is controlled by medication. I am a weight trainer and boxer. I have followed a high protein diet over the years. My lab repot shows: eGFR - 71. BUN - 27. Creatinine - 1.32. My fluid intake has been down with my irregular schedule since the pandemic. I have increased my water intake now 64 plus oz of water a day and I have stopped taking any protein supplements. Doctor: Hello, Welcome to icliniq.com. I would like to know which medicines you take for hypertension? I would like to know, whether you have done any urine examination? Rest eGFR (glomerular filtration rate) of 71 is within normal range for you, if urine examination is normal. I would advise you to decrease the protein intake and avoid protein supplements. You take water as much so that urine daily passed is around 1.5 liters. You should avoid any nephrotoxic drugs (painkillers, herbal medicines). If a urine examination was not done previously, I would advise you to undergo one routine urine examination and one ultrasound of kidneys." + }, + { + "id": 10301, + "tgt": "What can cause heel pain?", + "src": "Patient: Hi doctor, I am a 67 year old male. I am overweight, mildly diabetic and have high BP. I have pain on backside of my left heel. It\u00a0increases in the evening. I think I have Achilles tendinitis. Please help. Doctor: Hello. 1. Recent blood tests like CBC (complete blood count), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein) and serum uric acid. 2. X-ray ankle - lateral view. 3. A clinical picture showing exact site of pain and inflammation, so that the pathology can be estimated. 1. Achilles tendonitis (Achilles tendinitis). 2. Plantar Fasciitis. 3. Bony spurs. Follow up with investigations to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 21925, + "tgt": "I feel tenderness when I press on both sides of chest. Please help", + "src": "Patient: Hello doctor, I will attempt to summarize this as best I can here. Symptoms: I have been experiencing what feels like I strained my chest muscle(s). They have been terribly sore for about a week. The pain lessens after sleeping. But something as simple as stretching my arms seems to flare it back up again. The pain is consistently in the same location. I can press on my chest and feel the tenderness. I have pulled a groin ligament, and the pain level is very similar. Massaging it seems to briefly relieve the pain. But, I can definitely pinpoint the pain with my fingers easily. It does hurt to breathe at times. But this could also be allergies, as the weather here would result in that. Over the past few days, the sides of my ribs have begun to feel sore. But I am wondering if this is due to me holding myself up differently, as I am attempting not to overload my chest. This is causing me a great deal of anxiety. Facts: I check my blood pressure and heart rate at home. Both have been normal. In fact, my blood pressure is looking great this week. I have terrible anxiety issues, which has landed me in the ER a few times due to heart palpitations. I have had two EKGs, CBC and other blood tests, an X-ray, and seen a cardiologist. The verdict: Anxiety. This April, I had my last round of blood tests and an EKG done. I was told that I looked great. I have the test results for reference, should anyone care to see. I am quite out-of-shape and have been trying very hard to improve my health. I started up the P90X DVDs about two weeks ago. This chest pain kicked in after a few P90X sessions. I moved a few heavy items around my home during this time as well, so I imagine I may have irritated whatever is going on there. Icing the chest seems to help a good bit. It is just so strange, as I can quite literally press on the pained areas. They are on both sides of the chest, in exactly the same locations on either side. The middle of my chest is a bit sore, but not remotely close to the pain on either side. I am uninsured and really cannot afford to shell out the money for cautionary tests. This is very distressful to me and triggering off some major anxiety for the last week. I have been hoping the pain would improve. I have ridden an exercise bike rapidly, multiple times, while having this pain. The pain did not worsen at all. In fact, it felt great (aside from the fact that I am in severely sore pain). Personal details: 37-year-old male. 5\u20198\u201d. 185 pounds. This pain has been going for about a week. It feels like my chest muscle(s). I am not on any medications. I do not take any drugs at all. I have never smoked a cigarette in my life. Doctor: Hello. I have checked the attached files thoroughly (attachment removed to protect patient identity). All the investigations you performed are within normal and there is no need for further investigations. From what you mentioned, you have acute muscle sprain which is due to lifting heavy objects and the exercises that you have started. This sprain usually resolves within one to two weeks with no long-term consequences. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10143, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 28280, + "tgt": "My aortic valve is leaky, and I have pain in my chest and jaws. Should I be concerned?", + "src": "Patient: Hi doctor, I am a 41 year old, and since the past five years, I have had some heart issues. I was hospitalized for SVT, five years back. The medications had it under control for a while, but I got older, a little bit heavier, and had some life changes, so things changed. It was also recommended that I have an echocardiogram, stress test, and Holter monitor. But, I put it off and did it a few months back only. My EF came back 50 to 55 %, my aortic valve was leaky, and I have a murmur. Based on those results, my doctor increased Metoprolol to 100 mg, twice a day. It was going fine for a while, but gradually it crept back up. Last night, I had chest pain and pain in my jaw, so I went to the ER. My troponin level was 2.4. The doctor never called my cardiologist, and he did not increase my medication, and I was going from NRS to SVT to SVPB, with my heart rate going all over the place. I have all my results, so I can show them to my cardiologist tomorrow, while I go to work. Should I be concerned? Was something missed? I was taken aback because I was not given any medication to stop the pain and heart rate, and I am still on the same medication dosage. The same medicine was in my system while all that was happening, and it did not resolve anything. Doctor: Hello. Firstly, I think you should upload your reports like the echocardiogram to know the severity of aortic regurgitation, and electrocardiography to know what kind of SVT (supraventricular tachycardia) it was. It will give a better idea if it is PSVT (paroxysmal supraventricular tachycardia) or atrial fibrillation. It appears from your description that you had a repeat episode yesterday, so certainly you should have been added with some more medicine like tablet Diltiazem, to control your heart rate further. Regarding troponin, you did not mention the unit, was it within normal range or out of range. If it is within range, then no need to worry and your chest pain is probably due to high heart rate. Also, ECG would have shown some changes if it is due to heart attack. So you, please upload the ECG. I advise you undergo electrophysiological studies, which will diagnose the exact type of arrhythmia and treat it permanently in most cases. So, at this moment if you still have it and heart rate is still up, then certainly more drug needs to be added. Also, your leaky valve does not seem to be severe as your diastolic BP (blood pressure) is not low. Hope this helps you. Get back with reports for better opinion and if you have any doubts. Revert with more information to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 26206, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 24244, + "tgt": "Is using nicotine gum the correct way to quit smoking?", + "src": "Patient: Hello doctor,I am 19 years old. I have a habit of smoking from the last one year. I tried to quit smoking. But, it is not possible. Is it correct to use nicotine gum? Doctor: Hello. Trying to quit smoking is a very good idea and since you have only been smoking for a year, quitting now will be much easier than doing it any later. Nicotine gum and lozenges are both good replacements and have proven to be effective. Normally, side effects may occur some times such as: But if you keep to the recommended dose, you should get minimal side effects. Also, make sure you give at least an hour or two in between two pieces (2 mg piece). The long-term use is not recommended and you should also bring down the dose gradually. Hope this helps. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 22957, + "tgt": "Does my X-ray show that both elbows are broken?", + "src": "Patient: Hello doctor,I fell off the bike. I took X-rays and the doctor is telling me that both elbows are broken. As a non-professional, I cannot see if it is really broken. I do not have any pain if I am not stretching the elbow too much. Are both elbows really broken? And if yes, do I have to wear the cast for 2 to 3 weeks? Doctor: Hello. There are fractures in both elbows but that is where a detailed description is needed (attachment removed to protect patient identity). If you look at the radial head and neck area (the bone in the elbow that is on the outside or thumb side and had a round appearance at the top). Look carefully and trace the bone upwards towards the elbow joint and you will notice a subtle fracture which is in its place in both views or undisplaced. You do not need a plaster. Only a sling and mobilize as pain allows. Ice the elbow for pain relief and some of the counter painkillers. Avoid wrenching and twisting activities for 3 to 4 weeks as they may be more painful. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 230, + "tgt": "After surgery for anal fistula, pus is coming out of the wound. What to do?", + "src": "Patient: I done kshala sutra treatment for fistula .But iam getting pus from that wound from last 10 days continuously.surgery was done 15 days back. Actually, I got this problem 6 months back but at that time it was cured temperarely but from last 2 months iam facing pus then I contacted doctor .he said it is a fistula...surgery done but that pus was coming continuously. Is it indicates any thing wrong. Doctor: Hello. I welcome you to icliniq. I can imagine that you must be very concerned about ongoing pus. Well yes there is some pus, but the large part of the wound is healthy and pink. It is not uncommon to have pus few days after the surgery. The treatment you are taking are rightly prescribed, but I did not know the dose of amoxicillin which is a antibiotic. If you are taking under dose, I suggest you to take 1 gm twice daily (total of 2000 mg daily). You can simply take a guaze peice and wipe down the pus which is coming. It is highly possible that this pus will dry in coming few days. You can add Tab metronidazole 400 mg thrice daily for 7 days to help heal the infection. I also want to know do you have any other abdominal symptoms? such as abdominal pain, diarrhea, vomiting, or unusual weight loss? because it is important to know whether you have other problem within the bowel which is manifesting as anal fistula. It is however unusual to have fistula at such a young age.. I am here to discuss if you have the any above mentioned symptoms. Stay safe Anal fistula recently operated stool fro fecal calprotectin and stool detail report. A thorough pertinent history is required before suggesting more targeted investigations. as above follow up to provide more information about your symptoms, if you do not have any, then I only suggest you to follow treatment advise as above." + }, + { + "id": 15552, + "tgt": "Is it good to reduce the dosage of Levothyroxine for high TSH level?", + "src": "Patient: Hi doctor, I had hypothyroidism for 24 years. I also have Sjogren's syndrome, but I do not have autoimmune thyroid problems. I was taking .150 mcg of Levothyroxine for 23 years. Six months ago, my doctor told me that I have hyperthyroidism and lowered my dosage to .137 mcg. I had increased fatigue. Again she reduced it to .125 mcg, and I experienced extreme fatigue, weight gain, muscle weakness, and joint pain. I had increased sleeping for 20 hours on weekends. But still, my doctor told me that my TSH is high, and she reduced the dosage of Levothyroxine. My free T4 is normal. I have never tested T3. I am worried regarding the TSH. I had a TSH of 0.05 mIU/L before five months, 0.02 mIU/L before three months and 0.1 mIU/L before a month. Should I have to see an endocrinologist? Please help me. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your TSH (thyroid stimulating hormone) is in the lower normal range, just near the border. The dosage of Levothyroxine has to be reduced. Try to maintain TSH around 2 mIU/L. Please test your FT4 (free thyroxine) levels. I believe that you experience fatigue due a secondary cause. Ask your doctor to get anemia workup done, get vitamin D, and calcium levels. Sjogren syndrome itself is a cause of fatigue, and get ESR (erythrocyte sedimentation rate) and CRP (c-reactive protein) done to check for disease activity. If your results have not shown any abnormalities, then it is better to consult a rheumatologist rather than seeing an endocrinologist in my opinion." + }, + { + "id": 2341, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 27372, + "tgt": "I have noticed spreading rash on my penis head. Please help", + "src": "Patient: Hi doctor,I am a 30 year old male. Since a couple of months, I\u00a0have noticed some rashes on my penis head. Now, it seems to be spreading. I am washing it diluted Dettol\u00a0in lukewarm water, and that is not of any help.\u00a0Please advise. Doctor: Hi. Revert with more information to the dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 442, + "tgt": "What is delaying my pregnancy?", + "src": "Patient: Hi doctor, I am trying to get conceive. We have tried two times, but no positive result. I\u00a0have thyroid but it is normal now. My age is 26 and weight is 78 kg. I am a little overweight for my height. What is the problem. Please help me. Doctor: Hi. Revert back with the report to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist \u00a0" + }, + { + "id": 11039, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14662, + "tgt": "How to cure cough that occurs due to a hard laugh?", + "src": "Patient: Hi doctor, How to cure the cough that occurs on a hard laugh? Doctor: Hi. The cough that occurs due to a hard laugh is usually due to dryness occurring in the respiratory tract. Normally, you would not need to do anything. At first, you can drink some water and see if it provides any relief. If you are experiencing too much of irritation, you can do warm salt water gargles or have a teaspoon of honey." + }, + { + "id": 8340, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 2418, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 24781, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 4863, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 19048, + "tgt": "My blood protein levels are in higher range. Is that a precursor of any problem?", + "src": "Patient: Hi doctor, For around seven years, my blood protein levels range from 8 to 8.6. The average of all is 8.29 and nothing showed up in urine. Is this a precursor to something? When I have asked doctors, they all said that it was in guidelines and it is intermittent. 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": 6542, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 4580, + "tgt": "Had corneal transplant and my vision is opaque now. Is this rejection?", + "src": "Patient: Hi doctor, I am having vision problem in my right eye. I had corneal transplant done and no stitches have been removed.\u00a0My vision is opaque now. Is this possibly a rejection? For the eye, I am using Prednisolone, Timolol, antibiotic eye drops and Muro 128. I am diabetic and also taking medicines for blood pressure, cholesterol, depression and prostate problem. Please help. 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": 12971, + "tgt": "What is causing difficulty in breathing with burps and vomiting?", + "src": "Patient: Hello doctor,I am facing a problem for one week and I am unable to breathe properly and I am getting lots of burps. I am vomiting white floaty water on each burp. Doctor: Hi, Welcome to iclinq.com. Most probably you have upper gastroenteritis. Do you have fever? Avoid eating spicy and fat food. Take saline one liter per day for five days. Take Domperidone one tablet three times daily for vomiting. Eat banana, white rice boiled, yogurt for five days. Food poisoning. CBC. Upper gastroenteritis. Spicy, fatty food." + }, + { + "id": 16381, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 10441, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 22129, + "tgt": "What is the brown vertical streak in my thumbnail?", + "src": "Patient: Hi doctor,I have noticed this very pale light brown vertical streak in my thumbnail about a week ago. I am very worried after reading online about something called longitudinal melanoma. I am 27 years old female. Doctor: Hi. I have gone through your case. Well, longitudinal melanoma is one of the causes of brown streaks. Other causes include multivitamin deficiency including zinc. These are micronutrient and not stored in the body and need a continuous replacement. Other causes include normal variation.Drugs like Doxycycline and many others can cause it, and lichen planus too. To rule out lichen planus, I need to see your all 20 nails and buccal mucosa. It is longitudinal melanonychia. Melanoma is a malignancy and it does not look to be the cause in your case. Take capsule Perfectil plus (multivitamins) for three months. In my clinical opinion, this is a normal variation (attachment removed to protect patient identity). Melanoma is dark and irregular in appearance. Just stay relaxed. Nothing to worry about this. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20273, + "tgt": "Can UTI be related to sexually transmitted disease?", + "src": "Patient: Hi doctor, I have a question regarding my urine. I feel I might have urinary tract infection, as I feel slight burning while passing the urine, and once the urine is done for a few seconds. Also, sometimes my urine is cloudy, or milky type at the beginning of the urine. Leukocyte esterase came positive, and pus cells are 8 to 10 WBC or HPF. Please check the report, and inform me same about the disease, and what to do. Is this related to sexually transmitted disease by any chance? I had unprotected sex, five months ago, and recently tested for HIV and came negative. Is this something to do with it? Doctor: Hi. I have gone through your query, I would like to know a few more details to answer your query better. Do you have any fever or lower abdominal pain? Have you had any slowing of your urinary stream recently? Is this your first attack of UTI or have you had one before? Your report (attachment removed to protect patient identity) suggests that you have urinary tract infection. The next step would be to give a urine culture and start you on antibiotics based on the culture. In addition, you will have to drink plenty of fluids to flush out the infected urine and bacteria. Once your UTI is treated your urine should become clear. As you mentioned any recent sexual contact can provoke a UTI, but it is not possible if it was five months ago. As you are a young male, it is very unusual to get spontaneous UTI's. This will have to be checked out after treatment with an ultrasound, residual urine estimation, and uroflowmetry." + }, + { + "id": 10717, + "tgt": "I feel like something is stuck in my throat associated with acidity. Kindly advice", + "src": "Patient: Hello doctor, I feel like something is stuck in my throat from two months, and I also have the problem of food coming in the mouth sometimes, and acidity. When I went to the doctor, he recommended Pantoprazole after which I had little relief, but not so much. Please prescribe me something better. Doctor: Hello. Have you been back to your doctor after he recommended Pantoprazole? I think that you need to have an upper endoscopy to look at your esophagus and what is causing this problem. It sounds like you may have a Zenker's diverticulum. This is an outpouching of the lining of the esophagus. There are treatment options for this, but you have to Consult a gastroenterologist who may be able to fix the problem through the endoscopy. I hope this information is helpful." + }, + { + "id": 26893, + "tgt": "Dust and perfume make me cough. How can I get better?", + "src": "Patient: Hello doctor,Since many years, I am facing a sinusitis problem. When I catch the flu, it gets worse. This time, I caught the flu twice this month. The sinustis got worse and I visited a\u00a0doctor who prescribed me with a course of Fexet, Klaricid, and Ventek. He said that I need to take Ventek for three months as he thought my cough was more like an allergy. Now, it has been a month that I am taking the medicine, but my symptoms of cough are not getting better. It is more like a persistent cough now. Dust and perfume make me cough. And more than anything else, I can feel sinusitis at the back of my throat. How long is it going to take before I get better? Doctor: Hello. Sinusitis will not get relieved by Montelukast tablet alone. We will need to evaluate you. Sinusitis can be due to various factors such as genetics, anatomy, allergy, pollution and much more. When there is chronic sinusitis, we investigate to find the cause and initiate appropriate treatment. For that, we require the images of a CT scan of the paranasal sinuses and a blood investigation namely serum IgE. Kindly do these two tests and share the reports as well as images, so that we can advise you the right medications. Until then, I suggest you start using Metaspray (Mometasone) nasal spray two puffs twice daily. Consult your specialist doctor, discuss with him or her and start the medicine with their consent. Hope to see you in good health soon. Regards. Revert with more information to an allergy specialist online --> https://icliniq.com./ask-a-doctor-online/allergy-specialist" + }, + { + "id": 17827, + "tgt": "Can knee and pelvic x-ray help to check, whether human growth hormone(HGH) will work for me?", + "src": "Patient: Dear Doctor, I have attached images of the latest x-ray imaging (attachment removed to protect user identity). I have taken this x-ray to determine my bone age, reason is that I had planned on using growth hormone therapy to help me grow taller. I was told that these bone age imaging of the wrist is not enough to determine whether a 19 year old will grow any taller, as the maximum age they can predict is up to 19 years, which is my age at present. I was told that a pelvic imaging is best for people above the age of 19 years.\u00a0 My question is on seeing the images, can you please tell if HGH will work for me? If not then, should I consider a pelvic x-ray to help determine whether growth hormone will work for me? Doctor: Hi. Hope it helps." + }, + { + "id": 5187, + "tgt": "I am suffering from anxiety. Please help", + "src": "Patient: Hi doctor, I am suffering from anxiety. Please help. Doctor: Hi. Your description of symptoms is concise and specific, which makes it easy to diagnose your condition. Mental illnesses are broadly classified into neurosis and psychosis. In neurosis, a person does not lose contact with reality and understands that he has a mental issue known as insight into illness. The person is concerned about it and actively seeks help, just like you. All anxiety disorders fall under neurosis. Conversely, in psychosis, a patient losses contact with reality for example false perception like voices talking or false belief like a delusion that people are planning to kill him. These patients refuse to believe that they have a mental problem and they resist any sort of treatment. Schizophrenia is a classic example of psychosis. Patients of neurosis do not convert into psychosis. Anxiety remains as anxiety no matter how severe or chronic it is. So, be assured that you are not going to become schizophrenic, lose your mind or land in a mental hospital. Anxiety disorder has multiple presentations like generalized anxiety disorder, panic disorder, obsessive compulsive disorder, social anxiety disorder, etc. Depersonalization also occurs in anxiety disorder. Frequently, these conditions coexist in varying severities at different points of time. Your description suggests that at a certain level, you realize that your fear is irrational, but you still cannot get it out of your mind. This is likely to be an obsessive thought. The characteristics of an obsessive thought are :- Despite this, you are unable to kick it out of your mind or prevent thinking about it. There is a proven helpful way of dealing with an obsessive thought. Try a deep breathing technique like the 4-7-8 technique (relaxed breathing) which you can find on the internet and use it whenever you feel more anxious. Lastly, if you feel the need of taking medicine to deal with it, you should choose an antianxiety drug like Clomipramine or Fluvoxamine which has proven efficacy against obsessive symptoms as well. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 27347, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 28183, + "tgt": "Can vestibular problems and C5-C6 bulge cause headaches?", + "src": "Patient: Hi doctor, I have had persistent, recurrent headaches and shooting head pains due to a\u00a0concussion from a traumatic brain injury, that I acquired five years back. The doctor has described my headaches as tension-type headaches, I have pain behind the eyes mainly, but it can be on the top of the head and upper neck, the\u00a0base of the skull. I also had vertigo for two months after the injury. Does vertigo or dizziness give an indication of the severity of the concussion that I suffered? I still require vestibular correction, as the Unterberger test was positive. Can vestibular problems cause headaches? Is there any way of telling if I suffered more than one concussion during the accident? Could that be the reason for my prolonged symptoms? To my knowledge, I did not suffer a loss of consciousness, but I am not entirely sure. Does concussion cause damage to the structures of the head and neck and to the blood vessels supplying the brain, that could be causing the recurrent headaches? Can a C5-C6 bulge cause headaches, because this was revealed in the MRI? The brain CT scan was normal at the time of the injury. What can I do to repair the muscles of the neck if they are causing my headaches? Would physiotherapy help? The brain MRI, four years after the injury, revealed a few scattered foci of high signal intensity in the frontal lobe deep in the white matter. The doctors that I have consulted so far will not definitively say whether or not they are attributable to the injury. One doctor said that these white matter hyperintensities could be caused by the hardening of the arteries. Would this not be unusual for a man, who is 40 years old? The radiologist has described the hyperintensities as a small established lesions. As part of the MRI, I had a gradient echocardiogram which was normal for the investigation of microbleeds. I used to smoke for about two or three years only, and I gave up smoking about fourteen years ago. The severity of this injury and the persistent, debilitating symptoms caused by it, continue to ruin my life and as well as the persistent headaches. Every day I feel the damage done to my brain, and it just feels distinctly different, the effects of the trauma and just a reduced mental capacity which is unquantifiable and a lack of motivation and depression, especially with the persistent pain. It is tough to lift myself up and put this behind me. I take Amitriptyline occasionally. I would be grateful for your response to my questions and your expert opinion. Doctor: Hello. I would like to know few more details about your problem. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 866, + "tgt": "What are the ways to get rid of acne?", + "src": "Patient: Hi doctor, I an 28 years old and I have a skin problem on my face such as acne, blackheads, big pores, etc. It is usually not that bad but once my spot is gone, I have a red mark that could stay on my skin very long. As a result, all my skin looks a bit reddish due to spots marks. I would say my skin type is combination since it\u2019s dry after I wash my face and then it gets oily, especially on my T zone. I am currently using La Roche Effaclar Duo to get rid of my acne and especially my spot marks but it does not seem to help a lot. That is why I was just wondering if you could recommend any skin routine that would help me to get rid of my acne and make my skin look better and healthier. Thank you very much. Doctor: Hi. Skin in adolescent and young adult are covered with sebum secreting glands mostly over face and trunk. They increase during the summer and varies according to menstrual cycle. Besides oily cosmetics can hamper the acne formation process and aggravte the problems. You can regularly cleanse the skin using facewash containing salicylic acid and or glycolic acid or mandelic acid. To improve the acne and facial skin we frequently use gel containing retinoic acids specially at night. But if you have bigger acne lesions sometimes we need to have some laboratory investigation to start oral retinoic acid. Could you please send me your picture so that I can discuss with you in detail." + }, + { + "id": 3319, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 1902, + "tgt": "How to prevent creatinine rise?", + "src": "Patient: Hi doctor, I am a 74 year old male.\u00a0For the past two years I am house-ridden, but not bedridden yet. I feel tired after walking a mere half a kilometer. I walk with the help of a walking stick, because I lose balance while walking. Sometimes I feel orthostatic hypotension. I consulted a cardiologist, a pulmonologist, an endocrinologist and a urologist.\u00a0Cardiologist took an ECG and an echocardiogram. He ruled out heart trouble even though I had undergone aortic valve replacement six years back.\u00a0Pulmonologist asked me to take a thoracic CT scan and did not find any significant malignancy of the lungs.\u00a0Urologist, who 10 years ago diagnosed me having GU AFB and cured me with a six month course of AFB treatment, ruled out recurrence of AFB in GU area.\u00a0Endocrinologist prescribed various tests like serum cortisol test, thyroid test, ACTH test and ruled out Addison\u2019s or Cushing\u2019s disease.\u00a0Last week, when I was going through those records, I read in the thoracic CT scan report that my right adrenal gland has hyperplasia. On the internet, I found that hyperplasia means growth of additional cells.\u00a0Since the previous CT scan was one and a half years old, I decided to have another CT scan of abdomen to find out the condition of my right adrenal gland hyperplasia. I knew that I cannot have an MRI scan as I had a replaced aortic valve. \u00a0The radiologist had my serum creatinine tested before administering me with the liquid necessary for contrast. The new CT scan report appeared to me as a death sentence. The report did not find any change in adrenal hyperplasia. But, the report of my kidneys appeared to be concerned. I consulted a nephrologist in a renowned leading hospital in my area.\u00a0He did not prescribe any treatment for me at all. He even chastised me for taking a CT scan telling me about the radiation effect of the scan and effect on kidneys of the contrast liquid. He asked me to come back after six months.\u00a0After thinking about it for the past one week I have come to the conclusion that the honorable doctor decided that my kidney condition is terminal and it is futile to prescribe anything. As I spend lots of time surfing on the internet I had a whim of having a second opinion online. Doctor: Hi. Please attach all your CT reports and your blood profile for my best opinion. Thanks. Revert back with the reports to a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 27186, + "tgt": "I have a recurring swelling near my testicle. Can it be a hydrocele?", + "src": "Patient: Hello doctor, A few days back, I observed a lump or swelling near my left testicle. It had\u00a0also appeared two years back and I had consulted a doctor and after a USG, he suggested that it will disappear by itself without medication. I have not observed anything like that in the previous two years. Now, I am seeing it again. The findings of the ultrasound of the scrotum from two years ago read as follows. 'Both the testes are normal in size, shape and echo texture. No focal lesions noted. Both epididymi are normal in size, shape and echo texture. No focal lesions noted. Evidence of minimal hydrocele noted on left side. Pampiniform plexus of veins are normal on both sides. Testicular arteries appear normal. Impression: minimal left hydrocele.'\u00a0Please comment the reasons, risk, and advise treatment. Doctor: Hello. I went through your query. For more information consult an\u00a0internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9872, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 24297, + "tgt": "I have numbness and weakness of face after eardrum rupture. What to do?", + "src": "Patient: Hello doctor, 10 days ago, my left eardrum ruptured by my mistake. The doctor said that it will heal on its own in two weeks time. He did not prescribe any medicine. Now, from two days, there is numbness and weakness on the left side of my face. There is mild pain around the ear, jawline, backside of the head. I have anxiety problem too. What should I do (any tests)? Doctor: Hello. You have said about numbness/weakness on the left side of your face. Is your mouth deviating towards the right side or your left eye not closing properly? If that is so, it may be a weakness of one of your nerves that supply the muscles of the face (the facial nerve). If that is not so, even an infection in your perforated eardrum may cause mild pain around the ear. Do visit your ENT doctor so that he can have a look at the current state of your eardrum. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 10369, + "tgt": "How do I get rid of enlarged circumvallate papillae?", + "src": "Patient: Hello doctor, I have enlarged circumvallate papillae from the last 45 days. How do I get rid of it? What medicines are suggested? Doctor: Hello. Normally, circumvallate papillae are enlarged structures at the base of the tongue. So it is normal to have enlarged papillae and it does not need any treatment especially if you do not have any symptoms like pain, swallowing difficulty, etc. Also, there is unlikely to be any abnormalities in them as it is unchanged since last 45 days. You upload the picture of those papillae so that I can confirm. However, with a sore throat, it may appear bulky and slightly enlarged but it settles down after it is treated, and you already took Amoxicillin for that. 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": 20857, + "tgt": "Why is there continuous abnormal hair loss in a female patient?", + "src": "Patient: Hello doctor, My wife aged 38 has been suffering from abnormal hair loss for the last few years. Hair continuously falls the whole day. It is so severe that we have to clean the rooms every few minutes. Even without any touch on the head, it falls continuously. We have a daughter aged 10. We consulted with a doctor and she is taking medicines as per his advice but the condition has not improved. Kindly prescribe for her. Doctor: Hi. I have gone through your wife's concern. Has she done a blood test recently for thyroid profile, hemoglobin level, serum ferritin levels? Could you please attach the prescription and revert back? Also, send the image of her scalp. I would like to see if it is generalized hair loss or pattern hair loss." + }, + { + "id": 20755, + "tgt": "I am 26 years old. How can I gain weight?", + "src": "Patient: Hi doctor, I am 26 years old and have 47 kg weight. I masturbate once a week. I want a suggestion to gain weight. Please help. Doctor: Hello. Firstly, you should have your thyroid profile done in order to rule out it as a cause. And next thing, you should have supplements to build your muscles and body. You should have Whey protein supplements (provided by optimum nutrition) a scoop a day for 6 to 8 weeks. I guess you do not have any digestive problems like indigestion in the form of bloating abdominal pain, frequent diarrhea or loose stools." + }, + { + "id": 24404, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30433, + "tgt": "Is there any latest treatment available for non-specific interstitial pneumonia?", + "src": "Patient: Hi doctor, For the past five years, I have been suffering from non-specific interstitial pneumonia. Initially, I used Deltacortril and Imuran for a year and then till now I am only using Imuran two tablets in the morning and one in the evening. While going to sleep, I use 1 L/min oxygen. I do like to know if I am going in the right path. Is there any latest treatment available now? Doctor: Hello. For further information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 19867, + "tgt": "Is it possible for the tumor to spread without lymph node involvement?", + "src": "Patient: Hello doctor, My friend is suffering from metastatic liver disease. The primary site has been found to be anal canal. The primary tumor was very difficult to find as it was not visible on PET or colonoscopy. It only felt on digital rectal examination. Biopsy of the primary tumor as well as the liver lesions showed basaloid carcinoma. The histochemical examination showed synaptophysin positive, P63 and CK5/6 negative, KI67 80% positive and histopathologic observation confirmed the basaloid tumor. There is no affected regional lymph node and only distant metastasis to the liver. The doctor recommends starting with chemotherapy and if it is not responding to it, then we can switch to Vismodegib afterwards. Though I am not an oncologist, I read a lot about the cancer. Apparently, it is rare tumor and information is not really available about it. There are some doubts whether to start with pre-operative chemotherapy and proceed with surgery or to remove both primary and secondary lesions and then to go for the chemotherapy or radiotherapy. As this is a rare tumor every recommendation or suggestions would be so valuable. Is it possible to have hematogenously spread tumor without lymph node involvement? The PET describes the wall of the anus as thickened, with normal contours. Does it mean that locally it has not reached big size? No regional lymph nodes are affected and colonoscopy showed third degree internal hemorrhoid. Is it possible that this is the possible site of entry of the metastasis? Is it possible that the primary tumor is aggressive enough to metastasize, but being very close to veins, gave it an opportunity to spread distantly? I know that I am just hypothesizing, but please share your opinion. It is so important to me to be sure about what we have to do.\u00a0I will attach the PET scan and biopsy morphology.\u00a0Thank you 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": 6094, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 17700, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29725, + "tgt": "Is it dangerous for a 2 year old to get a running nose?", + "src": "Patient: Hi doctor, My 2 year old daughter has got running nose. But, there is no fever or chest block. This is the second time in this month.\u00a0She sleeps with little noise from the\u00a0nose.\u00a0Is it dangerous for 2 years 3 months old to get a\u00a0running\u00a0nose?\u00a0Can blocked nose cause the\u00a0child to choke at night?\u00a0Otherwise, she is active when awake. Please clarify my doubt. Doctor: Hi. There are a few points to be noted here. For further information consult a paediatrician online -->https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 388, + "tgt": "My 8-year-old son gets chest pain for the past six months. Please interpret his CT scan", + "src": "Patient: Hello doctor, My 8-year-old son has been having chest pains since six months. He takes medication for acid reflux, anxiety, and asthma currently. We had a CT scan done but the doctor says it should nothing to be concerned about, however, some of the stuff in the report I feel is of concern and I am looking for clarification on some things. He is currently on Omeprazole, Levabuterol, Atomoxetine, Flovent, and Guanfacine. Doctor: Hello. I have gone through the CT report (attachment removed to protect patient identity). There are variations in the branching pattern, but this is fine to have. Many individuals have such a branching pattern without any consequences. Slight bulging was mentioned at ramification, but they also commented that it appears to be within normal limits. And such slight bulging would not cause pain or would not have any consequences unless there is any obstruction within it. Important is that there is no obstruction or abnormal course of left coronary artery. They have mentioned that the left coronary has a slightly high take off which is fine and unlikely to be responsible for symptoms or complications. So, as far as coronaries are concerned, they are unlikely to be responsible for his symptoms and unlikely to end up in any adverse consequences. Now I guess, he must have had an ECG and echo, which would give additional assurance to this. Now if according to symptoms, they are again not classical of heart. If they were cardiac then they would have certainly aggravated by activities. So unlikely to be a cardiac issue. Now considering his reflux issue, the first possibility should be considered of acid reflux and secondly of musculoskeletal even if there is no definitive demonstrable tenderness. Omeprazole may not be able to counteract reflux totally. So it is worthwhile to try locally acting agents like syrup Sucralfate and see if it helps. Light meals and some walking after meals. Locally acting agent Diclofenac gel may also be tried. I hope this helps." + }, + { + "id": 20875, + "tgt": "How likely is it that IC can cause scarring of the bladder?", + "src": "Patient: Hello doctor,I have been told that I have IC as a constant urge to urinate and sore bladder. It is believed that an embedded UTI has caused this condition. (I am male). Can you please answer these specifically:Can IC get worse over time?How likely is it that IC cause scarring of the bladder?Will bladder capacity get less and less over time? Doctor: Hi. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22598, + "tgt": "Why am I experiencing rapid weight loss?", + "src": "Patient: Hello doctor, I have a concern regarding my weight. I have lost about 2 to 2.5 kg in a month's time. I have not exercised recently. I weighed 74.4 kg last month, and now I weigh 72.8 kg. Moreover, my waist circumference has also decreased. I am worried about this sudden weight loss. Could this indicate some underlying issue? Doctor: Hello. Revert with more information to an internal medicine physician online.-->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 749, + "tgt": "I am not getting energy with low metabolic rate, inspite I am gaining weight. Why?", + "src": "Patient: Hello doctor, I feel my metabolism rate is slow. When I have food, I am not getting energy. But my stomach and buttock fat level are increasing gradually. My weight is also increasing and stamina is also very low. Please help. Doctor: Hi. Your symptoms look more like hypothyroidism. I would suggest you to check for the same and review back. Take syrup Zincovit 5 ml once daily for one month. CBC (complete blood count). RBS (random blood sugar). Free T4, TSH (thyroid-stimulating hormone). ? Hypothyroidism." + }, + { + "id": 26379, + "tgt": "My hemoglobin levels are high. Do I need to worry?", + "src": "Patient: Hello\u00a0doctor,My hemoglobin is 17.3, and total RBC is 6.32. The homocysteine is at 45.3. Is it normal or do I need to worry? Doctor: Hello. I went through your post and investigations (attachment removed to protect patient identity). There are a few significant abnormalities which I will try to address. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22244, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 312, + "tgt": "Please suggest tablets to prolong the duration of intercourse", + "src": "Patient: Hello doctor, I want sex tablets that work for longer hours. Please suggest. Doctor: Hi. According to your statement, you want to increase sexual intercourse by sex tablets. You should provide detailed history of your sex-related problems, then it will be easy for us to solve the problems. You can take tablet Viagra half an hour before sexual activity. I want to add some medications that are given below. Emla cream apply a small amount to the head of the penis and wash off before starting sexual intercourse. Tablet Priligy 30 mg one tablet one hour before sexual activity. You can continue these medications along with tablet Viagra to improve your sexual performance." + }, + { + "id": 30300, + "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": 4919, + "tgt": "Please help with my issues of weight loss, memory loss and body pain", + "src": "Patient: Hi doctor, I am a 34 year old female. My issues are weight loss, memory loss and body pain. I had medication for depression before two years. My vitamin D3 level is 34. Currently I am taking Ashwagandhadi, Liv-on and Amlapitta. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11955, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2889, + "tgt": "I get irresistible sleep attack during day time and sleep paralysis. What is the possible cause?", + "src": "Patient: Hello doctor, I have daily sleep attacks during the day (irresistible sleep attacks) and before I fall to sleep I see things like I am dreaming but I knew I am awake. At night, before I fall asleep I have multiple episodes of sleep paralysis. Sometimes in every morning, I have sleep attacks and I fall asleep and sometimes I have dreams but when I am awake I realize it has been only seconds or a few minutes. It started last year. Initially, I was unable to stay awake beyond 10 PM, then I started to have multiple episodes of sleep attacks during the day. It started as an irresistible urge to sleep which I tried to resist but then I go into a hallucination where I see and hear things like a dream but I am aware that I am awake and when I realized that the sleep become more intense and I fall asleep. This episode lasts for 12-30 minutes and in between the episodes, I feel refreshed but only for a few minutes and then the next attack will start. At night, upon falling asleep I have sleep paralysis and it is usually once but two incidences happened for three consecutive times. It mostly happened when I am not doing activities, after meal, using phone, watching TV or when I am sitting in the car for long-distance. This been happening for a duration of four months and after that, it comes and go with no specific pattern. I saw a doctor and my labs were all normal. I did a sleep study and MSLT and also normal and I do not have depression. What do you think is the possible cause of that? Doctor: Hello. Irresistible sleep attacks during daytime are called narcolepsy. They are usually considered harmful and should be treated with stimulant drugs. Amphetamines are used to treat them. Sleep paralysis is also treated with antidepressant medicines and Benzodiazepines. Usually, it is observed that if a person has good night time sleep there will be a reduction in the sleep attacks during the daytime. The reasons are usually not very clear but some genetic factors play a role. I would advise you to contact a sleep medicine expert at your place and start the treatment." + }, + { + "id": 25743, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21177, + "tgt": "My periods is delayed by nearly two weeks. What do you recommend doing?", + "src": "Patient: Hello doctor, I am 19 years old. Last month, my period came 13 days late and this month it is 15 days over the date. My period lasts two days mostly which I think is not really healthy. What do you recommend doing? Doctor: Hi. Considering your age, your BMI (body mass index) is high. It means you are overweight. Sometimes, due to obesity, you have hormonal imbalance leading to irregular periods and decreased flow. You need to get your thyroid profile and serum prolactin checked and you need to work on your weight loss. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11844, + "tgt": "What cause severe itching and white discharge during periods?", + "src": "Patient: Hello doctor, I have my periods but not as usual. It was very less than expected and lasted for a week. After that, I am facing white discharge and itching. Is this due to significant periods? Also once I was advised to use Sertacream for the same. Can the cream be used directly? The itching is very high, and I have uneasiness. Please guide me with the solution. Doctor: Hello. The presence of thick curdy white discharge with itching and often foul smell is indicative of a fungal and bacterial infection together called mixed vaginosis. This is usually caused by women who are sexually active and contract it while intercourse and also seen in women who use chemical based soaps to wash their genitals during bathing or while using toilets. This can be treated with an antifungal, antibiotic vaginal pessary to be kept intravaginally for seven nights and also an oral course of antibiotics for seven days to cover element of pelvic inflammatory disease as well." + }, + { + "id": 9538, + "tgt": "Is there any treatment available for jock itch spreading from feet to penis?", + "src": "Patient: Hello doctor,I believe I have jock itch that spread from my feet to my inner thighs to the shaft of my penis. Please help. Doctor: Hello. 1. Yes, you seem to have tinea cruris which is a superficial fungal infection of genitals and groin. Another name for that is jock itch. 2. Wash the undergarments in warm water, sundry and iron them before reusing. 3. Take the prescribed medications for 15 days. Liver function test Tinea. Tinea cruris. 1. Capsule Itraconazole 100 mg twice a day. 2. Tablet Levocetirizine 5 mg once at night. 3. Cream Luliconazole apply once at night. 4. Ketoconazole soap." + }, + { + "id": 7379, + "tgt": "My T-zone is very dry and itchy. How to keep it hydrated?", + "src": "Patient: Hello doctor, The skin on my face is extremely dry. It becomes dry in patches, and I have to moisturize it 3 to 4 times to stop it from itching and hurting. It\u00a0has always been a problem, but it has worsened over the last few months. The skin on my cheeks is quite red, and my T-zone is very dry. Any thoughts on what it could be? What methods could I use to keep it hydrated? My mother has mild psoriasis. Doctor: Hello. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20430, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26209, + "tgt": "Is it safe to give Meftal-P and Ambrocof-LS to my infant to cure fever and cough?", + "src": "Patient: Hello doctor, My baby is just 32 days old. He is having some cough and cold symptoms. I had a visit to the local physician and was advised to give him\u00a0Meftal-P, Cefpodoxime Proxetil\u00a0suspension IP and Ambrocof-LS drops. Please suggest if these medicines are safe? Doctor: Hello. For more information consult a\u00a0paediatrician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 18351, + "tgt": "What to do for itching around the private parts?", + "src": "Patient: Hi doctor,I am suffering with itching like eczema around my private parts for the last two years. Please help. Doctor: Hi. I have read your query in detail and do understand your concern. You could be suffering from a fungal infection. However, your symptoms may also be due to eczema. A picture and detailed history will be needed to differentiate between the two. 1. Proper oral and topical medicine for one to two months will completely cure your disease. 2. A course of oral and topical antifungal medicine like Fluconazole or Terbinafine is usually prescribed to cure one of these disease. 3. Do not use any over-the-counter medication over this area as it may be containing certain ingredients which may increase the problem. 1. Wear loose cotton clothing especially when at home. 2. Avoid hot humid climate and keep the affected area dry and avoid synthetic innerwear. Revert back with picture to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 22093, + "tgt": "My teeth are not in perfect shape. Should I go for braces?", + "src": "Patient: Hello doctor, I am a 25 year old male. My teeth are not in perfect shape. What should I do? Should I go for braces? Please advise about all possible options. Doctor: Hello. By looking at the picture of your teeth (attachment removed to protect patient identity), you seem to be having spaced dentition with some malalignment. The best possible solution for this is to get the orthodontic treatment or braces done. This would be the permanent solution. One more treatment could be individual crowns on each teeth to close the gap which is not as time taking as braces but it requires cutting of the tooth structure. So, considering your age, the best and safest treatment is braces. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 2417, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 6715, + "tgt": "My left ear is blocked when I get cough and sore throat. What should I do?", + "src": "Patient: Hello doctor, Sometimes, I feel my left ear is blocked. It is shut when I got too much of cough and bad throat. What should I do? Please tell me. Doctor: Hello. This is due to upper respiratory tract infection. We usually prescribe tablet Azee (Azithromycin) 500 mg once a day for three days along with tablet Pantoprazole 40 mg before breakfast for three days. Also, syrup Alex (Phenylephrine, Chlorpheniramine Maleate, and Dextromethorphan Hydrobromide) 2 tablespoons may be taken for cough and whenever needed up to two to three times daily. Also, you need to do Betadine gargles four times a day. You may have Otrivin (Xylometazoline) one drop two times a day if having a nose block. You should get yourself examined by a doctor if having shortness of breath or if symptoms are worsening. I hope this helps." + }, + { + "id": 11663, + "tgt": "Which crown should I wear for a RC treated tooth?", + "src": "Patient: Hello doctor, My lower front tooth broked in an accident. I visited the dentist here in my place and he suggested RCT. My first session of RCT has been done 11 days before, and the last session was two days back. I want your advice on steps after RCT. Is laser filling possible for such tooth break or crowning is the only option? Which type of crowning is most suitable for it? Please help me. I am waiting for your valuable advice. Doctor: Hello. Crowns are best after RCT. Best crowns are zirconia. They are metal free, and they have good strength than other crowns. Other than that is CADCAM crowns. They are 3D porcelain metal crowns and have good strength. They come with a warranty. Both look very good and have exact teeth color. Filling of teeth will be done on the last day of RCT. Ask for post and core if possible. But the crown is important in everything. I wish you good health and happiness. Keep me updated with the improvements." + }, + { + "id": 29212, + "tgt": "I have sore throat and lost my voice for about a month. How to get that treated?", + "src": "Patient: Hi doctor, I am 19 years old. Over four weeks ago, I started getting a sore throat and lost my voice for about a month now. I have a sore neck like something is grabbing it. My voice has been sore if I try and talk. I have mucus coming up, which is white colored with some blood. I am on Penicillin V for about one week. It just seems that the pain is getting worse and voice is still lost. Two weeks ago, the doctor said it was a virus and just keeps saying that it should get better soon. But, nothing is helping. Should I go back to the doctors or is there anything else I can try? I have been taking Paracetamol, a throat spray and an antibiotic. All the doctor seems to say that it is a viral infection. I am worried as it has been a month and there has been no change. Doctor: Hello. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 14331, + "tgt": "Kindly suggest medicines to manage pulmonary artery hypertension patient", + "src": "Patient: Hello doctor, My mother is 48 years old and she is suffering as a PAH patient. Her doppler comments are E/A ratio is reversed TR, MR is seen and the conclusion is severe TR or severe PAH and preserve left ventricular functions. Dilated RA/RV and she had HRCT and opinion is severe thoracic scoliosis with secondary lumber curve, pulmonary artery hypertension with bilateral perihilar interstitial edema cardiomegaly and current medicine used is Clopidogrel and Asprin, Digoxin, Bosentan, Ramipril ACE, Furosemide, Budesonide, Salbutamol, etc., but her recovery is nil. Please suggest the best medicine for her. Doctor: Hi. I can understand your concern. I have gone through the reports you have attached (attachment removed to protect patient identity). Honestly speaking, she is having irreversible diseases. Her lung functions are not good, similarly, pulmonary artery hypertension is also bad. She is having fixed spinal deformity so it is impossible to revert this with drugs. So the best treatment for her would be home oxygen therapy along with other drugs. She can take Tadalafil along with Bosentan for better control of PAH (pulmonary artery hypertension). Do let me know if she is already taking home oxygen. I will be happy to help you further. Wishing good health to your mother." + }, + { + "id": 17356, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 16014, + "tgt": "I have a painful swelling under my jaw. Kindly advise", + "src": "Patient: Hi doctor, A few months back I noticed that underside my jaw is swollen and painful, just one side (left). I did not have any symptoms. So, I thought its flu-related. But now it got worse, a bit painful, sore and can feel something inside like a lump that moves. I went to the doctor but they said looks like it is the salivary gland and it might be infected. So, just wait and come back if it did not get better or got worse. My doctor did not do any scan or X-rays. Doctor: Hi. It could be an inflamed submandibular, submental or jugulodigastric lymph node depending on the exact location. Since it is painful, it could be due to an infection of the oral cavity like the gums, tooth, tonsils, etc. Even an aphthous ulcer can lead to an inflamed lymph node under the jaw. Are there any such symptoms as I described? However, since it has been months, it is more likely to be sialadenitis or sialolithiasis meaning inflammation of the salivary gland or stone impacted in the salivary gland. An ultrasonography of the neck can be done to locate that. You should go back to the hospital and ask for an ultrasound. Are there any other symptoms like bad breath, excess or decreased saliva, dysphagia?" + }, + { + "id": 3912, + "tgt": "I have fatty liver. Can I take various other medicines with antibiotic?", + "src": "Patient: Hello doctor, I have a red, swollen and infected ingrown toe nail. It is speeding quickly and painfully. Yesterday I saw Dermatologist for the first time and she wrote me a prescription antibiotic of Ciprofloxacin 500mg/Thrice/day for one week and then do a partial toe nail surgery. Later, my last lab test was done and it was showing that my liver functions (SGPT / ALT (KINETIC) 96.70 U/L) while the normal rate is from 10 to 50 U/L and an ultrasound report on my liver says: \"Diffuse severe fatty infiltration of the liver.\" I did not purchase the antibiotic because I am worried for my liver since I am on seven other medications daily. My question is: Can my liver sustain 7 different drugs while taking a 500 mg of antibiotic? Doctor: Hello. Thank you for providing the details in your history. My question is that, is it the first time that the liver fatty infiltration has been discovered? Did you have had a test called FIBROSURE or liver MRI/ biopsy? Cipro is relatively safe with liver disease but honestly it will not be my first choice for treatment of ingrown toe nail infection." + }, + { + "id": 4857, + "tgt": "Burning pain in my legs worsens on sitting. Is it due to varicose veins?", + "src": "Patient: Hi doctor, I am 34 years old. I have had pain in both of my legs when sitting for about 12 years. The pain starts 15 minutes after sitting and it is pretty bad. There are itchy and burning pain between my calves and ankles and it feels like my legs are squeezed in this area. At the same time, there is dull and a kind of bursting pain in the feet and dull and itchy pain in the back and the middle of upper legs (nothing in the buttocks). Sometimes there are tingling sensation starting in the middle of upper downwards. It feels like I need to raise my feet a little bit from the floor and move them all the time. There was minor varicose vein removed on my right leg (no more visible veins there since then) and you can see the vein on my left leg but they are not varicose. When I stand up it feels like 70-90% of the pain is gone. There is no pain when I walk. Also, there is a tingling sensation when I lay down and bend my knees, so I feel these sensations from knees downwards. It feels like there is a problem with circulation but why it starts straight away after sitting? I know some people who have pretty bad veins on legs but they do not have that bad pain like me. It drives me crazy. Please suggest. Doctor: Hi. Leg pain can have so many causes but from your history of aching after sitting suggest a possibility of DVT (deep vein thrombosis). DVT is the formation of a blood clot in a deep leg vein (blood vessel). The pain is typically a burning or cramping sensation. Immobility is one of the cause of this. Immobility results in slow blood flow from the leg to the heart. Slow blood are more likely to clot than normal. Now you have to consult a surgeon immediately and do a doppler study of both legs to check the blood flow. They will provide you with medicines." + }, + { + "id": 30477, + "tgt": "Please help me get cured of my strange urination problem", + "src": "Patient: Hi doctor, When I drink\u00a0a glass of water, immediately my bladder gives a feel of overload and continuously I am in a need to use the washroom. Actually, I have been suffering with this problem for the past 5 years. Also, only there is an urge to urinate, but it comes out as a drop. I feel this as more problematic while traveling. Please 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": 21609, + "tgt": "Can taking oral contraceptive pill cause a lump in breast?", + "src": "Patient: Hi doctor,A few weeks ago I found out that I had a lump growing in my breast. I went for a check and had it removed and found out it was a fibroadenoma.I have been on oral contraceptives for past five months, Gedarel 20/150. However, I do not know if I should continue taking them as it is said to possibly cause these lumps. Doctor: Hi. Hormonal contraceptives have side effects as well and it is not better to use for years as can give long-term side effects. Gedarel (Desogestrel and Ethinylestradiol) is combined hormonal contraceptives and should be avoided in many conditions like obesity, age more than 35 years, migraine, systemic lupus erythematosus, history of breast and endometrial cancer, endometrial hyperplasia, venous thromboembolism, etc. It can increase chances of stroke, dyslipidemia, stroke, hypertension, VTE (venous thromboembolism), etc. You already had a breast lump, not mentioned your family history regarding breast cancer. It is better to have some other contraceptives containing Progesterone only to reduce long-term side effects. Progesterone only contraceptives also have side effects if used for a long time but some patient can have symptoms on short term use as well like irregular bleeding or spotting, so better to avoid for years. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3276, + "tgt": "Ultrasound report of an 82-year-old woman suggest gallbladder extension. What should be done?", + "src": "Patient: Hello doctor, Patient is an 82-year-old female. Ultrasound report says sludge with the distended gall bladder. Ongoing medicines Pantodac, Ulyses 150. What to do? Doctor: Hi. I have read through your query in detail. Please find my observations below. The gall bladder is a bag-like organ adjacent to the liver where bile gets collected. When we eat food at that time the bile is released from the gall bladder into the small intestine. The patient has the formation of sludge within the gall bladder. This happens when the person does not have food on time and does regular fasting. It might also happen in those who take a lot of oily food. What happens is that the bile acids cannot get expelled because the person does not eat food regularly. If the bile stays in the gall bladder for longer periods then there is sedimentation and the bile solidifies into a semisolid consistency called gallbladder sludge. After a few weeks and if not treated then the sludge will transform into stone. Pantodac is a medicine to reduce acid formation in the stomach and treat gastritis. Ulyses 150 is ursodeoxycholic acid and is given to dissolve the gall bladder sludge and prevent stone formation. Please get liver function test repeated every two months if she is given this medicine for a longer duration. Please continue giving the medicines as recommended by your doctor. Most important is to make her eat in small amounts of food at regular intervals. Since she is elderly therefore the food should be prepared with less oil and made easily digestible. Also, give her adequate amounts of water and fresh juices." + }, + { + "id": 30859, + "tgt": "Why is my back pain more while standing and sitting?", + "src": "Patient: Hi doctor, I am a\u00a053 year old male. I got herniated disc 12 years ago in the lumbar region, but I do not remember the level. I had an epidural shortly thereafter and it seemed to work. I have visited three orthopedic doctors for thoracic pain. I have had x-rays and MRIs on thoracic as well as cervical areas. Most recently had facets injections at T5-T7. But, I did not get relief. Also, I had shots to the muscles in and around the left shoulder blade and there was no change. Currently, I am taking Hydrocodone, Baclofen, Meloxicam, and Gabapentin. One doctor said I have\u00a0bone spurs and that could cause the pain, but the other two did not say that. I have had the pain for about two to three years and the pain was manageable with Ibuprofen and heat patches. In the last three months or so, the pain has intensified from about 5 to 8 or 9 depending on my activity. The pain is near the shoulder blade on the left side and feels like it goes straight through to the chest. The chest also hurts and both back and chest feels tight. I have had several EKGs and stress tests and all come back normal. I also have tingling on my left side and under my left armpit. Sitting is probably the most uncomfortable with standing being the next and lying down being the best. I cannot do any physical activities.\u00a0I really do not want any further shots as I do not think they would do any good. I am just looking for someone to offer an opinion that makes sense for my symptoms. Doctor: Hi. I feel sorry for the painful situation you are facing. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5963, + "tgt": "I have an epididymal cyst and it hurts the testicle also. What is the treatment?", + "src": "Patient: Hello doctor, I am 21 years old. I am very disappointed with my doctor. I have an epididymal cyst that hurts now, and my other testicle is hurting as well. Should I sue my urologist for negligence? What is the best cure or treatment? Please suggest. Doctor: Hello. Around 15-20 % of the males have an epididymal cyst and most patients do not manifest any symptoms. It could be an incidental finding while checking for something else. However, when it starts hurting, there is a possibility of infection all the time, and hence, if it starts causing so much discomfort it is better to get it operated. You need to do a scrotal ultrasound to find out why the other testicle has started hurting and if there is an ongoing infection, you can start treatment without any further delay. If your urologist is not helping, kindly consult some other urologist who will be operating the cyst out. Otherwise, it will not stop hurting. There is no medical management for this." + }, + { + "id": 12062, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 17751, + "tgt": "Can scrub or gram flour pack cause wrinkles on face?", + "src": "Patient: Hello doctor, I am a 38 year old female. Yesterday, I washed my face with face wash and then used scrub. Then, I applied homemade toner of honey, lemon and vegetable oil followed by moisturizer and ice cube. At last applied face pack of turmeric, gram flour and milk. Today my face is red in some area. Why is it so? Can this scrub or gram flour pack cause wrinkles on the face? Doctor: Hi. I saw your written description. Revert back after five days to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 18247, + "tgt": "Why does my vagina itch during the period?", + "src": "Patient: Hi doctor, I am 11 years old. I am on my period. My vagina hurts and itches during the period. Why? Doctor: Hi. At the young age of 11, itching around the time of periods may be just minor infection. Usual infections are respiratory infection or urinary infection. If you have any respiratory infection, suppose you cough into hands later if you wash your genitals with same hands after using the wash room. This will transmit the infection to vaginal area, and you get itching around area. Same is with urinary infection. When you have periods, the vascularity of the vagina and surrounding area is increased. When the vascularity increases the infection flares up, and you get itching. Another possibility is just skin dryness. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10727, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 17475, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2357, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 25311, + "tgt": "I have a pimple sort of red bump in my vagina. Can I wait for it to go away on its own?", + "src": "Patient: Hello doctor,I have a pimple sort of red bump inside my labia minora (I guess that is what it is called) outside the vaginal opening. It is scary because just like any other person my thoughts are roaming around the word cancer. This is the first time I have a pimple (or whatever it is) inside the V. Please help. Doctor: Hello. I have gone through your history and image (attachment removed to protect patient identity) and understand your concerns. It is simple folliculitis, no need to worry about it. It will go away on its own. You should do some hot fomentation and antibiotics if required. Regards. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19101, + "tgt": "What are the Ayurveda medicines for chronic allergies which become worse in winter", + "src": "Patient: Hello doctor, I am a 45 year old female. I have chronic allergies, which become worse in winter. What can I do, so that I do not need to take anti-allergic medications? Doctor: Hi. The allergic symptoms usually aggravate during winter season. It continues from November till February based on the climate in your place. You have not mentioned about the allergic site (nose or lung or skin). If it is nose or lung, the dryness due to winter can trigger the allergic response in nose. In this situation, you need to maintain moisture by just applying a drop of coconut oil in each nostril before going to bed. On the other hand, you can apply a drop of Anu Thailam (an ayurvedic nasal drops for allergy) in each nostril before going to bed. During evenings and nights, when it is too cold, you need to protect your ears (by keeping cotton plug), nose (by applying oil drops), head (by covering head with a woolen cap) and hands and feet (by wearing gloves and socks). The external cold stimulus triggers the allergic response. So, prevent yourself from the cold stimulus to avoid allergy. If you have allergic asthma, then it is better to practice pranayama and yoga. Breathing exercises will help you. If you have allergic skin disorder, then you can use vaseline or vegetable oils to gently apply on the skin. This helps in overcoming the dryness due to the cold climate. The skin manifestation should also be examined by a physician to decide the proper medication. Revert back to an ayurveda specialist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 25004, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6361, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25220, + "tgt": "What medicine can lower blood pressure during pregnancy?", + "src": "Patient: Hello doctor,I am a 30-year-old female with a height of 5 feet 3 inches and a weight of 65 pounds. This is my first pregnancy. All test reports are normal until now but my BP is 140/90. Is it very high? I am too much tensed. Please help me. Doctor: Hello. Fourteen weeks pregnancy and blood pressure is 140/90. You need to monitor your blood pressure every six hours with your gynaecologist who will judge whether it is really raised or just a chance of finding. Accordingly, he will prescribe you medicines. You may start with tablet Aspirin 75 mg to maintain your blood pressure and fetal growth parameters. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You need to have diet changes such as low salt diet, no pickles and spicy food. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3362, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 29814, + "tgt": "Will I get my periods correctly by next cycle?", + "src": "Patient: Hello doctor, I had a medical abortion about two months back. Last\u00a0month, I did not get my natural periods. So, this month I took the tablet Primolut N and got my period. I took FSH and LH test and it was in 1:1 ratio. On the 12th day of my LMP, I took a follicular scan. There was no follicle seen in both the ovaries. The ovaries showed the features of PCOD with no adnexal lesions. Will I get my period correctly by next month? When can I try for a pregnancy? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15569, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11211, + "tgt": "Can I get positive effect on IBS by following keto diet?", + "src": "Patient: Hello doctor, Does the keto diet positively affect and alleviate stomach issues such as IBS? Doctor: Hello. Keto diet is a crash diet, which means it can be done for a short period of two to three months or so. It can surely improve digestive issues such as IBS (irritable bowel syndrome) as it involves a very low intake of carbohydrates. But one must be careful in making the right food choices while consuming fats. Avoid eating fried stuff. Go for healthy fats and proteins like whole boiled eggs, steamed chicken, cottage cheese, raw olive oil, and avocados, etc. You can include vegetables like carrots, peas, broccoli, spinach, kale, and mushrooms, etc. Do it for one month, and if it shows good results, you can continue further." + }, + { + "id": 5365, + "tgt": "Had epidural injection for left side back pain and now getting pain in the right side. Why?", + "src": "Patient: Hello doctor, I had an epidural injection in the left lower back for left leg pain and two months later, I am having pain in the leg and pain in right buttocks. I have been diagnosed with severe loss of disc space in L4-5. Is it unusual for this to happen? Is it logical to say that once you treated the left side that something could develop on the right side? I have done my MRI spine. Doctor: Hello. From what I understand, you had an epidural injection at the left L4-5 interspace, and two months later you developed a new pain on the right side, and you are wondering if the injection has anything to do with this new pain. Epidural injections are usually advised based on the side and location of your current radicular symptoms and the MRI (magnetic resonance imaging). Your physician may have suspected left L4-5 radiculopathy based on the above-mentioned findings. The effect of the medications that are injected usually lasts not more than three to four weeks. The idea is to cool down the inflammation till a time when your body can get used to the lesser space for the nerve or shrink the compressive elements with time. Since you do have a loss of disc space in L4-5, I assume your symptoms are related to spinal stenosis. Often, the symptoms begin on one side and may progress to the other side over an unpredictably long period of time. The onset of your right side pain may have been incidentally two months following your left-sided injection. I hope this helps. I will be happy to look into your MRI images to see if an epidural on your right-side L4-5 interspace may be right for you. Review MRI. Worsening spinal stenosis, L4-5 degenerative disc disease. Possible need for a right-sided epidural." + }, + { + "id": 26046, + "tgt": "What medicines can be taken for severe itching and rash throughout the body?", + "src": "Patient: Hello doctor, I have itching and rash on my arms and legs for one week now. There was no itching before. I went to a dermatologist and got some medicines. However, the rash keeps spreading and since the last Thursday, I have fever constantly of 101 degrees. The rash has spread all over my arms and legs and has now spread to my face and neck. All tests for dengue, malaria, CBC, typhoid have been done. All normal except for low WBC. The medicines are mentioned in the list attached herewith. Doctor's notes are also attached. I cannot sleep because of extreme itching. Please help. Doctor: Hello. I went through the attachments (attachment removed to protect patient identity). You seem to have acute urticaria or acute dermatitis. I suggest you continue with tablet Mod Pan (Pantoprazole Sodium Sesquihydrate) 40 mg empty stomach. However, I would like to add tablet Zempred (Methylprednisolone) 16 mg once a day after breakfast for a week. You may continue with tablet Xevor (Levocetirizine) 5 mg twice a day morning and evening. Topically, you may apply a soothing lotion like calamine lotion frequently. 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": 10529, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 26453, + "tgt": "My 4-year-old diabetic son has high lipid panel and BUN. Should I be worried?", + "src": "Patient: Hello doctor, My son is 4 years old and he has been diagnosed with\u00a0type 1 diabetes one year ago. He has a high lipid panel. Comprehensive metabolic panel, lipid panel, T4 free, and thyroid have been done. Reports have been attached herewith.\u00a0\u00a0His A1C is 7.2. He uses Omnipod\u00a0and\u00a0Dexcom. He uses\u00a0NovoLog three units daily. His basal-bolus ratio is 25/1. Recently,\u00a0we did a bloodwork and his lipid panel was high as well as his BUN. His blood urea nitrogen was\u00a019 mg/dL and his triglycerides were\u00a0176 mg/dL. Can you suggest any proper treatment? Doctor: Hello. For more information consult an\u00a0endocrinologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 27587, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 9045, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13753, + "tgt": "There is non-stop bleeding after three hours of tooth surgery. Why?", + "src": "Patient: Hello doctor, My daughter just had a tooth surgery and bleeding is not stopping. Is it normal? Three hours before only she had it. Doctor: Hi. I had gone through your question and I can understand your concern about your daughter. No, the bleeding should have been stopped with a half hour or two, but maybe the clot has been dislodged from its position and it has bled now again. You need to role cotton, sterilized or a new one purchased from market three to four times equal to the socket, not too big or small, put it on the socket and close the mouth tight. Keep the teeth closed for half an hour, do not talk for this half an hour, even do not spit the blood out too. Make sure that mouth must not open for this half an hour. In case there is saliva in the mouth, she can swallow it but mouth must be closed at the time of swallow. You can also visit the dentist in case the blood does not stop in the next half an hour after the above procedure is done. Post-operative bleeding. If the bleeding does not stop, get an injection of tranexamic acid, keep the cotton on the wound and do as said above. Do not spit or talk for the time the cotton is in the mouth." + }, + { + "id": 3504, + "tgt": "What is the major consequence that a child will face with hearing loss?", + "src": "Patient: Hello doctor, I would like to know, what is your role in working with children with hearing loss, or more specifically, what are the duties that involve the children with hearing loss? When you work with children who have hearing loss, what are the two or three consequences or effects of the hearing loss that you think have the biggest impact on the child\u2019s life? Do you think that children with hearing loss are being adequately served in the area where you work? What kinds of things would you like to see happen differently for children with hearing loss where you work? If you are familiar with the speech and language services that children with hearing loss receive in your school or community, do you think that these services are meeting the needs of the students? What do you think about this? If you are aware of the hearing-related services that children with hearing loss are receiving in the schools or community where you are, do you think that these services are meeting the needs of the students? What do you think about this? Do you have anything that you would like to see done differently by people who work with kids with hearing loss? (e.g. programs, funding, devices, etc.). Doctor: Hi. The primary role in working with children with hearing loss is an early diagnosis of the disease and etiology. Once the diagnosis is made, our duty is to treat the reversible cause of hearing loss (this is more common than irreversible or genetic causes). Our goal is, prevent the probable, diagnose the inaudible, treat the curable, rehabilitate the disabled. Hearing is one of the most important sense organ, mutually connected with vision, for speech and language development which is a must for communication. Most important consequences of hearing loss are speech and language development, and overall psycho-social development (this is dependent on communication). Children with hearing loss have special importance, as they have to be diagnosed early to prevent the delay in speech and language development. The best means to achieve this can only be Universal neonatal hearing screening. This scheme is not followed in our place due to various reasons like a) social factors requiring community and individual participation, b) economic resources, c) Government policy support. I would like to have a universal hearing screening program, because, only if we can diagnose early, we can do something. So the first step is early and all the cases to be diagnosed. Hearing and Speech and language services for hearing impaired are meeting the needs of students who are receiving treatment facilities at tier1 and few tier2 cities. But at the rest of the places, these services are not adequate. The reason is again a) lack of awareness of available facilities, b) constant changing of technology and products, c) low literacy also prevents parents from utilizing these resources d) lack of funding and support from dedicated organizations, e) human resource and f) society participation. Few important needs are: a) Universal neonatal hearing screening. b) Social awareness of the impact of hearing loss and treatable diseases. c) Funding for hearing impaired children, with the provision of financial support for special schools. d) Need of low cost and effective rehabilitation devices that should have stable technology, easy to boot, does not have much maintenance cost. e) Increase in more and more audiologists are needed, especially to serve the needs. I hope this helps." + }, + { + "id": 1408, + "tgt": "I have a pink spot on the skin unnoticed for a longer period. What could it be?", + "src": "Patient: Hello doctor, I am a 22-year-old female. I have found a pink spot on my skin that resembles melanoma a little. I was wondering if I can send pictures for you to look at and let me know if it looks like that? Doctor: Hi, Welcome to icliniq.com. I have gone through the picture and blood investigations that you sent. (attachment removed to protect patient identity). This lesion is asymmetric and presents irregular borders and irregular distribution of the pigmentation presents border irregularity, color variation, and a nodular component of diameter \u22656 mm. Before I make further diagnosis, I would like to know for the last few months is there any change in size and new lesion? Change in color? Change in shape? Is there inflammation? Bleeding or crusting? Sensory change? Lesion diameter \u22657 mm? Meanwhile, I would like to classify this lesion as suspicious and would like to advise biopsy. For treatment, I would wait for the answers to the above questions and give you some iron and vitamin D supplements that are deficient in your body. ?Melanoma. Coagulation profile. Biopsy of the lesion. Common melanocytic nevus. Atypical melanocytic nevus. Traumatized nevus. Pigmented actinic keratosis. Seborrheic keratosis. Melanoma. Iron and Vitamin D supplements. Injection Ferric Carboxymaltose 1000 mg in 100 ml NS over 30 minutes, Cholecalciferol sachet 60,0000 IU once a week for eight weeks, tablet Shelcal 500 mg twice daily. Biopsy of the lesion." + }, + { + "id": 25789, + "tgt": "Do I need a prescription for erectile dysfunction pills?", + "src": "Patient: Hello doctor, I have been experiencing erectile dysfunction. Are there any over-the-counter medications for a quick solution? I am on a tour with my wife and I am not accessible to any specialist. Please help. Doctor: Hello. It is difficult to get such drugs over the counter. I suggest you can use tablets used to treat erectile dysfunctions like Sildenafil 50 mg or Tadalafil 10 mg. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Sildenafil is to be used daily while Tadalafil can be used in an interval of three days as it stays in the body for a long time. These drugs need to be taken one hour prior to sexual activity. Avoid these drugs if you have a cardiac illness and if you are on nitrates for cardiac illness as it can have dangerous drug interactions. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23880, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18913, + "tgt": "My wife and I started having fever and chills at the same time. Could it be HIV?", + "src": "Patient: Hello doctor, For the last two days, I have a headache, fever, chills, sweating, and body ache. On contacting my doctor, he advised me to go for a dengue test in which NS1Ag came positive, and the\u00a0doctor has advised for an ELISA test which is yet to be done. Now, I am worried as the HIV symptoms are same as that of dengue. Am I infected with HIV?\u00a0Also, I traveled back to my country 10 days back to see my wife. She started having the same symptoms as me at exactly the same time. I have been sexually active outside my marriage for the last couple of year. I had unprotected oral sex, as well as protected penetrative sex with sex workers a couple of times. The last time my wife and I had sex was nine months ago, after which she conceived and gave birth to our baby last month. Her last HIV test was done seven months ago, as part of the pregnancy check up. As I can see from the reports available it was negative. But, since she is having similar symptoms, I am extremely worried for the three of us. Please\u00a0let\u00a0me know if all is well. Doctor: Hello. I read your query and understood your concern. Hope it was helpful. Regards For more information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 10680, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 16236, + "tgt": "Is high hemoglobin level indicative of some disease?", + "src": "Patient: Hello doctor, I am so worried. I had a blood test and my hemoglobin is 16 g/dl (9.9 mmol/l) and hematocrit is 46 PTC. I am female, 39, and healthy. My white blood cells, platelets, and thrombocytes are in normal middle range. Is a bit high hemoglobin sign of some sickness? What to do next? Doctor: Hi, Welcome back to icliniq.com. So, actually, your hemoglobin level is borderline high and not low. So, you are not having anemia. You are probably thinking about polycythemia. But as your hemoglobin is not much elevated and your total WBC count with platelet count are within range, no need to worry. In the female, normal hemoglobin range is between 13 to 16. I suggest you investigate with serum erythropoietin just to be sure if it is within range. Excess non-vegetarian diet also can lead to high hemoglobin level. Sometimes, if the investigation is done in the dehydration stage, then also such finding can occur. You can revert back with serum EPO (erythropoietin) report to guide you further." + }, + { + "id": 26748, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23007, + "tgt": "I am having injury due to penis pump. What can be done?", + "src": "Patient: Hi doctor, I am suffering from a penis injury. I made the mistake 10 months ago of using a penis pump. It was at too high of a pressure and gave me a bruise just beneath the glans. There was burning, itching discomfort in that area at all times for around a week. It seemed to basically heal fully so I decided to pump again a month later. I used too high pressure accidentally 17 inches of mercury for a total of around 10 minutes. This reinjured the same previous area right beneath the glans. No new bruise, but the itching burning pain returned more intensely. I could not get a full erection for a week. My flaccid size shriveled noticeably. The erection quality returned fully, but I have suffered every day since in a lot of pain and discomfort in form of itchy burning sensation. It does not usually hurt when erect. Only hurts when flaccid. I have seen a good urologist last month and he said no signs of Peyronie's plaque. The diagnosis was a hematoma. He said to give it time and take anti-inflammatories. The anti-inflammatories make the pain go away temporarily but never cures. This interferes with my quality of life a lot. I am very concerned since it happened 10 months ago and still I have not recovered to normal. It has been the hardest year I have ever had due to this. I want my life back. Any advice or help would be appreciated tremendously. Doctor: Hello. These symptoms are because of penile trauma due to high pressure. As urologist told you it is likely hematoma or nerve injury. It is good that your erection is normal and you are lucky that you did not have a major injury like a penile fracture. Let body heal itself. There is no magic medicine. If it is nerve injury it may take time. Better to continue with the analgesic. Get done penile doppler or MRI penis to adequately characterize type and extent of the injury. For more information consult an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 8687, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 26452, + "tgt": "I used a neti pot with boiled water. Should I be worried of an amebic infection?", + "src": "Patient: Hello doctor, I used a neti pot with boiled water five days ago. I was impatient to relieve the sinus pressure so used it before it cooled. The water was still hot. Not smart I know, but now I am concerned about the amebic disease associated with freshwater. Should I be concerned? Doctor: Hello. For more information consult an\u00a0ENT Otolaryngologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 20829, + "tgt": "Is it possible to cure type 2 ligament tear without operation?", + "src": "Patient: Hi doctor, I got an accident before a month. I got a right knee ACL ligament type 2 tear. Is it possible for the type 2 ligament to get cured by itself without operation and if so, how many days does it take to heal? Doctor: Hi. ACL (anterior cruciate ligament) tears will not heal on its own as they are inside the joint. To bring the ends together, you need surgery, but even that too is not successful. It is the reason for doing ACL reconstruction. It is not recommended for everyone. Only if your knee is giving way or if it is unstable or when you are unable to lead an athletic life, then you need an ACL reconstruction." + }, + { + "id": 14299, + "tgt": "What can cause heavy menstrual flow with late secretary endometrium?", + "src": "Patient: Hi doctor, I am 40 years old. I have been suffering from heavy menstrual flow for the past 11 to 12 months. I had a heavy flow with clots for the last two months. Now, I have been menstruating for the past 10 days with heavy flow and clots. It started exactly at the cycle period date and continued for five days and again on the seventh day, it started again with heavy flow. I have had a cyst, high levels of prolactin which have been treated during this period. Last month my doctor recommended the endometrium biopsy but the report was normal and the diagnosis was late secretary endometrium. My current medications include Ovuloc, Femilon, Meprate 10 mg two times a day, Iron tablet, and pause MF (on SOS basis). Can you please advice? Doctor: Hi. Your biopsy report is good. The medicines you are taking are also good. But instead of taking hormones daily I recommend that you put in a hormone-releasing intrauterine device called Mirena. That remains in your uterus without problem. Delivers the hormones where they are actually needed, cutting down the side effects of excessive hormone intake plus you get rid of the daily responsibility of taking your pills. However, as per the ultrasound finding of a bulky uterus, you may have adenomyosis which is causing this abnormal uterine bleeding. Adenomyosis is a condition that affects the wall of your uterus. Unfortunately, it does not respond well to hormonal treatment. Please get an MRI of the pelvis done. If that shows adenomyosis you may still try Mirena but if that is ineffective, you may even need surgery." + }, + { + "id": 22746, + "tgt": "There is ringing sound in the ear. Is something wrong?", + "src": "Patient: Hi doctor, I examined my right and left ear with an endoscope camera and I have found that my right ear looks different. I have less hearing power in my right ear on comparing to my left ear and I am wondering that there is something wrong with my right ear. I am hearing some ringing sounds in my right ear for a few years now. Doctor: Hi. I have gone through the pictures given (attachment removed to protect patient identity). This white patch in your right eardrum is known as tympanosclerosis. This is a condensation of calcium on the eardrum. It is a slowly progressive process and till now there is no approved treatment. Do not get worried about the condition that it is dangerous. But, I need to go through some investigations to complete the diagnosis. We need tympanometry to asses the middle ear and its ossicles. Also, we need audiometry to have an idea about vestibulocochlear nerves and the type of hearing loss, whether it is conductive or mixed (conductive and sensorineural). For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 406, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 19207, + "tgt": "Is surgery necessary for a mild benign prostatic hyperplasia?", + "src": "Patient: Hello doctor, I am a 58 year old male. Except\u00a0for low blood pressure, I am in generally perfect health with mild benign prostatic hyperplasia (BPH) that has not been getting noticeably worse lately\u00a0but, has been present for years. While my stream is certainly not like when I was younger, I have no difficulty in\u00a0voiding other than it takes more time and I do not have to urinate frequently (considering the amount of liquid intake). The stream is enhanced to relatively normal with low-dose saw palmetto and 5 mg Tadalafil. I do drink plenty of water. On following a dietary shift away from red and white meat (still consuming fish and eggs) with plenty of fruits and vegetables, I began producing sand in my urine which prompted me to see a urologist. The urologist insists this condition is caused by excessive urinary retention due to BPH. On my volition, I had the sand analyzed to determine it was 100 % carbonate apatite, which I know from basic chemistry, precipitates in alkaline pH. With a pH meter, I learned my urine was often 8+ which I have corrected with dietary changes (based on PRAL score) and L-methionine if needed and monitor throughout the day to keep it mildly acidic. This has alleviated the stone formation. A digital exam at the routine physicals with multiple doctors has elicited no concerns, stating either no or mild enlargement felt. However, CT scan reportedly reveals lateral enlargement. Multiple ultrasounds show that my bladder retention currently is not excessive (9 to 30 cc) but, a recent UroCuff test indicates a bladder pressure of 260\" H20 (with the meds mentioned above) with no accompanying abdominal muscle activity (no pushing). My flow is quite good with what I am presently taking, something I would characterize as pretty normal for a healthy adult male. It is just that apparently to achieve that flow my bladder is quite muscular. I do not feel like I am straining at all when voiding, just relaxed. The urologist insists that a prostate surgery (microwave) is needed to correct the BPH and alleviate the higher than normal bladder pressure and he thinks I will still have future stone formation if it is not corrected. He says that an elevated bladder pressure is damaging on the bladder. He states he is supported by cystoscopy that reveals pronounced striations on the interior wall, which for all I know are rugae. He characterized it as visually the bladder of an 80 year old. I do not wish to subject myself to unnecessary surgery with all its associated risks and side effects. What is the risk, (if any) associated with elevated bladder pressure? Is surgery really warranted considering the present lack of significant impact on my\u00a0lifestyle? My main concern is, in the case of no perceived functional problems, is the elevated bladder pressure actually harmful to the bladder or kidneys? Or is it just like any other muscle that simply develops in response to use and is harmless compensation. Doctor: Hello. I have gone through your history. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 690, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 15319, + "tgt": "Is it necessary to have LEEP surgery in CIN1?", + "src": "Patient: Hi doctor, Is it necessary to have a LEEP surgery in CIN1? Doctor: Hi. I have gone through the attached reports (attachment removed to protect patient identity). Your results showed cervicitis with metaplasia and suspected CIN1 (cervical intraepithelial neoplasia). In a colposcopy, it should be discussed in detail. It needs treatment soon. Mostly, cervical cancer occurs due to infection with human papillomavirus. CIN1 is a precancerous lesion, and if left untreated, it results in cancer in coming years. Usually, CIN1 is treated with a loop or large loop excision of the transformation zone (LLETZ). So, it is better to have it to prevent its maturity to high-grade cervical cancer in the coming years." + }, + { + "id": 7860, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7537, + "tgt": "After taking antibiotics for epididymitis the swelling went but pain remained. Why?", + "src": "Patient: Hello doctor,I had epididymitis twice two years ago. I was given antibiotics both the times. The swelling went but the testicle (epididymis pain) remained. I was given more antibiotics over the next few months to no effect. I went to a urologist 12 months later and was diagnosed with prostatitis upon examination. I was offered prostate massage but said no due to a worry over the potential negative effects of the procedure. Urine and blood test came back negative for STI and bacteria. The only issue was low testosterone. I had to see a hormone doctor for the second testosterone test. He noticed some atrophy of the testicles, for which I had an ultrasound. I was then told that the testicles are of normal size and there is no sign of damage, infection, etc. Since then, the pain has worsened. The epididymis hurts when touched, and spermatic cord feels hardened. There is pain during and after urination, although there is no swelling in the scrotum or groin. I have not had most of the\u00a0prostatitis symptoms for months like the frequent urination, burning scrotum, anus, etc. The pain is in the back flank mostly in the epididymis and thigh region. Could it be intermittent torsion?What antibiotics would you prescribe? If antibiotics fail, would a spermatic cord block be the way to go? Could I have infected my epididymis from my prostate through over masturbation (two times daily) and made the pain worse? Doctor: Hello. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 19547, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 22326, + "tgt": "I get scared while sleeping and bite my tongue. What is the reason?", + "src": "Patient: Hi doctor,I have depression and anxiety and anger Issues. So, I used to get sleep paralysis a year ago but then it stopped happening itself. I never had panic attacks even with this severe depression. But a week ago I had my first panic attack and then I started having pain in my collar bone, left arm and head. So, like I would get triggered when I see someone crying or someone's death. Also, I cannot sleep at night I fear so many things that will happen to me if I close my eyes and two days ago I tried sleeping at night and I had SP. Then I did not sleep the next night and yesterday I tried sleeping again but I was getting scared every time I fell asleep. I would wake up by a shake and also I bit my tongue from places while I was asleep and it hurts now. Please, tell me what is it? What should I do? Doctor: Hi. You seem to have anxiety attacks along with a sleep disorder. The anxiety can be treated with medications from a psychiatrist. For the sleep issues, there are tests such as sleep studies available which can help diagnose what exactly it is. Usually tongue bite in sleep is unusual and seizures should be ruled out. So you can get a sleep study and EEG done and consult with a neurologist for sleep problems and with a psychiatrist for anxiety. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 7767, + "tgt": "I am suffering from constipation since I was 13. What is wrong with my body?", + "src": "Patient: Hi doctor, I am suffering from constipation since I was 13. I always have taken medicine for that, but nothing worked, and lately, I had not taken any medication. Do you think there is something wrong with me? Doctor: Hi. You seem to be suffering from chronic constipation. I would advise you the following: 1. To get a thyroid function test done as hypothyroidism might be the cause behind constipation that you are having. 2. To take laxative like Lactulose in the night only when you are severely constipated. 3. To increase fiber in the diet. If you have any further query, please ask. Thank you. Hypothyroidism. Constitutional. Thyroid profile and fasting blood sugar. Hypothyroidism. Chronic constipation. Review with investigations." + }, + { + "id": 716, + "tgt": "Dealing with separation. Please suggest something to take my feelings away", + "src": "Patient: Hi doctor, I am 41 years old.\u00a0I am dealing with separation.\u00a0My husband is possibly a sociopath. He left the city two years ago and wants a divorce now. I am unable to go ahead with it. I need some help for my anxiety and the illusion he created years ago. Also, I was on Daxid 100 mg and stopped now. Doctor: Hello. Separation from spouse. Depression mixed anxiety. Revert back with a detailed history to a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 9558, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 2078, + "tgt": "My tonsils are swollen and covered with white layer. What could this be?", + "src": "Patient: Hello doctor, I am a 29-year-old female, 250 lbs. I do not smoke or drink. Tonight while looking at my throat, I discovered my right tonsil is swollen, lumpy, and covered in a thick, white layer of skin. Upon initial inspection, I mistook these white patches for tonsil stones, but they are not. They seem to be stuck to the surface of my tonsil. I managed to scrape some off with a bit of effort. The tissue underneath began to bleed. The white layer appears to be skin. I do not feel sick, apart from allergies (the pollen count is quite high here right now). Any thoughts as to what could be causing this? I am currently on HCTZ, Metoprolol, Lexapro. Doctor: Hello. I can understand your concern. According to your statement, your right tonsil is swollen, lumpy and covered in a white, thick layer of skin. White spots on the tonsils usually indicate an infection. Infections may be due to bacteria, fungus or viruses. Strep throat is a bacterial infection caused by Streptococcus. Complications include rheumatic fever and ear and sinus infections if infection spread to other parts of the body. Additional symptoms that may indicate strep throat include sore throat, fever, swollen glands in the neck, and headache. Oral thrush is a fungal infection in the mouth. It can occur in people with a weakened immune system or oral steroid ingestion. White spots may the only symptom of oral thrush but when additional symptoms develop they may include sore throat, pain when swallowing, loss of taste, etc. Tonsillitis can develop due to viral infections such as rhinovirus, adenovirus, respiratory syncytial virus. Symptoms may include swollen tonsils, painful swallowing, fever, earache, nasal congestion. Infectious mononucleosis is a viral infection caused by Epstein Barr virus. Along with white spots on the back of the throat symptoms may include fever, sore throat, and fatigue. You should undergo throat culture, and blood tests indicate if certain antibodies are present which helps identify specific infections. So treatment depends on finding the causative agent which are responsible for your present sufferings and treat them accordingly." + }, + { + "id": 3821, + "tgt": "Please interpret my MRI and give the diagnosis and treatment options", + "src": "Patient: Hi doctor, I am suffering from acute lower back pain for the last five days. Now I am getting better with medications and bed rest. This severe and acute pain happens every six to nine months since the last four years. It knocks me out for three to four days. On a regular basis, I have lower back stiffness and dull pain, especially in the mornings. It gets better through the day. I regularly exercise, 3 km of brisk walk along with cross trainer, cycling and even skipping without much discomfort. My current medications are Ultracet and Tizan. An MRI has been done and the report of which I have attached. I request you to interpret the report and tell me the diagnosis and treatment options. Doctor: Hi. I have read your MRI report (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": 27452, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 17082, + "tgt": "The white spots on my skin are spreading fast. Please help", + "src": "Patient: Hi doctor, I have some small white spots on my skin of the legs, from the past two years. I was taking homeopathic medicines for it. From the past six to seven months, some new patches are coming on my face. These spots are spreading fast, and it has become a serious issue. Kindly suggest some quick and efficient treatment. Doctor: Hi. It is vitiligo and since new patches are appearing it is called unstable vitiligo. How many patches are there over your body other than your neck? I suggest you try using the following: You should consider visiting a dermatologist because treatment for vitiligo takes time for repigmentation and since new patches are appearing, oral steroid or Azathioprine can be considered after examination and blood investigations. Please visit a dermatologist, and it is better to take treatment at this stage before other body parts are involved. For further queries consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 20100, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 560, + "tgt": "As I am a diabetic, what to do for my leg injury?", + "src": "Patient: Hi doctor, I was recently diagnosed to be diabetic. I am on Glycine-SR 500. One week back, I got a small injury in my right leg. Now, some pus is coming from that injury. Last week, my fasting and postprandial blood sugar were 139 and 228 respectively.\u00a0Please let me know the treatment that I need to take to cure the injury. Doctor: Hello. Revert back after two weeks to a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 11165, + "tgt": "According to my report, what should be my paleo diet?", + "src": "Patient: Hi doctor, I am a 41 year old male. I am a non-vegetarian and intend to take paleo diet. For the last 20 years, I have been having IBS symptoms, sinus, ringing in ears, extreme anxiety, depression, respiratory allergy to dust and smell, muscle tension around nose and rectum, bad breath, stomach getting too full on eating, smelly outer ear, etc. Before 15 years, I had seizure once. 5 years before, I was diagnosed as having NASH, GERD, Lax LES and high cholesterol. I am ex-smoker, quitted 6 years ago. The treatment so far has been unsuccessful and I am currently on no medication.\u00a0I had health check up a few days before and attached the report here. Please advise on the following.\u00a0What should be my paleo diet? Does the report provide any clue to the symptoms I have experienced so far? I can see positivity for anti-CCP in my report. Do I have any serious medical condition? Doctor: Hi. I have gone through your query with diligence (attachment removed to protect patient identity) and would like you to know that I am here to help you. Welcome to low carbohydrate high fat lifestyle. From your report, you have the following problems: I would suggest the following treatment for you. Consult your specialist doctor, discuss with him or her and take the treatment with consent. Your paleo diet should be as follows: For further information consult a paleo diet specialist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist/paleo-diet" + }, + { + "id": 29743, + "tgt": "For extramedullary lesion, does the patient need surgery?", + "src": "Patient: Hi doctor, The patient is diagnosed to have partial agenesis of corpus callosum and colpocephaly. Also, there is late onset of seizures with nodular intradural extramedullary lesion seen at L1 body and L1-L2 disc level with significant conus and caudal compression or displacement to the left side. Homeopathy medicines being taken for this issue.\u00a0Please guide us whether this patient needs to undergo surgery for the above are they can treat this through medical management. Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 25483, + "tgt": "Am I becoming addicted to my psychological treatment medication?", + "src": "Patient: Dear doctor, I am taking Panazep 25, Divaprid OD 500, Serta 50 once at night from last six months for anxiety, depression, and anger irritability. But as I stopped taking the above medications for four to five days, my mood swings are terrible. My anger is out on everything. I start having doubts about everyone. My psychological problems are improved if I take antidepressants daily without fail. I wonder if I am addicted to the drugs? Or do I have to take other proper drugs to improve my condition? Please advice. Doctor: Hello If your symptoms are coming back on stopping the medication, it is an indication that you need to continue the treatment. It means you are not fully recovered from your illness. My advice is that you continue the medication as prescribed. This recurrence of symptoms means that you should not stop your medication, it does not mean that you are addicted. Once you have complete relief from your symptoms, your doctor will gradually reduce the doses of medication under supervision. In the meanwhile do not experiment by stopping medication or changing the doses. Relapses are more difficult to treat, and there is always a chance your symptoms will worsen. Take your medication as advised and go for regular follow up. Talk to your treating psychiatrist about any problems you are facing. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 27397, + "tgt": "I have a pimple on my crotch, which produces pus and blood. Is it an STI?", + "src": "Patient: Hi doctor, I am a 20 years old female, who weighs 224 lbs, and I am 5.4 feet tall. I have what looks like a\u00a0pimple on my crotch. It keeps coming back in the same spot and produces white pus and a lot of blood. Is there a chance I have an STI? I have had it since before I became sexually active. I always use a condom. I have attached a photo of the pimple. Doctor: Hi. I have seen the photo (attachment removed to protect patient identity). It looks like superficial folliculitis, which might be caused by bacteria or fungus. Shaving or wearing tight clothes that rub the skin can irritate the follicles leading to folliculitis. Most likely, this occurs when the improperly cleaned hot tub or swimming pool is used, wearing tight clothes, and using an infected shaving blade. You need to see a gynecologist. I also suggest you get your fasting blood sugar checked and get yourself tested for HIV (human immunodeficiency virus) and other tests for STIs (sexually transmitted infections) if not tested before. Hope your query is answered, but if you still have any other question, please revert. Best wishes. For further queries consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 17724, + "tgt": "Is erosive pan gastritis permanently curable?", + "src": "Patient: Hello doctor, I was diagnosed with erosive pan gastritis through an endoscope in the stomach. I was an IBS patient as well. The medication given was Happi 20 mg morning and Lafaxid D, at bedtime for one month. Is it permanently curable? I was undergoing stress and depression and I went to a psychiatrist and he prescribed two medicines Sizodon MD 0.5 mg and Clonil 50 mg at bedtime. Kindly let me know whether these medicines increase my erosions and irritate my stomach. Is it safe to take these medicines with my problems? Kindly suggest. Doctor: Hi. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 9577, + "tgt": "Please see my mother's X-ray and reports and suggest the treatment for hip fracture", + "src": "Patient: Hello doctor, My mother had a fall following which it was diagnosed two fractures in the hip joints in front and back. She lives in an area which does not have excellent medical facilities. Hence we thought to take your opinion. Please look at the attached X-ray, prescribed medicine, and let me know your views on the situation. Also, her bone density is extremely low, I do not have her last report, but when did three years ago, it came to be very low. The proposed diagnosis by the doctor, says minor fracture, and since it is in the hip area, plaster cannot be done. Currently, there is a stand provided to support and asked for complete bed rest. However, she is moving to use the washroom for stool. Please suggest if the course of treatment is fine and also how significant is the fracture. Doctor: Hello. I have gone through your questions and the attached reports (attachment removed to protect patient identity). Your mother has a hip fracture which is mildly displaced. The best treatment would be to get the surgery done and get the fracture as early as possible so that she may be able to walk early. Only taking rest and medicines would not guarantee that the fracture would unite and may lead to further complications. However, there are 50 % chances that this fracture may heal without surgery. But there is no guarantee. So I would suggest surgery for faster recovery." + }, + { + "id": 2255, + "tgt": "My lower front teeth is extremely painful. How to get rid of the pain?", + "src": "Patient: Hello doctor, My front lower teeth have become extremely sensitive and I have very severe pain in them. The gums are not hurting but the tooth itself is hurting. How to relieve the pain? Doctor: Hello. Take a painkiller like Dolo 650 mg or Acenext-P (Aceclofenac and Paracetamol) three times a day. Use warm salt water gargle twice a day for a week. Send a picture of the area if possible." + }, + { + "id": 12782, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 20998, + "tgt": "Why am I getting less urine with white particles while on ureteral stent?", + "src": "Patient: Hello doctor, I have a stent in the ureter for past three months due to possible shrinkage of a tube at one point. I want to ask you what can be the condition with me if I have normal color but low urine in addition to a white thread like particles and also a very little even non-problematic to bear stent and as well as during urinating. Today, I have also found a visible but small amount of RBCs attached to one of the thread particles. Can you please prescribe me a possible condition, diagnostic test, and treatment. Doctor: Hi. I have gone through your query. I will need further details regarding what treatment you have had till now to understand your situation better. From the details available, it appears that you are on a ureteric stent due to obstruction with renal failure. The symptoms that you mentioned are the side effects of having a stent inside the ureter for a long time. The symptoms reduce with time but in some may persist. Mild blood in urine and calcium crystals in urine are also normal in patients with a stent inside. I would advise you to consult with your treating urologist regarding the next stage of treatment now that your renal function has improved to normal." + }, + { + "id": 15220, + "tgt": "My 3-year-old is not speaking properly. Can this be because of tongue tie?", + "src": "Patient: Hello doctor, I want to know that whether my kid has a tongue tie or not. My kid will be 3 years old after two months and he is still not speaking properly other than papa, mama, and OK words. Doctor: Hi. The frenulum is a normal structure. It is only that when it attaches close to the tip, it causes problems with tongue rolling. Ask your child to protrude the tongue. If it causes buckling of the tip, it is tongue tie. And see if he is able to slip undersurface of the tongue tip underneath his upper teeth." + }, + { + "id": 10076, + "tgt": "I am bleeding with clots after using MTP kit. Is this normal?", + "src": "Patient: Hello doctor, I am 25 years old and had a pregnancy for five weeks. Four months back, I had used MTP kit.\u00a0The problem is, even now I am having bleeding. Is this normal? How to sort this problem if it is not normal? Looking forward for your valuable feedback. Thank you. Doctor: Hi. I understand your situation. This much of bleeding is considered unusual. Either the process of abortion has been incomplete, because of which the uterus is still trying to expel out the products of conception. Or you have some blood problem. Are you still passing clots? Or is it plain blood that is coming? Also, if you could tell me exactly how you proceeded to take the medicine it would give an idea of the cause of bleeding. For the time being, take tablet Tranexamic acid 500 mg, thrice a day. This will stop the bleeding, but not cure the problem. So, till the time we know exactly what is wrong, you can take this tablet. Incomplete abortion. Ultrasound pelvis for retained products of conception (RPOC) and CBC (complete blood count)." + }, + { + "id": 27479, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9786, + "tgt": "No medicines seem to work for my anxiety. Can you suggest any solution?", + "src": "Patient: Hello doctor, I am 24 years old.I have anxiety and I am taking medications for that - Effexor XR two times a day Olanzapine 5 mg one at night. It has been now four years that I am struggling with this illness and now none of the medicine work for me. Please advice me what should I do. Doctor: Hello. If you are suffering from anxiety disorder only, why do you need to take Olanzapine? Olanzapine is an antipsychotic and it has no role in anxiety. Effexor (Venlafaxine) is a good medication. You can try a simple and good medication with a low side effect like tablet Sertraline or tablet Escitalopram. Olanzapine causes weight gain - hypercholesterolemia and diabetes (metabolic syndrome) after two or three years of use. Effexor is also known for its cardiovascular side effect like hypertension. I would advise you to switch over to other medications if you have only anxiety problem and no other medications have been used in the past. Do daily exercise. Take good care of health. Avoid junk food. Have a good quality of proper sleep. Learn to do relaxation. Thank you. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 9695, + "tgt": "Can I use only Asthaline inhaler instead of Montair LC?", + "src": "Patient: Hi doctor, I am a 53 year old\u00a0male. I have breathing\u00a0problem for the past eight to 10 years.\u00a0I develop breathing difficulty during the humid or warm seasons like July to September, for which I take Montair LC once every two days at night-time. Sometimes, if I forget and I experience breathlessness, I use the Asthaline inhaler followed by Montair LC, and the condition improves.\u00a0Oftentimes, when I have breathlessness, I try to poo, and if I can pass, my breathing gradually becomes alright within half an hour. Breathing gets better without an Asthaline inhaler.\u00a0Recently, I learned that Montair LC has some side effects. Can I use Asthaline inhaler alone whenever required instead of Montair LC? Doctor: Hi. For further queries consult a pulmonologist online --> https://icliniq.com./ask-a-doctor-online/pulmonologist" + }, + { + "id": 2777, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 28178, + "tgt": "Why is there no improvement in my cystic acne scars, even after three laser sessions?", + "src": "Patient: Hi doctor, I am a student, and I have huge cystic acne scars on my nose. I am getting laser sessions for the same, in a local clinic. But, even after three\u00a0sessions, my skin shows no difference. Those marks look raised and terrible. Should I discontinue the treatment as it is extremely expensive for me as a student?\u00a0I am using Tru face wash at night and sunscreen twice a day. I am also using Benzoyl peroxide cream in the evening and Tretinoin cream at night. I also take oral tablets as prescribed by my doctor. Doctor: Hi. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 2942, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 14882, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 21049, + "tgt": "Can the optic disc asymmetry and swelling around eye be due to glaucoma?", + "src": "Patient: Hello doctor, There is optic disc asymmetry 0.5 and 0.7. Normal vision is 6 by 5. I am 30 years old male. Normal BP. I have a complaint of severe headache migraine like when a headache starts, there is swelling around the eye. What can this asymmetry be due to? Can this be glaucoma? Doctor: Hello. I have gone through what you have mentioned. There are several causes which cause an asymmetry of optic cup to disc ratio, but glaucoma is the main disease that we try to rule out as it sometimes manifests without any pain and hence can go undetected. Migraine headaches are due to blood flow abnormalities in the region of the face and inside the cranium (skull bone). Hence, there is a chance that this eyelid swelling could be due to a migraine. My advice to you is: 1. Since you have been detected to have optic disc asymmetry, kindly follow up with your ophthalmologist every six months or as instructed by him or her. You may also be offered additional testing to confirm if your disc asymmetry needs to be treated or if it should just be monitored. 2. Continue with your anti-migraine medication and watch for any changes in your eyelid puffiness. In case there are changes such as longer duration or if you have an itchy sensation or feel like rubbing your eyelid, then please bring it to the notice of your ophthalmologist." + }, + { + "id": 17880, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6796, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 456, + "tgt": "Is CABG the only solution for coronary artery disease?", + "src": "Patient: Hi doctor, My father is diagnosed with coronary artery disease and triple vessel disease with LM. I have attached the angiogram report for your reference. Is the CABG only solution or partial stenting may work? Or is it fine to give only the medication as there are not much clinical symptoms? His TMT was strongly positive. He is a smoker and also takes alcohol. He is a blood pressure patient and takes Amlopress, Telma and Ecosprin. Doctor: Hi. I have carefully reviewed your health query and feel sorry for your father's health issues. It is a concerning disease process. I never recommend to leave it as such and do nothing much for an advanced coronary artery disease. He has got triple vessel involvement and in such circumstances the best next step is to go for CABG surgery (coronary bypass graft) especially if there is no obvious contraindication. No, partial angioplasty is not a solution to the problem. Although he has no obvious signs or symptoms, but you should know well that the disease inside has progressed much and anytime with or without strenuous physical activity he may get a severe heart attack that can be really dangerous and lethal. I would go with the suggestion of CABG right away. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 4640, + "tgt": "Can excessive computer exposure cause dry eyes?", + "src": "Patient: Hi doctor, I am using artificial tear drops during the day and an artificial tear gel in the night before going to bed for dry eyes.\u00a0In most of the days, I feel a lot better, however, one day or another I have the same symptoms or watery eyes and redness\u00a0and minor blurred vision. This happens with the left eye. However, I also have redness on the other one.\u00a0These symptoms started very mildly and then started to get worse.\u00a0Currently I am using Risperidone. Some things I would like you to know are I\u00a0have been spending 8-9 hours in front of my computer in the last 3-4 years. I\u00a0also use my smartphone to play games and read emails.\u00a0I feel a lot better when I spend only 2-3 hours on the computer on the previous day. I\u00a0also have mild redness during the day, if I am at a computer screen for 1-2 hours without interruption.\u00a0I have been diagnosed with rhinitis too.\u00a0 My questions are can my problem be caused by a cumulative and excessive computer exposure without often breaks and for the last 3-4 years? If yes, what is your recommendation for improving? I am finishing my PhD in thesis, and I would like to use the computer. If not, what else could be the cause of my dry eyes?\u00a0Also, the last time when I had conjunctivitis, an optometrist detected a spot in my cornea on a slit lamp examination\u00a0and 10 hours later, I was diagnosed with a corneal infiltrate due to an eye infection by a general doctor. Can corneal infiltrates show as spots on a slit lamp examination?\u00a0Is it possible that I have these symptoms much more intense on the left eye? I have a higher uncorrected eye myopia and astigmatism in the same. Doctor: Hi. It is very good to know that you have improved drastically. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 26203, + "tgt": "I have not had D and C after my miscarriage. Will this affect my future pregnancy?", + "src": "Patient: Hello doctor, I had a miscarriage a month back and since then I have not\u00a0been able to get pregnant since. Do you think I need to schedule a checkup with my primary doctor since I did not\u00a0have a D and C? Doctor: Hello. Good luck. For more information consult an\u00a0obstetrician and gynaecologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8254, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 5322, + "tgt": "My diabetic father complaints of recurrent constipation even after medication. Why?", + "src": "Patient: Hello doctor, My father is 56 years old. He has diabetes for the last ten years and high BP for the last six years. Last year he had undergone angioplasty operation with two stents put in two arteries. After the initial medicines, now he has been put on Atorva 40 mg once a day, Embeta 50 mg in the morning, Ziglim-M2 in the morning and evening and Clopivas 75 mg in the evening. Earlier, Brilinta 90 mg was given, but we asked the doctor to change it as it is costly. He has been complaining of constipation for two months now, for which if he takes any medicines ease, but then again this constipation comes on and off. This complaint has raised since his operation. There is no prior history of constipation. Can you kindly suggest something for the same? Also, since the last three weeks, his sugar levels have risen to 153 mg/dL, in spite of the medicines he is taking. Please suggest. Doctor: Hello. I have read the history and the prescription of your father. With diabetes, hypertension, and heart problems, taking many medications and a restricted diet may cause constipation. He should eat more green leafy vegetables. He can also safely take Lactulose syrup every night 10 ml for his symptoms. It has no side effects and can be used by him. It is available in various brands like Enulose, Generlac, Kristalose. If these brands are not available, just buy him whichever brand is available in the nearby pharmacy. The drug name is Lactulose. Regarding his sugar levels, you have not mentioned whether it is fasting or after food. If the blood sugar is taken after breakfast or randomly, then the value is almost normal. No new medications need to be added. But if It was the fasting sugar value, then it is almost 40 mg too much. Taking tablet Glucophage 500 mg after lunch will reduce the levels to normal. Kindly give him this tablet along with others for 15 days and please do fasting and post prandial (one and a half hours after breakfast) and contact me." + }, + { + "id": 23666, + "tgt": "I am straining to pass my feces and gas. What should I do?", + "src": "Patient: Hello doctor,I am a 20-year-old male with a suspected fecal impaction or bowel obstruction. It feels like there is a poop or something in my rectum. I can barely pass gas, I have slight abdominal pain, and have liquid stools and diarrhea. I have had a dingleberry that has been stuck to the hairs for a while. The doctor said to take a bath, but it still has not come out yet. I do not know if I have to pass it through stools or not. I am straining to pass my feces and pass gas and my stomach feels different. I went to the doctor last week and he gave me Metamucil and align probiotic for constipation. I am worried. Doctor: Hello. I have reviewed your health query and can understand how worried you are regarding constipation issues. Hope this helps. Please feel free to ask more if you have queries. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4457, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 28877, + "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": 24606, + "tgt": "Why there is a constant mucus flow from the nasal cavity to the throat?", + "src": "Patient: Hello doctor, I have a dry nose feel like, and I have constant mucus running from my nasal cavity to my throat. I always clear throat coughing up clear mucus or clumps. I have a very little sore throat. Always feel like I got something stuck in the bottom of my throat. Doctor: Hi. Mucus trickling down to the throat from nasal cavity is suggestive of sinusitis. When your sinuses are infected, the normal physiology of nose is lost, and mucociliary action of the nasal mucosa is lost which causes the formation of thick mucus which trickles down to the throat and causes secondary throat, and larynx infection. The patient will feel that something is stuck in their throat. Do you have any symptom of a headache (frontal especially) or excessive sneezing or watering of eyes? A headache is again the symptom of sinusitis, and excessive sneezing and watering of eyes will be more of allergy. For more information consult an ENT otolaryngologist online -->https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 29951, + "tgt": "Will my testes get injured while walking?", + "src": "Patient: Hi doctor, My testes got injured so many times while walking and when my erection gets lost and my penis fall with some force over the testes. I had a Doppler ultrasound of my testes a month ago and it was normal. But,\u00a0my testes hang low, separated and they get injured even when my underwear rub there. I feel there is some swelling on my left testis and it pains often such as after a long walk. I am 18 years old. Will such\u00a0daily injuries affect my hormone and sperm production? Will it affect my erection or cause torsion? Is there any future risk? Can my testis get injured when I hold and press it with my hand? I have enough hair in my pubic region. But, I have not grown good moustache and beard. I am preparing for my exams. But, this is affecting me a lot and I cannot focus on my studies. Please help me. Doctor: Hi. Please relax and do not worry.\u00a0It would be helpful if you upload pictures of your scrotum. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 2554, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 2718, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 23320, + "tgt": "Roxithromycin is not helping with acute tonsillitis. Please help", + "src": "Patient: Hello doctor,I have acute tonsillitis. The doctor gave me Roxithromycin 300 mg for five days. I have had two tablets now but it seems to be getting worse. I was very sick three weeks ago, sore throat, lethargy, and runny nose but no pus. This time my throat feels constricted but I do not have a runny nose. Doctor: Hi. You have follicular tonsillitis (attachment removed to protect patient identity), which might not subside with Roxithromycin. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 18837, + "tgt": "Please suggest a medicine, which can cure erection problems and low libido", + "src": "Patient: Hi doctor, I am a 33 year old male, who has schizophrenia and depression from the last 12 years.\u00a0My current problem is low libido and erection-related issues. I do not wish to take any medicine like Viagra\u00a0or other similar medicines. Please suggest a medicine which can cure my problem. I also need help in doing physical exercises, as I feel low in energy. My current medicines are Qutipin 200 mg, Oxetol 600 mg, Bupron 300 mg, Arip 30 mg, and tablet Qtencare. My testosterone levels are 150, and my current weight is 135 kg. I am also on medications for diabetes and high blood pressure. Doctor: Hi. I read your query and understand your concerns. I hope this helps you.\u00a0Feel free to contact 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": 11793, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26926, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 14486, + "tgt": "What does my EKG report taken for fast heart beat during rest show?", + "src": "Patient: Hello doctor, I am a female, 28 years old. I do not smoke or play sports or have alcohol. I have BP borderline (130/85) at rest, I suffer from tachycardia at rest. I often have ventricular extrasystoles, frequent bigeminy, and couples of VT. My heart is mad and begins to beat very fast and loud at rest without exercise with chest pain. When I was a child I got echocardiography done that diagnosed a mild mitral regurgitation but I never have done other exams. I got EKG done some days ago, the heartbeat is very very fast at rest. I would like to have an opinion on my EKG, what is it showing? Doctor: Hi. Your EKG shows sinus tachycardia and probably left ventricular hypertrophy (attachment removed to protect patient identity). As you said you had mild valvular leakage, there might be some other problem as well. Therefore I advise you to have echocardiography done. If your heart rate is high at almost all the times then also have ambulatory EKG (Holter monitoring) done for 24 hours. Sometimes this tachycardia is due to anxiety, pain, anemia, infection, and hyperthyroidism. So, ruling out these entities is a must. Followup after having done the advised tests within 10 days, so you can be guided better and proper. Anxiety, anemia, hyperthyroidism, pain, infection. CBC, TSH, echo, 24 hours Holter monitoring, ESR. Tablet Atenolol 50 mg daily (only after having Holter monitoring done and ruling out other causes of fast heart rate)." + }, + { + "id": 24663, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5088, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 19274, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23479, + "tgt": "What is the cause of chills and vomiting while taking medicines for hypertension?", + "src": "Patient: Hello doctor,The patient suddenly feels chills all over the body after taking a beta blocker, calcium channel blocker, Clopidogrel, Aspirin, and Atorvastatin. She is unable to stand, walk or move. The BP monitor shows e3/e4 error, not showing any BP value. When checked in sphygmomanometer there is Korotkoff sound at any point (no pulse). Also, the patient feels severe vomiting. What is the problem? Is it a shock or heart failure or cardiac arrhythmia or heart attack? Doctor: Hello. I have reviewed your query and can understand you are worried about a patient who is feeling a bunch of symptoms. Thanks for adding the detailed medications she is taking. From her overall scenario, based on the information provided, it seems she may be having issues due to medication dosage. There is a possibility that, as she takes the medications like calcium channel blocker and a beta blocker, her blood pressure falls to the extent that she feels pulseless, chills all over the body, vomiting, and weakness. You need to consult her treating physician in order to go for some tests like thyroid function test, EKG and/or others he feels appropriate. Also, discuss with him if there is a need for change in medications or dosage of medications. Adjustment of dose usually suffices. Hope it 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://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 1535, + "tgt": "What is the possibility of cleaning ears with q-tip cause ear perforation?", + "src": "Patient: Hi doctor, I have stuck a q tip in my ear because it was itching and I think I may have burst my eardrum. I have some pictures. Doctor: Hello. The pictures are not completely clear but I cannot see any perforation. (attachment removed to protect patient identity). When did the cotton piece stuck inside your ear? Did you notice any blood drops on the cotton piece after getting it out from your ear? Do you have any other symptoms as tinnitus or ear pain?" + }, + { + "id": 15124, + "tgt": "I took I-pill 10 days back after an unprotected sex. Why have I not got my periods yet?", + "src": "Patient: Hello doctor, Before 10 days, I had unprotected sex and that day at night I took a pill of unwanted 72. Till now I have not get periods. What are the chances of pregnancy? Please tell me. I am very worried about this. Doctor: Hello. It depends on when sexual intercourse happened (in relation to ovulation). The pill provides about 95 % protection against pregnancy. If the pill was taken when the period was due in next 2 to 3 days, it will delay your period. If it was taken more than a week before expected period, period should start on or before expected date. You can judge yourself accordingly. Sometimes, the period can start as late as 15 days after pill. You can wait till then and if period does not start, you can get a pregnancy test done to confirm or rule out the same." + }, + { + "id": 13393, + "tgt": "Am I getting muscle fasciculations because of neurological problem?", + "src": "Patient: Hi doctor, I am a 28-year-old male, approximately 93 kg, 1.89 cm. Over the past year, I have been getting muscle fasciculations on in my calves (mainly) and also in my quads. I have seen several doctors now and they have checked my reflexes and feeling in my legs and it is all fine. The fasiculations occur, or get worse when I do weights that strain the back of my neck, where it meets the base of my skull. For example shoulder press, or bench press. I have proven that this is the problem many times now. Caffine, alcohol, etc., are all stimulants that make it worse. However, the weights I mentioned above I am certain is the problem. The fasiculations are bad, I have had countless sleepless nights because the twitching is so bad. It is important that I find the problem as I do not want to stop weights permanently. I requested my doctor to prescribe me with blocker drugs and he has given me Gabapentin Milpharm 300 mg. These actually help and reduce the fasiculations. I also went to a chiropractor who was excellent in helping my mobility through my neck and back but could not stop the twitching. He said that I need to see a Neurologist. Does anyone know what is wrong with me? Or what I should do from here? Doctor: Hi. Involuntarily muscle twitching or fasciculations could result from various causes. Most common being anxiety, hyperthyroidism, nerve compression at lower back, restless leg syndrome, vitamin B12 deficiency, vitamin D deficiency. If we think of uncommon causes, they could be amyotrophic lateral sclerosis or multiple sclerosis. In my opinion, you need a comprehensive workup first. That includes thyroid profile, vitamin D and B12 levels, blood counts, MRI LS spine, EEG. So, you do not need to rush to a neurologist. First of all, go to your GP. Request him for these tests. Let the report come and then you can go for a neurology opinion. My recommendations in such cases for treatment would be taking Mecobalamineshots, Vitamin D and Calcium supplements. You can also ask your doctor to prescribe you Pregabalin in sustained release form for at least three months." + }, + { + "id": 19825, + "tgt": "Is my chest pain due to anxiety, angina or any other cause?", + "src": "Patient: Hello doctor, I am 29 years old. No prior heart issues. A fan of exercise. At the beginning of this year, I started having chest pain located near or right over my right side. Mostly they are a short quick burst of pain at random intervals but sometimes they stick around. A couple of weeks after the pain started, I had my first ever panic attack. Though I was having a heart attack, in the ER I had an ECG, chest X-ray and blood work. The tests showed nothing. The chest pain went away for a couple months. They then came back with worse during last month and I am still dealing with them. Since then I have met with a cardiologist. They performed a treadmill stress test (results normal) and I am currently wearing an event monitor for a month. I am having trouble accepting this might be anxiety causing the pains. I am worried it might be angina. The pain did not hurt earlier while working out but now it hurts. I do not know if that is because I am focusing on them and worrying about them. I guess what I am looking for is reassurance that the test I have done along with my history means that my heart is fine. Doctor: Hello. Historically, and also on investigations like TMT (treadmill test), it does not appear to be a cardiac pain (attachment removed to protect patient identity). I guess you do not smoke or drink. The usual cause for this is musculoskeletal pain arising from muscles and bones which may increase during exercise due to rapid and heavy breathing. You may be able to regenerate pain by pressing over the area. Also, another possibility is of gastroesophageal reflux, especially if you are also having bloating, burping, nausea, epigastric pain, chest burning, sour water feeling in your throat. Your chest X-ray and lipid profile are also fine. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 6458, + "tgt": "Why am I having itching on my vulvar?", + "src": "Patient: Hi doctor, I feel itchy on my vulvar. I am not sure if I am having this vestibular papillomatosis or yeast infection. It does not feel pain or sore if I leave it there, only itchiness. If I scratch it too much due to the itchiness, it will feel sore and a little pain. Doctor: Hello. Is there any discharge like curd or any other kind is there as well? Because discharge sometimes causes itching and first we have to do the simpler treatments and if they are not prolonging relief only then we progress towards complex problems like you mentioned. Now what you can do is to take a single dose of tablet Canestein 150 mg to treat this itching as itching is most commonly associated with yeast. And secondly, some other general measures are associated with hygiene like washing the area with plain water as many times as possible and avoid using any cosmetics there and also wear only cotton rich undergarments. These measures will also help in relieving your itching." + }, + { + "id": 14824, + "tgt": "What can be done for loose portion of an exposed capped tooth?", + "src": "Patient: Hi doctor, I had a root canal and post cap done about 15 years back and the cap fell off about 14 years back leaving the original tooth exposed. Well a portion of the original exposed tooth became loose this morning and I am wondering if I can pull this piece out without any nerve pain or possibly getting some infection. Besides it being annoying am not in any pain. Doctor: Hi. I have read through your complaint and the relevant details. The loosened portion of the tooth should be the filling done in the tooth after the root canals are filled.This is called the core material. Because the tooth is exposed for a quite long period of time, there is microleakage in the filling which made it loose now. Please do not attempt to remove it because you might end up leaving a big hole in the tooth. This will further clog the food particles that you munch. There will not be 100 % pain since the tooth is root canal treated (equivalent to dead tooth). But leaving the tooth unprotected will lead to damage of the tooth further and the root canal treatment would fail. I request you to visit your dentist and get the tooth refilled and if financial conditions suit you go for the cap fabrication once again. This will help you save your tooth for another decade. The cap fabricating materials have improvised nowadays that they can be really strong to protect the underlying tooth structure. Example: Zirconia crowns. X-ray to check the status of the RC treated tooth. Re-restoration of the core followed by crown fabrication ." + }, + { + "id": 8291, + "tgt": "Though there is no fever, can I get dengue test?", + "src": "Patient: Hello doctor,Can I undergo a dengue test even without a fever? Been feeling sick intermittently for like three days now. I would suddenly feel sick like as if I have an illness, and I can feel it in my body. But every time I check using a thermometer, it will only show an average temp like 36-degree Celcius. It has been on and off feeling sick. Doctor: Hello. I have read your query carefully, and I want to suggest you that for your current symptoms dengue test is not necessary. You can undergo a dengue test if you have one of the following symptoms with fever, nausea, vomiting, rashes, aches, and pains (eye pain, typically behind the eyes, muscle, joint, or bone pain). For your current illness, please take these medicines, you will be fine. 1. Tablet Dolo 650 (Paracetamol) twice daily for five days. 2. Tablet Azithromycin 500 mg once daily for three days. If you want to go for a test, then please prefer CBC (complete blood count) and submit your report." + }, + { + "id": 24405, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24136, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 26249, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8018, + "tgt": "I squeezed a mole and a fluid came out. Will there be cancerous changes underneath?", + "src": "Patient: Hi doctor, I have health anxiety and have recently become quite obsessive over my moles. A week or so ago, I became focused on a 2 mm mole on my knee. I have always had it as far as I am aware. I noticed a slightly raised bump towards the top with some small hairs coming out of it and was unsure if it had always been that way. I panicked and squeezed it and clear fluid came out. Since then, the mole has scabbed and is now just slightly raised pink skin. I am worried that when it heals, it will disappear completely and I will have hidden a melanoma. I have attached photos of it now but unfortunately, I have not got any of what it looked like before. Doctor: Hi. I have gone through the images (attachment removed to protect patient identity). First, you need to understand that for any mole which turns into melanoma require spontaneous changes. It means that any change in color, size, shape, or symmetry of lesions should be spontaneous without any provocation. But in your case you yourself have squeezed the mole. Moreover, in most cases developing into melanoma, the size should be more than 5 mm. So just relax. In my opinion, your lesions does not clinically look malignant. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14373, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7623, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 16248, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6644, + "tgt": "I am having depression and anxiety. How to treat it?", + "src": "Patient: Hello doctor, I am a 16-year-old female. I have mental health issues. Here in my country, there is no priority to this problem. Rather they just see it as an illness, and they think I am going crazy. I honestly think I might be. I have been trying hard to ignore my feeling and honestly, think that I am doing well. But could not control my feelings. Everyday seems to be harder, and I get so anxious. My insecurity feel is getting worse. I am not happy and tired of being sad. I do not know what to do more. I think I am losing hope. I need help but do not know where to find one. I feel like losing myself any time soon. I do not know if I can, but I think it is the only way. Please help. Doctor: Hello. I understood what you are going through. But you should appreciate yourself for finding the strength to be able to ask for help. That is half the battle. Depression can be handled in two ways: 1. Medicine, for that, you will have to consult a psychiatrist because these medicines cannot be prescribed online. 2. Psychotherapy, i.e., talk therapy, which is counseling in common terms. You should start it to understand your subconscious negative thought patterns, which are making to feel this way and keeping you anxious and sad. You should start cognitive behavioral therapy, which is highly effective in treating depression. Consult a therapist in your place or just start a session here. On your own, start with journaling and start writing down your thoughts. I hope this helps." + }, + { + "id": 24614, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12123, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 671, + "tgt": "I developed intermittent exotropia in late adulthood. Is it a concerning issue?", + "src": "Patient: Hello doctor, I developed intermittent exotropia in late adulthood. I am 29 years old and this started about two years now. Should I concern about it? Doctor: Hello, Welcome to icliniq.com. As you have described you have started intermittent exotropia at later age right. See that is called strabismus in medical terminology usually we can treat it if it is by birth. But in your case situation is different. So there can be some neurological issues which is leading to exotropia. So my advice is you should consult strabismologist as well as neurologist also just to rule out the cause of exotropia. First you should consult strabismologist and then neurologist. So we can fine out the reason for it and depending upon that you can plan your treatment. Can be idiopathic. Can be neurological. Complete ophthalmic assessment. Cranial nerve palsy. Squint. As described above. After 1 week." + }, + { + "id": 18941, + "tgt": "How to stop prolonged periods with heavy bleeding?", + "src": "Patient: Hi doctor, I am having prolonged periods with heavy bleeding for the first time for the past two days. Please help me to stop it. Doctor: Hello. The normal periods last between three to five days where bleeding reduces from the third day of one's cycle. If it is the second day of your cycle and you feel that bleeding is heavier and you are not able to handle, I suggest taking tablet Capicare plus (Tranexamic acid and Ethamsylate) twice a day for three days. This will help stop your bleeding further. Make sure that your daily water intake is high. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16613, + "tgt": "Please suggest a natural remedy for an allergic reaction in my chin", + "src": "Patient: Hi\u00a0doctor, I got an allergy in my chin. I have so many pimples, redness, and itching also. What should I do? Doctor: Hello. I just read your query. I hope you are satisfied with my answer. Follo up after 10 days. For more information consult an\u00a0ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 30756, + "tgt": "Would taking Infliximab endanger pregnancy?", + "src": "Patient: Hi doctor, I am 26 years old. I am currently working in a\u00a0hospital. I have been diagnosed with psoriatic spondyloarthropathy six years back. I had severe pain in the right SI joint. Currently, I am not taking medicines except NSAIDs. My MRI was done and it showed MRI joint inflammation. I was advised Infliximab by my rheumatologist. I do not have any gynecological problems. I got married before two years and I want to plan my pregnancy. Would taking Infliximab endangers my pregnancy? Initially, I planned for Infliximab after my delivery, but I could not tolerate the pain. I cannot walk properly. Please help and advise me properly. Would SI joint radiofrequency ablation help with this? Doctor: Hi. We are here to help you. For further information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 2690, + "tgt": "My hair stopped growing and is thinning after a psychotic breakdown. What to do?", + "src": "Patient: Hello, I am a 36 year old female, weight 110, height 5'4. I have been diagnosed with GAD and agoraphobia. My symptoms are severe. I am writing to receive medical advice regarding my hair. I suffered a severe psychotic breakdown in October of 2017, and my hair stopped growing. It stayed exactly shoulder length the whole year afterward. My bangs did not grow. I cut my hair in December of 2018 to see if I could better tell if my hair would grow. My hair did grow about six inches from January 2019 to June 2019. Starting around July 2019 I had another less severe psychotic episode and my hair started to thin and seemed shorter again. My hair has not grown at all since then. I am taking various supplements like ginseng, ginkgo biloba, taurine, NAC, St. John's Wort, fish oil, and vitamins B, C, and D. I just started taking Zyprexa, Zoloft and Seroquel. I would like to know what to do about my hair growth. Doctor:" + }, + { + "id": 10693, + "tgt": "What should I do to treat the constipation in a 8 months old baby?", + "src": "Patient: Hello doctor,My baby boy is 8 months old and has trouble in passing stools. With Laxatives, doctor prescribed he is passing hard stools once in four to five days, and he is crying while passing stools. What can I do to improve his constipation? And what diet changes do I need to make? Currently, I am giving him oatmeal pear puree, pear puree, apple puree, and chikoo puree. Doctor: Hello. Your kid is suffering from an anal fissure that is a cut at anal mucosa. Give syrup Duphalac (Lactulose) one teaspoon full once a day at night time after meals. Apply several ano ointments (Lidocaine, Metronidazole, Sucralfate) locally three times a day for 15 days with the applicator. 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, 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 . To start with stop milk for four hours for 15 days and give semisolid diet, next stop milk for eight hours and give semisolid food, lastly, stop milk from 8 am to 8 pm and provide semisolid diet. As 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. When giving a semisolid diet, provide water as the baby requires. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. Continue all the above for at least 2 years of age." + }, + { + "id": 6121, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 21382, + "tgt": "Why do I urinate frequently?", + "src": "Patient: Hi doctor, How many times can we urinate in 24 hours? I am worried because I urinate as frequently as ten times in 24 hours. Doctor: Hi. It depends upon the seasons, more frequent in winter and rainy and less frequent in summer. There are no exact calculations for the number of times. But, the frequency may be increased due to conditions associated with diabetes. You can have your blood test to rule out diabetes or diabetes insipidus. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 6164, + "tgt": "What treatment would you recommend for endometrial hyperplasia?", + "src": "Patient: Hi doctor, Would you be kind to give us a second opinion based on attached files?\u00a0Please find the attached pathology report of my wife where basically she was given two options. I have uploaded the findings of endometrial hyperplasia. The options given are hormones for life, Progesterone with three to four months checkup and follow ups and hysterectomy. Doctor: Hi. I have gone through the reports and the history of illness provided (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": 4742, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 15619, + "tgt": "Is blood viscosity reversible by simply cutting down nicotine?", + "src": "Patient: Hello doctor, It has been seven days since I have smoked a cigarette (quit cold turkey). How long will it take after quitting smoking, for the blood to be free from nicotine? Is blood viscosity reversible by simply cutting down nicotine? Doctor: Hi. Looking at the query, my opinion is as follows: The effect of nicotine is dependent upon the amount and years of cigarettes smoked and can vary from two days to two months. On an average, usually within a month of withdrawal of nicotine, the blood viscosity starts reducing. Yes, it is reversible as nicotine affects the platelets, red blood cells, the endothelium, and the clotting factors to increase blood viscosity. Once withdrawn, red blood cells will take a longer time, while the other usually recover as early as a month. During withdrawal, due to a reduction in blood viscosity, you might have dizziness periods as the blood pressure will also reduce. Give at leastthree more weeks to notice the improvement in blood viscosity. Nicotine patches havea low dosage of nicotine. You can use it to avoid cigarette in the initial periods, if necessary. Consult a hematologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 11114, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 29629, + "tgt": "Could you recommend some sidda or ayurveda medicine to relax the abdomen muscle?", + "src": "Patient: Hello doctor, I was diagnosed with relapsing-remitting multiple sclerosis about five years ago. Now I am taking a daily injection of Glataxone to manage the problem. I do not have inflammation in the spine. I am having a severe dorsal spine muscle spasm or tightness in my right abdomen for more than six months. The neurologist said that it was due to disrupted signal from the brain due to which the muscles are not relaxing. I tried many muscle relaxants in the last six months but found no results. I also tried many ayurvedic oils, but it gives more pain. I am finding it\u00a0tough\u00a0to work. Could you please advise me some siddha or ayurveda medication to relax the abdomen muscle? Previously, I had symptoms of multiple sclerosis including numbness, but this is the first time that I got spasm. I am also enclosing my MRI scan reports. Doctor: Hi. For further information consult a siddha medicine specialist online --> https://www.icliniq.com/ask-a-doctor-online/siddha-medicine-specialist" + }, + { + "id": 9524, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 16191, + "tgt": "Can Paracetamol, antibiotics, and Cetirizine be taken with pregnancy medicines?", + "src": "Patient: Hi doctor,My wife is suffering from severe cold, headache and throat pain. Can she take Paracetamol, antibiotics, and Cetirizine? We are planning for pregnancy, using medicine for it. This is her 12th day after the period. Doctor: Hello. Your wife is having sore throat problem and cause is acute pharyngitis case. You can give her Levocetirizine 5 mg OD for five days. For throat pain, Paracetamol 500 mg SOS can be prescribed. Also, give her vitamin C 500 mg tablet BD for five days. Drink more water. Avoid excess spicy foods. If no improvement in three to five days, then will do further work up until then no need to use an antibiotic. Take care. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 23833, + "tgt": "How much time will it take to recover from heel bone fracture?", + "src": "Patient: Hello doctor, I have fractured both my heel bones during a jump from a six feet gate during vacations. Now I am back to my workplace. As per the doctor, there is no need for the surgery and the conservative treatment will work. Both the heels are in the cast now for past one month and there is only very little pain. Can you please let me know after seeing the X-rays taken this month when I should be able to put weight and how long it takes full recovery. I am 33 years old. I am currently taking Vitamin D and Calcium supplements. Doctor: Hello. Looking at the X-ray (attachment removed to protect patient identity) lateral view of both heels taken nearly six weeks from the injury there is still a gap visible at the fracture site and this will mean that the fracture is not fully united. More importantly, there should be a CT scan of the heels to properly assess the fracture and this will confirm the healing process also. As conservative treatment was chosen I will recommend that you start to weight bear in the plaster at eight weeks. Do this for two weeks and if you have no pain then have the cast removed. I will like to point out that there will be a long rehabilitation process involved and the shape of the heel and walking will be permanently affected. For more information consult a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 4681, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 474, + "tgt": "Is it possible to get daily headaches due to degenerative disc disease?", + "src": "Patient: Hi doctor, My husband is a 38-year-old male who smokes and has degenerative disc disease from several car accidents. No real treatment has been given to him aside from chiropractic visits to reveal tension in his lower back. He does have many stresses with work and home life and is seeing a counsellor due to depression. About a month now, he has experienced daily headaches that would not go away. Often his headaches are accompanied by nausea and vomiting. He has light sensitivity. And I am sure also working on a computer adds to it. Often he feels the headache and it is manageable. But there are times he feels it more. Just the other day he was having what he said was a cluster headache. He is scheduled for a MRI. But I am extremely concerned it is a tumor or something bad. Any thoughts or opinions would be appreciated. Does Degenerative Disc Disease cause daily headaches? Doctor: Hello. Your husband having intermittent headaches which are more looks like migraine then cluster headache from your description. Hence I want to clarify some points. Is that headache is very very severe? Please rate the severity from 0 to 10 where 0 is no headache and 10 is worst headache. Once headache starts it remains for how long? Is there one eye pain, tearing, redness, nasal discharge during headache? Yes, MRI is needed as it is daily headache since 1 month with some odd features. Send me the details of medication currently he is taking including pain relievers. Yes, MRI is normal then it is primary headache like Migriane or Cluster headache and it is curable. Degenerative spinal disease rarely cause headache and in your husband's case it is not the cause." + }, + { + "id": 7380, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 4080, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 27621, + "tgt": "I have tooth deposits and cavities as well as swollen gums. What should I do?", + "src": "Patient: Hello doctor, I am 15 and I have been noticing that there is an orange substance building up on some of my teeth. My gums are swollen. There is a cavity in my canine tooth and I was wondering if there was any way I can fix it without going to a dentist because my family is very poor. So, would you recommend anything? Doctor: Hello. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 12584, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6780, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 21591, + "tgt": "Other than medicines, how can I control my blood sugar?", + "src": "Patient: Hi doctor, I am a 53 year old male. My height is 5'7\" and weight is 96 kg. I am diabetic since 15 years and have BP for the past 20 years. Along with this, I have bipolar since birth. Hence, taking psychiatric medicine too. I am on Lantus 20 units in the night and NovoRapid 10 units before lunch. Taking Glycigon 80 mg twice a day and LN Bloc 20 mg for BP. This is not controlling my blood sugar. Blood sugar is around 200 in fasting and 280 after lunch. I am functioning well due to bipolar disorder medicines. Kindly suggest. 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": 15775, + "tgt": "What medicine can be used for allergic reaction to dust?", + "src": "Patient: Hello doctor, I am allergic to dust. I have a doubt that I have a seasonal allergic rhinitis and I have been using anti-histamine and still it is not working for me. My anti-histamine is Telfast 180 mg. I am using it for the past one month because I have been sneezing. My nose is dropping watery colored liquid and my nostril is so itchy. Can you give me some advice and medication what to use? Doctor: Hello. I suggest you investigate with AEC (absolute eosinophil count) testing so that further comment can be given. If AEC is much high, Hetrazan can be prescribed. For allergy inflammation, Fexofenadine plus Montelukast combination can be prescribed. Moreover, for rhinitis, Azelestin or Fluticasone nasal spray can be prescribed to use for 3 to 5 days. Steam inhalation done three times a day with lukewarm water will be beneficial. I would like to suggest you consult an otorhinolaryngologist for detailed evaluation as rhinitis is there for one month." + }, + { + "id": 8913, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7251, + "tgt": "What is blighted ovum? Is D&C a must for it?", + "src": "Patient: Hi doctor, According to my LMP now I am 9 weeks pregnant. I went for USG TV 20 days back and it showed that I was 7 weeks and 2 days and now it would be 8 weeks. USG shown gestational sac with no yolk sac and fetal pole. They said it is BO and to go through D&C. I am confused what to do now. Shall I wait with hope or go through D&C? Please tell me how gestational age will be calculated from LMP or conception day? I am not sure when I ovulated? Please help me out. Doctor: Hi. At 6 weeks and beyond we expect a fetal pole or yolk sac to be visualized on USG. By 7 weeks, we must see the cardiac activity. If there is no embryo and no heart beat even beyond 7 weeks, we call it a blighted ovum (BO) with only a sac and no contents inside. It can happen due to a chromosomally abnormal gestation and hence does not survive. It regresses on its own. To date your pregnancy, we calculate period of gestation by LMP (last menstrual period) and then confirm it with an earliest scan within 3 months of pregnancy. In case there is no difference between the two dates or a difference is less than a week, we consider the LMP to calculate the expected date of delivery and period of gestation. Do not worry, you can conceive again. But no hope with this pregnancy. Start Folic Acid 5 mg daily for 3 months before next conception. This will help in a healthy embryo, reduce chance of miscarriage and prevent neural defects in the fetus. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27273, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7780, + "tgt": "12 years old son, suddenly lost his ability to walk. What could it be?", + "src": "Patient: Dear doctor, My father-in-law had a son. He grew up like a normal child till the age of around 10 to 12 years. Suddenly, he was diseased and he was not able to walk properly and after some days, he completely lost power in both the legs and permanently lost his ability to walk. Could you tell me what that disease is and will that get passed on to my children as heredity? Doctor: Hi. It is likely that he could be suffering from one of the types of muscular dystrophy. It is most of the time, X-chromosome linked. Usually, the male children get affected and the females are carriers. For further queries, post a detailed history and ask a doctor online --> https://www.icliniq.com/ask-a-doctor-online" + }, + { + "id": 23090, + "tgt": "Can robotic-assisted partial laparoscopy be done on obese patients?", + "src": "Patient: Hello doctor, My husband is obese and requires a robotic-assisted partial laparoscopy. I am worried about his weight 294, height 71 inches and how pneumoperitoneum may affect him during surgery. Currently, he is on Lisinopril 10 mg. There is a possibility of RCC on left kidney 2.5 cm. Doctor: Hi. I understand from your query that you are very worried. It is a major surgery. Hence, all the required guidelines will be followed, at this juncture, I like to know more about your husband habits. Does he smoke? If he smokes, how many in a day? If he does not smoke then there are quite a sophisticated ventilators for anesthesia which is used to pump oxygen to the lungs so that patient is well ventilated. There are lot many surgeries going on with obese patients, for bariatric surgeries, robotic surgeries who require laparoscopic intervention. Anesthesia is well advanced and sophisticated now. Do not worry. He will be fine. If he smokes please tell him to abstain from it, till the surgery. For more information consult an anesthesiologist online --> https://www.icliniq.com/ask-a-doctor-online/anesthesiologist" + }, + { + "id": 6968, + "tgt": "Taking combiflam syrup for a high fever of 102, but the temperature still not down. What to do?", + "src": "Patient: Hi doctor, My daughter is 10 years old and weighs 25 kg. She has 102 fever. I am giving her Combiflam syrup 7 ml at four to five hours intervals, but the temperature is still not down. Kindly guide me. What is the dosage of Meftal-P for the same? Doctor: Hi. The cause of fever has to be found out. So, your daughter needs some investigations to be done like CBC (complete blood count) with ESR (erythrocyte sedimentation rate), LFT (liver function test), KFT (kidney function test), serum electrolytes. Please get these investigations done and follow up with a clinician. For symptomatic relief, I would suggest taking Paracetamol 1 g injection. 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": 5762, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 29897, + "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": 21691, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 11933, + "tgt": "What causes pain and stinging sensation in the penis?", + "src": "Patient: Hello doctor, I have issues with pain on top of the penis. On the left side of the glans penis, there is a stinging sensation when rubbed against (example boxers). Not sure if it is a nerve issue. Currently taking Clotrimazole-Betamethasone for it. I have done blood and urine test. Kindly advice. Doctor: Hello. This is surely not related to any nerve issue." + }, + { + "id": 30013, + "tgt": "I am reluctant to take medicine for insomnia. Please help", + "src": "Patient: Hi doctor, I am suffering from insomnia for the past one year. I do get sleep, but around 1 or 2 AM, I used wake up and unable to sleep again. I am 30 years old. I am a married female and have a kid aged 3 years. I am a dentist and now, I am in stem cell research. I do not have any other health problem. My thyroid and estrogen levels are normal. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 13963, + "tgt": "How long should I take Kalarchikai Choornam to regularise my period?", + "src": "Patient: Hi doctor, I am 22 years old. My height is 147 cm, and weight is 45 kg. I have pcod problem, but no thyroid. Now I missed my periods for three months. So, I am using kalarchikai with pepper everyday morning. I have been eating this for about 25 days now. How long should I take this for getting my period and make it regular? Doctor: Hi. I would like to help. Kalarchikai choornam is a well-known medicine to manage PCOD. Its dose and duration depend on the condition. You should take this choornam 3 g twice a day with warm water after meals for 90 days regularly. USG abdomen. PCOD. Kalarchikai choornam 3 g twice a day with warm water after meals. 1. Avoid spicy and fried junk foods. 2. Drink plenty of lukewarm water. 3. Do regular kapalbhati Mandukasana and Ardha Matsyendrasana as well as pranayama like anuloma viloma nadi shodhan and bhramari." + }, + { + "id": 2528, + "tgt": "Are frequent urination and clots in urine signs of pregnancy?", + "src": "Patient: Hi doctor, I had sex on the second day of my period, then my bleeding stopped. After five days, I had a pregnancy test and it was negative. But, now I am having frequent urination with burns and sometimes a single clot in urine. Am I pregnant? Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5460, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22353, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4558, + "tgt": "Can cervical disc bulge lead to arm numbness?", + "src": "Patient: Hi doctor, My right arm is numb from the elbow to the wrist and sometime I feel like getting electric shock inside. About 29 years ago,\u00a0I got my C4/C5 lower disc removed. I have neck and back pain too and for which I am taking Lyrica now. I had an MRI and the report is as follows. Tight cervical spinal canal at C5/C6 disc level and posterior disc herniation seen indenting the ventral aspect of the cord. In\u00a0C3/C4, C4/C5 and C6/C7 mild diffuse posterior disc bulges seen. Please guide me. Doctor: Hi. Degenerative changes. Surgical decompression. Avoid lifting weight and use cervical collar. Revert back with MRI report to a spine surgeon online.---> https://www.icliniq.com/ask-a-doctor-online/spine-surgeon" + }, + { + "id": 3953, + "tgt": "I experience frequent vomiting with headache. What could be the cause?", + "src": "Patient: Hello doctor, For the past several months I have been vomiting four to six times a week. Sometimes my eyes become sensitive to light and I get a massive headache which ends in vomit. Other times, I could randomly dry heave until it eventually comes out without any warning sign. Pregnancy is not a possibility. I am a 19-year-old female with no prior medical conditions and healthy diet. A few years back, I was prescribed birth control for constant headaches it did not help. In fact, it is very hard for me to keep down pills so I would rather not take them and induce a vomiting spell. My question is: What could be the cause? And possibly some different alternatives other than pills. Doctor: Hello. All the symptoms you have mentioned are suggestive of a clinical condition called migraine. We have to rule out other conditions like tension headaches before starting the treatment. You do not need to worry as it is highly curable with timely treatment. I suggest you consult a general physician and get the following things done: 1. A detailed clinical history and examination may be needed to make a diagnosis. 2. As initial management, you might require analgesics like Ibuprofen or Sumatriptan for headache. 3. To prevent further attacks you may require a long term drug-like Flunarizine. Prolonged use of contraceptive pills can also cause headaches. So it is better to use alternative contraceptive measures. You can also seek help from an acupuncturist for constant headaches. Migraine. Conservative. Do not deprive sleep. Avoid contraceptive pills" + }, + { + "id": 21217, + "tgt": "Is it safe to take Viagra without ED problem?", + "src": "Patient: Hi doctor, I am a 41-year-old male having a problem related to sex. When I have sex with my partner, I have an erection coming too quickly, or I lose the erection within seconds of leaving my partner pretty disappointed. I know that it is due to severe performance anxiety, that I am unable to control it. When I am relaxed, I can hold it for at least five to ten minutes. After a lot of hesitation, I started taking Viagra 50 mg. I do not think that I have an ED problem. I have taken it thrice till date having beautiful results each time. My partner is very happy. Is it safe to take Viagra for persons not suffering from ED? When the sex was irregular, the need for Viagra is also limited. It is used three to four times a month. Does regular usage mean that I cannot get an erection? Should I have to reduce the dosage or should I need to stop taking it completely? I do not have any side effects. I have moderately high BP, and I am taking medication for it in a low dosage. Doctor: Hi. You should check with your doctor about the medicines taken for blood pressure. It should not be a Nitrate. There is no harm in taking Viagra (Sildenafil) when you are not regular on sex. You can consult an andrologist and try to rule out the cause for ED (erectile dysfunction) other than performing with anxiety. Sometimes, it can be due to other medical conditions. As you have not given your family details, it is difficult to comment more. It is the premature ejaculation causing the loss of erection. It has to be differentiated from the ED. If it is a problem, then a different medicine has to be taken, and a sexologist will help you more." + }, + { + "id": 18627, + "tgt": "How to identify the reason for palpitations?", + "src": "Patient: Hi doctor, I am suffering from heart palpitations. Also, I have occasional breathlessness. For a while, I used Propranolol. But, it did not work. So, the doctor asked me to do a thyroid test and the result was normal. I do not know what to do. Please help Doctor: Hi. Palpitations can be out of two types. Sinus arrhythmia (only fast heart rate, but rhythm is normal) and this is not to be worried. Arrhythmias - There are many types of arrhythmias, some are atrial in origin and some are ventricular in origin. Revert back with the reports to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 3183, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 11213, + "tgt": "Can rough and abnormal masturbation causes penis damage?", + "src": "Patient: Hello doctor, I am 23, and I have too much problem. I have depression, anxiety, and many sexual problems. I watch extreme pornography daily. I think I damage my penis by rough and abnormal masturbation. I am too much worried about it because I face too many complications. How to diagnose whether my penis is damaged or not? Please help me. Doctor: Hello. Why do you think you have damaged your penis. Is there anything abnormal in the penis? Too much of thinking about it may lead you in depressive mood state. Masturbations is normal thing, maximum persons in your age practice it. If I talk about prevalence you will be shocked, nearly 100 % of male and 70 % female practice masturbation (standard psychiatric book). There is no harm in masturbation, semen is an ordinary fluid like saliva, and in male sperm, it is produced daily. If we do not perform sex or do not masturbate, semen will come spontaneously in the form of nightfall, but that is not again a problematic thing. It is a harmless practice until if you become an obsession, and start hampering your daily life. Thinking about near one in fantasy is also not uncommon, it happens. If you want to quit it first set in your mind that you have not committed any crime, you are going to leave a habit that was trying to conquer you. You can do it. Do not remain in guilt, move ahead and involve yourself in other activities. Try to be with friends and family. You can take help of religious thoughts. Do moderate exercise, reschedule yourself, be active. You can contact some psychiatrist nearby you. Take proper sleep and a healthy diet. Practice yoga and meditation that will help you." + }, + { + "id": 26735, + "tgt": "I was diagnosed with POF, but I have pelvic pains for 3 to 4 days every month. Am I ovulating?", + "src": "Patient: Hi doctor, I am a 42 year old female, and I was diagnosed with POF, a year after I had my first child. I took HRT for about two years, and I gave up all hopes of conceiving. However, from the past 6 to 7 months, I am having pelvic pains with migraines and back pains for 3 to 4 days. Sometimes, it lasts longer from the 15th to 20th of each month.\u00a0Could I have been ovulating or am I sick? Doctor: Hi. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23162, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 20186, + "tgt": "Is negative RNA PCR test on day 12 a conclusive one?", + "src": "Patient: Hi doctor, A month ago, I had unprotected oral sex with a CSW. On 4th day, I had severe headache and it lasted for five days and I had shaft tip pain for a day. On day 12, I had RNA PCR test and it came back negative. Also, on 12th day I carried CIMA antibody test and that too came back negative. Post the test, I unfortunately met with an accident. I had fractured and piercing wound where my blood levels are low RBC 4.3, low hemoglobin 11.0 and WBC 11.8 with neutrophils went up to 85% and lymphocytes was 10%. Post surgery, I was under medication with Augmentin, Dolo and Zycel for 10 days as I had an infection in the blood. Then, I am on medication of Shelcal and Uprise D3 (weekly once) for the last 25 days. During this time, I had a white tongue on the 4th week. I had a stiff neck for a few hours in a day during week 4 and 5 and it got cured after stopping Shelcal tablet. During the 5th and 6th week, I had white spots in the throat and have been suffering from tonsillitis. Is\u00a0RNA PCR test on day 12 a conclusive one? Do white tongue, white spots on throat and stiff neck alone can be the symptoms of HIV? I do not have fever, rashes, body pain, enlarged nodes, etc. Are\u00a0these symptoms related to any side effect of antibiotics or infection? Are\u00a0these symptoms related to any other STI due to oral sex? Doctor: Hi. I have gone through your complaints and understand your concern. For further information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 12258, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22187, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 29817, + "tgt": "Today, I bled after masturbation. Why?", + "src": "Patient: Hi doctor, My period is a little late, just only a day. But, I have been having many pregnancy symptoms. I masturbated yesterday (penetration and clitoral stimulation to orgasm) and a considerable amount of blood came out. Some blood flushed itself out for some time and I am clear now. What does this mean? Before, I was worried that I was pregnant, but that blood was too much to be spotted from implantation I think. Was it period blood as I masturbated roughly? I had a bit of cramping today. Doctor: Hi. It may be your period bleeding or may be bleeding due to masturbation. For that have to check clinically for any sign of vaginal tear or just bleeding from your uterus. If you have a doubt that last month had sex and can be pregnant, then do a urine pregnancy test. If negative, then you are not pregnant and it was either your period or bleeding due to masturbation. Cramping also can be due to your menstruation, as it may be going on and you will bleed in short time. In case of laceration of the vagina while masturbation also, you will get cramps. If bleeding is not there, then it is difficult to say the cause. But, forget everything and just do a urine pregnancy test in case of doubt. Other things are normal as you are not bleeding now. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20650, + "tgt": "How can I get rid of allergens from dog in home?", + "src": "Patient: Hi doctor, I and my family would like to get a dog. However, our landlord does not want us to because her son is very allergic to dogs (he gets asthma attacks) and he possibly wants to move into the house one day. So I understand that she does not want to take any risks. Because of that, I was wondering if there are any things that we could do while living in the house with a dog and also after moving out to get rid of the allergens. We would literally do anything possible. Also, I was wondering how long it takes until the allergens are gone after the dog moves out of the house? Doctor: Hi. Animal dander can remain inside the house for long durations even after the animal has gone. It may stick to curtains, carpets, clothes, and furnishings. It may be impossible to completely remove the dander to make it entirely safe for an allergic person to live without issues. You may try asking the landlord if her son is allergic to cat dander or dog dander and in case it is the cat one, you may be able to bring in the dog. Allergy can be quite severe also, so you better take adequate care. While living in the house there are certain precautions you can take to keep allergens to a minimum. You could get all carpets, curtains, pillow covers, furnishings dusted and if possible rinsed in warm water (55 degrees celsius) after soaking for few hours. Wearing a mask by the allergy probe person can be helpful." + }, + { + "id": 26142, + "tgt": "What test should I undergo to check my calcium levels?", + "src": "Patient: Hello doctor,What type of calcium blood test should I undergo to check my calcium as a part of a routine checkup?\u00a0Also, provide me full details of the Folic acid blood test as I want to undergo a\u00a0blood test for a routine checkup. Doctor: Hello. I went through your post. These tests are enough for ruling out any major illness. Regards. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 10697, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 11929, + "tgt": "Why do I have reddish-brown patches on my ankle?", + "src": "Patient: Hi doctor, I have reddish brown patches like hives on my ankle area of both feet, I am 24 years old. Doctor: Hello. 1. This condition is known as pigmented purpuric dermatosis. 2. It is seen in people who either have to stand for long times or sit with legs hanging for long, which leads to pooling of blood in these areas. 3. To keep blood pooling down keep your feet and high during sleep, put one pillow beneath feet. 4. Try to give rest to your legs when have to stand for long, in between. Use this cream for two weeks only, not more than that for pigmentation part: Momate (Hydrocortisone) cream twice a day." + }, + { + "id": 22262, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 6274, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6437, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 27252, + "tgt": "Should I take an emergency pill if my partner used a condom?", + "src": "Patient: Hello doctor, I had sex yesterday afternoon. It was on the 14th day of my menstrual cycle. It was a protected sex. My partner used a\u00a0condom and ejaculated inside it. Now, I am confused whether to take an\u00a0emergency contraceptive pill or not. I personally do not want to take one because I am worried about the side effects of the pill. But, on the other hand, I am worried about getting pregnant too. I have PCOD and am taking ayurvedic treatment for the same since the last four months. Please help. Doctor: Hello. For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24981, + "tgt": "My last tetanus shot was 20 years ago. Should I get one now?", + "src": "Patient: Hello doctor, I will be traveling abroad in two and a half weeks for a 10-day visit. It has suddenly dawned on me that my last tetanus shot was 20 years ago.Online I have read I should have had a booster but four to six weeks before the trip. Should I get one or am I good for now? I am a cancer survivor since 16 years. Not sure that matters. Doctor: Hello. I understand all your concerns. Tetanus toxoid (TT) has a great role in preventing serious tetanus infection which could occur anywhere and anytime. Moreover, the TT is a weak toxoid with little adverse effects on our bodies. A booster dose is required for all the population every ten years. There is no contraindication in case you are a cancer survivor. I recommend that you take the vaccine as soon as possible before you travel. It is a 0.5 ml injection intramuscular. 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": 7342, + "tgt": "I am suffering from frequent tics. Could this be Tourette's syndrome?", + "src": "Patient: Hello doctor, I had frequent tics for two months. I am wondering if I have a tic disorder, or if it might be the beginning of Tourette's syndrome. Kindly advice. Doctor: Hello. Tics are relatively common and experienced by many people. If you are having both motor and vocal tics which are persistent for more than a year, it becomes a chronic tic disorder- commonly referred to as Tourette's syndrome. How old are you now? At what age did these tics start? Tics are usually more prominent when you are feeling tired, stressed, etc. I will advise consulting with your doctor for a full assessment (physical causes may need to rule out in some situations). If tics are affecting your normal functioning, it can be treated by habit reversal therapy, and sometimes medication can be used as well. I hope this helps." + }, + { + "id": 16187, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 11400, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9225, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 29516, + "tgt": "Why do I feel giddiness, shivering and fast heartbeat in the evening time?", + "src": "Patient: Hi doctor,When I reached home after work, I suddenly got giddiness followed by shivering in the whole body with a fast heartbeat. Even my hands and feet also became cold. It lasted for a maximum time of 30 minutes. The event has always happened in the evening and that too after work. In total four times in the past three months. I am a hypertension patient and recently undergone angioplasty. I am taking Ecosprin, Brilinta, Met XL, Rosuvas and S-Numlo. Kindly advise the cause of this symptom. 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": 11685, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28626, + "tgt": "Should I consult a doctor for ADHD?", + "src": "Patient: Hi doctor, For years now, I have come to believe I have ADHD. I have the hardest time focusing, staying on task, and following things through. I do not want to self-diagnose, but I know something is wrong. Every time I go to the doctors, it is always with my parents and I have never had the chance to really explain to the doctor how I have been feeling. Now that I am almost 19 years old, I was wondering if I should go to the doctor and tell them how I have been feeling for most of my life. I am going to start college and I do not want to fail like I did back in high school or have such a rough time. My only issue is that because I have never said anything to my doctor in the past I do not want to be looked at like I am just trying to score some drugs. I am very torn as to what I should do. I also have to pay my way through college myself and If I cannot stay on task like high school, it is going to be very hard and I do not want to fail because I will lose money for those classes. I am very stressed out and just looking for an answer. Should I go see a doctor? Doctor: Hi. You should definitely visit your doctor and discuss all your problems wholeheartedly. But in spite of that, I would like to advise few things. Stop thinking that you would fail or lose money. Instead, think positive and focus on how you could perform better. Do not try to stop thinking negative, instead whenever some negative thought comes in your mind divert your thoughts in a positive direction by thinking about good things in your life because everyone has some good and bad things in life. Start doing 25 minutes of brisk walking or exercise daily, it will lead to the release of anti-stress hormone endorphins. Use perfumes, it also leads to release of serotonin and increase dopamine level which will decrease your anxiety or stress level. If possible indulge yourself in learning something new that you are interested in, as it also leads to elevation of mood and release of epinephrine and norepinephrine. If your blood pressure is normal or in normal lower range, eat more of salty things it also leads to raised epinephrine levels. Attention deficit hyperactivity syndrome is not that harmful to your health as the negative thoughts are, and medicines are given for a certain period, but your attitude and habits will help you shorten the duration of the treatment and stay positive all through your life. Do not take life or circumstances too seriously, all things are temporary. For more information consult a pharmacologist online --> https://www.icliniq.com/ask-a-doctor-online/pharmacologist" + }, + { + "id": 22324, + "tgt": "Would my copper IUD have protected me though it is due to expire?", + "src": "Patient: Hello doctor, I wonder if you could help. A month back I had some intimate contact with a new partner. We did not have intercourse and he did not ejaculate but I was concerned about some pre-ejaculate getting near my vagina. I was on day three of my period. My cycle is normally 25 to 26 days long. I have a copper IUD. However, this is due to expire in two months. Because of this, I wanted to double up on protection. The morning after pill is not available where I live. Therefore I took four Jasmin combined pills 48 hours after the incident and then another four 12 hours later. Four days later I had five days of bleeding that mimicked my natural period exactly. My question now is two-fold, should my copper IUD have protected me anyway even though it is due to expire? And when should I expect a natural period again to confirm I am not pregnant following the withdrawal bleeding that I have had? Doctor: Hello. I have gone through your history and understand your concern. As you took the pill on time, there is no chance of pregnancy in your case. Delayed menses and menstrual irregularities due to hormonal imbalance caused by I-pill. Get your home urine test if you missed your period by seven days. Your period is little unpredictable. Yes, copper-T is little effective in your case but not able to protect from pregnancy, so double protection is better. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3475, + "tgt": "I had an angio for chest pain before a year. Is it necessary to repeat one now?", + "src": "Patient: Hello doctor, I had a chest pain less than a year ago. I went to the emergency department and they did an angiogram and I was told that the arteries are clear. My question is how long before I have another angiogram as I have similar pain again? I am currently taking Lisinopril 10 mg. Doctor: Hi. You need to lower risk factors such as blood pressure, diabetes, and blood cholesterol levels. Do regular exercise. If you feel chest pain, have TMT (treadmill test) done. If there are high-risk features in it then do angiography. No need for angiography otherwise." + }, + { + "id": 9755, + "tgt": "Kindly have a look at my blood test and explain the reason for my multiple infections", + "src": "Patient: Hello doctor, Age: 41, height 5'4\", weight 110 lbs, Prozac 30, Wellbutrin, eletriptan, Vitamin D, Gabapentin, Dexidrine ER and IR, Synthroid, Cytomel. Had second or last child eight years ago. Afterwards, had multiple infections (mastitis) and was on antibiotics almost the whole time I was breastfeeding. When I stopped breastfeeding, I started getting bad, daily headaches, lost a lot of weight quickly, post-partum depression. Diagnosed with Hashimoto's and chronic migraines, depression. Started anti-depressants, preventative and rescue migraine medicine, and Synthroid. Even after getting my depression managed, and thyroid fixed (at least the TSH was where they wanted to see it) I continued to have fatigue, daily headaches and low level anxiety and depression. I also developed symptoms of feeling like I was going to faint when standing up and racing heartrate, was diagnosed with POTS, working memory was non-existent and felt like I could not focus on anything, never knowing what to do first, I was like deer in headlights diagnosed with ADD and put on stimulants. I also have irregular periods and PMS is pretty bad. I feel like there is a hormone imbalance. All of these medical treatments have worked to a certain extent but there has been no discovery of the root cause and symptoms are just a bit better. They never go away. Last week I had a blood test still trying to get to the bottom of my chronic symptoms. My thyroid came back a bit skewed. I am always tweaking this as it is very sensitive to medication change and my cholesterol a bit high, also normal. My query is: There are blood markers that do not point to disease and I am not concerned that I have a scary illness lurking, but, I believe an imbalance that could be contributing to my overall health and symptoms. I am interested in looking more deeply into red blood cell information and how my liver, kidneys, blood is processing and fixing an imbalance. Some blood test results I would like you to look at and try to piece together: MCV and MCH run high. Hemoglobin and hematocrit run a bit low. Platelet count and RBC, C02 and bilirubin run low. Some Vitamins came up high which I found strange because I take a very standard multivitamin but only have for a few months. B6, B12, folate, folate RBC all were high. My appetite is not great so I worry I am not getting enough nutrients. I guess that is why I found it strange. And finally, I am curious about my iron numbers. The most recent ones were not out of range but iron higher end and ferritin lower end. I have probably had four blood tests in the last few showing either iron or ferritin out of range changing between high and low or normal. Because I do not take Iron supplements and do no't get that much iron through my diet, my doctor ran a hereditary hemochromatosis test a year ago- that was negative. He could not explain the fluctuations but said I should look into it. I would be so grateful if you could analyze and let me know if you notice a pattern to my blood work that makes sense. Could it be some type of anemia or liver function issue? Anyway, I hope I can at least get closer to the source of my symptoms. Doctor: Hello. Sorry to hear about your health problem. Kindly answer the following questions to guide you further. Did you have fever anytime in these last few months? Do you have weight gain or weight loss problem? Have you ever undergone behavioural counselling? Is there any other associated symptom like leg edema, cough, chest pain? Do you have any reports available which shows lab values in numerical range?" + }, + { + "id": 27916, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 3629, + "tgt": "I have redness on penis without pain or itch. Is this due to unprotected sex?", + "src": "Patient: Hi doctor, I have a symptom of redness on my penis and with no pain and itchiness on it for the past one day. Can you please suggest me something? I had unprotected sex due to condom break two weeks back with an unknown person for that I am taking Tavin-EM and Instgra medicine now for 28 days as prescribed by the doctor. Doctor: Hello. I could not get the contents of the medication prescribed to you. Could you send the same with details I would be able to comment on the issue. Secondly, get a forth generation ELISA test done for HIV 1 and 2 six weeks and repeat the test at three months from the date of exposure along with HbsAg and VDRL tests. Lastly, is there any swelling in the groin region or any foul smelling or milky discharge from the penile tip." + }, + { + "id": 38, + "tgt": "My father has mild to moderate abdominal pain for the past 5 days. Please suggest medication", + "src": "Patient: Hello doctor, My father is 71 years old. He having abdominal pain in the middle for the past four to five days. Pain is constant and mild to moderate in intensity. He is not having any issue in passing stools or urine but sometimes complains of burning sensation while passing stools. His appetite is good. No vomiting or diarrhea. No fever. His current medial history includes diabetes and hypertension. He is an Alzheimer patient. Can you please prescribe some medication for his abdominal pain. Doctor: Hello. I can understand you must be very upset about your father's health. Well, you see the abdominal pain in such age is often an alarming finding, and I urge you to get him some investigations before giving any blanket cover of medicines. Common possibilities in his age are: 1. Mesenteric ischemia, which is the narrowing of the blood vessel supplying the blood to abdominal organs. This can frequently occur in old age with diabetes and hypertension. The pain arises because of lack of blood supply to organs like small bowel, large bowel, and others. 2. The second possibility is pain due to any organ within the abdomen which is inflamed commonly the pancreas (a gland over the back of the tummy), and large bowel. 3. And lastly, since he has a problem with constipation the gas accumulation can also be the reason of his abdominal pain. But remember, we cannot say that it is because of gas distension unless we exclude all other possibilities which are more concerning. I suggest you to get investigations which I write below. Only after the investigation, we can be able to diagnose the problem and treat it appropriately. I really hope this set of investigations will help us to approach the problem correctly. Mesenteric ischemia. Pancreatitis, gall bladder or common bile duct stones. Colitis, colonic neoplasia. Gas, constipation related. Compete blood count. Serum amylase and lipase. Liver function tests. Serum lactate level and serum CRP (c-reactive protein). HbA1c (glycated hemoglobin). Lipid profile. Stool for detailed report. Stool for occult blood on consecutive three days. Stool for fecal calprotectin. Capsule Esomeprazole 40 mg half an hour before meals. Ispagol husk two tablespoons full with water daily. Follow up after investigation." + }, + { + "id": 3911, + "tgt": "Is bleeding rectum without external hemorrhoid dangerous?", + "src": "Patient: Hello doctor, Bright red blood is coming from the rectum after using the bathroom. The rectum is also very itchy and no signs of external hemorrhoids. Rectum has been itchy for a while especially when wiping. Every now and again there is a light and spotty bright red blood. There was a little more during my last BM which caused me to be concerned. It may be an anal fissure? I am currently taking Cortizone 10. Doctor: Hi. It could be a fissure or internal hemorrhoids or IBD (inflammatory bowel disease). Just to differentiate one from the other if you could help us out by answering these questions: Does it hurt when you pass stools (BM)? Do you have constipation? How much was the blood? Did you felt dizzy? Do anyone have colon cancer in the family? Do you have any weight loss?" + }, + { + "id": 25529, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10293, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25214, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10409, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7340, + "tgt": "Can you recommend a product for acne scars?", + "src": "Patient: Hello doctor, I am currently having acne on my cheeks and I am applying Benzoyl peroxide gel on my acne. It only reduces the inflammation but bumps are not reducing. I also have pigmentation caused by acne before. What may be the reason? I usually get cystic acne bumps on my cheeks. The acne clears and comes again. I have red pigmentation caused by acne. Can you recommend product for acne and pigmentation as well for controlling further breakouts. I want to know which sunscreen and moisturizer to use? Doctor: Hello. This provisional advice provided by me stands subject to the actual examination of report or image (attachment removed to protect patient identity) and is based entirely on inputs provided to me. It should be correlated with clinical findings. You should know that you are in your teens and getting acne is a common thing. What we are concentrating is the acne should go away easily without leaving any scars of pigmentation. For that I suggest you use a good daily face cleanser like Spongy Sal foaming face wash.Do not rub your face after applying it. Just spread it evenly, gently and wash it off. Never use soap for cleaning face. Do this once during the day and once at night. After cleansing the face at night apply Epiduo gel over the acne (Adapalene and Benzoyl peroxide) and apply gently until gel absorbs in skin. Do not massage or rub too vigorously. You will experience some itching early on but do not worry. The gel will dry up the acne and it will be late off. Avoid going in the sun directly or if you have to wear a good sunblock off about SPF 50 plus and then go. This is the treatment as of now for your acne.Follow this for two weeks and give me a follow up. Then I will consider starting other medication gradually as you get more familiarized with the acne treatment. Hope you follow this regimen carefully and do not stop or overmedicate by yourself." + }, + { + "id": 24327, + "tgt": "The head and neck CT scan mentions a defect in platysma. Kindly explain", + "src": "Patient: Hello doctor,The CT of my head and neck scan report mentions a defect in the platysma which may result in protrusion of subcutaneous fat simulating a true mass. What does this mean? Doctor: Hi. If there is mention of a defect then it is a hernia in the platysma which is a thin muscle in the neck area. Such a hernia can allow fat to pass through it to give the appearance of a mass in the area. It is therefore commented that a hernia may cause protrusion of fat below the skin to appear like a mass in the absence of a true mass in the area. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 1955, + "tgt": "My dentist suggested extraction or root canal treatment for my broken tooth. Is this necessary?", + "src": "Patient: A small piece of my tooth broke off 2 weeks ago and I feel pain since 1 week. Pain is getting worse. I went to a dentist today and he took a xray. After looking at the xray for 30sec he said there are only 2 options: root canal treatment or extraction. Is this really necessary? What is your opionion. Thank you soo much! It is the tooth in the middle of the xray. Doctor:" + }, + { + "id": 10552, + "tgt": "I had spica cast. When can I start driving or riding a motorcycle?", + "src": "Patient: Hello doctor,I had a road accident and fractured my right thumb. It happened three weeks back and was administered a spica cast the next day of injury. After an X-ray, the doctor suggested that the cast can be removed in a few days. I want to understand, how long before I can resume my normal activities like driving or riding a motorcycle, etc. Also, I was strength training regularly before the accident, when is it advisable to lift heavy weights again? Doctor: Hello. It is a bony mallet injury. You need to wear the splint on for eight weeks totally, a mallet thumb splint. Do not remove the splint for eight weeks. Repeat X-rays after eight weeks of injury and splint application. And then after eight weeks, you will require physiotherapy for mobilization as you are expected to have the stiffness of that joint. Driving can be about three months after the date of injury. Heavy weight lifting can be done after six months of the date of injury. Can you send me the other view of the X-ray also, if you have so that I can see the fracture better in the other view of X-ray also? For more information consult an orthopedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 3257, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 23257, + "tgt": "Can Pankaja kasthuri breathe easy cause green stool and lower abdominal pain?", + "src": "Patient: Hello doctor, I have 3 months old baby and am breastfeeding him. I had a cold and continuous cough for the past one month. So, I am having Pankaja kasthuri breathe easy since yesterday. Today, my stools are green colored, and I have lower abdominal pain. What can be the cause and how can I manage it? Doctor: Hi. Pankaja kasthuri breathe easy is a herbal product, and it does not contain any materials that cause green stool. It is safe, and you can continue it if you have any breathing trouble, asthmatic issues, respiratory infection or cold and cough. There are several causes to pass green stool. Your previous day food intake is one of them. Undigested bile pigment, coloring agents in food and some bacterial infection also causes green stool. Wait for a few days and watch it. If it still persists after two days, then you should consult personally to your nearest doctor. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 6915, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 19929, + "tgt": "What are the possible reasons for my terrible headache?", + "src": "Patient: Hi doctor,I am an 18 year old girl. My height is 5'7\" (171 cm), and weight is 135 pounds. Around five months back, I started becoming extremely fatigued and had occasional headaches. As headache was not often and not bad enough, I never really thought much about it. The fatigue was the worst part. It would cause me to become extremely tired throughout the day, and I would be ready to fall asleep at 7 PM every night. Waves of fatigue would come and go. I went to the doctor about this on two occasions for blood tests, and nothing came out of the ordinary. Two months later, I developed a pressure headache in the front of my head one night. It did not feel like a migraine. It was just a terrible pressure mostly centered in my forehead. The feeling was a tightness or like something was pushing on my head. It was frustrating and aggravating. The pressure did not go away for two weeks. It was almost constant, and sometimes the pressure would lessen, but never entirely go away. It would get to the point where I would cry every night because it felt like my head was going to burst open.I went to a neurologist who recommended getting my ferritin levels tested. I had a level of 7, and I was prescribed with Ferrous sulfate and Vitamin C supplement. Over the next six weeks, the fatigue disappeared almost entirely. The headaches seemed to be improving, not constant and not as bad. Again, by last month, the pressure in my forehead began to return. Over the course of a couple of weeks, it became more constant and with higher intensity. I can feel the pressure even when I write this. After a couple of weeks (now), the pressure became just like it was before the ferritin treatment. It is not present all the time, but the majority of the time. I first notice the pressure anywhere from 10 minutes to 1 hour after I wake up. The pressure is often around for so long that it makes me frustrated and moody. My parents think that my headaches have to do with the hormones. In fact, the reason I am so upset is because the headaches have been plaguing me. If the pressure disappeared, I would not be so upset. I am now starting to think that the fatigue and headaches were not related\u00a0and that the Ferrous sulfate only fixed my fatigue.I went back to the neurologist, and she was very unhelpful. She only spoke to me for less than 10 minutes and asked me what we should do next. She believes that my problem can be fixed with different kinds of medicine and is not looking anywhere else. As of two weeks ago, my ferritin is at a 22, and I am continuing to take it. I tried Topamax for a couple of days before two months, but I stopped because the side effects made me feel five times worse. Two weeks ago, I tried Amitriptyline but stopped that because of the strange side effects. As of four days ago, I have been taking Propranolol, but nothing has changed. The neurologist seems to believe that I have anxiety and this is what is causing my headaches. I have my head screwed on tight as my dad says, and I truly do not have any depression or anxiety. I am not abnormally stressed, and I do well in school. I go back to the neurologist after a month, but I do not think I want to continue seeing her. I am looking for answers. I do not know what else to do. My parents are underestimating me and chalking it up to hormones. These pressure headaches have been plaguing me ever since three months, and it is starting to affect my social life and attitude. I cannot live like this anymore, and I just need help. Any of your advice is appreciated. 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": 16502, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 17714, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3571, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 20652, + "tgt": "What is the cause and treatment for nightfall?", + "src": "Patient: Hi doctor, I have nightfall thrice a week. There is heavy pain all over the body. I cannot improve my body even after going to a gym. Doctor: Hi. Nightfall is a very common phenomenon and almost more than 80 percent of men experience it in their lifetime. It is more common during adolescence period as the hormone level is higher at this point of time. There is nothing abnormal if you have nightfall and do not get disturbed by this. The frequency of your nightfall is a little bit higher but, it will be normal after a few episodes. Nightfall usually occurs during the rapid eye movement phase of sleep. It does not cause any health issues and it will not have negative consequences on your health, so do not get worried about it. Keep doing regular exercise and go to a gym regularly, your body will get improved definitely. Pain all over the body is common after you start going to exercise or gym and it will be there for a week. Take a bath before going to bed, it will reduce the frequency of nightfall. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 10498, + "tgt": "Sore throat did not go away with several antibiotics. How can I get well again?", + "src": "Patient: Hello doctor, I am a 27 year old lady. I started having a sore throat two months back. I just thought it was a flu coming. But then, when I noticed that it had been on for two weeks, I decided to take Amoxicillin. I took it but did not finish the course on the last day. I had traveled and forgotten them at home. The sore throat went away but came back a few days later. I took another full course of Amoxicillin and during the course, the sore throat went away. I finished the full course but a few days later, the sore throat came back again. I went to the clinic and the nurse noticed that my throat was inflamed and prescribed Erythromycin. I took it but the sore throat kept on coming back. The nurse then prescribed Ciprofloxacin. I took the full course but still the sore throat did not go away. When I went back to the clinic, the nurse said it was no longer inflamed but I could feel it, but only that the discomfort seemed to be going deep down the throat. It is like each day I can feel it is moving down. It is not a very painful sore throat. I do not take any painkillers. My body temperature and blood pressure are normal and have been normal throughout the period. Right now, I can feel discomfort in my upper part of the chest. Another thing is that the first episode of sore throat occured after I visited my sister who from time to time gets swollen glands (below the ear). What could it be and how can I get well again? Doctor: Hello. I have gone through your complaints. Repeated attacks of a low-grade sore throat suggest that it could be chronic pharyngitis. The other common causes of chronic sore throat are due to acidity and gastroesophageal reflux. That means stomach acids pop into esophagus silently and burn the throat in the nights. You should undergo upper GI esophagoscopy and a throat swab to rule out infection. Try taking antacids for a week. Do not take antibiotics. I think this would suffice. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 24444, + "tgt": "Is an ultrasound not essential to detect the cause of lump in testicle?", + "src": "Patient: Hello doctor, My 24 year old son discovered a small lump in his testicle about a month ago. He saw a urologist immediately who did a physical exam, drew some blood and took a urine specimen. He said that the lump was located on the back of the testicle and most likely a benign cyst. We had a follow up today for the results of his blood work. He had a very low testosterone level and extremely low vitamin D and an elevated estrogen level. He was placed on a vitamin D supplement and 1 mg of Anastrozole per week to block the production of estrogen and raise his testosterone. He still maintains that these issues are the cause of the lump but we have had no ultrasound or anything that I would have expected to diagnose a problem. Should we push for a second opinion? Doctor: Hello. Relax and do not worry. Testicular lumps are very common in young people. As your urologist has examined you, there are high chances of it being a benign cyst arising from the epididymis. But, I will suggest an ultrasound scrotum just to be sure and confirm it is a cyst only. So, insist for ultrasound scrotum. Hormonal problem and lump of testicular cyst are two different things and as per me are not related together. If it gets confirmed on USG that it is epididymis cyst, then nothing is to be done until there is pain or increase in size. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 9894, + "tgt": "A patient with a fresh knee replacement has taken pre-medication Amoxicillin 2g. What antibiotic can be given for her tooth abscess?", + "src": "Patient: Hello doctor, I have a patient with a fresh knee replacement, and of course takes premedication Amoxicillin 2g, one-hour pretreatment. She now has a tooth abscess, and I want to give her antibiotics. My thought is, since she has to always use Penicillin as a pre-medication, I would change the antibiotics.But she also has a colon resection, and Clindamycin probably would not be a good one to use. Can I give her Ciprofloxacin? Also, on her next appointment, should she go ahead and take the 2g of Amoxicillin as usual, or Ciprofloxacin or what can be used as a pre-medication? Thank you. Doctor: Hello.I have read through your query in detail. Please find my observations below. The above information is as per latest updates on pharmacological treatment of a dental abscess. Please keep in mind any allergy the patient might have to any of the medications and prescribe an alternative choice. Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements." + }, + { + "id": 21284, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30026, + "tgt": "I have a lesion that keeps changing in color. What is that?", + "src": "Patient: Hi doctor, I have attached a photo for your reference. Is this sign dangerous? It started almost 20 years ago to become dark and it became to be lighter around 5 years ago. Two days ago, again I have noticed this transformation with a white surface and that is healing now. It is around 4 mm. Please clarify what it is. Doctor: Hi, Welcome back to icliniq.com. Revert back with the answers to the above questions to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27288, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17460, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20734, + "tgt": "Is it alright to use Lastacaft eye drops after a laser cataract surgery?", + "src": "Patient: Hi doctor,I am trying to get help for a friend who had laser cataract surgery last year. She has Lastacaft eye drops that she would like to use and would like to know if it is alright to use. Doctor: Hello. For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 18041, + "tgt": "I have a short penis. Should I take any medicines to increase the size?", + "src": "Patient: Hello doctor, I am a 16 year old boy. I have a short penis. Should I take any medicines? Doctor: Hello, Welcome to icliniq.com. If you are a perfectly healthy adult male, then there is no reason for your penis size to be small. Mostly all men go through this phase where they feel their penis size is smaller. This thought will hamper their sexual life. If on an erect state, your penis size is anywhere between 10 to 15 cm, then there is nothing to be worried about. You will have a great sex life in the future. Try to get rid of this anxiety as soon as possible. Also, I advise a very healthy diet with lots of vegetables and protein. Work out regularly. There is no recommended treatment for increasing the size of the penis. I suggest the following nutritional supplements: For further follow up consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 26785, + "tgt": "Is there any surgery to fix Osgood-Schlatter disease?", + "src": "Patient: Hi doctor, I have Osgood-Schlatter in both knees and have had it for three years now. Should it be healed by now? Is there anything you can do to fix it by surgery? My knee is not stable and giving way. I have been to more than 20 physio appointments for my knees to strengthen the muscles around, but nothing seems to help my knees. Doctor: Hello. Revert with more information to a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 485, + "tgt": "My lipid profile is deranged with high triglycerides. Should I start on medication?", + "src": "Patient: Hello doctor, I am 34 years old. My lipid profile shows: Total cholesterol 154 mg/dL HDL 26.8 mg/dL LDL 67.9 mg/dL Triglyceride 298 mg/dL FBS is 95mg/dL and RBS 132 mg/dL. Blood pressure 146/82 mmHg. Can I use the cholesterol medicine for triglycerides? Doctor: Hi. I can understand your concern. According to your statement, you have been suffering from back pain and hypertriglyceridemia with low HDL (high density lipoprotein) level. You have a high VLDL (very level density lipoprotein) level too. For your abnormal lipid profile level, you should avoid fatty foods and dairy products. You can take Fenofibrate for your high triglycerides level along with Omega-3 fatty acid for your low HDL level. Continue these medications for abnormal lipid profile and do repeat your lipid profile after three months later. For your back pain, you can take Naproxen with Baclofen, Calcium with vitamin D supplements. So you can continue the medications as follows. Capsule Lofibra (Fenofibrate) 200 mg 0+0+1 (after meal), tablet Naprosyn 500 mg 1+0+1 (after meal) for 10 days, tablet Lioresal (Baclofen) 10 mg 1+0+1 for one month, tablet Carbocal D 400 0+1+0 for two months, capsule Bio Marine, Omega-3, and Fish oil 0+1+0 (continue), tablet Prevacid (Lansoprazole) 30 mg 1+0+0 (before meal) for one month." + }, + { + "id": 13637, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 9939, + "tgt": "Is follicular lymphoma a cancer?", + "src": "Patient: Hello doctor, About two months ago, I had a physical illness, and my doctor found, a mass under my right armpit. I was sent for an ultrasound needle biopsy, and blood test, and a pet test. I was told that I had follicular lymphoma stage 3. I was upset and in tears. My doctor told me, that follicular lymphoma, was a prolonged progressing cancer, and responded very well to chemotherapy.After all of these test, and verification, of what I had. My oncologist said, he would send me home, for three months, then at the next appointment, he would decide, on further test and or treatment. As the doctor said is that this cancer, and what do you think, about being sent home, for three months for a watch and wait. Doctor: Hello. So I would start by saying that follicular lymphoma is most common low grade lymphoma diagnosed in this age group. Incidentally detected lump is most common way in which follicular lymphoma presents, which was in your case. After histological confirmation staging is usually done with PET scan. Which shows stage III disease as per your query. Ideally I would like to know few things like, 1. Confirmation of stage and grade. 2. Any symptoms like fever or weight loss. 3. CBC (complete blood count) and liver renal functions. 4. Also report of pet CT to look for any bulky disease. Because in case of stage III or IV follicular lymphoma there are certain indications for treatment such as, \u25cfLocal symptoms due to progressive or bulky nodal disease \u25cfCompromise of normal organ function due to progressive or bulky disease \u25cfPresence of systemic B symptoms (ie, fevers, weight loss, night sweats) \u25cfPresence of symptomatic extranodal disease, such as effusions \u25cfCytopenias due to extensive bone marrow infiltration, autoimmune hemolytic anemia or thrombocytopenia, or hypersplenism \u25cfAn increase in disease tempo (these are collectively called GELF criteria or BNLI criteria) If these indication are not fulfilled standard guidelines advice observation with follow up. In case physician feels some indications are borderline then usually decision is taken to follow up to see pace of disease and then take decision for need of treatment. If all these things are negative and I would say that decision for your follow up is ideal. If you have any further questions I would be happy to help you." + }, + { + "id": 10215, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 30413, + "tgt": "My hands feel numb after cancer treatment. Should I visit ER?", + "src": "Patient: Hi doctor, I am finishing the last part of my treatment for breast cancer. About a month ago, I started having numbness and tingling in arms and hands. It wakes me up through the night. I just recently started working in a grocery store, which is very physically demanding. It lands me with endless knots in my back, neck and shoulders. I was rubbing the knots out of my neck tonight and I got a little dizzy. \u00a0It went away, but now three of my fingers on my right hand feels numb and painful. I am wondering if I should go to the emergency room. My oncologist is about two hours away. I am a 48 year old female. I had a lumpectomy before two months with a partial node biopsy. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18836, + "tgt": "Are my symptoms a side effect of Epanutin?", + "src": "Patient: Hello doctor, I feel I can see\u00a0everything around me at the same time, although I am focusing on some other thing. When someone sitting next to me or across me\u00a0makes any movement like scratching their nose, shoulder, knee or even twitch an arm, then I quickly look in that direction and back.\u00a0I feel people think that I am watching them and now, I am trying to avoid people, but it is difficult at work. I had the same issue about nine years ago. I am using Epanutin for 20 years with Rivotril\u00a0for about two years for epilepsy. Previously, I was using Epanutin, Topamax and Lamictin. My Epanutin level is 100%. I wanted to know whether the symptoms are any side effect of the medications that I am consuming. Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11417, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 9469, + "tgt": "What are the red itchy bumps on my ankles?", + "src": "Patient: Hello doctor, I have red itchy bumps on both legs and ankles. They keep recurring for months. I have attached the pictures for your reference. Please help. Doctor: Hi. I have read your query in detail and viewed the attached pictures (attachment removed to protect patient identity) and do understand your concern. 1. Asteatotic dermatitis (dry itchy scaly skin). 2. Scabies. 1. You can take antihistamines like tablet Levocetirizine 5 mg twice daily. 2. A combination of steroid like Mometasone or Clobetasol and antibiotic like Fusidic acid to be applied over it twice daily for a week. 1. Avoid using soap over this area for a week. 2. Apply emollients like Cetaphil Dam lotion twice to thrice a day. Revert back after a week with the asked details to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3059, + "tgt": "Can tonsillitis cause jaw and teeth pain?", + "src": "Patient: Hello doctor, I have been experiencing oral pain for quite some time now. And I was wondering if tonsillitis might have effected my jaw somehow, more my teeth than the jaw. I see an ENT tomorrow, but does, in the meantime, saltwater gargle help reduce some swelling? I am currently taking Clindamycin, Tylenol with codeine, Culturelle, Multivitamin, and Vitamin D3. I have done a CT scan and MRI. MRI showed cysts. Doctor: Hello. Warm saline gargles do help to reduce swelling and inflammation. You may do it till you see your ENT tomorrow. Meanwhile, tonsillitis will not cause jaw pain, however, if frequent tonsillitis occurs, it may cause swelling up of lymph nodes below your jaw, which may be the cause of pain. In your CT scan report (attachment removed to protect patient identity), it is mentioned that you have some sinus inflammation. Sinus inflammation, especially in the maxillary sinuses, may cause pain in the face and also pressure feeling in the upper jaw. Probably you may be noticing that. Meanwhile, for a better understanding of the condition, I want some more details regarding the problem. When and how it started? Does it cause difficulty in swallowing or breathing? Any pain while swallowing? Any fever any visible swelling in the neck, any point of tenderness anywhere on the jaw? Any thick nasal discharge, and running nose or nose block? Any decrease in sense of smell, etc?" + }, + { + "id": 1238, + "tgt": "I have redness in eyes for the past few months with headache and eye floaters. Please help", + "src": "Patient: Hello doctor, I have some problems with my eye and need some assistance. I have red eyes from a few months now and have tried some drops and it has reduced. But still, I have some redness in the eye. Adding to it, I have some headaches and can see a lot of eye floaters from a week now. Please help. Doctor: Hi. Here your symptoms look more in favor of allergic conjunctivitis. This may occur due to allergy to dust, grass, pollen, cosmetics, soap, etc. Allergic conjunctivitis may be seasonal type. Try to avoid the above allergens to get rid away from allergy. You may have frequent itching in your eyes. Please keep in mind not to rub your eyes by any means. Rubbing eye frequently may provoke developing allergic conjunctivitis which was once healed up. Dust, grass pollens, cosmetics, and soap. \u2014 Allergic conjunctivitis. Olopatadine 2% eye drops once a day (preferably at night), Loteprednol 0.5% eye drops three times a day. Put ice packs on closed lids which may give you instant relief. Use it minimum for 15 days. (Keep in mind you may get symptomatically relieved very soon but allergic conjunctivitis needs time to recover from the roots). 1. Stay away from the above mentioned allergens. 2. Try cooling goggles while going out. 3. Avoid rubbing eyes. After 15 days." + }, + { + "id": 21414, + "tgt": "I had high blood pressure and low heart rate. Is my ECG showing infarction?", + "src": "Patient: Hi doctor,I had high blood pressure, low heart rate. Is my ECG showing infarction? I have no chest pain. At the time of ECG, my blood pressure was 168/100 and heart beat 46. Doctor: Hello. I have gone through your ECG (attachment removed to protect patient identity). The reports mentioned on ECG are machine generated and are frequently inaccurate. There is no clear-cut evidence of myocardial infarction on ECG. As you also do not have any history of chest pain, it is unlikely for you to have any heart attack. And yes, heart rate is low and it is sinus bradycardia. Do you have any symptoms of dizziness, syncope, etc? If not then it needs no action at the moment. However, you should undergo thyroid test to rule out hypothyroidism as a cause for low heart rate. Also, should undergo echo, which will additionally provide the assurance to rule out MI. Also, if echo is normal then should have TMT (treadmill test), which will help in ruling out minor blockages, subclinical ischemic heart disease and to look for maximum heart rate you achieve during exercise, which will help in determining the benign nature of sinus bradycardia if the adequate heart rate is achieved. Also, high bp can also cause low heart rate by a reflex mechanism. So you should have medicine for it. I guess you are not receiving any medicines like beta blockers which can reduce heart rate. You should have tablet Telma CTD (Telmisartan and Chlorthalidone) 40/12.5 mg once a day in the morning for hypertension so get it prescribed by a local doctor. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 21186, + "tgt": "Please examine the test reports of recurrent high fever", + "src": "Patient: Hello doctor, Can you examine the reports attached below? I had a high fever for two days in the last week. Then it again came back a day before yesterday. It was a high fever. Doctor: Hello. I have gone through your reports (attachment removed to protect patient identity). In the first one, malaria is negative. And the second one shows low WBC (white blood cells) and borderline hemoglobin, and platelets. This is suggestive of viral infection and another possibility is of typhoid infection. Since your cells are low, it is very important that you get yourself examined by a local doctor in person for any other abnormalities. In my opinion, you will also need some more tests, like dengue NS1Ag (antigen) and dengue IgM, typhi dot IgM, to find the cause for it. Get liver and renal function test done as well. Also, repeat complete hemogram day after tomorrow. You should only have tablet Paracetamol 500 mg up to three to four times a day for fever, avoid other painkillers, have rest and avoid the possibility of injury, avoid outside, unhygienic or even raw foods till your count recovers. And you should visit a nearby doctor once." + }, + { + "id": 18347, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 784, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 16173, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2529, + "tgt": "I have pain in testicles with swollen glans and abdominal pain. Why?", + "src": "Patient: Hello doctor, I have a symptom similar to gonorrhea and chlamydia with chronic testicles pain and swelling at the tip. Glans has a weird color, and pain under the abdomen sometimes. The urine test reveasl negative for STD. I am waiting to see a urologist and it has been for a year, now symptoms seem to change and getting worse and I am getting worried. Doctor: Hi. From history, it seems you have pain in testicle and at the tip of glans. I need to know about frequency of urine at night, urgency to pass urine, sense of incomplete voiding? How is the flow of urine? Any straining to pass urine? Unprotected sexual exposure? Constipation? How is the pain in testes aggravated? Any associated swelling or redness of scrotum? Kindly share a picture of the glans abnormality you describe." + }, + { + "id": 20994, + "tgt": "Can decrease in semen, low WBC and alopecia in pubic area be related?", + "src": "Patient: Hello doctor, I noticed a small triangular bald spot in my beard three weeks ago. It was likely alopecia areata. Saw my dermatologist last week, she said it was likely folliculitis. I have had folliculitis before in the same area and it was much different. She is the doctor. So I accepted and moved on. One small spot that has some hair growing back, small thin white hair. Yesterday, I noticed what appeared to be a bald spot in my pubic hair above the penis. When I trimmed the hair back, it revealed a quarter sized bald spot and a smaller dime sized spot. I am not sure how long they may have been there as they were somewhat masked by a longer pubic hair. So, now I have what I believe to be three spots, two below abdomen and one on beard. My concern is more of them spreading than the current spots. I am now thinking back about the annual checkup that I had with my GP six months back. I advised him that in the past year the amount of semen I produce has gone down drastically. I thought it may be a testosterone issue. He advised it was likely a result of my vasectomy the year before. Also as a part of my visit, my WBC was lower than normal, outside of the range by a couple. He was not concerned about that either. My question is whether any of these things are related: decrease in semen, low WBC, and alopecia in pubic area or all separate issues? I see no reason to go back to the dermatologist as my new spots are hidden. Based on these separate facts, is there any likelihood they are related and is there any reason to see a doctor? Doctor: Hello. Alopecia areata is an immune disorder and is separated from folliculitis and it has nothing to do with your semen count and low WBC. Nevertheless, please send me a few good quality photographs taken in a natural light." + }, + { + "id": 27048, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22430, + "tgt": "What is the treatment given for fractured tooth?", + "src": "Patient: Hi doctor, I fell down and I got knocked in my front right incisor and it does not move back. It is also a permanent tooth. I am taking tablet Vyvanse. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Do not worry, we can manage it. First of all, do not touch it or try to push it back into position. Do not bite on that tooth. There is bleeding which is from the gums (as the picture is not clear). So, there is soft tissue injury too. Next, we will have to take an intra-oral periapical radiograph to check whether there is a crown-root fracture or the whole tooth has moved. If there is a fracture of the root, the treatment will vary based on the location of the fracture. If it is just displacement with the whole segment of a tooth, we can replace it back into position and splint the tooth. In later stages, if you have pain or discoloration of the teeth, we can go for root canal treatment. Hence, visit your dentist soon and get the treatment done. Kindly do not delay, and do not worry. In any situation, we have treatment (simple or complex based on clinical examination and radiograph) and it will not affect your esthetics and function. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 373, + "tgt": "I have pins and needles sensation in heart with anxiety. Please interpret my ECG", + "src": "Patient: Hello doctor, I am having a feeling pin and needles like sensations near my heart for the past two weeks. I do not know if my ECG is normal, I wanted to get it checked by you. I have no cholesterol issues, no blood pressure issues, no diabetes. I have low blood platelets count from years and recently my abdomen ultrasound showed mild spleen enlargement and prostate enlargement. I am 31 years old. I have anxiety issues for years. I also feel the warmth on my face after evenings until the time I sleep, but no fever. Weakness is there with pain in the left leg. Chest x-ray is normal. Doctor: Hello. I checked your ECG (electrocardiography) (attachment removed to protect patient identity). All is normal without no sign of any abnormality. The sensation you feel, does it come with shortness of breath? Or chest pain? Do you have a history of stomach ulcer or trauma to the chest region? Have you taken any medications so far?" + }, + { + "id": 6054, + "tgt": "What does it mean to have dreams about being pregnant?", + "src": "Patient: Hello doctor, Why are dreams about being pregnant so common? What might a dream about being pregnant mean? What might it mean if you are not trying or wanting to be pregnant in real life? Or, conversely, if you do want to be pregnant in real life? Doctor: Hi. Dreams about pregnancy ,conception are more common in women that have been trying to conceive for long time and remained unsuccessful or had bad obstetric history like multiple miscarriages, intrauterine fetal deaths, still births, newborn baby 's death or ladies have been unable to have proper sex life or could not be able to conceive due to hard job, responsibilities, financial or health issues, etc. In above all cases anxiety is major factor, dreaming about happy married life, having conception or baby or taking care of a beautiful child or own his or her is greatest dream in most of the women that is why it is so common and should be I think. Being pregnant in dreams is to hoping a healthy happy married life in normal ladies or in previous bad obstetrics history it is really major concern who used to try and struggle for normal healthy baby. Similarly who want to be pregnant or those who does not want to be pregnant both can dream of conception but for both categories feeling would be different, in ladies who want to conceive it is dreaming their wish as those who are not prepared for pregnancy or does not want it dreaming conception could be threat as to have proper precautions to avoid it like proper regular intake of Contraceptives to have emergency contraceptive if missed pills or if got symptoms of pregnancy unexpectedly then as anxiety." + }, + { + "id": 13025, + "tgt": "I am forgetting spellings of words. Please advise", + "src": "Patient: Hello doctor, My age is 18 years. Few days before I do not know somehow I had forgotten many easy spellings of those that I knew well before. And I have my HS examination on in a few days. Please tell me what shall I do to solve my problems. Doctor: Hi. I just read through your complaints. It looks like absent-mindedness which is common in old age. But at a young age, it is not so common what I would advise is get me some basic blood investigations. Complete blood count, kidney function test, liver function test, and urine routine examination, serum vitamin B12, folic acid, and vitamin D. With that, I will be able to assess you what has been going. In the meantime, I would advise you to eat healthily, eat green leafy vegetables. A green leafy vegetable called Brahmi leaves help to improve your memory power and also reduces your absent-mindedness. Any fruits or any food that is rich in DHA most importantly I want you to eat dry fruits that includes walnut, pista, badam, cashews and whichever you like got a more amount of DHA that improve your nerve functions in your brain and it indirectly helps you remember things rather than forgetting things." + }, + { + "id": 7170, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 12101, + "tgt": "I am 51 years being treated for coronary ectasia and hypertension. Can I take Viagra for erectile dysfunction?", + "src": "Patient: Hi doctor,I am 51 years being treated for coronary ectasia and hypertension. I am taking the following medicines now. Tablet Clopilet 75 mg, Warf 2.5 mg and Nebicard H. Can I take Viagra for erectile dysfunction? Doctor: Hi. The drug Viagra (Sildenafil) can cause potential side effects alone and certainly in combination with the above drugs. It can cause hypertension and even the heart attack also. So it is not safe in the asked context." + }, + { + "id": 27278, + "tgt": "Is it true that an IUD can stay inside forever?", + "src": "Patient: Hello doctor,I had a DNC done two years ago. My doctor was\u00a0supposed to remove my IUD but, did not. I found out when I had an ultrasound last week. Can IUD remain while he did the DNC procedure? Is it true that the IUD can stay forever? Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 70, + "tgt": "Is it possible to get upper abdominal pain due to peptic ulcer?", + "src": "Patient: Hello doctor, I am a 25-year-old male. I am 210 lbs and 5 ft 10 in. Lately I have been having really bad upper abdominal pain and tenderness. I get really sharp pains in the same area when I lift heavy things, it is so uncomfortable at all times. I have a history of peptic ulcers from the time I was 16, but this pain is different and constant. Doctor: Hello. Well the pain which comes in or worsen after doing physical movements is highly likely secondary to muscle and bone related. The pain of peptic ulcer however can be knawing and usually worsens after meals. But given the fact that you have been using Omeprazole which is a strong acid suppressant, is helpful in healing peptic ulcer; the presence of peptic ulcers in your stomach seems to be a rare possibility. 1. I suggest you to take tablet Orphanderine plus Paracetamol combination one tablet three times daily for a few days and avoid doing heavy lifting or any thing that you think will worsen the pain; and see how does it go. 2. If your pain does not solve then I suggest you to increase the Omeprazole dose to 40 mg twice daily half an hour before meals. This would certainly improve the pain if it secondary to peptic ulcer disease. Lastly there are other conditions which tend to cause pain which worsen with excercise and bearing weight and one such condition is called nerve entrapment pain. But I want you to start with step 1 and let me know how things go. Musculoskeletal pain, functional abdominal pain or nerve entrapment pain. Musculoskeletal pain. Follow in a few days and update if pain settles. If not, then I will recommend some testing." + }, + { + "id": 19608, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21972, + "tgt": "Why is there a burning sensation in the bottom of stomach extending till testicle?", + "src": "Patient: Hello doctor,My husband is having a burning sensation in the bottom of his stomach and it goes down the right side of his testicle. What could be the problem? He has a previous history of a hernia. Doctor: Hi. As he has a previous history of a hernia, this is most probably an inguinal hernia. As BMI is 33, it is in the range of obesity and it causes a hernia. A further check-up is needed by surgeon whether there is any blockage of vessel or nerve in the region due to a hernia. Avoid any straining factor which causes pressure on the abdomen like a cough (smoking or dust areas), constipation. Consume high fiber diets like fruits, vegetables, and husk powder. Enlarged deep inguinal ring due to a weakened abdominal wall due to obesity. Examination of genital area by a surgeon. Indirect inguinal hernia. Indirect inguinal hernia. Examination by surgeon and avoid straining on abdomen due to cough and constipation. Avoid smoking if does, constipation. For more information consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 22625, + "tgt": "What can be done for cut on foreskin during intercourse?", + "src": "Patient: Hello doctor,I have developed a small cut on my foreskin during an intercourse with my wife. Did not realise it initially but was feeling uncomfortable while passing urine. I washed it and left it unattended for a few days and abstained from having intercourse for some time. It had reduced. I did masturbate a few times and felt a little discomfort though there was not any pain. I recently had an intercourse with my wife and the cut seems to have become fresh again. I took a break from intercourse and masturbation for the past 10 days and started using Fusee B cream for the past one week on the cut before going to sleep. Sometimes during erection, the cut seems to become a little fresh. Doctor: Hi. This appears to be a tear in or near the frenulum. This may continue to recur as healing will cause scarring and further contraction, while sexual activity will stretch and tear it again. You should see a surgeon or urologist if this does not heal. A minor surgery called frenuloplasty may be needed. Take care. For more information consult an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 1112, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 217, + "tgt": "Is there any permanent solution for myopia?", + "src": "Patient: Hi doctor, I have a\u00a0congenital squint problem. Till 12 to 13 years of age, my eyesight was good. Then, I developed myopia. It is mainly because of television. Now, I am 21 years old and have power glasses of -3.5. Is there any permanent solution for my condition? Please explain even if it is a surgery. Thank you. 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": 16819, + "tgt": "My sperm count is zero. Can I go ahead with ICSI?", + "src": "Patient: Hi doctor, I had an issue of hypogonadotropic hypogonadism. Due to that my sperm count was zero. As per my doctor's advice, I am taking HCG 5000 and HMG 150 weekly twice over the last 12 months. I took semen analysis test at two centers and it shows sperm production has started. I shared the result to my doctor and he suggested me that I can father a child either using IUI or ICSI. Please check the reports and let me know about your opinion. Please help me in this. Am I in the right path? Doctor: Hi. For further clarifications consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 5176, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 10466, + "tgt": "Is bronchoscopy and tube necessary in a pneumonia patient with COPD?", + "src": "Patient: Hello doctor,My father is in the hospital fighting pneumonia and has COPD. His latest X-ray has shown some improvement. The X-ray shows he has an extensive airspace and interstitial opacities in the left lung and patchy opacity in the right lower lung. The plan is to do a bronchoscopy and use a tube to assist in getting him oxygen. Doctor: Hello. I have gone through the history of your father's illness you have provided (attachment removed to protect patient identity). The X-ray reports are suggestive of pneumonia. At this stage, on initial antibiotics and supportive treatment, if he has not improved, bronchoscopy may be essential to isolate the organism that has caused pneumonia. This will help to guide antibiotic therapy. By tube to assist oxygen, they are possibly implying putting him on a ventilator? That may be necessary if he is not able to breathe on his own adequately to maintain oxygen in his body. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 10608, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 14652, + "tgt": "Can taking Plan B and Depo shots after sex prevent pregnancy?", + "src": "Patient: Hello doctor, My last Depo was eight months back. I started getting my period four months back. Last week, I started up Depo again (not on my period). 10 days back I had unprotected sex. I am not even sure if he came in me. I took a Plan B the next day. I was supposed to get my period two days later. Should I be worried about pregnancy? I feel like I just flooded my body with hormones. Doctor: Hi. Which day did you start Depo again? If we look into your query, you had sex and took I-pill in 24 hours. If the emergency contraceptive pill was taken in proper dose within 48 hours post unprotected sex without vomitings, then it will work and most probably will give withdrawal bleed in 1 to 2 weeks if not taken during periods. I hope you will get periods but as sex was not done in the most fertile period of the cycle, so least chances of pregnancy are there but the withdrawal bleed will come along with periods or periods might get delayed. To be on the safe side and for your satisfaction, you can have serum beta hCG to check your pregnancy status but I hope it will be least likely positive. I will recommend waiting for some time for bleeding. If unable to bleed this whole week then follow up. Unprotected sex with Depo injection. Beta hCG if you want to confirm pregnancy status." + }, + { + "id": 19609, + "tgt": "I am spotting continuously after abortion. Why?", + "src": "Patient: Hi doctor, My age is 30. I am conceived about 45 days and I had an abortion tablet. I started bleeding and it continued for one week and a light spot for the next one week. I only had heavy bleeding for three days. Now, I am getting little spots in the morning time and no bleeding in the night till today. Please help me. Is it normal or anything serious? But my legs are paining lot. Doctor: Hello. The continuous bleeding in the form of heavy bleeding and clots indicate that abortion has been incomplete and still products of conception remain in the uterus. It is suggested that you should get an ultrasound pelvis done soon to rule out any products of conception. If they are seen, then you would have to undergo dilatation and curettage (D and C) for complete removal of products. Meet your physician soon now." + }, + { + "id": 3428, + "tgt": "How does lack of sleep contribute to stroke?", + "src": "Patient: Hello doctor, I would like to know the causes of stroke and its prevention. What are some of the causes of stroke? What are some signs and symptoms? How can you prevent a stroke? Could a lack of sleep or stress cause a stroke? Please suggest. Doctor: Hi. There are major risk factors for stroke such as hypertension, diabetes mellitus, old age, smoking, alcohol, obesity, high cholesterol and family history of heart disease or stroke. Though there are many more rare causes of stroke. Common presentations are acute onset deviation of angle of the mouth, change in voice, weakness of hands, arms, legs, and imbalance in walking. Though many more presentations can be there in stroke depending on which area of the brain gets affected. Stroke can be prevented by maintaining a healthy lifestyle and healthy food, regular exercise, keeping blood pressure (BP) and sugar under control. Take regular medications as advised by a doctor. Lack of sleep and stress can lead to increased BP, impaired blood sugars and increased sympathetic response in the body, which can be a risk factor for stroke. If stroke is suspected, rush the patient to the nearest hospital having CT (computed tomography) and MRI (magnetic resonance imaging) facility as soon as possible." + }, + { + "id": 30099, + "tgt": "What are my options for recurrent Chlamydia infection?", + "src": "Patient: Hi doctor, I have chlamydia and I have been treated on four occasions.\u00a0I have not had sex recently.\u00a0I took all medicines as specified. The list of medicines and attempts as follows. First Azithromax 1g one dose, second\u00a0Azithromax 2.5 g three doses, third Doxycycline 500 mg two times a day for 10 days and last Doxycycline 500 mg two times a day for 15 days. After each treatment Chlamydia was confirmed. What shall I do? And what are my options? Doctor: Hello. There are other options that can be used.\u00a0I have a few questions for you 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": 12510, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4841, + "tgt": "Will Clomid and Ovafin help me to get pregnant after a miscarriage?", + "src": "Patient: Hi doctor, I am a 24-year-old female. I am married for about 11 months. My weight is 77 kg and height is 5.4\". I conceived in the very first month, but unfortunately, I had a miscarriage after 10 weeks and had D and C. Till then I am trying to get pregnant but having a problem in it. My gynecologist suggested me hormonal test but I could not understand its result. Please explain to me the report and help me to find out the actual reason for infertility. According to the test report: T3: 0.7 ng/mL. T4: 5.2 ng/dL. TSH: 1.0 mIU/mL. LH: 4.8 IU/L. FSH: 8.6 IU/L. Prolactin: 5.6 ng/mL. Progesterone: 1.5 ng/mL. Testosterone: 0.2ng/mL. My menstrual cycle is of about 31-32 days and last time I had periods within 28 days. I am using Clomid and Ovafin from the last three months in two to seven days of menstruation, but I have not conceived yet. Along, with infertility, I am suffering from vaginal farts, weight increase, facial acne, mood swings, and headache. I am very stressed. Please guide me and tell me the reason for infertility. Doctor: Hi. All of your test reports are normal. You are trying for pregnancy just from last seven to eight months. Kindly give yourself some time and you can get pregnant naturally. As your periods are regular, in my opinion, you do not need ovulation induction medicines like Clomid. In fact, you do not need any medicine right now. Just continue Folic acid tablets and continue trying naturally, you should get pregnant naturally. If there was any infection after last D & C (dilation and curettage), you can get your tubes checked by HSG (hysterosalpingography) to be sure that everything is normal. You can do that test after trying naturally (without medicines) for three months. I hope this helps." + }, + { + "id": 13188, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15429, + "tgt": "Is it normal to have painful heavy periods in the first few years?", + "src": "Patient: Hello doctor,I am 18 years old and have always suffered from awful period pains and I am having extreme heavy flow (changing a super tampon every hour, otherwise I leak through). I get cramp so bad that if I do not sort of move around I feel as if I am going to throw up or pass out. I am honestly sick of having to live with this, especially at my age. It is preventing me from doing so much every month and I cannot deal anymore. Doctor: Hi. How are you doing? I understand what you are going through. Till the age of 19 to 21, the hormonal balance between the brain and ovaries is not proper. So, the bleeding will be altered, not on a proper date and maybe more than normal. When the blood more than normal has to pass out through the narrow cervical canal, it is very painful, almost like the pain of delivering a baby. Those cramps are due to the blood clot or the fleshy masses at the cervix and your uterus is trying to push it out. Once the mass is out, the pain immediately relieves. Do not worry, we can solve this. To improve your health, have lots of fruits, vegetables, water, juices, high protein food. Have Iron supplements tablets and multivitamins. This will help you to tide over the loss of blood so far. Have blood tested Hb % (rule out anemia), bleeding time, clotting time, platelet count (rule out any bleeding tendency). I hope you do not have any bleeding gums or too much blood from small wounds or nose. If all this is normal, just have cyclically hormone pills or birth control pills or contraceptive pills (chemical name: Ethinyl estradiol + Levonorgestrel or Desogestrel or Gestodene or Drospirenone) like Novelon or Ovral-G, etc. This is not for contraception, it will prevent the hormone imbalance, so the inner lining of the uterus will never be too thick. So, bleeding will never be heavy. So, no pain. Once bleeding is controlled, your pain will disappear and your daily routine will not be disturbed. Do not get stressed out or lose hope, every problem has a solution, you will do absolutely fine." + }, + { + "id": 3734, + "tgt": "My friend is psychologically not well. Please give some solution", + "src": "Patient: Hi doctor, My friend is getting married in another six months and it is love marriage. When his fiance was in her second relationship she fell in love with my friend. After few months only he came to know that she does not seriously love him. She started loving him so seriously when he lost his conscious and fainted on the floor one day. From then onwards she realized his love and they decided to get married. My friend requested her many times to share her past, but she denied. Now he came to know, she had been in a long-term relationship with two guys before. Also, he came to know that she used to text many guys with kiss symbols, etc. Now, my friend is unable to forget her past and psychologically he is not well. He has not been into any kind of relationships with anyone. Why he has got a girl like this? Day by day he is becoming psychologically tired.\u00a0Please suggest something. Your valuable replies will be the tonic for my friend.\u00a0It will be really more helpful. Thank you. Doctor: Hi. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 18299, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21959, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1923, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 27633, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5374, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 18557, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 1700, + "tgt": "I have hypothyroidism and Hashimoto's and feel fatigued after a year of treatment. Why?", + "src": "Patient: Hi doctor, I have hypothyroidism and Hashimoto's. My doctor currently only tests my TSH and treats me with Levothyroxine. I feel extreme fatigue after a year of this treatment, even with my TSH in the normal range. My doctor says free T4 and reverse T3 are not important labs to run. I am wondering if I should see an endocrinologist or just continue the treatment I am on. My TSH started at 9.8 last year, got down to 0.08. I feel great when it was that low. Mow my TSH is 3.8 and I feel extreme fatigue. I am taking 112 mcg Levothyroxine daily. Thank you. Doctor: Hi. Good day and thanks for your query. Some people treated for hypothyroidism may still experience symptoms even if blood tests show that their thyroid-stimulating hormone (TSH) levels are well within the normal range. The reasons for this are complex, but the bottom line is that having a normal TSH value does not necessarily mean that all of your symptoms will go away. Evidence suggests that situations like this are not as uncommon as one may think. Even when placed on Levothyroxine, the drug considered the gold standard of hypothyroid treatment, many people fail to reap the physical benefits of treatment. So, first, you can lower down your TSH target if you are still having symptoms. For that, we can increase your medication. If still symptomatic, the next choice is to change the brand of Thyroxine, and if still not feeling well, then think to go to T3 supplement rather than T4, that is Thyroxine. Thanks." + }, + { + "id": 25318, + "tgt": "Percentage of B cells is high. Is it leukemia?", + "src": "Patient: Hello doctor,Here are my immunohistochemical results of peripheral blood: Absolute lymphocyte count 5812/uL reference (1000-3300) with CD19 (B cells) 62% reference (3-20%), CD45 positive, CD10 positive, and CD5 negative. How do we know it is leukemia or not? Doctors in our town cannot interpret the result. The percent of B cells is high. Abnormal. Please help. Doctor: Hello. At the age 55 years, if persistent lymphocytosis is seen, then CLL (chronic lymphocytic leukemia) should be ruled out. For that, monoclonality should be confirmed by flow cytometry investigation and need bone marrow study apart from peripheral smear examination report if needed. In CLL usually, peripheral smear examination report shows smudge cells and more than 90 % lymphocytes. So, provide peripheral smear examination report and bone marrow aspiration study report and flow cytometry report if available. The mentioned markers are of B cells but CD5 is negative, so further workup is needed as mentioned. Hope this will help you. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 23441, + "tgt": "My D-dimer is 1. 28 ug/ml. Should I continue to pursue the D-dimer?", + "src": "Patient: Hello doctor,I got blood work for recurrent chest pain. All was normal but my D-dimer was 1.28 ug/ml (normal below 0.50). Chest CT with contrast normal, doppler u/s both legs normal, abdomen/pelvic CT, as well as abdominal ultrasound normal. The doctor says do not worry about D-dimer but it was normal range a year ago. I had a hysterectomy, endometriosis excision or fallopian tubes removed five months ago and it resulted in an abscess and sepsis. I was hospitalized for a week but recovered. I have Hashimoto's but no treatment because my TSH is in a normal range. Should I continue to pursue the D-dimer? Currently, I am taking Lexapro 10 mg daily. Doctor: Hello. I think we should retest D-dimer may be after few weeks, three to four weeks. This is to see the trend and confirm the elevated levels. The usual causes for elevation include DVT (deep vein thrombosis), pulmonary embolism, infection, stroke, trauma and rarely some cancerous conditions. Also, D-dimer rises with age. But, all your investigations are negative so ruling out the major and important causes for elevated D-dimer. I guess at this moment, you are totally asymptomatic, right? No fever or any evidence of infection, etc. The elevation from previous infection five months back should have settled by this time. You have undergone all possible test to rule out the causes for elevated D-dimer so I think there is no need to worry about it at this moment. So overall, I think, we should repeat the test after three to four weeks. Also, see if you have any symptoms or let me know if suffered from recent infection or trauma. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11588, + "tgt": "Why am I unable to gain weight even after eating healthy foods on time?", + "src": "Patient: Hi doctor, I eat healthy food on time. When I feel hungry I used to eat good quantity of food, but I am not putting weight. What could be the reason? Doctor: Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. Every person has his/her own metabolic rate of body. Some have high metabolic rate causes high combustion of nutrients into heat, that dissipates in vain. Some diseases also cause such issue. I am ordering some laboratory work for you. When you get the reports, upload them for review and I will guide you why is this issue with you. 1. Thyroid profile. 2. HbA1c levels (glycated hemoglobin). 3. Fasting blood sugar levels. Immunity booster foods good for you are:- Citrus, red bell peppers, broccoli, garlic, ginger, spinach, almonds, yogurt, cashew, turmeric, green tea, berries, citrus fruits, kiwi, apples, red grapes, kale, onions, sweet potatoes, carrots, old fashioned chicken soups and shiitake mushroom. These foods have got miraculous effects on patients of this category and I have a wide variety of experience on observing improvements in my patients. Most of my patients name them as the magic foods. Also tell me your age, height, weight and waist circumference to help you in a more personalized medical way." + }, + { + "id": 11937, + "tgt": "Which are the best medicines to reduce blood sugar?", + "src": "Patient: Hello doctor, My wife aged 52 have type 2 diabetes according to doctors and is undergoing treatment. Diabetes started a year back and she is taking the following medicines. Janumet 50 mg/1000 mg one tablet in the morning and one at night. Neurobion tablet Vitamin B group (B1, B6, B12) one tablet in the morning. Her sugar level always in fasting reaches 127 to 130 and after food level is fine which is less than 180. Recently we consulted a doctor and replaced the tablet as below mentioned. Isryl- M2 one tablet in the morning and night one before food. Neurobion B complex tablet one in the morning, Calcium DailyCal one tablet in the morning. After taking the new medicines the blood sugar level has increased from 150 to 160 in fasting. We did a blood test a month back and the sugar level in fasting is 127. Also, the HbA1c result is 7.9 %. Average blood sugar level is 179 mg%. Please advise if the dosage has to be increased with a new medicine or a new replacement required. Kindly advice if required new medicine. Doctor: Hello. I think the dosage is less for complete control of the sugar levels. Let her take one tablet at morning and 1.5 tablets at night and let me know her sugar levels. This new medicine has less dosage in comparison to the one she was taking earlier. Hence it must have lead to changes in her blood sugars. Also, I would like to ask if she is following a diabetic diet and does she exercise regularly? It is equally important as her medicines and would also make the medicines more effective. Let me know her readings post this change. So I can advise accordingly further ahead." + }, + { + "id": 26018, + "tgt": "Can you give me any advise based on my lab reports?", + "src": "Patient: Hello doctor,I am a 68-year-old male. I am currently on\u00a0Gluformin G2 Forte for diabetes,\u00a0Cinod-N 10/2.5 for BP and\u00a0Olmezest 20. My lab report is from last week.HbA1c - 6.8.Uric acid - 7.41.Fructosamine - 299.7.eGFR - 83.APO B / APO A1 Ratio (APO B/A1) - 1.1.SGOT- 54.6.SGPT 59.9.Lipoprotein (A) LP (A) - 30.8.TSH - 6.07.Uri albumin/creatinine ratio (UA/C) - 68.5.25-OH Vitamin D (total) - 20.17.Any advice, please? Doctor: Hello. Your HbA1c is in good control and the other parameters are within the normal range. ACR is slightly high. You need to recheck the albumin-creatinine ratio after three months. Please repeat your uric acid levels after two weeks. If it is still high, you may need medication. In the meantime, continue all the medicines as you are taking. There is no need to worry. Do check your BP regularly and fasting blood sugar after two weeks and follow-up, please. As you are 68 years old, you need to take Aspirin tablet 75 mg for cardioprotection. Please add that to your regular medicine. I suggest tablet Ecosprin 75 mg one tablet once daily. 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": 3696, + "tgt": "I want to quit Melacare face cream. Please suggest an alternate", + "src": "Patient: Hello doctor, I would like to know the substitute for Melacare cream, as I got the look after using the cream and want to stop it. Doctor: Hi. Why was it prescribed to you? Wat was the complaint? How long did you apply? Because it also contains steroid and should not be used for long time. You should use sunscreen daily. Safer option like Kojiglo cream can be used." + }, + { + "id": 20865, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28282, + "tgt": "My fiance did not get periods for three months after taking I-pill. Is it normal?", + "src": "Patient: Hello doctor,My fiance took an I-pill three months back after we had unprotected sex. But, she did not get her periods from the last three months. Is this normal? Is it a side effect of taking I-pill? Is she pregnant? Doctor: Hello. I read your query and understand your concerns. I hope this answers you.\u00a0If you have more questions feel free to write back to me.\u00a0Thanks and regards. For further queries consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 19675, + "tgt": "I am having erection problems in front of my partner. Is it psychological?", + "src": "Patient: Hi doctor,I am in a new relationship. I am wanting to impress my partner sexually but my problem is I am getting erection problems in front of her but in the home, when I am alone my erections are normal. Is this some sort of psychological issue? Is this common? How to overcome it? Doctor: Hi. Yes, what you are suffering from is psychological as you only face this problem in front of your partner and not when you are alone. This has to do with performance anxiety as you already feel the need to impress her so your anxiety is acting out in this way. This is quite common, particularly in young adults. You can overcome this by self-counseling and keeping your anxiety at bay while you are being intimate with your partner. If this does not help then you can get professional psychotherapy. Psychogenic erectile dysfunction Counseling Reduce anxiety, practice breathing exercises. For more information consult a general practitioner online.--->https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 19180, + "tgt": "What is the painless bump on shaft of penis?", + "src": "Patient: Hi doctor,I have a bump on the shaft of my penis. It is not painful and it is the same color as my skin. The bump is only visible when I pull back the foreskin. However, there is a small cut visible when the skin is more extended. It is like the bump is covering the small lesion. There is also another lesion nearby, also visible when the skin gets more extended. This time, no bump, but it is like the skin is covering the cut as well. Do you know what it could be, and what should I do?I have been taking Fucidin, as I thought it was the same issue as I had before, but it seems different this time. Doctor: Hello. I have seen images sent by you (attachment removed to protect patient identity). Yes, there is a bump on the penile shaft. It appears because of repeated small trauma may be during masturbation or sexual intercourse. At present I want you to apply Mupirocin topical ointment twice daily for two weeks. It will heal. Avoid masturbation or sexual intercourse. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 13404, + "tgt": "Please explain about the CMIA test for HIV testing", + "src": "Patient: Hello doctor, I shall be thankful to you if you please answer few of my queries. How CMIA combo for HIV testing is done? How much it is reliable at 175 and 180 post incidence. INDEX was .14 and .08, respectively. What are the chances of error in the result? (Done at two different labs). Even after three years, I have no medical issue. Please give me awareness on procedure reliability. Doctor: Hi. Below are the specific answers for your questions. CMIA is based on chemiluminescence principle and it is performed on an automated analyzer. It is the most effective technique nowadays to rule out HIV. CMIA can almost 100 % rule out HIV after 90 days of exposure. Usually, in most of the patients, CMIA can be effective after six weeks of exposure. So after 175 days of exposure, you need not to worry about HIV. The index value is cut off value based on which the result is given. The chance of error is very less. After testing for two times the chance of error is almost nil. After three years of exposure there is no medical issue, so the chances of HIV is very less." + }, + { + "id": 22086, + "tgt": "I made a deep cut at the tip of finger. When will it heal?", + "src": "Patient: Hello doctor, I am male, 50 years old, 5'5\", 155 lbs. About a month ago, I accidentally made a deep cut at the tip of a finger. The emergency room glued the finger closed. Seven days later, it split back open. It was no longer bleeding, despite being an open wound. I taped it back closed and was very cautious not to split it open again. The finger seemed to heal together. However, for the last 10 days, no additional healing or changes seem to have occurred. The finger appears mostly together, but the area that was sliced is inflamed and sensitive to the touch and does not seem to be improving any longer. Though the appearance is a bit inflamed (swollen/red), I am mainly concerned about the nerves which sting or hurt a little when the finger touches things on this spot. I would like to understand more about the nerve damage or issues that could be permanent with this injury. Doctor: Hi. I went through the files (attachment removed to protect patient identity). You seem to really have a bad wound. But you need not worry too much about the nerve damage in this part of your body as this area is naturally rich in blood and nerve supply. Though healing may take some time and area may remain sensitive to heat, cold, and touch but all will be fine within next two to three weeks as natural regeneration may take some time. The present condition of your wound looks satisfactory. And for the swelling, you need to do pressure bandage for few days or it will heal with time. Just apply Voltral gel (Diclofenac) and swelling will be better soon. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1960, + "tgt": "What if lymphocytes are higher than normal?", + "src": "Patient: Hi doctor, I am curious about my friend's blood results. Blood tests show that his lymphocytes abs is 5.71 before six months, and 5.35 before three months. (Compared to the normal range that came with the results which is 1.30-3.60 x 10^9/L). Do you think is there something to be worried about? Doctor: Hello. I reviewed the records. (attachment removed to protect patient identity). Having more lymphocyte count is known as lymphocytosis. 1. Benign or reactive lymphocytosis: Transient nature can be seen in an infectious disease like viral illness. This does not seem to be the case as it persists for a few months. Other causes, that could persist are noninfectious causes like stress, drug reaction, having spleen removed in the past, etc. 2. Malignant lymphocytosis: There is an entity called chronic lymphoproliferative disorders (CLPD), this is a very slow-growing blood malignancy, usually happens in individuals more than 60-65 years. Some times patients do throw symptoms like low-grade fever, weight loss, anemia, night sweats, etc. They may or may not be associated with low platelet count to anemia which is not the case with your friend. With all this background knowledge, please see which ones is fitting for him. I will discuss the worse scenario because I guess you will be curious otherwise. Having CLPD is less likely as your friend is young, and he is not having anemia or low platelet counts. Regarding the CLPD prognosis, it is one of the very slow-growing entity. We do not treat the early stages, as well as they, are so slow, treating has more drug side effects than the CLPD itself. Getting a flowcytometry is rational in his case. But it is not urgent, you can wait for even few months if there is an issue of lockdown due to Coronavirus. Again, I am not saying he has any particular disease, but I want to explain everything in detail so that you have a good understanding." + }, + { + "id": 27771, + "tgt": "I have dry eyes, eye strain and stinging due to constant computer use. What should I do?", + "src": "Patient: Hello\u00a0doctor, I am having dry eye problems since the last three years due to heavy computer usage. The eyes feel dry, and sometimes there is burning. Reading strains my eyes. I take Omega 369 tablets when this problem occurs, and then I would be alright for 15 to 30 days. But, it would resurface after a few weeks. Last year, I took I-Omega tablets (fish oil Omega 3) for three months, and the\u00a0problem was solved for a few months, but now it is back. I also put Soft drops three to four times every day before using the computer.Last month, my\u00a0doctor suggested I take Retinox tablet (Zeaxanthin, Lutein, Astaxanthin, Omega 3) for 15 days. The eye problem was cured after taking medicine. But, now the same problem has recurred. These are some queries I have. Which medicine is better for dry eye purely omega 3 or omega 3 with zeaxanthin, and lutein? How many days should I take the medication for, to prevent my dry eye problem from recurring? Is there any other medicine I should take to cure dry eyes? Looking forward your reply. Doctor: Hello. For more information consult an ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist \u00a0" + }, + { + "id": 25536, + "tgt": "What is the use of hCG injection?", + "src": "Patient: Hi doctor, In the last two months my period span was 34 days. As I am trying to get conceive I went to gynecologist to know is there any wrong. She asked me to get CBC (complete blood count), hormone test and urine test.\u00a0My blood sugar and all other are normal. My LH 6.31, FSH 7.91 and prolactin 53.92. During\u00a0my next visit she did pelvic test and started transvaginal USG. She did four set of T-USG and yesterday she gave me hCG 5000 injection. I am very much confused because she told me if my RH ovary value become minimum 2 then it will be fine to conceive. Yesterday it was 3 and still she gave injection.\u00a0I got married before one and a half year and I am trying to conceive only for the past three months. Why is she doing all these tests? Are these\u00a0really required?\u00a0We can wait still one year to conceive naturally.\u00a0Please find the attached T-USG result and give me some advice. Doctor: Hi. I have read your problem and seen the pictures (attachment removed to protect patient identity). For further information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 13763, + "tgt": "Is there any remedy to cure skin infection affecting fingers and legs?", + "src": "Patient: Hello doctor, My son is suffering from a kind of skin infection. This infection occured across his fingers and leg. I am attaching photographs for the same. Doctor: Hello. I have viewed the images (attachment removed to protect patient identity). I can see dry, scaly, red patches. This seems like psoriasis vulgaris rather than skin infection. Psoriasis usually presents as dry, red, well defined, scaly patches on extensors like the elbow, knee, scalp, knuckles, etc. Take care." + }, + { + "id": 8378, + "tgt": "How much sleep do teenagers really need?", + "src": "Patient: Hello doctor,How many hours of sleep do I need as a 17-year-old? Are six hours of sleep enough? What happens if I sleep eight hours per day? Does my brain become more active or dull? Doctor: Hello. I feel that one should not sleep less than seven hours daily. This is the minimum to maintain a healthy mind and body. And also, you will not feel sleepy in the day. The brain becomes more alert if you sleep about eight hours a day, but it also depends upon the work and activity that you do. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 23869, + "tgt": "Can I play football again after retinal tear?", + "src": "Patient: Hello doctor, Can I play football again after retinal tear? It has been seven months after eye laser and I have been great, no more flashing lights for few months and no vision problems. Doctor: Hi. I, unfortunately, have to say no. The fact that you have had a retinal tear which had to be treated by laser tells me that you are at future risk of another tear. The tear by itself can progress to retinal detachment and can permanently decrease the visual acuity of your eye even after treatment. Please avoid all contact sports and attend follow-ups as instructed by your ophthalmologist. Anomalous PVD (posterior vitreous detachment). 1. Indirect ophthalmoscopy. 2. B-scan ultrasound. 1. Retinal hole. 2. Retinal degeneration. Retinal tear post laser. Observation. Avoid contact sports. For more information consult an eye care ophthalmologist online.--->https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 29981, + "tgt": "Please explain me the risks associated with PCS in anesthesia induced surgery", + "src": "Patient: Hello doctor, I am suffering from pelvic congestion syndrome. I just wanted to know if there are any risks with anesthesia such as blood clot, renal failure, potential embolism or death?\u00a0I am asking this,\u00a0because I was scheduled for a surgery in the next four days. The surgery would be a three hour procedure. I do not have any clarifications from the doctors. I do not want to hurt myself due to lack of knowledge. If anyone can assist me in this, then I would sincerely appreciate any information about my suffering. Please explain me the risk associated with PCS in an anesthesia induced surgery. I am desperate and afraid. Thank you for your time and assistance. Doctor: Hi. Revert back with a detailed history to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30223, + "tgt": "Can implantable cardioverter defibrillator cause AFib?", + "src": "Patient: Hello doctor, I would like to know if an\u00a0implantable cardioverter defibrillator can cause AFib. Please explain. Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 4113, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 22194, + "tgt": "What are the other tests done to confirm HIV?", + "src": "Patient: Hi doctor, The doctor told me to test for a retrovirus. Unfortunately, it came positive. He said you might have HIV. Then I went to a government hospital where they took my blood sample, and they gave me the results within two hours. They told me I have HIV 1. Soon, after that, they started my treatment. Now I am on ART therapy. But till today I am not sure that whether I am HIV positive or not. I have started taking medicines. I am having a problem with my appetite and some brain problem. My CD4 count was 503. Please help me. I did a VDRL test which came out positive. I am also taking medicines for TLE. Doctor: Hi. As far as the HIV test is concerned, it is positive (attachment removed to protect patient identity) and if you have a doubt, then you can get tested for RNA PCR. You have the infection, because, without HIV, CD4 will not come down and also, you have checked for HIV, as you are having risk behaviors (as suspected by the doctor). Yes, Efavirenz will have these effects like vivid dreams, hallucinations, reeling sensation but these will wear off over the time. No need to worry. Regarding VDRL (venereal disease research laboratory), it indicates syphilis, and you need to take Benzathine penicillin injection of 2.4 million units once weekly for three weeks. The syphilitic ulcer may have acted as a portal for the entry of virus during the first infection. Keep in regular follows up for better treatment plans. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 1229, + "tgt": "I have diarrhea, and anal pain increases every time I poop. Please help", + "src": "Patient: Hi there! I have a case of diarrhea since yesterday and I have gone to the loo quite a few times. However, with each time it starts to hurt more and more and its reached a point where i am scared to poop. It hurts as soon as i start to poop and continues till 5-10 minutes after i am done. Doctor: Hello. I welcome you to icliniq. I can understand you must be very upset about this. So here are something that i want you to understand. since you started to have diarrhea since yesterday which classifies it as acute (recent) gastroenteritis. The most common cause usually a food that has caused poisoing and suddent burst of large volume of poop. i want you to start taking Oral rehydration therapy ORS. Add one sachet of ORS in one liter of mineral water or boiled water and take 200 to 300 ml each time you have loose bowel. This will replenish your salt in body and help decrease diarrhea. The antibiotics are not really recommend in acute diarrhea except someone has blood in stools. so i am not recommending you at this point in time. Tab lomotil 2 tablets thrice daily no more than 3 days. food poisoing enterotoxin mediated diarrhea Oral rehydration therapy ORS. Add one sachet of ORS in one liter of mineral water or boiled water and take 200 to 300 ml each time you have loose bowel. Tab lomotil 2 tablets thrice daily no more than 3 days.( Generic diphenoxylate hydrochloride plus atropine) I really hope this will surely settle your diarrhea. If it does not help in 48 hours plz let me know." + }, + { + "id": 43, + "tgt": "Jardiance for type 2 diabetes is causing penile infection and balanitis. Please suggest an alternate medicine", + "src": "Patient: Hello doctor, I am 30 years old and I am a type 2 diabetic. Right now I take Lantus 30 unit at night. In the morning, I take Gemer DS 2 and after breakfast, I take 12 mg Jardiance. Now my sugar is under control, but because of Jardiance I usually have penile infection and balantitis. I have googled that Jardiance have side effects of these types because it flush out sugar from urine. Can I take any other medicine like Voglibose or other which has good efficacy? Or should I take Novorapid along with Lantus at morning meal? Doctor: Hi, Welcome to icliniq.com. Urinary infection is the most common side effects of the Empagliflozin (Jardiance). Maintaining thorough hygiene and plenty of water. I can advice you for a change in medication but you need to be very vigilant initially for any fluctuations. Your exact blood sugar values might have given a better understanding though. Below I am modifying your medication of Gemer and adding Voglibose. Stop using Jardiance. Be very strict to yourself in having controlled diet with more of fruit and salads. Regular yoga and exercise. Tablet Gemer DS (Glimpiride) 3 mg in the morning 15 minutes before breakfast. Tablet Voglibo (Voglibose) 0.2 mg just before first bite of your breakfast. Rest continue with the same medication at night. You may have some stomach disturbances initially but may settle down eventually. Have good enough amount of curd in your diet. Measure your values especially after four to five days and get back to me for advice so that depending on how you are managing can decide for any modifications or continuation of the same treatment." + }, + { + "id": 27824, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27127, + "tgt": "My grandma eats very little after an episode of fever. I am worried. Please advise", + "src": "Patient: Hello doctor, My grandmother is 65 years old. She had a fever last week. She was taking Zerodol-P and Azio 500. Now, there is no fever\u00a0but, her eating capacity has greatly reduced. After taking only a bite or two,\u00a0she feels full and does not want to eat further. Doctor: Hello. Hope this helps you. 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": 20042, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 1142, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 14170, + "tgt": "There is no period after the removal of Mirena. Why?", + "src": "Patient: Hi doctor, I had Mirena removed before a month and had what I think was a period the next day that lasted for four days. It has been 37 days with no period and three negative home pregnancy tests. I have been nauseated with cramps that are dull while some hurt good enough to stop me from moving. What is going on? Doctor: Hi. Mirena is a progesterone-containing IUCD (intrauterine contraceptive device). Its sudden removal induced you periods last month. Your current delay in periods is also because of the same. It takes time for the body to restore the normal hormonal balance after removal of Mirena. Do not worry. Wait for another week or 10 days. You should get your periods. If not we can start you on medicines to induce the period. Hope you found this information useful. All the best," + }, + { + "id": 2396, + "tgt": "I am more vulnerable to get coronavirus due to a weak immune system. Should I be self-isolating?", + "src": "Patient: I\u2019m 40 & I\u2019ve had glandular fever, shingles, influenza and have an autoimmune condition (Hashimoto\u2019s disease). I believe I may be more vulnerable than the average person my age to get Coronavirus, due to my weakened immune system? Should I be self isolating? I am ok to do so Doctor: Hello! Thank you for reaching out I understand. Bases on the available data, those who are 60 above, and with medical condition such as hypertension, cardiovascular disease and diabetes are the most vulnerable population. Thyroid disease and any other autommine condition is not known to be associated with increased risk of viral infections in general, nor is there an association between these disease and severity of the viral infection However, if you mild symptoms of cough and fever, I would still recommend that you do self quarantine and monitoring. I would still recommend that you wash your hands regularly with alcohol, soap and water and practice social distancing. I hope i wa able to answer your concern. Is there anything else I can help you with?" + }, + { + "id": 544, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24898, + "tgt": "MRI shows 'intermediate signal intensity lesion in endometrial cavity. ' What is it?", + "src": "Patient: Hello doctor,My mother aged 55 years got an MRI with an observation of 'intermediate signal intensity lesion noted in the endometrial cavity measuring 19x28x24, in the fundal body region with loss of endometrial interface. Tethering of sigmoid colon with distal ileal loops to the uterus in fundus region.' Doctor: Hello. With this report, there is a possibility of malignancy. Cancer of the uterus is more likely. Do CA 125 level, CT scan abdomen and pelvis, X-ray, sonography, PET scan and consult a gynecologist near you and also take an opinion from an oncosurgeon. Doctors will do other routine investigations also like LFT, RFT, hemogram, HIV, Au-Ag, blood group, 2D echo, ECG. All this is to be done and consultation along with clinical examination required for deciding further management of this if to directly go for surgery or not. In that case, the best option is chemotherapy or radiotherapy. But yes, you need to take steps on an urgent basis if the MRI report is like this and you suspect malignancy with some changes. I do not want to over exaggerate this but malignancy can grow way faster than you imagine. The final diagnosis will be after sending for biopsy or HPE (histopathological examination). I do not know why you have done the MRI and what complaints she has, but whatever it is, if this is what the report says, then the above things should be done as soon as possible. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1646, + "tgt": "I stopped watching porn 15 days back. Why am I having panic attacks and intrusive thoughts?", + "src": "Patient: Hi, Kindly help me out I am a psychiatric patient diagnosed with generalized anxiety disorder who is on 1. Fluoxamine 150 mg 2. Risperidone 1 mg 3. Clonazepam 0.5 mg I use to watch porn most of the times in a day for about 18 years . I left it recently about 15 days ago and not feeling well more than ever , having panic attacks, crying alot , guilt, PTSD, OCD intrusive thoughts driving me crazy. As porn use to increase dopamine , and risperidone is an antigonist of dopamine ....is this causing a problem. Kindly let me know what I can do about it and what alternatives can I do to feel normal again Doctor:" + }, + { + "id": 28192, + "tgt": "What are the chances of acquiring HIV infection?", + "src": "Patient: Hi doctor, I am a 28 year old male, and a couple of months ago, I had availed an escort service. Ever since, I have been worrying all the time about possible HIV infection. I feel little embarrassed writing about all this. Please excuse if you find any content of my note below unwarranted. I will try to describe the experience in as much detail as possible. She appeared hygienic, and had a clean skin all over and seemed to be of good health. We had vaginal intercourse three times on that occasion. Each lasted not more than five minutes. We did it in a single position all three times, that is, the woman on top. I did not ejaculate at all. She neatly put on the condom, which I believe was a latex one, every time. I did not notice how she removed it after each act. However, I did not hear the condom rupture or tear. Even if the condoms had failed, there was no such expression or reaction from her to that effect. I also do not think the condoms had slipped off totally, but it could have slid upwards at times during the act, but I am not sure though. I am uncircumcised by the way, and I have read quite a lot about HIV symptoms, which are similar to the flu. However, I did not have any such symptoms so far, at least nothing noticeable. At some places on the net, I found that 50 % people infected with HIV show symptoms, while at some places they say 80 %. Also, some say symptoms appear within four weeks from exposure, while some say it can appear up to eight weeks also. What are the exact figures for these, please? I have a small penis, 3.5 to maximum 4 inches when erect, and we had intercourse in a single position as I said above. Can it be implied that the risk was very low in such a case? I understand the foreskin retracts during the act exposing its inner surface. Given the size of my penis, did the condom had a higher chance to slide upwards to a vulnerable level? So far I recall, there was no fitting issue. Through which area in the penis does HIV enter? Some say it enters through the glans, some through the opening at the tip, some say through the gap between glans and foreskin, and some say through the foreskin itself. Kindly clarify. Is it easy for HIV to cause infection once it enters through any of the above or does the body\u2019s system resist and kill the virus at times? I have read the chance of one catching HIV is 1 in 263. What does this effectively imply? I know the only way to determine HIV is by doing a test. However, right now I definitely cannot have any such test done due to certain reasons. In the absence of the test, if you could reply with clear and specific answers to the above queries, it will help calm me to a great extent. Thank you so much for your patience and time. Doctor: Hi. The answers to your queries are: Hope your queries are answered, but if you 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": 7231, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 295, + "tgt": "My heel has developed swelling ever since I got injured playing. Please help", + "src": "Patient: I got injured while playing. I fell and my knee hig the ground. In order to prevent it, I tried to apply counterpressure on the floor using my heel.. And my heel has developed swelling eversince. It's been a week.. In the First days, I couldn't walk properly. Burning sensation was felt over the heel. After a week, I could walk better, but tingling sensation developed over the heel. Pls help me out.. Doctor: Dear, Sending Love and healing energy! Dear ,Due to counter pressure on floor you got trauma over the heel .Now numbness are over the heel.A numb heel is most commonly caused by blood flow constriction or nerve damage.The tibial nerve runs inside the tarsal tunnel and may become compressed. My Dear ,Compression of a small nerve (a branch of the lateral plantar nerve) can cause pain, numbness or tingling in the heel area. In many cases, this nerve compression is related to a sprain, fracture or varicose (swollen) vein near the heel. i would suggest you to do Dear Pray and pray for your speed recovery Follow up with your queries thank you for giving chance to serve you !" + }, + { + "id": 27142, + "tgt": "Is there a cure for chronic fatigue?", + "src": "Patient: Hello\u00a0doctor, I have chronic fatigue for the last few weeks. I underwent blood tests and have been taking Iron and Vitamin D supplements for a week now. But, I do not see any improvement. Doctor: Hello. Hope this information helps. Take care. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26883, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21428, + "tgt": "Can increased platelet count be due to heavy periods?", + "src": "Patient: Hello doctor,I am female 43 years old weighing 209 lbs and height 4'11\". Medicines I am taking Metformin, Pravastatin, Omeprazole, Xanax, Sertraline, and Zantac. I have diabetes, feet ankle issues, arthritis, heavy periods, GAD, and clinical depression. My doctor performed CBC and everything was normal except platelet count 492, then months later 504. Any idea what could cause this? My doctor thinks it is because of my heavy periods. Doctor: Hi. Due to heavy period and bleeding, you can have a reactive increase in platelet count. Your count is increased mildly and do not worry about that. Even mild variation of 10 to 20 thousand can occur in two subsequent reports from the same sample. So no need to worry. For depression, consult a psychiatrist and take regular treatment with antidepressant medication like Fluoxetine. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 11754, + "tgt": "Other than pregnancy kit, what can I opt to check pregnancy?", + "src": "Patient: Hello doctor, I am a 30-year-old married woman. I have got my last period before two months. I am having nausea for a few days. I have tested through pregnancy kit, and it is negative thrice during these two months. What should I do? Is there any blood test or other way I can check what is wrong? Doctor: Hello. I can understand your concern. Irregular periods can occur due to many causes like stress and strain, dietary changes, etc., leading to hormonal imbalance. General conditions like anemia, thyroid abnormalities, etc., can also cause irregular periods. To find out the exact cause of the problem, please go for a blood test to check pregnancy which is more accurate than a urine test. If that gives negative result, pregnancy is almost ruled out. The other option is ultrasound, which helps in ruling out the pregnancy and also to find out other possible causes of irregular periods like PCOD, etc. Hope I have answered your query." + }, + { + "id": 26987, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 8591, + "tgt": "There are gradually increasing light patches on the chin area. What would it be?", + "src": "Patient: Hello doctor, I have light patches on my chin area that grew overtime gradually. I wish I could provide a picture so you could see. It started as a white patches, but it is light and reddish kind of. Doctor: Hello. Perioral hypopigmentation in your age group is most likely because of a condition known as Pityriasis alba which is seen commonly as light patches on the face. It is common in patients with dry skin, tendency to have more allergies like rhinitis, recurrent cold, etc. You need to apply a moisturizer regularly for this. 1. Cetaphil moisturizing cream apply twice a day. I am sure it is not vitiligo. Other possibilities may be seborrheic dermatitis if with itching and scaling or simply post inflammatory hypopigmentation but not vitiligo." + }, + { + "id": 29473, + "tgt": "How to improve my mother's condition after stroke attack?", + "src": "Patient: Hi doctor, My mom is in her early 60s.\u00a0She has had type II diabetes for more than ten years, and she has also suffered from the stroke in the past.\u00a0I want a doctor's opinion about her current situation. Her present situation is as follows:\u00a0Paralyzed on the right side of her body.\u00a0She cannot stand or turn. She needs help to sit. She sits for not more than five minutes before asking to be made to lay down. She has lost her continence. We buy for her adult diapers.\u00a0Nowadays, eating has become a problem for her. It is very hard for her to chew and swallow. We force her, but it is becoming harder from day to day. When the last time she got hospitalized, her condition did not improve. It cost us the little we had to keep her there. Now, she is back at home.\u00a0It is very hard for her to speak. At times, she might intend to say something, but she can hardly pronounce a word.\u00a0She spends the whole day laying down. This can go for week and months as this is the only position she finds comfort in. Do her illnesses giving their last blows? Doctor: Hi. I have gone through the provided details and understand your concerns. Revert with the details to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 30310, + "tgt": "Please explain about my liver hemangioma from the CT report", + "src": "Patient: Hi doctor, Kindly go through the CT scan report, which shows any lesions or evidence of liver hemangioma. Please clarify it. Also, please advice how serious it is. Doctor: Hello. For further information consult a surgical gastroenterologist online -->https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 18959, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10072, + "tgt": "We are trying to get pregnant but we lack high libido. Please help", + "src": "Patient: Hello doctor, Trying to get pregnant from last one year. All the tests for both of us are fine. The only problem is we are not very high on libido. Doctor: Hello. By saying that all tests were normal, I hope you mean 1. Blood sugars, thyroid profile, and prolactin hormone levels. 2. Husband's semen analysis. 3. Wife's scan of uterus and ovaries. 4. Fallopian tube patency tested with HSG (hysterosalpingography) or laparoscopy. Now for loss of libido, the following reasons are to be addressed. 1. Above mentioned blood tests. 2. Kindly seriously think of shedding few kgs. Your expected body weight is 52 to 57 kgs. 3. Try to reduce any physical or mental stress. Diabetes has to be ruled out with HbA1c. If all these are normal, there is no reason for you to worry, and you will surely get pregnant. I hope I have clarified your query, do write back if any more questions." + }, + { + "id": 15943, + "tgt": "Is there any alternative to LASIK for eye power correction?", + "src": "Patient: Hello doctor, I am male, 36 years old. I have eye powers 3.75 in my right eye and 2.75 in left eye both high cylinder. I have doctors prescription for glasses but after I bought the prescription glasses, I can read only for a few seconds and immediately printed text looks double. In the morning, I can read without glasses but in the evening I cannot read even with glasses. There is a lot of strain in the eyes when I try to read the fine print. I did not have glasses till two years back. With my left eye, I can read the normal texts without glasses so I did not get it tested. I do not want to go for LASIK surgery because numbers are not stable. Please guide me by alternative treatment to reduce and stabilize prescription number. Doctor: Hi. By going through your query I could understand that you are not able to tolerate your glasses. Glasses even though they correct your vision, the muscle balance can be achieved only after a few weeks of adjustment. During this period the glasses are to be continuously worn even though that is causing discomfort. Eye drops HPMC (Hypromellose) can be used frequently as and when needed. Reading should be done under bright light. The minimum distance between eyes and book should be 33 cm for the eyes to be comfortable. I would be able to suggest the feasibility of contact lenses after I see your glasses prescription paper." + }, + { + "id": 22447, + "tgt": "Does elevated ESR cause any infections?", + "src": "Patient: Hi doctor, I used to do CBC test before each time when I go for a travel and this time also, I did the same. Can anyone please tell me if these reports are fine? Or if I am suffering from any disease as some values are out of range. I am taking tablet Telday 40 mg in the evening for the blood pressure. Doctor: Hello. I went through your reports (attachment removed to protect patient identity) and everything is fine except ESR (erythrocyte sedimentation rate) which is slightly elevated, but it is acceptable to have it. Did you have a recent fever, or any other symptoms of infection like running nose, sore throat, excessive weakness? If yes, then, it can explain the elevated ESR. Even, it is acceptable to have this elevation. It is better if you get repeated after two to four weeks to confirm the static trend and not absolutely necessary. You can get it after you come back from the trip. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 18371, + "tgt": "Since I started taking ayurveda medicine, my stools are dark colored. Why?", + "src": "Patient: Hi doctor, Due to work stress and junk stuff, I started suffering from irregular periods, indigestion, hair fall and acne for the last six to seven months. So, I went up for some ayurveda treatment. I started taking the following medicines prescribed by an ayurveda practitioner. A combination of Ashokarishta and Kumaryasava and Shatavari gulam at bedtime with milk. Now, it has been almost 2.6 months with the above medicines. My main concern is that I am getting a dark colored stool, which sinks easily and slim in nature since the day I have started taking medicine. Please resolve this concern. Is there any need for stool test? Do the above medicines have side effects or any toxicity? Also, please share some dos and don'ts on diet and lifestyle that could help my body to balance all doshas. The ayurveda specialist said that I\u00a0have vata dosha. I\u00a0also found hard sleeping at night and have short sleeping hours like I\u00a0keep on waking up in between. Why does it happen? Kindly provide a solution for this. Doctor: Hello. 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": 20584, + "tgt": "What does moderate agglutination mean in semen analysis?", + "src": "Patient: Hi doctor, My partner had a semen analysis and it showed agglutination stage 2 moderate. Can someone help explain his results? Doctor: Hello. Sperm agglutination is basically agglutination or sticking of sperm head and tail. If the agglutination percentage increases then this could prevent sperms in fertilizing the ovum. If the counts are normal and motility is good then there is no need to get worried. Some laboratories have started using staging for this agglutination. But having positive agglutination does not mean that semen sample has some serious issue." + }, + { + "id": 15947, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 24370, + "tgt": "A 52 year old male is unable to walk due to nerve damage. Kindly help", + "src": "Patient: Hello doctor,My uncle is 52 years old. He had an issue when he was in his young age. His nerve got pinched and due to that incident, he is not able to walk properly. He has gone through so many tests recently. But we are not satisfied with the treatment. Please, clear whom should we consult. Doctor: Hello. I reviewed all his tests (attachment removed to protect patient identity) and would explain that they indicate a possible genetic disorder which causes progressive paralysis. Unfortunately, there is no cure for these disorders as the brain cells and spinal cord cells die gradually. I would recommend consulting with a geneticist and performing genetic analysis. Physiotherapy is the main treatment for your uncle. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 29043, + "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": 2914, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23077, + "tgt": "How can these peculiar-looking rashes be treated?", + "src": "Patient: Hello doctor, My sister has some peculiar rashes on her skin. The problem started five years ago. But, now it is increasing. We did not understand what is it. I need to upload a picture. Doctor: Hello. I have noted your concern. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20851, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 30447, + "tgt": "Kindly advise if my dad should go for bypass surgery", + "src": "Patient: Hi doctor, The patient is a 62 year old male. He complained of pain in the chest and became unconscious following sweating.\u00a0We have been advised to do bypass surgery to cure the disease. My father has never had any heart issue so far and now it is a shock to us. Last year too, he had some chest pain, but that all the tests came out to be normal. He is currently on Septran. I have attached the laboratory reports for your reference. Before we make a decision whether to go for bypass surgery we would like to have an expert advice. Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 18708, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22577, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 11728, + "tgt": "Which condition has the symptoms of anxiety, stress, breathing difficulty, and dizziness?", + "src": "Patient: Hello doctor, I am a 38-year-old female. I have anxiety, stress, breathing difficulty, dizziness, and, loose stools. Also, I am not able to eat. Currently, I am not under any medication. But a few years back, I had a medicine called Typlin C. Kindly help. Doctor: Hello. Your symptoms could be related to a panic disorder. For this reason, I would recommend consulting with a psychologist or psychiatrist. Starting Typlin C again or another type of antidepressant (SSRI) may be necessary. I would also recommend checking thyroid hormone levels for possible thyroid gland dysfunction. In the meantime, I recommend avoiding coffee intake and start practicing yoga and meditation. Recreational sports can help too. I remain at your disposal for any further questions whenever you need." + }, + { + "id": 11229, + "tgt": "Why cannot I bend my knee without having pain?", + "src": "Patient: Hi doctor, I am having\u00a0knee problems for a while. It feels like my knee needs to be popped but it will not. I cannot bend my knee without having pain. Could someone please tell me, why is it? And what should I do to make it feel better? Doctor: Hello. Thanks for your query to this platform. You are actually quite young to be having persistent knee pains. 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 signs and symptoms of inflammation or infection like swelling, skin redness or local warmth on touching, then I would like to advise you for conservative management initially in the form of." + }, + { + "id": 4821, + "tgt": "I have thyroiditis and taking Eutirox. Will this cause increased sweating?", + "src": "Patient: Hello doctor, I am 23 years old, male, I have had thyroid issues since a young child, after a few years they concluded it was thyroiditis. Currently I take Eutirox 75 mg and have for about a year, before that I took 50 mg. Ever since 6-8 months (I am not sure about the timeframe) I have had issues with extreme sweating under armpits, for example I am in a 22\u00baC room and start sweating insanely, I go outside lay on the hot sun and I stop sweating. 2 minutes after putting on a shirt there are considerable sweat marks on my armpits, 10 minutes after it is a huge sweat mark. It is also irregular, some days it is crazy other days not so much. I have never had issues with sweat, ever. On the right side of my head I now have ~8 white hair that definitely were not there a year ago, even 6 months ago it was just ~2 hairs. Attached are my lab results, the doctor said it was normal, However, during the conversation I said my breakfast was a couple eggs, sometimes pancakes, and fresh juice, he replied it should be milk and bread, so I have began looking for another doctor for that reason. What can I do to find the best doctor and would it be ok for me to go back to Eutirox 50 mg while I look for a new doctor or can this cause a serious issue? X-ray resume says the following (translated by me): Thyroid with normal dimensions, right lobe measuring 14 x 50x13mm, and the left lobe 13 x 53 x 12mm, with lobutlated shape. Its ecostructure is diffusely heterogeneous with multiple areas hipoecogenic poorly defined, aspects to which is associated the increase of vascularisation on the Doppler color study, changes compatible with thyroiditis. Near the inferior pole of the left Lobe some reactive ganglionic can be observed, the biggest measuring about 11 x 5 mm. Doctor: Hi. You are sweating due to the increased dose of Eutirox and that is perfectly normal and expected in a person with thyroiditis being treated with medication. This only means that you are being correctly treated with respect to your thyroid function. The few white hair that you noted could be due to stress that you have in your day to day life or simply without any reason they can occur. They have nothing to do with your thyroid function. Your breakfast is good but maybe the doctor meant to decrease the calories. I do not see anything that should make you search another doctor but ofcourse it is your right to do so if you wish. Try to live a stress free life and you will find many of your symptoms resolving." + }, + { + "id": 24434, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24010, + "tgt": "Did sleeping on stomach cause twisted nerve in penis?", + "src": "Patient: Hello doctor, I am 23. From one week, I noticed a small twisted nerve on my penis. It is not irritating, not causing pain or burning. But looking odd. Actually, I slept on my stomach the previous night. From the next day, I noticed this. I am not a masturbator also. Please advice me. Doctor: Hello. 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": 8734, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 3816, + "tgt": "I am HIV positive. Which medicine will you prefer instead of Sustiva?", + "src": "Patient: Hi doctor, I am HIV positive. I am now 11 years viral load free. My cocktail consists of Sustiva, Isentress, and Epzicom. My doctor has suggested switching me to other due to the adverse effect of Sustiva. My genotyping indicates that I have a resistance to Ziagen and Epivir. What are your thoughts in this issue? Doctor: Hello. Revert back with the reports to a internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1941, + "tgt": "Can Anmum Materna milk result in more vomiting and diarrhea during pregnancy?", + "src": "Patient: Good day Doctors. I'm 22yo. My last period was on 18th to 21st last month. I just took 2 pregnancy test this 26th and it's positive. First baby. I bought anmum materna Q+ milk after i knew I'm pregnant but I'm having diarrhea and i vomit more than usual. Since it's still ECQ, i can't go out to have prenatal check up. I wonder how many weeks I'm pregnant and I'd like to know if is it bad to sleep in the morning while awake in the evening. I slept a lot in the morning. Thanks for the response. Take care. Doctor: Hello, Welcome to i cliniq , Congrats for your pregnancy So LMP of yours is 18th last month so you are 7 weeks +5 days .You have to perform a ulrtasound to evaluate the embryo and heart activity . Second vomiting is one of the most commen symptom of pregnancy that may accompany you still at 12 weeks . There are some minor side effect of anum materna like diarrhea ,upset stomach ect .If the diarrhea is moderate to severe ,or tha last for a long time you can stop the supplements. The most important tablette to take during 12 weeks of pregnancy is folic acid 400mcg ,one table a day . You can sleep and rest as you want ,but a light activity will mantain you healthier. I hope ,i've been helpful. Best regards" + }, + { + "id": 21490, + "tgt": "As I reduced the habit of alcohol consumption, How can I get relief from bloating and burning?", + "src": "Patient: Hi doctor, I am 42 years old. I have the habit of drinking alcohol. Nowadays, there is bloating, burping, restlessness and shaking in the early mornings only. I have reduced the consumption of alcohol quantity. I got relief from heartburning after taking Wokride D capsule. Please suggest something. Doctor: Hi. Your main problem is about bloating and burning. It could be because of functional indigestion. For gas relief and improving digestion, you can take Alcid MPS syrup (Aluminium hydroxide with Dimethicone), and Pantoprazole 40 mg can also help. Take it for a week. Ultrasonography examination for abdomen can be done for further workup if there is no improvement. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 4001, + "tgt": "Do I need to check hormones for erectile dysfunction?", + "src": "Patient: Hi doctor, Recently I was diagnosed as type 2 diabetic. Now, I am suffering from erectile dysfunction and weakness. My testosterone level is 280. Do I need to check other hormones? Doctor: Hi. For further doubts consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 604, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6959, + "tgt": "Is it safe to use Flonase daily?", + "src": "Patient: Hello doctor, I am a 36 year old male. I am allergic to pollen and I seem to get allergic reactions randomly even outside the allergy season. Ever since I started taking Flonase, it has completely eliminated all symptoms. Is this safe? Can I take it every day for the rest of my life? Thanks. Doctor: Hello. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18201, + "tgt": "What are the Ayurveda medicines to remove kidney stones?", + "src": "Patient: Hi doctor, I have two tiny kidney stones of size 3 mm in my left kidney. Is there any ayurvedic medicine to treat kidney stones? Can you please suggest some medicines so that the stones pass in my urine easily. Doctor: Hi. Renal calculus can be removed easily by ayurvedic medicines. As you mentioned 3 mm sized two stones is present in your left kidney, the size of the stone is small and easy to remove. I suggest you try taking the following. The probable causes of renal stones are drinking less than sufficient amount of water, having a sedentary lifestyle, eating fried and spicy junk foods. Try the following preventive measures. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Follow-up after 15 days. Revert after 15 days to an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 19388, + "tgt": "I have chest soreness and radiating pain. Is this due to pleurisy or costochondritis?", + "src": "Patient: Hello doctor, I am a 36 year old, otherwise healthy (as far as I know) female. I was a smoker earlier. No history of heart disease. My mother has COPD, but has been a long time smoker.\u00a0 Two and a half weeks ago, I went on a hayride with my sons. I have a short stature. To get on and off the\u00a0hayride, I literally had to pull myself up onto the trailer. (Imagine pulling yourself out of a swimming pool). The next morning, I woke up with chest soreness. I had pain in the upper left chest area, a few inches to the left of sternum. That was a radiating pain over the breast towards armpit. Pain worsened on bending over. Also, I could locate very tender spots when pressing on the area with fingers. I had no pain during regular breathing, but very deep breaths caused pain to worsen (from the left of sternum radiating across and to the left breast).\u00a0 Over the past two and a half weeks, pain has improved, but still not completely subsided. Most of the pain (while\u00a0bending)\u00a0is gone, but I still have tender areas across upper left chest when poking around with finger (trigger points?). I have some minor discomfort on taking deep breath, but greatly improved from what it was. And now pain is just in an area to the left of my left breast. Now, pain is mostly towards armpit area and may be slightly radiating to the upper, bottom side of arm. I do not have much pain as it was in the beginning, but more of soreness. It is not constant, it occurs mostly just when I move in a certain way or tense my chest. Also I am noticing upper left back discomfort, not really pain.\u00a0 Local FNP suspects strained muscle. No x-rays were done. I have no cough, no shortness of breath, no loss of appetite, no indigestion or heartburn. Otherwise I feel fine. My concern is that I still have some pain and discomfort after almost 3 weeks. Shouldn't a muscle strain be healed by now? I am a bit concerned as it may be something more serious than a strained muscle, perhaps pleurisy or costochondritis? Doctor: Hello. You are right, muscular pain will not last so long. Pleurisy: Chostochondritis: Another possibility is that you might have a rib fracture. Start taking analgesic and hot fomentation 2-3 times a day for the painful region. Use a thoracic belt to restrict movements of the affected part.\u00a0 Get a chest x-ray done immediately and revert back to a general practitioner online --> https://icliniq.com./ask-a-doctor-online/general-practitioner" + }, + { + "id": 28092, + "tgt": "Shall I continue Satrogyl-O and Lactogut for dysentery?", + "src": "Patient: Hi doctor, I have been suffering from dysentery for the last two days. They are watery to semi-liquid stools. I do not have any stomach pain or nausea. My appetite is normal. I have been burping a lot like when burping during acidity. I have been on fasting for the last 19 days with mostly one meal a day along with some fruits. I also had similar symptoms last week, but within 4 hours without any medicine it became normal. I had Satrogyl-O and Lactogut three times. Though I feel a little better, I still have the dysentery. Can you please recommend some medicine? Or shall I\u00a0continue this medicine for one more day? Or should I visit a doctor immediately? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6270, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 30484, + "tgt": "Can my wife take Arava during pregnancy?", + "src": "Patient: Hello doctor, My wife has been suffering from arthritis for the last 6 years. We visited many doctors, but she did not get proper relief. Recently, my wife started taking Arava 20 mg and many others. We were told to avoid pregnancy while taking this medicine. But, my wife is 2 months pregnant now and she has taken Arava since one month. I do like to know whether this medicine is safe in pregnancy or not? What are the harms if we carry pregnancy? Also, is there any way to washout this medicine. Please share your opinion. Doctor: Hi. We are here to help you. For further information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 27830, + "tgt": "I have a constant headache on one side. Please help", + "src": "Patient: Hi doctor, I am a 20 year old male, and I have constant headaches on one side of the head for 19 consecutive months.\u00a0When I was studying for exams two years back, I had a sudden headache that was concentrated on the right back side of my head. It was uncomfortable enough for me to miss classes for the next two days, after which the pain lessened but did not go away, and I have had it since. Also, my sinus on the right side is often blocked then the left side. The headache is always in the same place, the back right side of my head. I take Aspirin, occasionally for it. Depending on what I am doing, the pain may get slightly worse, but more or less it is a constant dull and achy feeling, a very similar feeling to if you have a bruise and someone gently presses their fingers against it. There are periods when it feels better, but there has not been a time since onset when it has gone away.\u00a0I have been to a doctor once, and after briefly asking few questions, he advised that I massage that area of my head. I did, but the headache remained.\u00a0Thank you, and I would greatly appreciate any help. Doctor: Hi. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11911, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 30854, + "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": 13791, + "tgt": "Can I use ayurvedic medicine for erectile dysfunction in hepatitis patient?", + "src": "Patient: Hello doctor, My sperm is very watery and less in quantity, plus I ejaculate very fast. Please recommend an ayurvedic medicine as I am hepatitis B positive under treatment, otherwise living a normal healthy life. Doctor: Hi. Ejaculation of sperm with minimal sexual stimulation before, on or shortly after penetration and or before person wishes, it is called premature ejaculation. Premature ejaculation is a common complaint. It is only rarely caused by a physical problem. PM early in a relationship is most often caused by stress or anxiety and too much stimulation. Guilt and other psychological factors may also be involved. The condition usually improves without treatment. Amount and consistency of ejaculates depend on the semen. But sperm count and its motility may be normal. You can evaluate it with semen analysis. There are several ayurvedic herbs and medicines available to improve sperm count and their motility. In your case you continue your previous medications to hepatitis B. Stress, anxiety, high blood sugar, high blood pressure, etc. Semen analysis. The treatment plan would be Shukra Stambhaka, Vatahara, Medhya Rasayana, Vatanuloman chikitsa, counseling, and exercise. 1. Avoid spicy and fried junk foods. 2. Quit smoking and drinking if you have these habits. 3. Do regular Yoga and pranayama." + }, + { + "id": 18400, + "tgt": "How can the power difference of 0. 5 spheres between both eyes be rectified?", + "src": "Patient: Hello doctor, I am 49 years old now. I had a cataract surgery in both eyes three years ago. I was told that the formation of cataract was due to side effects of a steroid medicine. When the surgery was done, I did not opt for a progressive lens with cataract lens and power in both the eyes was the same. But, now there is a difference of 0.5 between both the eyes. I am wearing progressive lens with a cylindrical provision. I would like to know whether it is possible to replace my cataract lens with the new one and continue wearing the progressive lens. I have attached my doctor's prescription herewith. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). Well, the difference of 0.5 spheres is acceptable in cataract surgery but the problem is the left eye being a plus. Usually, we aim for a postop minus 0.5 in an eye because it will provide some near vision postop. But even with best biometric assessments errors of 0.5 magnitudes occur. It may not be an error because sometimes the lens itself can give rise to a 0.4 error even if your biometry is perfect. Secondly, the right eye cylinder is not due to the power of the lens. Mostly, it is due to the shape of your cornea. Sometimes it may be due to the incision that is necessary for the surgery. Thirdly, the plus lens you need to wear is for the near vision because unlike the natural lens, the artificial one cannot alter its power. The prescription progressive means your specs will be designed to see different distances at different places of specs. Well, there is nothing called a progressive intraocular lens. It is called a multiracial lens. Usually, it is used for young patients because after the age of 40 anyway people lose their ability to see near unless they are myopic. This lens can be used in elderly but for your information, the visual quality is not as good as the normal lenses. Even the best multifocal can accompany patient dissatisfaction and it is very costly. In your case, you can replace the lens for sure. But it is altogether a new surgery. A new cost with an unpredictable outcome. An add-on lens is another option but visual quality with multifocal will be poorer by and large your cataract outcome is favorable and acceptable worldwide. You are sure to have good vision nearly 6/9 without glasses. You will have to use glasses for near. If you wish, you can replace your IOL (intraocular lens). Further, LASIK (laser-assisted in-situ keratomileusis) is also another option for good vision For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 16099, + "tgt": "How to treat the swelling due to infected tooth and sinus?", + "src": "Patient: Hi doctor, I have got a decayed tooth at the upper backside region. Now, I have got a sinus infection. Can I consult a dentist soon? Doctor: Hi. I can understand your concern. You may need to take antibiotics if the sinus infection is present with a swelling. You may need to drain it soon. You have to consult a dentist soon. In case, if you have any other issue, please upload a picture of it. I want to confirm it whether it is a pericoronitis or pulpitis with sinus involvement. Take tablet Augmentin 625 mg (Amoxicillin with Clavulanic acid) twice daily for a week. Take tablet Aceclofenac twice a day for a week. Keyword - Antibiotic for sinus infection" + }, + { + "id": 28000, + "tgt": "Is surgery the only option for my son's ear infection?", + "src": "Patient: Hello doctor, My son has an ear infection since last year. The doctors said there is water in the\u00a0middle ear, and because of that, he is not able to listen to low pitch voices, like if someone speaks slowly with him. I have reports and all medicines that he has used so far, and I am attaching it with the query. Please, let me know if you can help me in this regard. The doctors recommended surgery, but I am confused because there are many risks after surgery. Doctor: Hello. Please answer the following questions: Follow-up with the required information, so that I can suggest you better. Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 13766, + "tgt": "My grandmother is 98 years old and has head reeling often. What may be the possible reason?", + "src": "Patient: Hello doctor, My grandmother is 98 years old. Of late, she is complaining of head reeling often. She does not have high blood pressure or diabetes and her haemoglobin is normal. She has roti in the morning, rice and dal for lunch and roti for dinner. Her bowel movements are normal. What may be the possible reason and line of treatment? Doctor: Hello. It is good to see your concern about your grandmother. But one thing you have to keep in mind always is that she belongs to a very fragile age group. Just like the young ones, old people also need special care. A most common condition in this age group is malnutrition, which occurs due to poor diet. This adds to every other risk factor which can develop in this age group. As per the reports (attachment removed to protect patient identity), there are no abnormalities yet, which is good. However, there can always be some underlying protein deficiency in this age group. Also, I would suggest you get her serum electrolytes, liver function profile, ECG and cardiac profile done. Increase the protein content in the diet, you can give egg white as well. Try to divide meals into 5 parts rather than the usual 3 meals a day. For her headache, I would say, in this age, there could be many reasons for headache such as reduced vision, refractory errors, glaucoma, anemia, respiratory conditions, etc. Hence you have to get a detailed assessment done to rule out every cause. For symptomatic improvement, you can give her NSAIDS such as Naproxen, Paracetamol when needed, but avoid repeated usage. Maintain her hydration, nutrition with high protein content. Once the assessment has been done, it is better to start with some medications, as in this age one should always be cautious." + }, + { + "id": 8552, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 6262, + "tgt": "I am having intense lightheadedness after quitting porn addiction. Please help", + "src": "Patient: Hi doctor, I am a male, age is 28 years, normal blood test results. After struggling with porn addiction for many years I decided to completely stop. However, everyday from 6 PM I have intense lightheadedness. I cannot go out, drink, go to the gym or be functional at night. I had sometimes panic attacks which lasted for some time and lightheadedness for 2 to 3 hours straight. I stopped since three months my porn use, and I personally suspect that I could have post acute withdrawal symptoms since I got to those chat sites for a lot of years already. I do not know if it is normal or an underlying condition. Doctor: Hello. I read carefully your question and would explain that your symptoms are suggestive of panic attacks. I agree with you on the fact that these could be withdrawal symptoms. For this reason, I would recommend trying natural ways to relieve your anxiety: Yoga and meditation, recreational sports, going out with friends in the afternoon, taking herbal supplements (Passiflora and Valeriana) in order to improve your situation when the lightheadedness occurs, taking daily Magnesium supplements which can help calm your nervous system and improve your mental health, and reduce maximally coffee or energy drinks intake. If these tips do not help, consulting with a psychotherapist may be helpful." + }, + { + "id": 13764, + "tgt": "Is it normal to get cold allergies with fever, weakness and vibrating fingers?", + "src": "Patient: Hello doctor, My daughter is 17 years old. She has cold allergies and at the time of cold, she gets a fever and she gets weak and after taking some of the medicine, her fingers start to vibrate. So what kind of medicine should I give? Doctor: Hello. Colds and fever is a viral illness that follows seasonal change usually. For fever Paracetamol 1000 mg thrice a day should be given after food only if there is fever and for colds, she can take Chlorpheniramine maleate or Dcold. Take care that Dcold has Paracetamol and hence if she is taking Dcold tablet, then she needs to adjust the dose of Paracetamol to 500 mg thrice a day only because Dcold has 500 mg Paracetamol already. Also, give her steam inhalation preferably with sterile water. And to avoid such prolonged illness, Vitamin C must be consumed, either in fruits like oranges, or fresh lemon drinks or tomatoes or she needs to take Vitamin C tablets daily to boost immunity and fight infection naturally. Take care." + }, + { + "id": 5194, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24015, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4335, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 3254, + "tgt": "Is there any skeletal abnormality in my ultrasound report?", + "src": "Patient: Hi doctor, Please comment on my ultrasound report. Single fetus in cephalic presentation. Placenta: anterior Gr-1 and amniotic fluid is adequate (AFI-16.4). Fetal measurements are as follows: BPD 80 mm, HC 306 mm, AC 280 mm and FL 58 mm, RT - humerus 52 mm, radius 45 mm, ulna 50 mm, tibia 50 mm and fibula 50 mm and LT - humerus 51 mm, radius 44 mm, ulna 49 mm, tibia 50 mm and fibula 50 mm. Ges age 32 weeks 2 days. Fetal weight is 1811 g. Fetal heart pulsations 141 beats per minute. Fetal tones and movements are normal. No obvious lethal structural congenital anomalies. Fetal biophysical profile is good with score 10. Doppler study shows umbilical artery S/D 2.57, RI 0.61 and PI 0.91. Uteroplacental and fetoplacental blood flow velocities are within normal limits. No diastolic notch in the uterine arteries. Cerebral flow pattern is normal. The conclusion is ultrasound findings are suggestive of single live fetus of 32 weeks and 2 days in cephalic presentation. Uteroplacental and fetoplacental blood flow velocities are within normal limits. All long bones are 25th to 50th centile and normal. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22843, + "tgt": "After how many hours of taking Mifepristone should the Misoprostol be taken?", + "src": "Patient: Hello doctor, My partner and I had unprotected intercourse. Her periods were due 10 days back which she unfortunately missed and the pregnancy test came positive just two days back. We have decided to abort and she has taken Mifepristone by 10.30 am. I would like to know when is she supposed to take the Misoprostol. The name of the kit is Unwanted Kit. Please advice. Doctor: Hello. I have gone through your history and understand your concerns. Abortion pills can only be taken under the supervision of a gynecologist because they may cause severe bleeding, infection and retained products of conception. We usually give Misoprostol after 48 hours of taking Mifepristone. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Regards. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18460, + "tgt": "What is the safety limit for CT scans?", + "src": "Patient: Hi, I am a 31 year old male. I would like to know how many CTscans - abdomen and pelvis are safe in a 2 months time.\u00a0I have had CT scan abdomen and pelvis 2 months back in another city, but now a doctor here wants it done again as I do not have the reports. Is it safe? What is the safety limit for CT scans? I am worried about the radiations. Could you advice if I can go ahead? Doctor: Hi. For further queries, consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 16136, + "tgt": "Kindly advice regarding management of depression", + "src": "Patient: Hello doctor, I am a student and I feel so depressed nowadays. I cannot bear a bit of stress and I have to watch motivational videos every now and then. I am suffering from a lot of mental pain. I cannot stay happy and I also have exam fear. I cannot sleep when it is exam coming in a few days. My hands start shaking and feel so depressed and tensed. What can I do to be happy and tension free? Please help me. Doctor: Hi. You seem to be suffering from anxiety and depression. This is a common problem in the general population. I would advise you to seek professional help. It does not seem to be getting better, instead, it is worsening. Do not be alone, share your feelings with some close friends or family members, make a schedule. If nothing seems to be helping, you can always connect with me. I would be happy to help you." + }, + { + "id": 18442, + "tgt": "I have low sperm volume. Will it result in infertility?", + "src": "Patient: Hi doctor, I feel that I have low sperm volume. We are trying for baby over the last four months. We used to have sex daily but only once as I have low volume of sperm. Sometime sperms come after intercourse. My wife has a regular 30 days of cycle (May 4, June 4, July 7, August 6 and September 4). For\u00a0past nine years, I am using Cetirizine daily for allergic rhinitis with doctor consultation. When I used to have sex with three days gap I feel more sperm is coming out. Other than low sperm volume, we are not able to track the ovulation day too. Sometimes after intercourse I used to press and ejaculate the rest of sperms. Please\u00a0suggest us to get a baby.\u00a0Three years I worked in a petrochemical company.\u00a0Now\u00a0I resigned my job and planning for baby. Please help us. Doctor: Hi. I have read and understood your problem. Revert back with the semen analysis report to an infertility specialist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 26314, + "tgt": "During heavy workouts my heart rate goes beyond 200. Is it normal?", + "src": "Patient: Hello\u00a0doctor,I am a\u00a047-year-old\u00a0female,\u00a01.64 m\u00a0and 67 kg.\u00a0My heart rate is 52 beats a minute when I wake up in the morning. During the day, my resting heart rate is 75 to 82 beats/minute. When I do a 5 km (37 min) walk, it is 195 to 200, and during a\u00a0high-intensity exercise, it will go as high as 205. I suffer from delayed onset muscle soreness from two to three days after a big exercise session. I am often fatigued and suffer from lightheadedness and tremors after exercise, and exercise is hard work. I do have anemia and take ferrous fumarate (ferritin is 30 to 35) but all the other blood work do not show anything. A cardiogram did not show anything. Is there any specific dietary aspect I should pay attention to? What is your exercise and heart rate zone opinion? Any specific tests I should ask for? Doctor: Hello. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 25392, + "tgt": "Is there any BP medicine without side effect?", + "src": "Patient: Hi doctor, I am a cardiac patient since 16 years after a massive MI followed by an angioplasty. Thereafter, I was taking medication to control high BP along with Aspirin as well as for cholesterol. Recently, I have another mild attack and did my second angioplasty. My BP is fluctuating between 150/90 mmHg to 140/80 mmHg. However, I am on the following medication. Nebistar 5 mg, Repace 50, Aspirin 150, Clopilet 75 and Aztor 40 mg.\u00a0On taking these medicines, I feel I am experiencing some side effects such as headache, depression and ED.\u00a0Is there any medication to avoid these side effects? I am 60 years old and active in social works.\u00a0My clinical reports are normal. I am not a diabetic. My creatinine is normal and HDL and LDL are average. I am expecting your medical advice. Please suggest a BP medicine with a fewer side effects. Thanks. Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 29047, + "tgt": "How can I get tested to find out if I am MRSA positive?", + "src": "Patient: Hi doctor, Yesterday, I was in contact with a MRSA patient. He put his hand on my head to pray for me about 3 minutes or so. He did not touch me anywhere else, and I had my gown and gloves on. He was diagnosed with MRSA by nasal swab. Am I infected? How can I get tested to find out if I am? I know the signs and symptoms of MRSA, and I do not have any. But, I am just afraid if I am infected. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27645, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14107, + "tgt": "There is midline space in my upper front teeth. What will be the treatment for this?", + "src": "Patient: Hello doctor, My upper and lower jaw teeth are misaligned. There is 8mm of midline space in the upper front teeth. What will be the probable treatment for this? Doctor: Hello. It would have been better if you had mentioned your age. For an exact diagnosis and treatment plan, attach a more detailed history and an intraoral picture of your mouth. If you have 8mm of midline diastema (space between the teeth), you usually require orthodontic braces for correction of the spacing. Such treatment goes on for around 1 year or so. Sometimes we may also need to do a minor surgical procedure called frenectomy, if required, according to the structure of your gums. It would be better to comment if you could attach an intraoral picture. We can also do a fast procedure by placing a crown over the teeth or by doing a composite build up if your jaw and teeth size allow that. This also depends on your preferences. This will give results in two weeks." + }, + { + "id": 7737, + "tgt": "Please tell me the treatment for cavities in teeth", + "src": "Patient: Hello doctor, I am suffering from cavities since childhood. And have got four teeth removed by the dentist. My age is 25 years old. What suitable treatment should I take for cavities? Doctor: Hello. To avoid dental caries, the most effective thing is proper oral hygiene. It means brush two times a day using floss, clean your tongue in a proper way. After that, we come to the treatment part. The best thing when you see a single black dot in your tooth, see your dentist without delay, in the initial stage of cavity your dentist can remove it and fill it with tooth color material. This is the best cheap and painless way. But if you have an old and deep cavity in your teeth then your dentist will take a dental X-ray and could advise you for a root canal treatment followed by dental crown. These are ways to save your natural teeth against cavity. So always care your teeth and routine dental checkup." + }, + { + "id": 9756, + "tgt": "Please suggest a way to discontinue Montair-LC", + "src": "Patient: Hello doctor, I am an 18 year old female. When I was 5 years old, I had pneumonia. At\u00a0that time I was fully cured. Now, I am suffering from cough, cold and sneezing for so many days. My doctor recommended many medicines along with Montair-LC. Everything is fine now, but the problem is that I have to take Montair-LC regularly. When I try to stop this medicine, I feel suffocating. I am taking this medicine over the last three months. In early days I used to take it regularly, but nowadays I am taking it alternate days. I am bound to take it otherwise I feel suffocating and start coughing. According to doctors and my reports everything is fine. Please suggest a way to discontinue this medicine. Thank you. Doctor: Hi. I have gone through your history. 1. Asthma. 2. Seasonal allergies. 3. Allergic rhinitis. 1. Patch test to investigate the type of allergies. 2. Pulmonary function test (PFT) to look for asthma. Continue the medicine now; you may try to discontinue it in summer. Avoid allergens like dander, polls, pets and carpets as we are in need to identify the allergen first. Follow up in three months, to consider tapering off the Montair-LC to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21135, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14198, + "tgt": "I am using Rotacap regularly for wheezing. Will it cause frequent canker sores?", + "src": "Patient: Hi doctor, I am 26 years old man. Thrush or canker sore is there in the tongue, lip or mouth side. Not fever but body temperature is increasing feeling like hot. Tongue buds are burning for the past two days but thrush or canker sore is there for 15 days. When canker sore is healed, a new one (canker sore) will appear. I am taking Rotacaps. Doctor: Hi. I can understand your concern. I have gone through the history you have mentioned. These two can be the main possibilities for your problems. Vitamin B complex deficiency. This is most commonly seen folic acid, riboflavin, and niacin deficiency. So start multivitamin tablets containing these vitamins. Since you are using Rotacaps, if your technique is not proper, it can also lead to drug deposition in the mouth which can cause these symptoms. So always follow the Rotacap technique properly and wash your mouth after every rotacap use. Do let me know your Rotacap technique. I will be happy to help you further. Wish you good health." + }, + { + "id": 5083, + "tgt": "I experience extreme headache, dizziness and sudden vision blackout. Why?", + "src": "Patient: Hello doctor, I am 23 years old. At about 1 am I suddenly experienced some symptoms at the same time. Extremely severe headache (worst headache I have ever had), blurred vision, my right eye crossed inwards, darkness in my vision, nausea, extreme dizziness, extremely dilated pupils with slightly different sizes (could barely see my iris), bloodshot eyes, severe cold, chills and shivering, The intensity and suddenness of these symptoms made me drop like a sack of potatoes. It was very difficult to not black out. I was unable to call for help. This event lasted around for one hour. I already had two TIA's this year, but this was different. I am still having trouble focusing on objects closer than 18 inches and my pupils are still dilated. Why are my eyes still dilated? What happened? Doctor: Hello. After going through your detailed and insightful query, I am of the opinion that you had one episode of cluster headache. I like to inform you that cluster headache affects mostly middle-aged men. Its cause is unclear but may relate to a vascular headache disorder or a disturbance of serotonin neurotransmitter mechanisms. Usually, there is no family history of headache or migraine. Episodes of severe unilateral periorbital pain occur daily for several weeks and are often accompanied by one or more of ipsilateral nasal congestion, rhinorrhea, lacrimation, and redness of the eye. Episodes often occur at night, awaken the patient, and last for less than two hours. Spontaneous remission then occurs, and the patient remains well for weeks or months before another bout of closely spaced attacks occurs. During a bout, many patients report that alcohol triggers an attack, others report that stress, glare, or ingestion of specific foods occasionally precipitates the attacks. In occasional patients, typical attacks of pain and associated symptoms recur at intervals without remission. I hope this helps." + }, + { + "id": 28525, + "tgt": "For depression, would it be sorted out if I go for counseling?", + "src": "Patient: Hi doctor, I recently had a session with one of the doctors in this forum. She helped me in getting into focus and gave me ideas on overcoming my problems. But, I seem to be lost and blank lately. Nothing seems interesting and everything happening around me seems suspicious. I see myself emotionally broke most of the time. Not able to find a safe place. I am feeling insecure and homeless. I am getting frustration, anger and restlessness. I would like to know what is happening to me. Doctor: Hello. 1. Thyroid profile. 2. Zung's self-rating depression scale. MDD (major depressive disorder). For further doubts consult a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 17889, + "tgt": "My baby has got a pimple like spot on his forehead. Please help", + "src": "Patient: Hello doctor, My 1.4 year old baby has a\u00a0pimple like spot on his forehead. Kindly provide me the remedies for the same. Doctor: Hi. I have read through your query in detail. Please find my observations below: Please attach pictures of the affected area for better diagnosis and treatment. Kindly follow up with a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 22535, + "tgt": "I am having weight gain. Should I increase the dose of Levothyroxine?", + "src": "Patient: Hello doctor, I am on Levothyroxine at 100 mg but have been having weight gain despite working out five days a week and eating very well. I am cold all the time, have headaches, dryness, brain fog and joint pain. I got my levels tested and my TSH is normal, even low, and T3 and free T4 are at the very bottom levels of the \"normal\" range. My doctor is suggesting I go up to 112 mg, but I am wondering if there is a different route we could go so I could feel better. Doctor: Hello. I just read your query and from what you have mentioned, it appears that you have hypothyroidism. Well, you can increase your dose to 112 Levothyroxine as per your doctor, but mind you Levothyroxine is not actually a weight loss drug. Your symptoms could be improved over time with 112 mcg Levothyroxine but additionally, try taking vitamin D supplements after ascertaining vitamin D deficiency. Check serum ferritin levels. These symptoms could also be attributed to vitamin deficiencies. Include a multivitamin plus minerals supplement daily. Besides, exercise can itself initially cause slight water retention as the muscles soak up water like a sponge. Also, the exercise causes lean muscle mass gain and that makes you look slimmer but actually weighs more than fat. So try to look for non-scale victories like decrease winding or breathlessness and better endurance, decrease in measurements of your clothes and not to fix yourself on weighing scale only. 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": 21328, + "tgt": "I had an MRI of brain for tinnitus. Please explain the cause", + "src": "Patient: Hi doctor, I am 50 years old. I had an MRI of my brain. The reason for MRI was tinnitus. I received my report. There are white matter foci of increased T2 intensity. It is related to a microvascular ischemic disease. I also had an MRI before five years. I did MRI because I was dizzy at that time. The result was a few small foci of increased signal intensity seen within the white matter which was nonspecific. These are nonspecific, and they reflect small vessel ischemic change. Doctor: Hi. I understand your concern. These MRI (magnetic resonance imaging) findings do not indicate any serious medical condition (attachment removed to protect patient identity). They could be related to small vessels with chronic changes, arterial hypertension or a migraine. There is no specific cause for these underlying findings. Do you suffer from a migraine or arterial hypertension? I would recommend taking a baby Aspirin (Acetylsalicylic acid with Dextrose) daily to stop the progression of these changes. A healthy lifestyle is also helpful. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 15670, + "tgt": "Can continuous use of nasal spray cause sinus odor?", + "src": "Patient: Hello doctor,I have been dealing with a sinus odor problem for years. I am a fair online researcher and I have been shocked by how unique my problem seems to be. The odor varies in strength and seems to disappear and return over time. I have seen numerous ENT specialists over the years and with the exception of one, they seem to be totally baffled by what is going on. This is an odor that at times, it can be so strong that people can detect it when I walk into a room. Using Mupirocin in my nostrils and I am also doing the upside down nasal rinse with saline solution and peroxide. I thought they were helping but I am starting to have my doubts. I was addicted to nasal spray for many years and I am worried that I did some damage to my sinus cavity. Please advise. Doctor: Hi. You may have atrophic rhinitis due to long use of intranasal sprays. Do you have any hard crest inside your nose? What about your smell sensation? Please send me your CT scan. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 2241, + "tgt": "I am bleeding in ears after hearing loud noise with headphones. Why?", + "src": "Patient: Hello doctor, I witnessed bleeding in my left ear all of a sudden. I am listening to recordings and on phone calls continuously for the last one month, to have a clarity of what other person is talking. I am using high volume. Please suggest. Doctor: Hi. Your question was incomplete. Did you have pain or having pain now? How much was the bleeding? Is there any swelling in and around the ear? Did someone hit you on your ear? Were you exposed to sudden loud sounds like a cracker? Did you use earbuds or put any other object in your ear? If the answer to all these questions were no then we need to examine and evaluate the site from where it is bleeding and the cause for bleeding." + }, + { + "id": 6879, + "tgt": "I am having redness and irritation of eye with blocked nose. What is the treatment?", + "src": "Patient: Hello doctor, I am having a problem in my left eye. I am often getting tears in my left eye, and it is causing banging pain in the left side of the head. A kind of headache starts beside my eyes, causing irritation, and feeling sensitivity for light. How can it be treated? What is the recomended medication for my problem? Doctor: Hello. Is there any redness or blurring of vision? Do you have a headache all the time or more when you wake up from sleep? Is there any family history of glaucoma? All the above details are necessary because you have not explained your headache or any kind of eye problem. So, for now, I suggest you use lubricant eye drops that are easily available in the market. Use at least three to four times in a day." + }, + { + "id": 21005, + "tgt": "Blood report shows high lymphocytes. low Hb and platelets. Please help", + "src": "Patient: Hello doctor, My sister is aged 55 years, and the blood report says that it is mild anisopiokilocytosis macrocytic normochromic RBC. The WBC are having lymphocytic prominence with reactive lymphocytes. The platelets show marked thrombocytopenia. Her hemoglobin is 7.9, her neutrophil count is 1520, and absolute lymphocyte count is 5624. What could be the diagnosis and treatment further? Doctor: Hello. Her hemoglobin level is low. For that, further workup can be done in form of serum iron, TIBC (total iron binding capacity), and ferritin estimation. I need to know her hematocrit and RBC value as well to guide you further. You need to correct anemia with Iron or B12 supplement according to the need. Tiredness and dyspnea are because of low Hb level. High lymphocytes and low platelet can present in a viral infection. Kindly mention any other complaints if present to guide you further. If lymphocytes count does not improve with time then higher study like flow cytometry might be needed." + }, + { + "id": 10521, + "tgt": "Me and my wife are trying to have intercourse but unable to. Any advice?", + "src": "Patient: Hello doctor, I am a 29 year old male. My height is 5'9\" and I weigh 95 kg. I got married in January 2014. My wife is 2 years younger than me. She comes from a very simple family and she has had no relationship before marriage. I am the first guy in her life. She is also the first woman in my life and both of us have never had physical relationship ever before. Now since January 2014, we are trying to have intercourse but unable to. We are wanting to have a baby now, but are really worried with the situation. My wife is very shy and does not know much about sex. I masturbate every day in the morning before bath on my bed with the stomach position. I have never masturbated with tool in hand position and I have even tried but I am not able to. I cannot ejaculate in that manner. The moment I lay down on stomach, I ejaculate in less than 20 seconds. I am very worried. My masturbation has become even more regular since I am unable to have sex with my wife. Also my wife is very sensitive when I touch her vagina. Recently she has started enjoying fingering but she resists a lot if I do it with two fingers. I wonder how I will ever penetrate her with such small space. Also we tried penetration a lot of times but the moment I come close to her I lose erection. 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 very sensitive and that is why I prefer masturbating in laying on stomach position. Please help us. We want to have a baby now and before that we want to be sexually happy. Doctor: Hi. Revert back for review after a month to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24320, + "tgt": "There are cracks in urinary meatus on erection. What can be done?", + "src": "Patient: Hello doctor, I feel like my urinary meatus has changed over a longer period of time. It is sometimes red and irritated and I know this sounds weird but I think it has gotten longer. More specifically, in my opinion, there are cracks or tears that get especially visible when I have an erection. Kindly help. Doctor: Hello. Relax and do not worry. I have seen images sent by you (attachment removed to protect patient identity). As per me, the size of meatus is absolutely normal. Yes, in some images it appears dry and red with cracks. I think dryness is because of an allergic reaction to soap or any other material. As you do not have any symptoms there is nothing to worry. I want you to apply Clobetasol propionate cream 0.05 percent topical twice a day for 14 days. Avoid any irritants like soap. Just clean with plain water and do not apply soap. For more information consult an urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 29501, + "tgt": "Kindly look at my x-ray and provide the treatment for knee pain", + "src": "Patient: Hi doctor, Two years ago, I was injured while playing volleyball. I ignored the pain around my kneecap at that time, and it was fine after a week. After a year, I started getting sudden pain in my right knee. The pain is like locking the knee joint. The pain becomes severe while riding a bike. There\u00a0is no particular time or prediction for the pain. I am attaching a report of digital x-ray as well as the picture. Please provide me with the interpretation and treatment. I\u00a0am 33 years old. I have high BP and cholesterol. I am on Tazloc Trio 40 and Rosukem\u00a05. Doctor: Hi. MRI knee joint. In the meantime, I suggest you tablet Dolonex DT (Piroxicam) once a day and tablet Ultracet P (Tramadol and Paracetamol) twice a day. Consult your specialist doctor, discuss with him or her and take medicine with the consent of your doctor. Revert with the details to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 16369, + "tgt": "I am having a non-itchy foot rash. Why?", + "src": "Patient: Hello doctor, I have noticed some rash on my right feet. It is not itchy but very rough. I have been massaging for three months with ghee, olive oil, and coconut oil but it has not reduced a bit rather gone a little darker. I have very extremely dry feet. Doctor: Hi. Looking at the picture (attachment removed to protect patient identity). I can list a few possibilities. Asteatotic eczema, psoriasis, tinea pedis, allergic contact dermatitis. Is this picture taken after you have massaged with oil? Do you have it only on right foot? Any rash in-between the toes? Or on the sole? Left foot? Palms? Elbows? Knee? Did this start three months back? What is your age?" + }, + { + "id": 5738, + "tgt": "I had clinical depression and now normal on medication. How long should I take medication?", + "src": "Patient: Hello doctor, I am a 24-year-old male. I am a dental student, and I suffered from clinical depression five years ago. I consulted a psychiatrist, and since then I was on antidepressant Sertraline, antipsychotic Aripiprazole, and Divalproex. Three years after the treatment when the symptoms subsided, the medication was reduced to only Divalproex, but due to some stress, Aripiprazole was started again. Then after some time again due to stress I lost my confidence and started feeling social phobia so Escitalopram was started. The reason I think behind this depression is my academic failure and bullying I suffered during my childhood. I feel normal on taking medications. But my query is that how long I have to take these medicines? Will it terminate and what can I do other than medications to overcome this situation? Doctor: Hello. It is good to know that you are able to function well at present and medication has been helpful. I note that you are currently on Escitalopram, Aripiprazole, and Divalproex. You have reported suffering from clinical depression, stress, and social phobia. Since you experienced some sort of relapse when Aripiprazole and Sertraline were stopped, it is advisable to continue the current regimen. Check with your psychiatrist about the exact diagnosis as in some types of affective disorder, mood stabilizer may need to be continued for a longer period (duration depends on individual circumstances, nature of depression, associated symptoms like mood instability, thought, and perceptual disturbances, etc.). Patients need to be on medication for at least some years to minimize chances of relapse. You can try CBT (cognitive behavioral therapy) or psychological therapy to help you manage your condition better and prevent relapse. Also, learn stress management techniques. You can try yoga, regular exercise, and develop good social relationships, etc. Have regular follow-ups with your psychiatrist. I hope this helps." + }, + { + "id": 29460, + "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": 16851, + "tgt": "What ayurvedic supplements can I take for hypothyroid?", + "src": "Patient: Hello doctor,I am a 38 year old female. Recently I was diagnosed with hypothyroid. I am on Levothyroxine and having lots of side effects with my current medication. So wondering any alternate Ayurveda supplement that I can take instead? Doctor: Hello. So, first of all, you do one blood test called anti-TPO so that we come to know that your problem is autoimmune or just only because of hormonal changes. By the time take following medicines. Regards. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 20632, + "tgt": "What can be done for tooth pain due to broken teeth and cavities?", + "src": "Patient: Hello doctor, What can I do for really bad pain from broken teeth, and cavities that need root canals. I am going to a dentist but what can I do in the meantime? Doctor: Hi. Your chief complaint suggests broken tooth due to a carious activity which is brought by bacteria. The pain in the tooth is due to caries. 1.Lack of brushing habits. 2.Trying to break hard objects with teeth leading to break down. 3.Lack of mouth rinsing after taking food, drinks, and drugs. IOPAR. 1.Reversible pulpitis. 2.Acute periodontitis. Irreversible pulpitis. 1.Tablet Ordent (Ofloxacin 200 mg and Ornidazole 500 mg) BD-twice daily for five days. 2.Tablet Ketorolac 10 mg SOS. 3.However, these are symptomatic measures. You need to address your problem fully. 1.Tooth brushing daily twice and at least before sleep. 2.Avoid breaking hard objects with teeth. 3.Try Fluoride toothpaste at least once after three months." + }, + { + "id": 15235, + "tgt": "I have heart burn and a small bubble like growth in the throat. What could it be?", + "src": "Patient: Hi doctor, I have a small bubble-like growth in the back of the throat near tonsils. It flares up with irritation during coughing, grunting, and when I do exercise in the early morning. I snore at the night time, and I have heartburn. I consulted a doctor, and I was prescribed with Prilosec. Please help. Doctor: Hi. Please send a picture of your throat." + }, + { + "id": 7090, + "tgt": "My father is a diabetic and on electro homeopathy Na Cl drip. Is there any better treatment?", + "src": "Patient: Hello doctor, My father has diabetes, and the doctor said he loses the fat of the body through urine. Like no muscle inside the body. He takes electro homeopathy NaCl drip two to three times a week. Please suggest some thing how to be better? Doctor: Hello. Patients with diabetes mellitus can develop contracture of digits and limbs as a result of soft tissue thickening in these areas. This can lead to wasting of the muscle from disuse. This is referred to as atrophy. You did not mention your father age, and if he is old enough, then he supposes to go for DEXA scan and blood levels of Calcium and Vitamin D and Vitamin B12. Ask him to go to the physician, and if I were his physician, I would keep monitoring of his blood sugar, prescribe his calcium and vitamin D supplement and injection of Vitamin B12 or mecobalamin tablet and further follow-up accordingly. We have to be always on the safe side, and patient safety is our top priority. Also, your father needs an annual screening for his eyes, foot, and kidneys." + }, + { + "id": 22470, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2376, + "tgt": "Gums surrounding my third molar are swollen with pain. Will Amoxicillin help?", + "src": "Patient: Hello doctor, My gums surrounding my third molar/ wisdom tooth (lower left jaw) seem to be swollen. I started to feel pain on it yesterday morning and gargled with Bactidol. This morning the pain seemed to intensify. I feel pain when I swallow, open my mouth, and when I gargle. Somehow I feel the pain in my throat already. I took my first Amoxicillin as advice by a dentist friend. Any advice? Doctor: Hi. It is a case of pericoronitis. Do not worry take tablet Oflox oz twice daily for five days, Hexidine mouthwash do gargles with it thrice daily for one week, tablet Zerodol SP twice daily for five days. It will relieve it. I tell you Amoxicillin will not help with this problem. Get these medicines you will be relieved." + }, + { + "id": 27111, + "tgt": "Should we continue hospitalization for my mom or take her home?", + "src": "Patient: Hello\u00a0doctor, My mother got a brain stroke last month. Since then, she has been hospitalized. She got another stroke on the first week this month. We immediately did an MRI and saw a bigger clot. The earlier clot had also increased in size. So within the window\u00a0period, we gave her the Boehringer Knoll injection of 60 mL which is the strongest thinner. \u00a0As a side effect of this, there was brain hemorrhage and blood vomits. Blood oozed out of the\u00a0stomach too. She is able to speak much better and all her limbs are working well. Comprehension is weak though. I have attached the latest MRI reports and current medicines. She is on a liquids-only diet. Please advise the next steps. Should we continue hospitalization or take her home? She is desperate to go home. Doctor: Hello. I have seen the files provided by you (attachment removed to protect patient identity). Revert with more information to a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 14224, + "tgt": "Kindly prescribe medicines to control diabetes and gain weight", + "src": "Patient: Hello doctor, My husband aged 51, is clinically diagnosed to be diabetic. His HbA1c remained at 6.5 during the last two checkups. The last checkup was done three months back. His blood sugar after the food was 178 two weeks ago. He has lost weight by 10 kg in six months. He has become weak both physically and in appearance. His BP is 90 to 130 and has been taking the tablet Telmisartan 40 for two years. Also, he is having severe pain on elbow which is diagnosed to be tennis elbow and the tablet Bounty is prescribed and has been taking this for last seven days. Kindly prescribe the medicine for diabetic and gain weight. Doctor: Hi. I can understand your concern. I would like to know what medicines is he on for diabetes. Follow up would be free, so please answer my questions as it will allow me to help you better. Regarding his blood pressure, 130/90 is good. So, continue the medicine. 6 to 6.5 is a very good HbA1c score to maintain. But, some diabetic medicines lead to weight loss (which is mostly required). So, please mention the medicine names and how many times does he take them. Also, mentioning some general guidelines which he can follow for better control. Regular meal times for breakfast, lunch, and dinner. Avoid fried and junk food. You can include the following food in your diet like fresh fruits, veggies, whole grains, beans, peas, low-fat dairy products, fish, nuts like almonds and walnut. You must avoid bakery products, sweets, organ meats, egg yolk, white bread, and white rice, potatoes, red pumpkin, pineapple, sapodilla, mangoes, custard apples, and grapes. Try and exercise (even brisk walking will do) for atleast 30 minutes for five days in a week. Eliminate sugar and sugar products from the diet. No sugar-free or jaggery as well. Remember, moderation is the answer. There is no harm in indulging in something you like, once in a while, in a small amount." + }, + { + "id": 29881, + "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": 26854, + "tgt": "Why are the side effects of I-pill different for me and my friend?", + "src": "Patient: Hello doctor, I am a 24 year\u00a0old female. I had my last period a month ago. It lasted for four days. On the fourth day, my fiance rubbed his genitals against mine. He did not ejaculate, still\u00a0just to be sure,\u00a0I took an I-pill within 12 hours. After a week, I noticed a brown discharge. On the next day, there was very little bleeding with clots, now it is the third day and the spotting continues. Usually, my period\u00a0flow is normal, but this time it is very less. Should I consider this my period or withdrawal bleeding? When can I expect my next period? Also, my friend has also taken an I-pill. She experienced heavy bleeding after a week of taking it, and her next period got normalized exactly a\u00a0month after she had her withdrawal\u00a0bleed. Why is it not the case with me? Doctor: Hello. I hope I have answered your query. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21115, + "tgt": "My meatus is red and there is a burning sensation during urination. Why?", + "src": "Patient: Hi doctor, My meatus is red and has a small spot on one side. There is a constant burning sensation when I urinate. I am frequently urinating in small amounts. Recently, I had a DRE, and they told me that my prostate is enlarged. I have a foul smell from my penis. I never had this problem before. I have difficulty in emptying my bladder. Doctor: Hi. I have gone through your query and the picture (attachment removed to protect patient identity). It looks like a urinary tract infection which has resulted in some inflammation around the meatus. I would like to know whether you had tenderness in your prostate during an examination. It is necessary to do a urinalysis and urine culture and to start with antibiotics if there is any infection. Also, ultrasound can also help to identify any prostate enlargement. You can visit your local urologist for getting tested. Once it is controlled, the other symptoms will get subsided soon." + }, + { + "id": 15784, + "tgt": "Had sex near to my ovulation time. Am I at risk of getting pregnant?", + "src": "Patient: Hi doctor, I had my last menstrual period before 15 days, and I have 26 days cycle. Before two days, my partner did a blow job and hand rubbing. I am not sure whether he did ejaculation or not. I took two dosages of Unwanted 72 within 14 hours. Am I at risk of getting pregnant? As I was near my ovulation period, Is there any chance for me to get pregnant? What can I do to avoid pregnancy? Doctor: Hi. Chances of getting pregnant are extremely low. As there is no ejaculation done and as you have taken pills, these are highly effective in preventing pregnancy. So pregnancy is very unlikely to occur. At present, you do not need action, and nothing can be done. You should wait until you get your periods, which may get delayed due to the pill. If the periods get delayed, then do a urine pregnancy test to be on a safer side. Overall, the chances of getting pregnant are very less." + }, + { + "id": 794, + "tgt": "Kindly advise the treatment for leg pain and soft tissue injury", + "src": "Patient: Hi doctor, Before 20 days, I went to a party, got drunk and met with a fall. My leg started paining\u00a0from the next day. I could not walk without it hurting. I went to A and E and they said it was just a soft tissue injury. Still now, I am having pain and not able to bend it properly or fully extend it without being uncomfortable. I am also struggling to walk anywhere far. It got seized up today whilst in the shower and I\u00a0could barely move my leg. It just clamped up. Please help. Doctor: Hi. I understand your pain and concern. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 15088, + "tgt": "Is it possible to treat erectile dysfunction without any medication or surgery?", + "src": "Patient: Hello doctor, I am 18 years old and I have been prone to masturbating for the past three years, and now I have erectile dysfunction. Is there any way I can treat this without any medication or any surgery? I have not consulted any doctor yet. Doctor: Hello. Masturbation is normal and does not cause physical problems or sexual problems. Also, do not give any importance to an advertisement that mentions that masturbation cause health problems or destroys life, and masturbation does not require any treatment. Erectile dysfunction can be due to stress or anxiety or due to a physical cause. For physical cause, you need to do some blood tests like sugar and hormones. Stop smoking if you smoke. If you are taking any medicine or nutritional supplement on regular basis then it may be due to the side effect of that. But general exercise will help you." + }, + { + "id": 29407, + "tgt": "I am stressed with my inability and erection problem. Please help", + "src": "Patient: Hi doctor, I am 31 years old. I have been married for four years now and have a 2.5 year old kid. The problem is that I hardly ever feel to have sex with my wife. I started noticing this issue after a\u00a0couple of weeks into the marriage. I get an erection at the initial stage, but cannot sustain the erection for intercourse. But, I am getting the erection while watching porn and I am also able to masturbate. A\u00a0year back, after several fights broke out due to this issue, we decided to visit a clinical psychologist, which turned out to be a humiliating experience for me. At first, he had separate chats with both of us, and then we were called in together, and he made a character assassination of myself in front of my wife. The remarks made by the clinical psychologist is still used by my wife as a sort of weapon during arguments, which is turning to be a daily affair in our lives now.\u00a0Every remote incident is being connected to my inability to have sex with my wife, and I think it is getting bad to worse nowadays. Kindly help with this issue.\u00a0Thank\u00a0you. Doctor: Hi. Revert with the answers to the above questions to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 14292, + "tgt": "Is it possible to get infection in a painless pulp exposed tooth?", + "src": "Patient: Hello doctor, I have a tooth that is gone all the way down. So I think the pulp is exposed but I have no pain whatsoever. Is it only a matter of time before it gets infected or not? If I have no pain, it is dead right? Doctor: Hi. According to your history, the pulp is exposed and decayed by now. It means sensations are lost and that is why you are not feeling pain in it. But it does not mean your tooth cannot get an infection now. It can get infected because of the food stuck in it can cause infection in gums around broken tooth and root. That may be very painful. Therefore, I will advise you to visit your dentist and get it extracted or treated according to your clinical condition." + }, + { + "id": 16917, + "tgt": "I have abdominal pain and diarrhea thrice a day. What is wrong?", + "src": "Patient: Hello\u00a0doctor,I am suffering from abdominal pain and diarrhea three to four times a day for the last four months. I have gone through colonoscopy and\u00a0sigmoidoscopy followed by a biopsy. As per the\u00a0biopsy, it is a mild non-specific inflammation. So, my doctor did several tests like fecal calprotectin, and ASCA-IGg to check for IBD. However, the results were negative. I have got a stool occult test done, and it came back negative as well. At present, I am taking Rifaximin 400 mg, Librax, and VSL#3, but the problem is not solved. Doctor: Hello. Follow-up after five days. Revert after five days to a surgical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 28045, + "tgt": "The skin around my eyes is itchy and red. Is it an allergic reaction?", + "src": "Patient: Hi doctor, I appeared to have an allergic reaction to something, nearly two weeks ago. I was given antihistamines and a seven-day course of steroids (Prednisolone 40 mg). The allergy seems to subside, but it keeps coming back. I cannot be sure about the cause of this allergy. The surrounding skin around my eyes is itchy and red, from today morning. I have attached a photo of the initial flare-up. Please help. Doctor: Hi. I have seen the attached photo (attachment removed to protect patient identity). This is called as acute urticaria with angioedema. It is basically an allergic reaction, which can be due to change in diet or new medications or idiopathic (sometimes the cause cannot be known). Since there is swelling on the lips and eyes, you should visit an emergency room. You will need another course of oral steroid or injectable dose. Continue with the oral antihistamines. And oral steroid should be tapered from 40 mg to lower doses and then stopped. If stopped suddenly at 40 mg, then there can be chances of recurrence. Self-medication is not advised in this condition. Look out for symptoms like difficulty in swallowing or breathing. If they develop, visit a doctor as soon as possible. Do not wait. I suggest you get the following tests done: For more information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 24682, + "tgt": "Can unprotected sex for a minute cause HIV?", + "src": "Patient: Hello doctor, I had unprotected sex with an unknown woman hardly for a minute about a month back. After about four days, I got cold and a kind of sore throat, but not exactly sore throat. I got tested for HIV after 15 days and it came back negative. Now, for the past one week, I have a feeling of something stuck in the throat and a constant need to clear the throat. But, I have not experienced any pain or difficulty in swallowing. I am extremely stressed, anxious and in fear of HIV. I am not able to do anything or concentrate on anything for the past one month. In spite of all this, I have been travelling a lot for the past one month. The only thing I can rely on is that after the act she asked me whether I was clean. Please help. Doctor: Hi. For further information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 23253, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14719, + "tgt": "My daughter had a small scratch from a rusted wire. Should we get her a tetanus shot?", + "src": "Patient: Hello doctor, My daughter is 35 years old. She had a small scratch from a rusted wire on her right forearm, three hours back. There was no blood loss. And she did not wash it with running water or use Dettol or anything to wipe the area. Also, she had her last tetanus shot 5 years ago. Should we get her a tetanus shot? Please tell us what has to be done. Doctor: Hi. I understand your concern. You should clean the wounded area with betadine solution. She has to be given a tetanus shot. In case if the wound is painful, give her a painkiller. Revert with the following details:" + }, + { + "id": 2435, + "tgt": "How to cure a boil in vagina?", + "src": "Patient: Hi doctor, I have a boil near my vagina. I had it for a week and it did not cause any discomfort. But, from yesterday, it is causing some discomfort. I do not feel any pain during urination. Kindly recommend a cure. Doctor: Hello. I had gone through all the details posted. Revert back with the answers to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26946, + "tgt": "What are the chances of diverticular bleed recurring?", + "src": "Patient: Hello doctor, I had a diverticular bleed last year, which was after being treated for diverticulitis four months before that. I am a 62 year old male, who takes no medication. I was admitted to a hospital for three days, and nothing was done to me except a liquid diet. The reason they said they never did a colonoscopy is that I just had a routine one done 6 to 8 months before that, and it was clear. The bleed stopped and it has not happened since then. I take Metamucil, three times a day and a probiotic. My feces have been soft and well formed, and I go regularly every morning. I sometimes have to go the second time, where there will be little bits of feces, but just in small pieces. I eat chicken, fish, rice, potato, no red meat, all whole grain bread, almonds, almond milk, banana, and some fruit. What are the chances of this happening again? Is there anything else I should be doing to prevent it from ever happening again? Doctor: Hi. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 4923, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 9419, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22893, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14478, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16244, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25788, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17101, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 20636, + "tgt": "Am I having frequent urge to urinate because of UTI?", + "src": "Patient: Hello doctor, I am urinating too frequently, around 10 to 15 times a day. If I drink a coffee or glass of water I will have to urinate around three times in the following hour. I often feel a sense of urgency before urination, and I often only produce a very small amount of urine when I go. Sometimes during or after sexual intercourse, I experience some pain like a sense of pressure in my lower region. Sometimes during exercise (or if I am jumping), I experience a small amount of urine leakage. I have had these symptoms for around two years. I have recently been visiting a urologist to discuss these symptoms. I have seen the urologist four times. Each time I visit I give a urine specimen. During my first three visits, bacteria and a high count of white blood cells were found in my urine, which was subsequently treated with a number of different antibiotics. The antibiotic that cleared the bacteria is called Levofloxacin. I was told to try daily Kegel exercising to help with urine incontinence, which I am currently doing. When I visited the urologist again yesterday I had an even higher count of white blood cells and bacteria than my previous visits. He has again prescribed Levofloxacin and told me to come back in two weeks. He suggested me taking one of two possible medications to control frequent urination called: an anti-choline or B3 stimula. He explained these medications can be taken long-term for a year or two. I expressed concern that if the persistent infections are causing frequent urination I do not want to try a different medication to control this. I am very confused about what is causing my symptoms, is it a reoccurring UTI or something that needs long-term treatment from the other medications he suggested? Doctor: Hi. Recurrent UTI is very common among young and sexually active females. The above symptoms can definitely be caused be it UTI or overactive bladder (the one which you are referring for long-term medicines). If your urine report is showing pus cells as in your case then we need to treat UTI only first. It would be advised to get a urine culture and sensitivity test done to know the type of organism and drug sensitivity. Simultaneously, you should take B3 stimulant or anticholinergic to relieve your symptoms till UTI gets cleared. Once UTI gets cleared, you should reassess to stop anticholinergic." + }, + { + "id": 16131, + "tgt": "I had a massive heart attack 15 years ago. Now, I have right sided chest pain. Please help", + "src": "Patient: Hello doctor, I had a massive heart attack 15 years ago. I am 54 years old now with a height of 173 cm and weight 64 kg. Within two weeks, angioplasty was done for me in LAD (left anterior descending) coronary artery. After four years, I had undergone bypass surgery for four vessels. Every year, during the medical check-up, my TMT result was showing negative. This year also my TMT is negative and the report is as follows: Total exercise period was 12 minutes and achieved 88 % of maximum predicted heart rate with a calculated workload of 14.30 METs. There was no significant respiratory symptom related to exercise. The exercise was terminated due to fatigue and the achievement of target heart rate. The resting blood pressure and response to exercise were normal. Resting ECG was normal. Exercise ECG: ST depression during exercise 4 stage, ST level was -0.90 mm in V5. Maximum HR is 88 %. Maximum workload 14.30 METs and the conclusion is good exercise capacity and negative TMT. My other reports are EF as per echocardiogram is 55 %. Blood sugar and cholesterol reports are normal. My current medication is as follows. Tablet Nikoran 5 mg twice a day, tablet Tenolol 12.5 mg once a day at night, tablet Rosuvastatin 10 mg once in a day and tablet Clavix 75 mg once in a day. My problem is that I am getting pain and heaviness on the right side of my chest since 10 years after bypass surgery. Because of this, I am feeling shortness of breath and heaviness in the chest while walking. I consulted a heart specialist and gastroenterologist. Sonography, CT scan reports for chest and abdomen are normal. Colonoscopy and endoscopy reports are normal. During barium x-ray, reflux was detected. The gastroenterologist has prescribed me anti-reflux tablet Nexpro Fast 40 mg, which I have been taking since five years. I am very strict about consuming less oil, less fat and less sugar in my diet. My problem has come down but not got eliminated. One physician has advised me to go for angiography to rule out the right side pain and heaviness problem. But my cardiologist is not suggesting an angiography because of negative TMT report and said a right side chest problem is not related to the heart. What is your opinion? Could you please advise me what can I do now? What is the solution for this? Doctor: Hi. I read through your entire case history. You are lucky that you have a good cardiac output. Your EF (ejection fraction) is all right and as per your stress test, there is nothing going in opposite and your heart is still doing well. Frankly speaking, heaviness on the right side of the chest is not at all related to cardiac issues. In my personal experience, I have seen many patients who feel pain in the chest or heaviness after CABG (coronary artery bypass grafting) or bypass or open heart surgery. The reason being opening of the chest during surgery. I am sure after checking your stress exercise and ECG, your heart is doing well. There is no ischemic zone responsible for your problem. This heaviness has nothing to do with your heart. Whenever we open the chest for surgery, we advise for chest physiotherapy. This is related to the bony cage of the chest and soon after some exercise or physiotherapy, you will be relieved from your problem. This is not a rare problem, because if once the chest is opened surgically, then the person has to suffer some kind of problems like heaviness of chest or pain in the chest or chest discomfort. Continue your regular medications. For further follow up consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 28778, + "tgt": "How to cope with exam failure?", + "src": "Patient: Hello doctor, I failed around five times in CA final exam. My next\u00a0exam is\u00a0in a month time.\u00a0I have not studied yet because I am so much depressed and demotivated. I am scared of failing this time also. My future is dark. Mentally, I am very much stressed which leads to the symptoms of high blood pressure. I want to study hard, but not able to do. Please help me out. Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 13453, + "tgt": "Why are there pain and sensitivity in root canal treated tooth?", + "src": "Patient: Hello doctor, I had a root canal over a year ago, had a cap put on and no problems. A month ago it was pulled off when I ate candy. It was glued back on. Yesterday, the tooth suddenly felt different. It feels sensitive when pressure is applied and sometimes it feels to be throbbing under the cap. Doctor: Hi. Throbbing pain or sensitivity in a root canal treated tooth is an indication of re-infection in it. Sometimes the nerves regenerate from the apical end and start causing infection, it may happen due to food stuck around margins of gums for a long time, etc. There are two lines of treatment to it. 1. Medications- Take Augmentin 625 mg, tablet Metronidazole 400 mg and Brufen 400 mg for five days, twice a day. It will heal the infection and there will be no need for further treatment, your tooth will be back to normal. 2. If infection recurs after medicine regime like in 2 or 6 months with severe pain then cap will be removed for a while, re-endo or root canal treatment will be done, that is, deep cleaning of roots will be done and then it will be sealed again once infection is gone and tooth cap will be put again. There is also a third option that is a severe one, if root canal treated tooth is stuck with it then sometimes we have no option left except for extraction. Provide me with clinical picture and radiograph of your tooth so that I can exactly recommend you what should you opt for after medications." + }, + { + "id": 24557, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 8563, + "tgt": "Why am I having positive cardiolipin IgM and IgG that keeps elevating?", + "src": "Patient: Hello doctor, I am looking for a third opinion. I have positive cardiolipin IgM and IgG. Tested three times over 11 months. Keeps elevating. What should be done about this? Two current doctors say it is normal. Doctor: Hello. The cardiolipin antibody positive result for two times with 6 to 12-week interval, suggestive of anti-phospholipid antibody syndrome. However, to diagnose the case as antiphospholipid antibody syndrome clinical criteria also should be fulfilled. The clinical criteria include the history of thrombosis attack or pregnancy loss history. So, kindly provide any of such clinical history, if present." + }, + { + "id": 28085, + "tgt": "Are my ALT and ALS levels alarmingly high?", + "src": "Patient: Hello doctor, I recently had a routine blood work done, and my ALT level is 62 and ALS level\u00a0is 82. All other levels were normal. I am on Lexapro. Are these levels alarming? Do I need a drastic change in my diet? Doctor: Hello. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9861, + "tgt": "Are gel forms more effective than injections for erectile dysfunction?", + "src": "Patient: Hello doctor, I have low libido problem. As a result of which I am suffering from ED since two years. I am 38 years old, married and having one daughter aged 6 years. I had some issue of erectile dysfunction at 32 years, but it got sorted by itself. I checked my testosterone and it was 295 ng/dL and 270 ng/dL (normal laboratory values above 300 ng/dL) tested at different laboratories a year back. My prolactin level is 4.36 (normal ranges between 1.61 and 18.77). Since two years I have tried ED drugs, but no significant results. I do have some symptoms like delayed ejaculation and baldness from the age of 22. I tried Testoviron depot 250 which gave very good results, but stopped as I was worried of side effects.\u00a0Kindly advice whether I am a fit candidate for TRT. Are gel forms a better alternative and effective? I feel taking injection may become difficult. Kindly guide. Doctor: Hi. Revert back after the tests to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 30003, + "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": 8170, + "tgt": "What is the best line of treatment for hemorrhoids?", + "src": "Patient: Hello doctor, I am a 25-year-old male, overweight. I do not eat healthily nor do I exercise. For the past six or more months, I have been noticing my stools being flat for many of my bowel movements. I do have hemorrhoids and occasionally will notice blood on the toilet tissue. I have a relatively low fiber diet and a desk job. Other than hemorrhoids, I have no other symptoms. Is this a cause for concern? Could it be polyps or cancer? I am on Xanax for anxiety issues. Doctor: Hello. It is mandatory for every person of hemorrhoids to go for a colonoscopy because about 5% of patients have hemorrhoids secondary to the colon which could sometimes be serious. Although you are just 25, I do not there could be anything serious but to be on safer side you should go for lower gastrointestinal examination preferably colonoscopy to rule out any serious disease. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5303, + "tgt": "I am having painless pimples in my groin area. What are they?", + "src": "Patient: Hello doctor, In my groin area, there are some pimples, but there is no pain in that area. I feel uneasy. I am using Zincoderm ointment. I have attached the photos. Kindly help. Doctor: Hello. I have seen the pictures. (attachment removed to protect patient identity). I have gone through your query and understood your concerns. In my opinion, the picture you have sent may be either warts or molluscum. As both mentioned diseases are contagious you must be careful from now onwards. If you have a weak immune system then it will take time to go away. I would like to suggest you go to a dermatologist once so that they can scrap the area and see that in a microscope. For now, I will prescribe one ointment that is Imiquimod cream. Use this cream three days a week (Monday, Wednesday, and Friday). To use the cream, follow these steps: Wash your hands. Wash the area to be treated with mild soap and water and allow it to dry. Apply a thin layer of cream to the area to be treated, just before going to sleep. Rub the cream into the skin until it disappears. Wash your hands. Leave the cream on the area for six to ten hours. Do not bathe, shower, or swim during this time and no sexual contact at this time. After the treatment time is over, wash the area with mild soap and water to remove any cream. If there are any side effects with that cream contact your dermatologist." + }, + { + "id": 16984, + "tgt": "What test should I do for smelly and yellow urine?", + "src": "Patient: Hi doctor, I have been suffering from prostate infection for the past six months. It started with blood in urine and then burning sensation while urinating. I am also having smelly and yellow urine. Before this, I got mouth ulcers. Also, I had itching sensation throughout the body mainly in the chest, hand and back. It comes in the evening and night. I had lots of antibiotics, but still the issue has not resolved. It seems like STI. I have done the tests for HIV, HSV, Chlamydia, THPA and I have attached the test results for your reference. Everything is fine. Can it be Gonorrhea? As there is no test available for it. Also, can you please tell me the antibiotics course to be taken for Gonorrhea? I can try and check if it is resolving the problem. Doctor: Hi. Revert back with the answers to the above questions to a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 8229, + "tgt": "I have pain and infertility due to adenomyosis, endometriosis, and ovarian cyst. What is the treatment?", + "src": "Patient: Hello doctor, I am 34 years old, and I am suffering from severe endometriosis, adenomyosis, and ovarian cyst, it is very painful, which caused infertility. Please help. Doctor: Hello. Your question is on a very vast topic. All the problems you mentioned have endometriosis, an estrogen hormone-dependent condition. I mean to say, you will have these as long as you have periods, that is as long as ovaries are functioning. Treatment depends on what your primary need is. 1. If infertility is the main issue have a serum AMH (anti-mullerian hormone) and day three serum FSH level, to confirm how many eggs or follicles are left in your ovaries. Endometriosis eats into the ovarian tissue, so the risk of follicles losing. If normal, then have the cysts and fibroids removed, if they are more than 5 cm, have two to three cycles of hormone suppression, to clear unseen endometrial deposit. Followed by ovulation induction with or without IUI or go ahead with IVF.At the age of 34 years do not take risks. Once gone eggs cannot be replaced. The best treatment for endometriosis and adenomyosis is to stop the period, and the best way for that is pregnancy. 2. If the pain during periods or sex is a problem, or bleeding is excessive, have a hormonal suppression. That will clear all your problems. I hope I have clarified your query, do write back if any more questions." + }, + { + "id": 15059, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26404, + "tgt": "I have a negative serum beta hCG level. Can I still be pregnant?", + "src": "Patient: Hello doctor, I am a 40-year-old dental surgeon with no past or present health issues and I am trying to conceive. I have a\u00a0regular cycle of 28 days and I have consulted a gynaecologist before who has put me on Clomid for three months. I have also taken all the required fertility tests which show normal values that are needed for conceiving. This cycle I had all the pregnancy symptoms like implantation spotting for two days, tender breasts and lower abdominal mild cramps for a week after spotting. However, I have got a negative urine and blood test, blood hCG level being 1.2 mIU/mL. On the first day of the last period, there was spotting and light bleeding was seen for three to four days. I tested for blood hCG after seven days and it showed <1.2 mIU/mL. I want to know if there is still a chance that I could be pregnant and retest myself after a few days? Doctor: Hello. As your serum beta hCG (human chorionic gonadotropin) result is also negative it definitely indicates you have not got pregnant in this cycle. The symptoms you have mentioned could also be possible because of the progesterone hormone secretion in the postovulatory phase which may mimic pregnancy and the spotting could be due to the breakthrough bleed. A possibility of delayed conception can be taken into consideration but because the serum beta hCG is negative it is ruled out. I would suggest you get your day two LH (luteinizing hormone), FSH (follicle-stimulating hormone), prolactin, TSH (thyroid-stimulating hormone) levels, fasting blood sugar and postprandial blood sugar levels, and serum AMH (anti-Mullerian hormone) levels and an HSG (hysterosalpingography) done and let me know the results. The treatment plan would be ovulation induction with a follicular study. For more information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9508, + "tgt": "Can I replace Fersolate with Orofer XT for low Hb levels?", + "src": "Patient: Hi doctor, I was prescribed with tablet Fersolate, which is not available, for the low HB levels. I am attaching the reports. Can I replace it with Orofer XT? If yes, please tell the dosage. Doctor: Hi. Yes, you can replace it with Orofer XT (Folic acid and Ferrous Ascorbate). It is a perfect drug for iron deficiency anemia as it contains Ferrous Ascorbate. Initially, you can take this tablet two times a day. Then after a few days, you can replace it with a once daily dose. Take this tablet after taking food. I suggest you take this drug with orange juice to increase its absorption. I would like to check your iron profile reports as well. Kindly upload it to guide you further." + }, + { + "id": 26861, + "tgt": "My thumb got cut and has a huge scab. Will it heal?", + "src": "Patient: Hi doctor, The tip of my thumb got cut, and a little amount of bone was exposed, but not damaged. We used a clotting powder, and it formed a huge scab. Will it heal? Doctor: Hi. Hope it is clear for you. Please get back if any new issues appear. Get well soon. For further queries consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 30374, + "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": 27135, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17144, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11577, + "tgt": "Does low hCG level indicate ectopic pregnancy or miscarriage?", + "src": "Patient: Hello doctor, Before a week I went to the hospital and I found out that I was pregnant with a hCG level of 23. The next day, I started getting cramps on my lower right side stomach. Four days later, I got two transvaginal ultrasounds and nothing was found in the uterus, or anywhere else. So I was sent to the hospital again concerning an ectopic pregnancy or possible miscarriage. I got blood tests done, and they told me that my hCG levels went down. So, they ruled it out as a miscarriage or I was in the process of losing it. So on the next day, I went to my doctor, and she told me that she does not understand why they said to me that my levels went down as they went up from 23 to 100\u2019s, so she said it could be an ectopic pregnancy. I got more blood test done, and I came to know that my hCG levels are going up but very slowly. I do not know what is going on. First, they said it was a miscarriage and now something else. I need answer. This is my first pregnancy. Doctor: Hello. Let me give you a few basic facts about beta hCG (human chorionic gonadotropin). This hormone is produced from fetal tissue. Once it reaches a level of 25 mIU/mL, it is detectable in the urine test. A normal rate of rising of beta hCG is double in 48 hours. This doubling would mean a healthy pregnancy inside uterus. Rise less than double would mean either an abnormal or ectopic pregnancy. But your level has risen satisfactorily. Many times even a rise just below double also is normal. Only when the level reaches 1500 mIU/mL, then the fetus will be seen on the scan. So do not decide about the health of the baby until the scan sees the sac or fetal heartbeat. The blood test is not always right. Just wait for 10 to 14 days and have a scan. Hope for the best and pray well. I hope I have clarified your query, do write back if any more questions, for feedback." + }, + { + "id": 25252, + "tgt": "I have not had a fever for more than 15 years. Should I get tested?", + "src": "Patient: Hello doctor,I have not had a fever for many years (around 15 years or more if I remember correctly). I read somewhere that I should get immunoglobulin checked because I have not got a fever for years. Will it be useful to do this test? If yes, then which ones should I get done as there are multiple tests for immunoglobulin-like G, M, and A? Please advice. Doctor: Hello. I really do not understand who has given you this information. If you did not get a fever since the last 15 years, is it not a good thing? Fever is a body's defense mechanism when you acquire any infection. Not getting fever means you have been taking good care of yourself and you are healthy. I do not think that you need to get any tests done. Please meet a local doctor or your family doctor and discuss your concerns with them personally. If you want to get some tests done, you can do a general full body health check. It will definitely tell you a lot about how you are doing health wise. Much more recommended considering the current stress at workplaces and personal lifestyle. Feel free to get back to me in case you have any other queries. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 15450, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18115, + "tgt": "Is it harmful to take constipation medicines for a long time?", + "src": "Patient: Hello doctor, I am taking Anuloma DS from the last six months with tablet Pylapy. I take it every day. Even if I miss it once, I do not\u00a0get motion. Is it harmful to take it for a long time? Another problem I am facing is an irregular time of motions. It may be any time before noon. So, I cannot go out when I take Anuloma. In some occasions, I could not reach a toilet on time. Doctor: Hello. I read your query. I hope you find my answer helpful. For more queries, you can follow up with me. For more information consult an ayurveda specialist online --> https://icliniq.com./ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 16361, + "tgt": "Is the mole on my back normal or related to melanoma?", + "src": "Patient: Hello doctor, I have this mole on my back. I think it has been there for a while. My GP took one look at it and declared completely benign. I was wondering what sort of mole it is? Is it worrying? I used sunbeds frequently for about a year when I was younger. Never since. Doctor: Hi. Most likely it is a benign melanocytic nevus (attachment removed to protect patient identity). The worrying signs are a sudden change in colour, a sudden increase in size and shape. If you want to confirm whether it is benign or not, you can go for dermoscopy (noninvasive technique), skin biopsy." + }, + { + "id": 25041, + "tgt": "After exposure, I had burning sensation and pain in scrotum. Please help", + "src": "Patient: Hello doctor,I had sex with my girl two months back. She had two sex partners before me who were both HIV negative including her. After exposure, I had a burning sensation during urinating and pain in the scrotum. I got a urine culture test the next day result (no pathogens present) but doctor prescribed Azithromycin 500, Ofloxacin 400, Norfloxacin 200, Urispas and Tolpa-D two doses every day for five days before the test result came suspecting it to be STI. Lately, I developed pain in the scrotum with frequent urination and symptoms similar to HIV, got myself tested with 4th generation test 50 days after exposure. HIV 1 and 2 came back negative including VDRL - nonreactive, urine routine test are also normal. Scrotum ultrasound inferred \"funiculitis\". But my symptoms include mild fever, irritation in the eye, pain in the scrotum (right testicle), sore throat, mild headache. No major weight loss, rashes, diarrhea and white discharge. I am confused. Please help. Doctor: Hello. I have noted your concern. Your 4th generation HIV screening test is conclusive at 50 days. Therefore it rules out HIV. Perhaps you had urethritis which ascended to complicate as funiculitis. I would suggest empirical treatment for most common sexually transmitted causes of urethritis - gonorrhea and chlamydia with injection Ceftriaxone 250 mg IM single dose. In addition, I suggest oral Doxycycline 100 mg, twice daily for seven days. Regards. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 17487, + "tgt": "What is the dose and duration for ofloxacin in infants?", + "src": "Patient: Hi, Please let me know the dose and duration for ofloxacin in infants with authentic studies. Doctor: Hi, Thank you for your query on icliniq. Hope I have answered your query. Consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 4482, + "tgt": "What can be done to cure tinnitus and sensorineural hearing loss?", + "src": "Patient: Hello doctor, I want to tell you that I have sensineural hearing loss and tinnitus according to my reports. My doctor told me that I have mild sensineural hearing loss. I am sending you reports. I want to clear my doubts about sensineural hearing loss. Is my sensineural hearing loss progressive in future. Will my tinnitus cure of its own? Do I need any further testing like MRI? Please check. Doctor: Hi. Since how many days are you having hearing loss and tinnitus? If it is since a few days you should try taking oral steroids. Your hearing loss can revert back. MRI or any other scan is not needed. But you do let me know if your tinnitus and hearing loss is sudden in onset or not." + }, + { + "id": 3261, + "tgt": "Few days after umbilical hernia repair, my belly button pops up about half an inch. Is this serious?", + "src": "Patient: Hello doctor, I had an umbilical hernia repair 11 days ago. It went fine, but 10 days later when I laid down my belly button pup out one inch then went back down. The next morning my belly button is out half an inch. My surgeon said just wait for a couple of days to see if it goes back down. I need to know if I should wait or get in right away. The belly button is a little tender. Doctor: Hi. As it has been only 10 days since your surgery, I suggest you wait for a few more days and see your surgeon if necessary. It is quite likely that there may be a small collection of fluid in the region which may get absorbed or may need aspiration. It is quite unlikely to have a recurrence so soon unless the surgery did not go well. If the swelling appears on coughing or straining it may suggest a recurrence. It is best tested by the surgeon as attempting the same at home may precipitate a recurrence. Take adequate rest. Be active. Take a good diet. Avoid straining or lifting weight for at least six months. See your surgeon if it still persists next week. I hope this helps." + }, + { + "id": 12181, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 22743, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16976, + "tgt": "When will my grandmother come out of coma?", + "src": "Patient: Hi doctor, My 82 year old\u00a0grandmother is in a coma from the past 15 days. The doctors are suspecting a brain stroke. I am attaching all her reports. When will she come out of the coma? Doctor: Hello. I have\u00a0seen all the attached reports (attachment removed to protect patient identity). For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 13825, + "tgt": "Kindly have a look on MRI of aorta and explain about the false lumen", + "src": "Patient: Hello doctor, I am taking an MRI of my aorta once a year to check for the development of dissections, aneurysms, and enlargement of my aortic root. This is because my family can have connective tissue disorder (not yet diagnosed). I just got back from my MRI, and doing this every year. I have a habit of checking my images myself. If you could take an overall look and see if there is anything unusual. More specifically, measurement of the sinuses of Valsalva. The most pressing thing is that I saw what I think is a false lumen, but I am no radiologist and might very well be very wrong, but I would like this to be checked. I am waiting for my results to come back. Doctor: Hi. I am glad that you are an aware patient and getting yourself screened annually for aortic pathologies. The aortic origin, arch, and descending thoracic aorta show normal caliber lumen (attachment removed to protect patient identity). Abdominal aorta and its branches appear normal. No significant intimal thickening or plaque disease is seen. No intra-luminal filling defects seen. No sub-intimal collection or double lumen (to suggest aortic dissection) seen in the present scan. Flow and pulsation movement-related artifacts seen within the lumen are unavoidable in dynamic MRI scans (as seen in the reference images attachments sent by you). The measurements of the aorta at sino-tubular junction and sinus are within normal limits. Impression: Essentially normal aortic study. Regarding your pulse, I would request you for an ECG as ectopic beats and low volume pulses can be missed in manual or machine count but are well appreciated on ECG could indicate underlying arrhythmia." + }, + { + "id": 7084, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 2448, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 28651, + "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": 10976, + "tgt": "How to get rid of my addiction to masturbation and porn?", + "src": "Patient: Hello doctor, I am a 17-year-old male. I have been masturbating for three to four years. I am too much addicted to this habit and porn. I cannot remember how many times I do it a day. It has ruined my life. I was a topper in studies, with good physical and mental fitness three years ago. But now my whole health and study are destroyed because of this habit. I am suffering from fatigue, depression, hypersomnia, mental stress, etc. I forget things very quickly. I cannot concentrate on anything, and I usually spend my day alone, staring at my mobile. I am very worried and stressed. I want to leave this habit forever and be physically and mentally fit again. My confidence level is very low. Please help me. Doctor: Hello. This is not an issue that you can feel comfortable by sharing with someone else. For porn addiction, or any other addiction, please work cyclically. If we want to come out of it, then we need to break the cycle. For example, have a count of how many hours in a day, and at what time do you watch porn? If it is for 4 hours, try adding one thing in your life which you can do for 30 minutes, like exercise or playing with friends. From tomorrow for the next seven days, do that for 30 minutes. Then next week increase the time off the screen and slowly build other habits which can use your time and keep you distracted. It will take some time, but you will come out of it if you work hard. You can always share your progress or concerns." + }, + { + "id": 30862, + "tgt": "Please suggest some effective medicine for hair regrowth", + "src": "Patient: Hi doctor, I am suffering from hair loss. Now I am 50% bald. Some of my friends have regained their hair. My baldness is hereditary. I am also an alcoholic. I need some effective medication for hair regrowth. Doctor: Hi. I have read your query and do understand your concern. As you have said it is genetic, I am assuming it is male pattern baldness. But, photographic evaluation of the extent and type of hair fall will be needed for better guidance. Take a nutritious and protein rich diet, such as pulses, milk products and eggs. Avoid routine application of gels or frequent blow drying of your hair. Use a sulfate free shampoo for your hair twice a week. Revert back with the photos to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15488, + "tgt": "Is there any possibility of full recovery after detachment of severed right hand thumb?", + "src": "Patient: Hello doctor, Is there any possibility of full recovery after detachment of severed right-hand thumb, if the detached part is found and not fully damaged? Doctor: Hi. The recovery depends on multiple factors: Whatever we do, the normal functions are never achieved. But cosmetically patient has a digit that is scarred usually. Sometimes, the reattached part is useless and patients demand amputation for better function. These days, cosmetic implantable prosthesis is a better option and is natural-looking.Consult an orthopaedician and traumatologist online for further help --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 21116, + "tgt": "How can we manage a skin injury caused by the spine of a caterpillar?", + "src": "Patient: Hi doctor, I am 24 years old. My skin is injured due to the spine of a caterpillar. I have severe pain in the affected area. I am unable to remove the spine. I used antiseptic cream and hot water with Savlon. But it has not cured. Please help. Doctor: Hi. You have skin injury due to caterpillar spine. Its hair or spine has to be removed through a gloved hand. You can use adhesive tape to remove its spine or hair. After removing, a topical steroid cream can be applied. An oral antihistaminic drug like Levocetirizine can also be used. Ice wrapped cloth can be applied over the affected area. I suggest you consult a nearby allopathic doctor for further management." + }, + { + "id": 25994, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27289, + "tgt": "I have sudden deafness, ringing, and loss of balance. Why?", + "src": "Patient: Hello doctor,I am a 73 year old male. I have recently become progressively deaf in one ear. It took about six weeks during which it progressed through various stages of tinnitus, a hissing sound, heavily pulsed, becoming almost constant and some degree of loss of balance. The present situation is that I am completely deaf in the one ear except for a very slightly pulsed hissing sound, although the balance issue appears to have resolved itself. Also, when I press on the inner ear I hear a squelchy sound. I have been diagnosed as having a dead aural nerve. I understand that the hissing sound could be generated anywhere within the aural system but, the squelchy sound must be generated at the ear. So, how is that transmitted to the brain if the aural nerve is not functioning? Doctor: Hello. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 28461, + "tgt": "I have a faint line on my finger. What is it?", + "src": "Patient: Hello doctor, I have a\u00a0faint line on my finger from past ten days. I am attaching a picture of the same.\u00a0What is it? Doctor: Hi. I have read your concern and examined your picture (attachment removed to protect patient identity).\u00a0 For further queries consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 28242, + "tgt": "Is there any ayurvedic treatment for blood in stools?", + "src": "Patient: Hello doctor, I am a 38 year old male, who weighs 85 kg, and I am 5.11 feet tall. I had a problem with blood in stool a year ago, which got cured after I took medicines. But nowdays, I have been seeing blood in my stool again. I\u00a0do not have any problem like itching, pain, etc. I feel it very difficult to go to the toilet, and I have to give a lot of pressure to defecate. I wake up at 6.30 AM and drink a glass of lukewarm water. Then I go for a walk for 30 minutes, take one cup tea with two biscuits. At 7.30 AM, I take a glass of lukewarm water again, and at 8 AM, I go to the toilet. My doctor told me not to pass a hard stool, so I follow this routine. I feel heavy all day. Please give me some valuable advice and cure my problem. I do not have any other diseases. Doctor: Hello. I just read your query. I hope you are satisfied with my answer. Thank you. For further queries consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 27671, + "tgt": "I am unable to score good marks. Am I dull-witted?", + "src": "Patient: Hi doctor, I am a 19 year\u00a0old. I have many questions in life to which I cannot find an answer. My parents ran a school and naturally, I attended the same. Even though I did not work very hard, I used to top the class. But, when I reached the fifth grade, I got distracted easily and did not study well. When I reached the eighth grade, I decided to study well and score a good percentage. But, I did not succeed. So, I started to mug up all the lessons. After I completed my schooling I somehow managed to get into a professional course. But, I scored below-average marks. That made me sad and depressed. I was advised by many to quit the course but, some of my teachers supported me and encouraged me to study. But, I repeatedly scored poor marks. Now, my question is, am I really dull-witted or do I have some psychiatric problem? I feel that I have wasted my parents' money. I had dreams of becoming a professional and making good money. But, I am getting further and further from it. Do I really have no talent? What is the problem with me? Doctor: Hello. The main problem which I picked from your description is that you get tensed about studying. You have set up a self-image of a guy who is poor in studies and cannot succeed. I think you are too harsh on yourself. You can take the help of a clinical psychologist to learn to cope better. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 21770, + "tgt": "What can be done to treat acne?", + "src": "Patient: Hello doctor,I have had super bad acne for about three weeks now and nothing I try seems to work. I have always washed my face 2 to 3 times a day, drank a lot of water, etc., just nothing seems to help and I do not know what to do. Doctor: Hi. I have reviewed the attached photographs (attachment removed to protect patient identity). If I was your treating doctor I would recommend you to apply a Salicylic acid facewash 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. Besides this, keep face dry, avoid applying oily cream or 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. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23788, + "tgt": "When to expect periods after bleeding due to Unwanted 72?", + "src": "Patient: Hello doctor,I had sex with my fiancee on 21st and as a precaution, I gave her Unwanted 72 on 23rd. She got little bleeding which was thick on 4th and it continued till 8th. Now, she was expecting period again on the 4th this month, but it did not come, and therefore she took a pregnancy test on 7th and that was negative. When will she get her periods? Is there any problem? 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 after taking the pill. So, relax and do not worry. The delay could be because of hormonal changes due to the pill you have taken. She should be getting her periods within a week or so. If you have a doubt, then get yourself checked by a gynecologist and get a pelvic scan done to rule out the exact cause. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4597, + "tgt": "Is it advisable to put Lidocaine viscous 2 % oral topical solution in ear for pain?", + "src": "Patient: Hello doctor, Can I put Lidocaine viscous 2 % oral topical solution qualitest in ear for pain? Doctor: Hello. Please do not put Lidocaine 2 % viscous into ear for pain. First of all, ear pain can be due to multiple reasons. The causes of ear pain are as follows: 1. Localized causes: External ear: pinna, ear canal, Middle ear cleft: eustachian tube, facial nerve, mastoid cavity, inner ear: eighth nerve, petrositis. 2. Referred causes: Throat : tonsillitis, pharyngitis, Neck : cervical spine disorders, spondylosis, Oral cavity : glossitis, tootache, tooth infection, Larynx : laryngitis, epiglottitis. Under each infections, inflammations, tumors, malignancies, non-malignant growths, hypersensitivities, etc can result in ear ache. Referred earache is due to sharing of same nerve supply by the ear as well as the above said organs. Hence, please do not treat earache on your own. I will strongly suggest you consult an ENT specialist doctor and follow his advise. Please provide us with details with regards to the following : Onset of ear ache, duration, nature of pain : pricking, dull aching, throbbing, any associated giddiness, ear discharge, headache, nausea, any throat pain, nose block, change of voice, difficulty in swallowing, any previous relevant history with regards to the ear or nose and throat, which ear? both ears? You have fever? Any neck problems, tooth ache, artificial dentures. Next, Lidocaine 2 % viscous is for use on oro-mucosal surfaces. It is not for use inside the ear, it will not get absorbed from intact skin surfaces like what you find in the outer ear where you are planning to apply the viscous top solution. To relieve pain I suggest you try Paracetamol 650 mg tablet, one tab SOS (not more than 3 tablets per day). However, it is prudent to ascertain the exact cause for the earache and treat accordingly. Do contact us for any more queries on the subject." + }, + { + "id": 25218, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27565, + "tgt": "I am unable to concentrate at work due to repetitive thoughts about my past. Please help me", + "src": "Patient: Hi doctor, I am going through a difficult phase. I have been in a relationship with my colleague for the past four years. I then had to move to a different city for work. Now the problem is I have started missing her terribly. I cannot concentrate on work or anything else. We talk over the phone\u00a0every day. But still, I am confused. I do not know what exactly my problem is. I keep thinking about the past. Please help me get out of this state. Doctor: Hello. I understand your trouble. Any relationship tends to get more emotional over time. Take care. For more information consult a psychologist counsellor online --> https://icliniq.com./ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 3014, + "tgt": "My dad has undergone angio for CAD. How many stents are needed to be placed?", + "src": "Patient: Hi doctor, My dad recently had chest pain, we took EKG and echo and it turned out as though he had a slight abnormality. We got the angio done the reports shows: LAD: Type III LAD has 50% proximal stenosis. Mid and distal has a mild diffuse disease. RI: Has 80% proximal stenosis. LCX: Non-dominant LCX is normal. RCA: Dominant RCA has 80% proximal stenosis. Mid segment has diffuse disease. Distal segment has tandem 80% or 90% stenosis. PDA has 60% mild segment stenosis. Diagnosis: Coronary artery disease. Right dominant system. Severe RCA disease. Recommendation: PCI to RCA. I would like to know how many stents are needed on the right and what changes need to be done in the lifestyle. His bad cholesterol: 60, good cholesterol: 33, normal BP with vitamin B12 and D deficiency. Doctor: Hello. I passed carefully through your dad's medical history and tests and would like to explain that it is necessary to perform percutaneous coronary angioplasty followed by stents implantations in the right coronary artery in several segments (80% proximal stenosis, but also in the distal segment where there are consecutive stenosis 80%-90%). So, at least two to three stents will be most likely necessary to properly treat hist RCA (right coronary artery). On the other side, life-style modification would be necessary to stop the progression of atherosclerosis in several parts of the coronary arteries tree. First, vitamin B12 and vitamin D deficiencies should be properly corrected. Then a balanced diet with low saturated fat (animal fat) and rich in green vegetables should be encouraged. He should refrain from every smoking contact and periodically check his blood lipid profile and blood pressure values. After stenting special antithrombotic drugs are prescribed as well. I hope this helps." + }, + { + "id": 8866, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 27650, + "tgt": "How to check if the blood flow to my hand is normal?", + "src": "Patient: Hello doctor, I feel like there is reduced blood flow to my hand. When I place my hand downwards, I can feel the blood flowing into my hand. Doctor: Hello. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7904, + "tgt": "Why do I always feel depressed and suffocated?", + "src": "Patient: Hi doctor, I feel low all the time. I do not like to do any work, neither do I feel like eating. I feel like something inside me is being broken or cramped. I feel like crying out loud. While listening to songs, my eyes get filled with tears, and I start crying. I feel\u00a0suffocated. Long back, when I felt the same way, I did an online depression test. It showed severe depression, but I did not take any medicines. I just motivated myself and slowly started feeling better. Please help me. Doctor: Hello. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 24233, + "tgt": "Will Risperidone and Asprito affect my fetus during pregnancy?", + "src": "Patient: Hello doctor, I had two episodes of psychosis in the past two years. I started treatment with Risperidone and later started Asprito 5 mg. I am getting married after two months. I want to know that if I start a family, will this treatment affect my baby's health as only limited medicines are allowed during pregnancy? Doctor: Hi. As you are receiving only 5 mg Asprito (Aripiprazole), which is a very low dose, it is better if you stop the medication at least in the first trimester (first 3 months of pregnancy). Then, you can take medicine safely during remaining pregnancy (last 6 months). But, if not possible to stop the medication, then, take tablet Haloperidol which is safer than Asprito during pregnancy. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 26951, + "tgt": "I lost 10 lbs, and I have abdominal pain from the past seven weeks. Is it due to IBS?", + "src": "Patient: Hello doctor, I have had abdominal pain for the last seven weeks. I experienced the same kind of pain three years back. I had all the imaging examinations, extensive lab workups, and all were normal. I was on 25 mg of Zoloft and 10 mg of Pamelor for the last two years, and I had little discomfort. I stopped Pamelor and Zoloft about three months ago, which was my decision. Again after two CT scans and extensive lab workups, no pathology was found. I have been labeled with IBS. My doctor referred me to a specialist,\u00a0who recommended I restart the Zoloft at 50 mg. I feel lousy, and I have lost 10 pounds because I have no appetite and I am at my wit's end. I am scheduled to see the specialist this week. Please advise. Doctor: Hello. Hope this will help. 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": 7790, + "tgt": "In what condition can on and off chest pain occur under breast?", + "src": "Patient: Hello doctor,I am attaching a word document detailing cardiac issue symptoms. I have been experiencing this for the past seven months of this year since I ended up in A and E. It outlines the issues and tests so far. At present, I have chest pain that comes and goes on the left-hand side under the breast, and it is not a tightness it feels more like an ache. Left-arm pain that comes and goes, lightheadedness and woozy sadness, especially when walking or standing. I want to get the thoughts, and some advice on what could be the possible issue, and any further tests recommended. Doctor: Hello. I passed carefully through your concern and would like to explain that your recent clinical symptomatology seems to be related to THC (Tetrahydrocannabinol), alcohol, and cocaine use. They are potent stimulants, and apart from leading to blood electrolytes imbalances, heart rhythm disturbances, and central nervous system symptoms may also lead to coronary blood flow disturbance and cardiac ischemia. Not rarely, when taken in excessive amounts, they may lead to life-threatening cardiac arrhythmias and myocardial infarction. That is why I strongly recommend you to be careful and to avoid those substances in the future, possibly. To clarify any potential myocardial damage, I recommend you to discuss with your doctor on the opportunity of performing a cardiac ultrasound test and if possible, a cardiac magnetic resonance imaging test. I hope to have been helpful to you. Let me know in case of any further questions." + }, + { + "id": 16709, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4718, + "tgt": "How to know the reason for my big toe pain?", + "src": "Patient: Hi doctor, I have been suffering lately from pain in my big toe joint. It is very severe that I could not sleep two nights when I ran out of painkillers. I thought it might be a gout attack. Because I do have gout. Though my uric acid levels are mostly high, I do not really watch what I eat. My triggers for gouty attacks happen to be rapid weight loss. It was actually the cause I had gout in the first place, I lost 40 kg in a few months when I was 18. So, if I count the attacks I had since the first time (8 years ago) perhaps only six times, three times my right big toe and three times my left ankle. All when I was not eating well and lost a lot of weight. The last attack was a year ago. But, it has never been too severe and the most painful period will last for hours in one single night. I cannot step on it and eventually it will go away gradually. But, this time it is too intense. Especially if I try to sleep, I will sleep in minutes and the moment I move my toe while asleep, I wake up with an extreme pain like someone stabbing my foot with a knife and cut it through from the big toe joint through the upper foot. I even cried as I felt helpless with extreme pain that will not let me rest. And, it has been a week now and the pain is not going down with medication. The moment I finished my Voltaren 50 mg in four days I thought it is much better now, but it came back like a demon. The problem is that I am confused and cannot run into all options of diagnoses due to financial situation. I went today to a hospital. The orthopedic was full, could not get an appointment urgently. So, it was a general doctor, he did not know for sure what is going on. He suspected gout, so he made blood test and uric acid was 326 umol/L, which is the best I have ever had. As he still not sure, he advised to do an x-ray and the result he said as normal. So, he gave me strong painkillers and Allopurinol, which I did not use as my uric acid is fine and told me to see how it goes for two weeks. In my x-ray see I noticed there is a slight difference in distance between the bones of the toes and the foot. The big toe is a bit closer to the bone comparing with the other toes. I do not know if this has anything to do, but I want you to double check. I have attached the photo taken. To give you more information, the pain is so intense if I am out of medication. The big toe flexes up or down, but up is more difficult than down and also upon stepping on it. So, I have to walk, stepping half side of my foot, avoiding landing on the big toe base. Of course, I apply ice water almost every three hours to feel ease and also pain upon touch from the outer side of the joint to the left. Also, you can see clear swelling and color change of the skin in the photo. I am totally confused because I happen to make many mistakes that might cause different problems to my joint. I am not sure which one triggered it or the cause of it. I lost a lot of weight in a short period of time. I was recently (last month) on a ketogenic diet low carbohydrate high fat in which there is a debate that it might be problem for gout sufferers. I have also increased my volume and intensity of the workout due to the extra energy felt when I was keto adapted. I usually stop exercising when I feel I spent a lot of hours, not because I was tired, so perhaps that caused a lot of stress on my body. My daily workout was something like 90 minutes weight lifting in the gym and 45 minutes running and maybe 30 minutes walking to the gym if we count this as well. I remember running in barefoot too. I changed my shoes just a week before the pain and I chose a good quality running shoe. I chose a fit one, not painful or even uncomfortable, but I thought because it is filled with cushioning and felt light and good. I have not even known that there could be a problem until last night I read some articles against tight fit shoes, especially for those with gout. So, I am really confused about the problem. Am I suffering from gout or sesamoiditis or tendonitis or turf toe? I need you to guide me. What should I do? Will I need to do an MRI or CT or bone scan? Which one will confirm everything? Doctor: Hello. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 22426, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 10307, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 25386, + "tgt": "I have heart palpitations when I exercise. Am I over exercising?", + "src": "Patient: Hello doctor, I am a 46 year old male. I have a desk job where I need to be sitting for eight hours continuously at the computer. I am suffering from these problems since 27 years. When I was 19, I did heavy exercises once and suddenly the heartbeat increased to approximately 180 times per minute. It came back to the normal rate in a minute. But, from that day I have been having heart palpitations. I stopped all the exercises. I tested ECG and 2D. Both the tests were normal. The doctor said my heart is 'almost' normal. But another doctor said that it may be a valve problem. He said this just without testings. But my experiences are 'heart palpitations' and I feel some 'weight' in the heart continuously for four to five months. Then I felt normal and tried doing the exercise again. I feel the same experience. So, again I stopped exercising. So many times these repeated. Three months back, I experienced the symptoms. I felt giddy too. So, I feel very afraid. I immediately consulted the cardiologist. But ECG, 2D, and treadmill (this is first time tested) came normal. I did not test the angiogram. Now I have breathing difficulty, dizziness, and uneven heartbeats when I lie on my side. I quit exercises completely. I am only walking. I do not understand what is going on. Am I straining myself during exercise? Or is it a serious problem? Please help me. Doctor: Hello. You have done some tests already related to the heart and found it to be normal. I suggest you do free T4, T3, TSH, Holter monitoring, and Hb %. Based on the reports, the next course of action could be taken. I think you need not worry. Try to control your stress. Do breathing exercise for five minutes two times daily and Yoga for half an hour. Listen to music, spend quality times with friends and family. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 27365, + "tgt": "Can Orlistat cause side effects on teeth?", + "src": "Patient: Hi doctor, I am going to start taking Xenical or Orlistat for about a month. Can you tell me what the side effects on the teeth are? Does it cause them to fall out or weaken them? Doctor: Hi. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26377, + "tgt": "What is the likely cause of my fever based on my reports?", + "src": "Patient: Hi doctor, I am a 60-year-old female. I am having a fever of around 102 since four days. The fever tends to reduce when I take Paracetamol (Dolo 650), but the fever increases after some time. I had vomiting\u00a0three to four times for the first two days but no vomiting since the last 48 hours. We tested for dengue, malaria, and thyroid. The results are enclosed for your reference. Please note that I take medications for BP and diabetes. Doctor: Hello. I have gone through your 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": 12397, + "tgt": "Is it advisable for a child to travel by air after adenoidectomy?", + "src": "Patient: Hello doctor, My 17 months old daughter booked in for grommets and adenoidectomy due to fluid in middle ear and recurrent ear infections. We are flying two weeks after the procedure. We will be visiting a place with bad air pollution. Will she be more at risk of respiratory infection with no adenoids? Doctor: Hello. At a place with bad air pollution, one's respiratory mucosa tends to get excoriated and irritated due to the harmful contents in the air. This can make the area supple and raw and more prone to bacteria and viruses in the surroundings. Having removed adenoids does not make your kid very susceptible to respiratory infections although theoretically adenoids are supposed to help contain infection by acting as a portal of immunity for harmful organisms entering through nose and throat. But at two weeks post surgery, the area will still be slightly raw and healing would not be complete. Hence, that can cause more susceptibility to environmental pathogens. I suggest you take a good course of antibiotics post surgery and during the hospital stay. Take a course of antibiotics for the baby with you and start when you feel she is developing an infection during your trip. Take decongestant nasal drops sprays and Tylenol for fever relief. Avoid areas of frank dust and pollution. Stay away from direct cold winds and Aircon air. If feasible put a face mask for the baby. The mother also should stay healthy as much as possible and follow all precautions to not develop an infection or allergy." + }, + { + "id": 26195, + "tgt": "What should I do to prevent my spine problem from worsening?", + "src": "Patient: Hello doctor,I am suffering from pain in my lower back. There is a\u00a0pain in my left arm, leg and foot also. I got my MRI done. The MRI of lumbar spine reads as follows: Exaggerated lumbar curvature, likely due to muscle spasm. End plate Schmorl nodes are seen at D11-12, D12-L1, L1-2, L2-3 and L3-4 levels. Disc space narrowing is seen at D11-12 and D12-L1 level. Mild posterior disc bulges are seen at D11-12 and D12-L1 causing minimal thecal sac indentation. As per the\u00a0doctor, it is normal. I want to get a\u00a0second opinion for the same. Please suggest. Doctor: Hello. I went through your post. Regards. For more information consult a spine health specialist online --> https://icliniq.com./ask-a-doctor-online/spine-health-specialist" + }, + { + "id": 21245, + "tgt": "What is the treatment for jock itch?", + "src": "Patient: Hello doctor,I am 25 years old. I am suffering from jock itch (fungal infection). I got infected eight months ago. I took medication and it got cleared after six months. But after two months it again showed up on my groin area. I do not know what to do know. Could you please suggest something? Doctor: Hello. It seems to be a fungal infection as per provided image (attachment removed to protect patient identity). You can be prescribed 2 % Sertaconazole or 1 % Luliconazole cream over the affected area. Oral Itraconazole also can be prescribed, if needed. As you are having repeated fungal infection, rule out diabetes by random blood sugar estimation. Keep that area dry and avoid moisture. Clothes should be cleaned in warm water. I suggest you consult a dermatologist for examination and get prescription." + }, + { + "id": 17048, + "tgt": "I have fever since a month but all my reports are normal. Please advise", + "src": "Patient: Hello\u00a0doctor, I am a 32 year old woman. I weigh 68 kg. I am suffering from fever since one month. Almost daily the temperature is ranging from 99 to 101. Especially in the\u00a0afternoon. I also have a headache along with fever. Both increases together. Also, there is severe pain in the muscles of the legs below the\u00a0knee to ankle. The muscles behind the knee (underside of the knee) ache more, and it increases in the evening or night times. I have normal regular home cooked vegetarian food. I have shifted to a\u00a0new city three months back. Before, I used to exercise, do yoga and walk regularly. But now due to a\u00a0new place, it is discontinued. I have undergone all tests, and they are normal. Kindly advise. Doctor: Hello. I went through your reports (attachment removed to protect patient identity).\u00a0Your primary complaint is a\u00a0fever, especially during the afternoon hours. Start a broad spectrum antibiotic (like Cefuroxime 500 mg twice daily)\u00a0after a blood culture and come back with investigations. Regards. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 28097, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 29139, + "tgt": "What is the alternative treatment for ICD?", + "src": "Patient: Hi doctor, My father is 59 years old. Eight years back he had\u00a0heart attack\u00a0and the next year he underwent CABG. Presently, he is feeling uncomfortable and got an angiogram and cardiac PET/CT imaging done. It stated that he has severe LV dysfunction\u00a0of more than 30 percentage. He also has severe cough. Along with these tests he got a chest x-ray and blood test too. Now, doctor has suggested to undergo ICD and lifetime medication. Please suggest an alternative to improve his heart condition. Thank you. Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 21559, + "tgt": "Do I need to get the infected teeth removed?", + "src": "Patient: Hello doctor, My dentist said that I should remove both teeth in the photo due to them being infected. Both the teeth have their nerves removed and one is broken. I would like to ask for a second opinion as I worry that I will have issues with chewing after the removal due to the position of the teeth. Doctor: Hi. I have viewed your X-ray (attachment removed to protect patient identity). It looks very clear that the teeth are infected and the root canal treatment that is done is not appropriate. The teeth need to be re-treated or removed but the line of treatment depends on certain conditions of teeth. For this, I need a few more details. Please provide the following details so that I can guide you better. Please get back with answers. Revert with more information to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 6985, + "tgt": "Kindly tell the treatment for extreme lower back pain", + "src": "Patient: Hello doctor, I have extreme lower back pain. Doctor: Hello. I need more information about your symptoms, duration, intensity with time of the day and with movements, any relieving factors, and treatment sought and the effects, any leg symptoms and radiation of pain to the leg, and any bowel complaints like loss of control of urine." + }, + { + "id": 21176, + "tgt": "I have a sharp stabbing pain inside my breast. My mom has breast cancer. Do I have cancer?", + "src": "Patient: Hello doctor, I am an 18 year old female. A few days ago I noticed that my left breast was very tender. Yesterday morning I started feeling sharp stabbing pain inside my breast near the nipple every hour or so. Yesterday night I started to feel the pain 10 times worse and more frequently. I also noticed that my nipple started to turn red. The pain goes away and then comes back. I would like to add in that my mother was diagnosed with invasive ductal carcinoma about 5 months ago in her left breast and she has had it removed and has now started chemotherapy. This obviously makes me more worried about my symptoms. Please advice. Doctor: Hello. Invasive ductal carcinoma at 18 years of age is unlikely even though you have a history in family recently. The pain in the left nipple area which had a sudden onset in last few days and have been decreasing with a localised redness around nipple goes more in favour of an abscess rather a carcinoma. As there has been no blood discharge from the nipple which is classical in cancer, it would be too early to comment. But it is suggested that an ultrasound breast may be undertaken to look for an organised lump if present and if required an FNAC may be done to sample the local tissue and send for histopathological examination. This is unlikely to be a premenstrual syndrome (PMS) as it should be bilateral in that case. Consult your physician for a local examination. Consult an obstetrician and gynaecologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16062, + "tgt": "My baby shows strange infantile spasms. Please guide me", + "src": "Patient: Hi doctor, My son is 14 weeks old now. When he was 12 weeks old, I noticed some strange movements in him. It was like infantile spasms. I consulted a doctor with a video taken. I took him along with me. The doctor told me that it looks normal. Still, I see some strange movements. I am not able to say whether they are regular baby movements or not. They look suspicious to me. So I showed a couple of more videos to the doctor during his check-ups, and the doctor disagrees and refuses to get an EEG. I am worried. Please help. Doctor: Hi. I have reviewed your uploaded video carefully (attachment removed to protect patient identity). These movements do not look like spasms. They are related to a normal reflex of the children. From the other hand, spasms also cause extension in the neck. It is not seen in the video. You should know that having epileptic seizures along with infantile spasms are a part of a progressive encephalopathy, and they have a progressive worsening. If these movements become frequent, I would recommend consulting a neuropediatrician and performing EEG (electroencephalography)." + }, + { + "id": 30741, + "tgt": "How to improve my sex performance?", + "src": "Patient: Hi doctor, I am 43 years old. I\u00a0do not have any sex problem other than premature ejaculation. Now, my penis looks so small in the flaccid state. By thinking this, I could not perform well. I am currently on Nano Leo, Lvate and Virilex. 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": 13171, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 26783, + "tgt": "Can corticosteroids cause osteoporosis?", + "src": "Patient: Hello\u00a0doctor, I am a 43 year old\u00a0male. I had been diagnosed with autoimmune polymyositis four years ago. I was previously a sportsman for most of my life with a reasonably healthy diet. I have been on Prednisolone and Azathioprine for four years, on Methotrexate for four years and Folic acid. I just had a DXA bone scan with a Z-score of -3.4 in the spine, and -1.7 in the hip. I know corticosteroids can contribute to reducing BMD, but is this extent normal in less than four years? My rheumatologist is away for few weeks. Please help. What do these results mean? Does it imply osteoporosis? \u00a0Please advice as to what I can do next. Should we eliminate causes other than corticosteroids? Doctor: Hello. I hope this helps. If you have any further questions please feel free to contact me. For more information consult a rheumatologist online --> https://www.icliniq.com/ask-a-doctor-online/rheumatologist" + }, + { + "id": 27055, + "tgt": "Please look into my reports and tell me if an immediate surgery is necessary", + "src": "Patient: Hello doctor, The following is the report of USG of the scrotum. Please comment about it in detail. 'Right testis 3.82 by 2.08, left testis 3.66 by 2.04. Both the testes appear normal in size and echogenicity, shows normal vascularity. There are no obvious focal lesions. Both epididymides are normal in size and\u00a0echotexture. No focal lesions, and no evidence of hydrocele. Grade II left sided varicocele is seen as evidenced by dilated venous channels and reflex on Valsalva. Herniation of peritoneal contents into the left inguinal region seen with the sac extending up to the root of the scrotum. The defect could not be clearly visualized. Impression: left inguinal hernia. Grade II varicocele.' Can it be cured by medicine? Is surgery essential? Is it very urgent to be cured? Please comment in detail about the risk factors, diet, etc. Doctor: Hello. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 9684, + "tgt": "Why does neutrophil count raise during pregnancy?", + "src": "Patient: Hi doctor, My wife's hemoglobin is normal with neutrophil 75.25, low lymphocyte and low RBC. Occasionally, she gets dizzy and a bloody nose. Her mother had anemia when she was born and it was never fixed. Other than being pregnant, no problem now. Her blood report signals anemia and I think it is common in pregnancy. Also, her gynecologist informed us that she has a minor case of HPV and it will disappear soon. What shall we do now? 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": 30195, + "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": 18648, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19100, + "tgt": "What should I use to avoid chickenpox scars?", + "src": "Patient: Hi doctor, My chickenpox started seven days back. The fever has subsided now. I had been taking: Azithromycin, Acivir 400 DT, Cetzine, vitamin E capsule and, applying Calamine only on spots. A few spots are getting covered with a crust. What should I use at this stage to avoid scars? Looking at the pictures, will it leave any scar? How long will it take to go away? Doctor: Hello. Chickenpox takes around two weeks to get scabbed off. Since as per your query, if it already formed a crust, then now it will scab off soon. Do not touch it or scratch it. Otherwise, there will be high chances for scars on the face. The treatment you were taking is entirely correct, and you need not apply any particular thing on that. Wait for a few days more around a week to get rid of them. As per your photos, I do not think that they may leave a scar. Just you be careful not to touch or scratch. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 23408, + "tgt": "Can vitamin C and magnesium levels be restored without stopping EDTA?", + "src": "Patient: Hello doctor, My calcium score is 2000. For lowering it I am taking liposomal EDTA a chelating agent meant to reduce calcium deposits in arteries. But my vitamin C and magnesium levels are sharply reduced. How can I restore vitamin C and magnesium levels without stopping liposomal EDTA? Doctor: Hello. You are taking antioxidant EDTA (Ethylene diamine tetraacetic acid) for reducing calcium deposit in the artery and it is helpful in reducing blood pressure and cholesterol and preventing a heart attack. Now your vitamin C and magnesium levels dropped down because of that. So you can be prescribed Vitamin C and Magnesium oxide supplements in pill form. Vitamin C 500 mg tablet is also available that also can be prescribed if needed. Your physical examination should be done and if symptoms like the heart beat faster, diarrhea, muscle weakness, and cramps, easy bruising and bleeding if present then intravenous therapy might be needed. So you can consult your physician doctor for examination and can get prescription for low vitamin C and magnesium level. Take care. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 2457, + "tgt": "My anal region hurts and found some blood in toilet paper. Why?", + "src": "Patient: Hi doctor, I am having stomach pain in the lower abdomen for the past few days. I am also feeling bloated abdomen along with stomach pain. All day I have been trying to poo and I just did once. When I looked at the toilet paper there was a tiny bit of blood. Also, my anal region hurts. Now, it is itchy and sore. My urine is also dark yellow in color. Please help. Doctor: Hi. Per rectal examination. 1. Anal fissure. 2. Hemorrhoids. 3. Irritable bowel syndrome. Constipation and anal fissure. Tablet Rabeprazole, once a day early morning on an empty stomach to avoid any acidity. Consult your doctor, discuss with him or her and take the medicine with consent. If there is increased bleeding per rectum, fever and vomiting, then immediately head to the emergency room. 1. Drink plenty of water. 2. Keep anal area hygienic and clean. Wipe using wet wipes. 3. Eat healthy diet of fruits and vegetables. For further information consult an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 18407, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 17749, + "tgt": "After removing the spectacles, the eyes look crossed. How to correct them?", + "src": "Patient: Hello doctor, My 1-1/2 year old daughter is diagnosed with accommodative esotropia (crossed eye) and is recommended to wear glasses.\u00a0And she has been wearing them for a month now. But, when I remove the glasses, the eyes still look crossed.\u00a0But, looks fine when she wears the glasses.\u00a0Is there a surgery for correcting the alignment? I understand that she has to wear glasses for long sight. Please suggest. Doctor: Hello. Revert back with old records and photographs of eyes to an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 25234, + "tgt": "Why do I have a toothache four years after a root canal treatment?", + "src": "Patient: Hello doctor,I am having minor to in some cases moderate toothaches from time to time due to a chipped root canal. I have not had any issues until recently. It has been around four years since I had the root canal done but never went back to get the crown. I have not gone because of dental anxiety. I have not had great experiences at the dentist in my life. The pain and sounds of the tools make me weary. I take pain relievers (one a day usually, maybe two). The toothaches are not so bad, but they are bothersome, to say the least. I take primarily Acetaminophen capsules 500 mg. Toothache details:It is weird. Let me explain. I have recurring moderate toothaches (three to five a day) for a few days in a row, then I have a minor one maybe once a day for a few days then the cycle repeats. It is like a pattern. No toothache has been that serious but I do recall having a couple of low-end severe toothaches that did bother my sleep. Those, however are rare. These toothaches have been going on since two months. They are again, not constant. I do have times when I do not really have much or any pain, the most active toothache time is evening. Doctor: Hello. If you have not put a crown until now on the root canal treated tooth, then yes it can get infected and cause pain. The pain will only increase. So, it is better to go back to your dentist, get an X-ray done and get an opinion. If the root apex is again infected, you may need retreatment or you may lose that tooth. You will need antibiotics also. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 15735, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2507, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 2871, + "tgt": "CT scan shows bilateral cerebral atrophy with delusion in an older person. What should be done?", + "src": "Patient: Hello doctor, This is about a 71-year-old male. Psychiatrist said that a plain CT scan and another CT scan should be taken with contrast, but after four attempts they could not create channel in his veins, so contrast CT scan of the brain was not done. Plain CT scan of the brain showed: Cortical sulci, Sylvian fissure, basal cisterns at places and supratentorial ventricles are mildly prominent. Lacunar infarct in right claustrum. Mild bilateral cerebral cortical atrophy (age-related). Background: He was unnecessarily fearing that my relatives, neighbors, and municipality will search and steal his clothes, newspapers. Only one day, he had a delusion about dead relatives making a phone call. After taking prescribed medicine Olanzapine 5 mg, one tablet per night, he is behaving properly. He is under medication for one and a half months. Previously he used to sleep for two hours, now he sleeps for four hours. Doctor: Hello, Welcome to icliniq.com. The symptoms you have described, of paranoid ideation, suspiciousness, restlessness, decreased sleep are all indicative of a psychotic type of illness, most probably schizophrenia. It will require treatment from a psychiatrist with antipsychotic medicines. Olanzapine is one such medicine. This happens because due to elevated levels of certain neurotransmitters such as Dopamine in the brain which leads to reduced stress handling capacity of the brain. The medicine will get the levels to normal and help with the problem. For the first episode of this illness, treatment is recommended to be continued for one year and then medicines are stopped, for the second recurrence for three years and for the third time of recurrence it is lifelong. That is why please complete the course of the medicine as per the doctor's advice. The lacunar infarct in the brain also is one contributory region for this problem and for that I am sure the other general physician or neurologists must have given medicines to take care of the infarct and anti-clotting medicines. If the size is small, please continue those and it will reduce. Along with Olanzapine 5 mg, you can add Phenergan 25 mg (Promethazine). It will help him sleep better. Also, consider raising the dose to 7.5 if symptoms of suspiciousness do not reduce." + }, + { + "id": 3972, + "tgt": "What causes chronic cough?", + "src": "Patient: Hello doctor, I am a woman, 23. I am 5'2\" 137 pds. I am currently taking Cetirizine. I have been coughing badly for the past 5 months when I got my new job at a preschool. I went to the doctor, he prescribed me the before mentioned drug. Although, when it gets really cold, I cough phlegm and other times a dry cough. I would like to have a second opinion on what I should do because I am tired of coughing. Doctor: Hello. In addition to Cetirizine you need to take a bronchodilator medicine that will help bring out the phlegm better. Salbutamol (Albuterol) is an excellent drug that helps widen the small airway passages and bring out the mucus. It is available in the form of inhalers. Take 2 puffs thrice daily and gradually taper over a period of 2 weeks. Whenever the climate changes or you start coughing start on the inhaler. Second, when there is excessive mucus, in addition to the inhaler take ambroxol hydrochloride medicine also. It is available in syrup and tablet formulations. You require 30 mg. If the phlegm is green in color and tastes bad, you may require a short course of antibiotic. It is also advisable you wear masks when you go outside, avoid cold air in the mornings and late evenings, take plenty of warm fluids (adequate hydration), use a multivitamin temporarily, have healthy diet rich in vegetables and fruits. Taking garlic is helpful as it is known to have ingredients that help relieve asthma and associated bronchoconstriction." + }, + { + "id": 11979, + "tgt": "I have acne marks due to pimples during periods. What has to be done?", + "src": "Patient: Hello doctor, I am 24 years old and I have a combination skin type. I have minimal breakouts basically during my periods but these pimples leave a lot of marks. Please suggest me a tablet or a treatment on how to remove these marks. Also, I do not want to take any medicines containing steroids or apply any cream having steroids. Please help. Also, please tell me what to do to make my skin better? Not only my faces but also my body. Doctor: Hi. I have gone through your case. First, you need to understand acne is common and you may experience frequent exacerbation due to stress or periods as you already told. Moreover, steroids should never be used in acne skin. In fact, this aggravates acne. Please apply Clindamycin gel two times a day on pimples. Apply Vitamin C serum on dark lesion for three months twice daily. Use Cetaphil cleanser." + }, + { + "id": 1520, + "tgt": "I have erection problem and dry orgasm with a history of diabetes. Please help", + "src": "Patient: Hello doctor, I have erection problems and dry orgasms sometimes due to neuropathy. I have diabetes for 15 years and on insulin. Recently, I have blood pressure and started taking medication for the same. Cholesterol is also high, but now under control. Do I have a problem with conceiving children? Doctor: Hello. I understand your concern. I saw your examination report (attachment removed to protect patient identity), and there are some factors that affect your fertility and some abnormalities. First, varicocele may affect your fertility, a dilated vein can be the cause of your oligoozospermia (dry orgasm). Second, semenogram at least 40% of spermatozoids must be motile (in your only 1%) and there are abnormalities in your mophology too, 30% must be normal, in your case, there are 0% with normal morphology. Diabetes may cause abnormalities in your morphology and motility of the semen. Because the characteristic of semen may vary over time and undergone normal biological variability, it is best to repeat the test at least once. If abnormalities persist you should have a urologic exam. I would recommend a urologic exam and consult a fertility specialist." + }, + { + "id": 13984, + "tgt": "What exercises will lead to normal delivery in a person with small cervical length?", + "src": "Patient: Hello doctor, I am 23-week pregnant with DCDA twin. My CL at week 19 was 28 mm and I was asked to take bed rest. Can I do any exercise because I prefer natural delivery? Currently, I am taking Progesterone tablets vaginally and also weekly Progesterone injection. Doctor: Hi, Welcome to iclinq.com. Cervical length needs to be checked again at 24 weeks for further advice. In general, twin pregnancy has a tendency for preterm labor. Your focus right now should be on preventing preterm labor rather than normal delivery. For normal delivery to happen, you do not need to do special exercises (though pelvic floor exercise is supposed to increase the chance of normal delivery). You can start exercises after 32 to 34 weeks when babies will be safe in the outside world. Till then, it is better to avoid strenuous exercise. You can continue routine household work (or maybe morning or evening walk after consulting your doctor)." + }, + { + "id": 29197, + "tgt": "I am an active individual with low BP and heart rate. Should I be worried?", + "src": "Patient: Hi doctor, For the past one\u00a0month, I have been working out a lot such as running, body building and following a healthy diet. I have lost weight.\u00a0My blood pressure is 95/59 mmHg. My resting heartbeat is around 55. My weight is 73 kg.\u00a0I wanted to ask if it is fine to have this low heart rate and low blood pressure. I am feeling lightheaded, tired and shortness of breath sometimes.\u00a0Should I be worried? Doctor: Hello. It is very normal for athletes to have a low heart rate. Sometimes some people are born with this condition where they have very low heart rate and blood pressure. When did you first notice this development? Have you been on other drugs apart from the ones mentioned? For now eat a lot of fruits, vegetables, whole grains, fish, and low-fat or nonfat dairy foods. Try to be physically active at most times of the day you are awake, this will keep your heart rate up. Try to avoid smoking if you do. In case you continue to feel shortness of breath or experience fainting, please go to the hospital. You might require a pacemaker. 1. Congenital. 2. Drugs (calcium blockers and beta blockers). 3. Hypothyroidism. 4. Coronary artery disease. ECG. Revert with the details to a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 10370, + "tgt": "Why do I have bad smell coming from my nose?", + "src": "Patient: Hello doctor,Why do I have this bad smell coming from my nose? It is embarrassing. People around me smell it all the time. I do not have my mouth open and people smell it soon as I walk in the room. What is it? Doctor: Hi. The first thing that comes to my mind is a disease called atrophic rhinitis. Here, the mucous membrane and structures inside the nose shrink and the nasal cavity is filled with crusts, which get infected and smell. In this condition, the patient has decreased sense of smell, but others can feel bad smell coming out from the patient's nose. A diagnostic nasal endoscopy is sufficient to diagnose the condition. It can specify whether it is atrophic rhinitis or something else. If it is at all atrophic rhinitis, the treatment is frequent saline nasal washes and mechanical removal of the crusts by an ENT specialist. Rarely surgery is needed. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 10528, + "tgt": "I have blisters on my penis after masturbating without a lubricant. What is the treatment?", + "src": "Patient: Hello doctor,I have blisters on the head of my penis due to masturbation without proper lubricant. I thought that it would heal by itself in a few days but now the blister popped and the skin is very tender and hurts to the touch. Also, another blister of sort, developed on the tip. It cannot be an STI because I have not had sex for several months now. How should I\u00a0go about with the treatment? Doctor: Hello. There are a few conditions which cause painful blisters even without a sexual contact, like genital herpes, primary syphilis, impetigo among others. Please provide more details: The treatment would vary according to the details you provide. If you underwent any investigations, please attach that during the follow-up. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 23996, + "tgt": "People around me think I am staring at them although I am not. Please advise", + "src": "Patient: Hello doctor,I have issues with my peripheral vision and I can see everything around me. This is particularly uncomfortable for me and people around me, as it seems like I am staring at them even though I am not looking at them. Doctor: Hi. If you are suffering from a peripheral vision that makes you see less, then we can look at glaucoma as a cause and not when the opposite is true, that is when you feel you are seeing everything, which is normal. The best way to get this clarified is with a visual fields test or perimetry. This also happens to be the very same test that is done for people diagnosed as \"glaucoma suspects\" before taking any decisions on treatment/management. If you do feel that people are thinking that you are staring at them, then you must check to see if your eyes are crossed outwards. This deviation can be episodic, so detecting it may be difficult. A simple test you can do at home to check if your eyes are crossing out is the Hirschberg's test. You will need the help of a friend or a family member to do this. While sitting straight and looking at a distant object, ask your friend to sit directly in front of you and shine a torchlight at the bridge of your nose and look at the reflection of light on the black portion of both your eyes. If it is exactly in the middle of each black part, then your eyes are straight, if not then they are crossed and you may have to see a doctor regarding this. I hope this helps. Review after one week. Accommodation problems. 1. Alternate cover test. 2. Perimetry. Exotropia. Convergence exercises. For more information consult an eye care ophthalmologist online.--->https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 15014, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5554, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 12574, + "tgt": "Is it possible to get cold sores due to STD?", + "src": "Patient: Hello doctor, I had a cold sore appear on my mouth which I very rarely get (I have had them, although pretty rare since I was young). My partner also gets cold sores, however, he gets them quite frequently, and has been since he was young. When I saw mine appear a few days back, I was wondering if it is possible to get a cold sore from giving oral. If that is the case, does that mean that my partner should get checked for STD? If my partner needs to get checked for STD, how could he have caught an STD? Doctor: Hi. Most of the cold sores are due to HSV-1. If it is associated with genital lesions then more chances of STDs are there. If only cold sores, it is due to less immunity. Giving oral may or may not be the cause. As prevention, you both check for STDs but they are unlikely to be positive in your case. If one has cold sores, the partner gets it easily. Apply Zovirax (Acyclovir) ointment." + }, + { + "id": 2144, + "tgt": "Due to rectal bleeding, I end up in anemia. How long can I take iron tablets?", + "src": "Patient: Hello doctor, My height is 5'7\" and I weigh about 159 pounds. I am a male with anemia. I got a colonoscopy but they could not stop the bleeding, so I got a transfusion, and I also got another colonoscopy to make sure that the bleeding stopped. I have to get another colonoscopy between 3-6 months from the first colonoscopy. I went to see my primary care doctor and they gave me some iron pills to be taken for three months which are over the counter called Ferrous Sulfate. I went to see the gastroenterologist last month, and they told me to come back this month to make an appointment to get another colonoscopy. I cannot get in touch with my doctor right now because of the COVID 19. I wanted to know that if I still have symptoms of anemia, could I take some more iron pills or three months is enough? Doctor: Hi. You have mentioned that you had bleeding per rectum and you had gone for the colonoscopy. Can you share the report of colonoscopy so that I can know what was the cause of bleeding? It is perfectly safe for you to continue the iron medicines until the time you get an appointment with your regular doctor." + }, + { + "id": 14149, + "tgt": "Can hypothyroidism cause tinnitus, tiredness, cold, and fatigue?", + "src": "Patient: Hi doctor, I am a 37-year-old man feeling cold all the time. I have tinnitus and feeling tired and fatigue. I tested my TSH and it was 1.3. My TSH free was 16. Is this normal or could I have hypothyroidism? What other causes could it be? I am otherwise healthy, exercise a lot and normal. Doctor: Hi. I need a few more things to know about you to answer this. Please let me know. Do you have allergies or a stressful life or burning urination? Please answer these questions so that I can guide you better. I will be happy to help you further. Wish you good health." + }, + { + "id": 351, + "tgt": "Please suggest vegetarian diet plan for weight loss", + "src": "Patient: Hello doctor, I want to lose weight. I do not eat much and I have been working out regularly. Still, I am not losing any weight. I want a good vegetarian diet plan and some tips. Please suggest. Doctor: Hi. As per your height, your weight should be 68 kg. Here is a meal plan which you can follow for a month and contact back for follow up. Early morning: one tablespoon apple cider vinegar in warm water. Then you can work out for 35 to 40 minutes. After half an hour you can do breakfast. Breakfast: one plate poha + one cup green tea, or one bowl oats porridge with fresh fruits or one multigrain paratha with curd raita. Mid morning: one fruit + five almonds or two whole walnuts. After one and a half an hour lunch: two whole wheat roti + vegetable gravy + fresh salad a bowl + a bowl of yogurt or thin dal. Afternoon: A bowl of sprout bhel, or corn chaat, or popcorn, or chana chaat. Late evening: a cup of green tea + a small fruit. Dinner: A bowl of soup + one roti + veg gravy + half plate rice + a bowl of thin dal + few slices of cucumber and tomato. Bedtime: A cup of low-fat milk. Tips: 1. Avoid fried foods and outside eating should be restricted to once a week. 2. Avoid pickles and papads. 3. Try to finish your last meal 40 minutes before sleep. I hope this helps." + }, + { + "id": 16575, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30561, + "tgt": "Used home remedy to remove mole and it remains as a pinkish scar. Why?", + "src": "Patient: Hello doctor, About 15 months ago, I used apple cider vinegar as a home remedy to remove a mole from the back of my calf. I applied the apple cider vinegar to the mole daily until it formed a scab, which later fell off leaving pink skin underneath. There is still a pinkish scar, which is very slowly fading and I have been applying scar reducing serum daily. Prior to removing the mole, I had it checked by a few doctors and all of whom said it looked normal. \u00a0A week before the application of apple cider vinegar, I had visited a dermatologist for a skin cancer screening. On visual examination, he said it looked normal. The mole was very slightly larger than a pencil eraser, symmetrical, uniform light brown in color and very slightly raised. I have also just recently visited another dermatologist I pointed out the scar to her and told her what I had done. She said that the spot looked fine. Lately, my health anxiety has been heightened due to weaning off an SSRI a few months ago and subsequently trying different medicines, all of which have raised my anxiety level. I just would like some reassurance that I did not cause any damage by mole using the apple cider vinegar. I presume if it had somehow been cancerous, it would not have scabbed and fallen off, leaving just a scar. Also, is there any possibility that I could have somehow caused any cancerous changes to the remaining cells or into the bloodstream that just cannot be seen on the surface of my skin? Thank you for any input and assistance you can provide. I have attached photos for your reference.\u00a0The first photo is a picture of a very similar looking mole, which I currently have in my abdomen. The one on my leg, which I removed looked very similar, slightly larger. The second photo is the scar on the back of my leg where I used the apple cider vinegar to remove the mole. Doctor: Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 25661, + "tgt": "Is Sildenafil a safe drug and what should the dosage be?", + "src": "Patient: Hello doctor,Is Sildenafil 10 mg before sex a safe drug to help me with the problem of non-erection and pre-ejaculation? Are there any side effects? What precautions should be taken for having this medicine? What should be the dosage? I am suffering from erectile dysfunction and pre-ejacuation. Doctor: Hello. Sildenafil is a safe drug but should not be taken with other blood pressure lowering drugs especially nitrate group. The suitable dose is 25 mg 30 minutes before intercourse preferably on an empty stomach. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4063, + "tgt": "How to ignore the smoking habit of my husband?", + "src": "Patient: Hi doctor, My husband smokes a lot. I am quarreling with him often regarding this issue.\u00a0I feel so sad and depressed when I see him smoking. My husband gives me assurance that he will quit. But, he is doing the same again. Please help me with this problem and save my family.\u00a0Everybody says to ignore it, but I could not.\u00a0Please tell me how to make up my mind to ignore his smoking. Doctor: Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 3630, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 17218, + "tgt": "Why had my doctor suggested Dydrogesterone tablet for a month?", + "src": "Patient: Hi doctor, I did not get my periods last month. The actual due date was 15, but on the 22nd I got spotted. Then, I had a strip test, which came as positive. After four days, I went to my doctor for spotting and pain. My ultrasound report showed less than 5 weeks of pregnancy. There is no fetal sac and irregular gestational sac with 4.7 cm sized cyst. She prescribed me Tranexamic acid for three days and Dydrogesterone for a month. While taking Tranexamic acid, I got fresh blood for around three to four times. I just want to know if my pregnancy is safe. Shall I continue Dydrogesterone tablet? Should I go for another ultrasound after spotting has reduced? Please guide me. I had two pregnancies before. My first daughter is 9 years old and my other one is 6 years. But, I do not have this problem before. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25669, + "tgt": "What could this room spinning sensation be?", + "src": "Patient: Hello doctor,My problems are headaches and dizziness. When I woke up this morning, my head was aching and when I stood up, I felt the room turning around. I could not stand for a long time. I have a previous history of vertigo and migraine. Please help. Doctor: Hello. From what you have mentioned, most probably you have vertigo which may be due to many causes like: Inflammation of the labyrinth (inside of the ear) Positional vertigo with certain movement. Meniere disease which is associated with increased pressure inside the ear. So if you have any hearing loss or tunning sound in the ears, kindly let me know. My suggestions include: For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8043, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 24951, + "tgt": "When I do not drink enough water my urine turns white. Is this a problem?", + "src": "Patient: Hello doctor,I am having a discoloration in the urine. Whenever I am not drinking enough water my urine is turning white in color. There is no associated abdominal pain. Is there any problem with this condition? Doctor: Hello. I have gone through your query. I would like to know a few more details too. Passing cloudy/milky urine can be due to several conditions. Most commonly it is either due to some infection or due to excessive phosphate salts in urine. But can also be due to lymph in urine which needs to be evaluated. I would suggest a detailed clinical examination by a urologist with some basic urine analysis and ultrasound evaluation of the kidneys and bladder to identify the cause of the cloudy urine which then be treated appropriately. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 19773, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10358, + "tgt": "I had my right ovary and tube removed due to a 4. 5 cm dermoid cyst. Was it the right call?", + "src": "Patient: Hi doctor, I am a 34 year old female, and I had my right ovary and tube removed during C-section, due to a 4.5 cm dermoid cyst. The cyst was found during an ultrasound scan, five years back. The surgeon said a cystectomy was no possible because the cyst had completely replaced the ovary. Could you please confirm if the attached histopathology report says anything about the ovarian tissue? I had no symptoms, no pain, no torsion, and the right ovary was functioning in spite of the cyst. I became pregnant twice due to ovulation from the right ovary. What is the medical condition due to which the entire ovary is replaced by a dermoid cyst? Thank you. Doctor: Hi. I have gone through your attached reports (attachment removed to protect patient identity). Take care.\u00a0Hope your concern is solved. For more information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 14607, + "tgt": "I have microscopic hematuria. Is this curable?", + "src": "Patient: Hello doctor, I am a software professional. I work in shifts from 2 PM to 11:30 PM. Recently, I got a complete health check-up done and found to have microscopic hematuria. Before this health check-up, I used to take medicines for headaches (Saridon and Headset tablets). I used to drink alcohol thrice weekly. Now sometimes I get headaches, feel dizzy, and have gastric problems like burning sensation in the stomach. I do not have any other problems like pain in the abdomen, back pain, etc. Is this a severe threat to my health or kidneys? Is this curable? What type of diet do I need to follow? Please give your valuable advice. Doctor: Hello. I have gone through all your reports (attachment removed to protect patient identity), and except for the microscopic hematuria, all your reports are fine and there is nothing to worry about. Regarding the microscopic hematuria, it could be due to subclinical UTI (Urinary Tract Infection), which happens due to poor hygiene or due to inadequate drinking of water. Since you are a working professional, I presume you do not get much time to care about your diet and general things such as drinking enough water on time. Due to this, the urine keeps turning acidic and makes it a good environment for the local microbial flora to grow and cause UTI. It is not at all a threat as of now. UTI in men can be difficult to treat with because of resistance of organisms to many antibiotics. However, I suggest you try doing the following things: Consult your specialist doctor, discuss with him or her and start taking medicines after their consent. Till then take the medicines and most importantly drink enough water. Take care." + }, + { + "id": 26693, + "tgt": "Living with IBS is very hard. Please help", + "src": "Patient: Hi doctor, I have IBS. I cannot eat 23 foods items which include egg, wheat, milk, etc. But for the past two years, I could not use a computer or read a book. Living with this is hard. Please help. Doctor: Hi. Do not worry. Enjoy the world around you. Good luck. For further queries consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 10414, + "tgt": "Can Seroquel withdrawal cause loss of sensation in penis?", + "src": "Patient: Hello doctor,I finally withdrew from the drug called Seroquel. But now my penis has no sensation at all. I have much more arousal meaning my sex drive is back. But it is as though 90 % of the sensation is gone. While on Seroquel, I had more, but I stopped the medicine due to many bad side effects. It has been two weeks since my last dose. Doctor: Hello. Seroquel is Quetiapine, and the drug is an antipsychotic and mood stabilizer drug. In high doses in some individuals the drug is known to result in side effects like reduced libido, sometimes delayed ejaculation, difficulty in orgasm, etc. But Quetiapine is one of the safer antipsychotics if we compare this drug with other antipsychotic drugs. The possible explanation of reduced sensation on the penis could be mild withdrawal, which might result in numbness like symptoms, and this may present with symptoms like reduced sensation around the penis. But the dose you were taking that is 50 mg is not a very high dose. Stopping this would not result in much withdrawal except mild insomnia. If we link this with sexual side effects of Quetiapine or Seroquel, then this will reverse by own in coming days. In most cases, sexual side effects go by own in less than four weeks of stopping the offending drug. You were not on a very high dose so that the recovery would be earlier. Prolactin levels increase seen with antipsychotic use (in high doses for a long duration, but some individuals even in low dosage). The standards will normalize in some days, and this will result in an improvement of sensation on the penis. No need to worry, and at this point nothing should be done because your erection is relatively better now, this means libido is improving." + }, + { + "id": 6067, + "tgt": "I lick my lips a lot and it causes a permanent blackness above my upper lip. Please help", + "src": "Patient: Hello doctor, When I was young I used to lick my lips a lot causing a red line above my lips and under my nose. One day I went out and came back with a permanent blackness above my upper lip (not my skin color). It lools like I have a mustache. Please help. Doctor: Hello. Well, we would be able to help you the most if you are able to provide us with a clinical photograph of your condition. Based on the brief history you have provided to us, you seem to be suffering from Lip-lick cheilitis induced post-inflammatory hyperpigmentation. In simple words, your habit of licking lips too often in childhood made the skin surrounding the lips (called vermillion border of the lips) too sensitive that it developed red lines and made it vulnerable to sun-induced pigmentation. One episode of having stayed out may have resulted in the tanning of the sensitive lip area resulting in pigmentation. To prevent it from becoming darker, you should immediately start using a broad-spectrum sunscreen with an SPF (sun protection factor) of 40+ at least twice a day, every day, irrespective of your outdoor exposure. I am sure you will be able to procure a sunscreen from the pharmacy. For further details about ideal sun protection, you may read the sun protection information posted on our website. Additionally, use a good moisturizer over the lip and surrounding skin at least twice a day. To reduce the established pigmentation, a mild depigmenting cream may be needed. However, to suggest the ideal depigmenting cream for your condition, I would need to see the photograph of your pigmentation." + }, + { + "id": 11683, + "tgt": "I am getting acne along the jawline and cheeks. Is that due to hormonal changes?", + "src": "Patient: Hello doctor, I had this acne situation for the past three months. I am not sure of the cause. It started from the side jawline till the cheeks, and it got worse. I tried Benzoyl peroxide and it only helps to control but does not get well, and the skin got dried. Is it a hormonal change? What can I do? I am depressed for a year. Kindly advice. Doctor: Hello. Acne along the jawline and lower face can indeed be an indicator of hormonal imbalance. Do you have any menstrual irregularities, or facial hair growth or recent weight gain? I would appreciate if you send me the photograph to assess the severity and nature of your acne. Use the following medications after consulting your treating doctor. 1. Tablet Azithromycin 500 mg three days per week, for three consecutive days. 2. Use Adapalene plus Clindamycin gel. Apply once at night on acne in little amount without rubbing it and wash after one hour. 3. Use Benzoyl peroxide face wash. Do this for three weeks." + }, + { + "id": 23994, + "tgt": "I have a yellowish pus sac on my tonsil. What could it be?", + "src": "Patient: Hello doctor,I have a yellowish pus sac on my tonsils left side which I noticed a few days ago. A doctor says he thinks it is ectopic, I do not know what that is, but I can submit to you a picture of the spot on my tonsils. I have a good picture of it. I was sick about a month ago with a fever for a day and I had a sore throat. Doctor: Hello, Welcome to iciniq.com. I have seen the image (attachment removed to protect patient identity). The yellowish pus sac is a tonsil stone, known as tonsillolith. It occurs due to the accumulation of tonsillar secretions and some minerals inside the tonsillar crypt and obstruction to its free flow into the oral cavity and pharynx. It can occur subsequent to a throat infection or can occur without any reason as well. Does this cause any symptom like soreness or foreign body feeling or itching or painful swallowing? Otherwise, your tonsils and oropharynx area appear fine, without any sign of inflammation or infection. Are you a smoker? Do you have diabetes or hypertension or any illness for which you have to take medicines regularly? The stone sometimes easily comes out when we press it with a tongue depressor or a spatula. We do it in-office after giving a mild anesthetic spray onto the oropharynx and tonsils. Sometimes, however, it does not come off that easily. In some, it produces recurrent symptoms and the stone also forms frequently. They get benefitted by the removal of tonsils altogether. Do write back to us with all the details. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 23619, + "tgt": "My kid's pulpectomy could not be completed as she was screaming. Will it bleed?", + "src": "Patient: Hello doctor, My daughter underwent a root canal. She is 4. The dentist tried to do it with gas and numbing it. She sat well through the drilling, then when he was doing the pulpectomy, she screamed and choked and flailed around. The dentist seemed unable to handle it all and he said she had a hyperemic pulp. He said he could not stop the bleeding. He was worried for my daughter from the crying and choking. So, he put a temporary filling over it and stopped. He said he was concerned it may bleed and cause pressure inside the molar. Pain and or abscess or infection. I follow up with him in one week just to check it out. Is this something I should be concerned with or is it common? It sounds very scary that her tooth could be bleeding from inside. I am just wondering if I need a second opinion, she needs to see her pediatrician or what. I am nervous. Is this a common thing or do I need a new pediatric dentist? Doctor: Hello. It is normal for the pulp to bleed profusely when it is a little enlarged inside, like a polyp. The dentist could have easily managed her, had he given a local anesthesia (just a drop would have numbed it) directly inside the pulp when doing the root canal treatment. He could have then removed the pulp polyp and done the remainder. As soon as the pulp polyp is scraped away, the bleeding would have stopped instantly. Do not worry. In the next appointment, he may do it. Anyway, the bleeding is nothing to worry about, as it will not cause any severe pain now due to pressure. But, next time, when he opens it, ask him to put local anesthesia drop inside or inject it directly inside (all this after giving inhalation gas), and then do the procedure. For more information consult a pedodontist online --> https://www.icliniq.com/ask-a-doctor-online/pedodontist" + }, + { + "id": 3005, + "tgt": "Is it normal to have severe pain after complicated molar extraction?", + "src": "Patient: Hello doctor, I had my tooth removed befor three days (bottom left first molar) and it was a tricky one to get out, around an hour or fighting with it until it gave in. Before this I have had an ongoing infection in the tooth and had previously around three courses of antibiotics. I finished my last course two weeks before the extraction. The pain on the day once the anesthetic wore off was very bad. I had to take Paracetamol and Dihydrocodeine. Since then the pain has reduced a little maybe 10-20% less painful but it is still causing pain. Today it looks a bit manky, is this normal and expected? Here is the tooth as of today (third-day healing). I have done my best to keep the clot in place. I only had soft foods, not had any kind of sucking motion in my mouth, no smoking, etc. The teeth on the bottom front left are also very painful but the right side of my mouth is fine. Applying any pressure in that area hurts. Doctor: Hello. I have seen the picture. (attachment removed to protect patient identity). The extraction wound looks normal. The pain you are feeling is also normal given that it was a difficult extraction and your dentist had to struggle pulling it out. You can use salty lukewarm water mouthwash and add Ibuprofen to the painkiller you are taking and take them regularly three or four times a day not as required and you should be fine in a couple of days. Do not forget your diet and eat nutritious foods rich in proteins and vitamins as this is important for the healing of your wound and can get ignored in the middle of your pain. I hope this helps." + }, + { + "id": 2597, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 6867, + "tgt": "What is the treatment for chalazion?", + "src": "Patient: Hello doctor,I have a red bump under my low eyelid. It is painful, but I have a feeling that it is growing a little bit. I read about it, and it was said to be chalazion. I started putting hot compresses on it (boiled an egg and put it on a clean thin wash cloth) and let it sit on my eyelid for like 10 minutes. I do not know what to do. I am really scared. Kindly advice. Doctor: Hello. You are right it is a chalazion (attachment removed to protect patient identity). There are sebaceous glands in our eyelids. Sometimes their secretions are blocked it is becomes a nodule called chalazion more common in people who got acne. Usually, it is painless, but if it becomes infected, it can cause pain as you said, you feel you might need to get antibiotic tablets (like Augmentin if that suits you) and some pain killer. Warm compresses are also helpful to open the ducts of glands. In the majority of cases, it resolves at its own. But if it does not improve, then a minor surgery (Incision and curettage = a small incision and removal of cheesy material), or sometimes a steroid injection, can be injected to avoid surgery. So do not worry. In your case, you need to take oral antibiotics and pain killers for five to seven days, and I hope you will be alright. Continue warm compresses, or you can visit your eye doctor." + }, + { + "id": 15407, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 16617, + "tgt": "I often have a discomfort in my chest, but my ECG is always normal. Please help", + "src": "Patient: Hello doctor, I am a\u00a036 year old man.\u00a0Of late, I am feeling a discomfort on the left side of my chest since the last six to seven months. I visited a doctor who took an ECG which was normal. But again after a\u00a0month\u00a0or two, I started feeling the same. I used to get up early in the morning at 4 AM and feel a discomfort with no sleep thereafter. My doctor took a 2D echo which was normal and suggested CT angio which was normal as well. But again after seven to 10 days, I get the same feeling. I have done an ECG thrice, a 2D echo twice and a TMT twice which were all normal. I am not sure if it really is a cardiac problem or some other. I quit smoking last year. Please suggest. Doctor: Hello. Hope you get alright soon. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 9517, + "tgt": "I have low lying placenta at 28 weeks. Can I travel?", + "src": "Patient: Hi doctor, I am 28+2 weeks pregnant and have low lying placenta which is 1.6 cm from the internal os. I want to travel by train for a six hour journey. Will the train journey affect my baby and me? What should I do? What precautions should I take in this? Can blood clot happen in journey? Please advise regarding the same. Doctor: Hello. For further information consult a fetal medicine specialist online --> https://www.icliniq.com/ask-a-doctor-online/fetal-medicine-specialist" + }, + { + "id": 26655, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16393, + "tgt": "Is it fine to take two emergency contraceptive pills within the same month?", + "src": "Patient: Hello doctor, I am 21 years old. My last period was a month back. I had sex two days later at night. I used the condom properly, no tear or any break, but there was some liquid on him) and took the emergency pill Levonelle next morning. Then five days later, I had some bleeding which I am not sure whether it was just bleeding or unusual period. Ten days later, I had sex and took an emergency pill two hours after. I would like to know, is that possible to take the pill for two times in the same month and is it still efficient? My average period cycle is normally 28 days, usually, between 26 to 32 days, and duration lasts long for 6 to 7 days. Could you please suggest another method of contraception that will be suitable for me? Doctor: Hi. No, it is not known that emergency pills are how much effective when taken more than once in the same cycle. You should be careful before taking it. Your periods can be disturbed due to it. Bleeding may be due to it. Wait for your period and if it is delayed then do urine pregnancy test to confirm. More likely it turns to be negative and periods delayed. With a regular cycle of 26 to 32 days, you can look for the safe period definitely. If you do not have any kid, then condom and monthly pills are the best options you have as a contraception. And if you have one or two children then copper T is also a good option. Do consult the nearby gynecologist to clear pros and cons of each. Not a single method is 100 % effective. So keep in mind that everything has its failure rate. Do drink more water." + }, + { + "id": 28030, + "tgt": "My nose bleeds often. What could be the reason?", + "src": "Patient: Hello\u00a0doctor, My nose is bleeding often. It happened six to eight times in the past 10 months. The blood is red\u00a0in\u00a0color. I do not feel any pain, and the bleeding is not too much. Most of the times I do not realize that my nose is bleeding. Doctor: Hello. Bleeding of the nose is quite common in some people. Do revert if you have any further queries. I will be happy to help you. For more information consult an otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 11750, + "tgt": "What causes high platelet count in a baby?", + "src": "Patient: Hello doctor, My 12 months old baby girl got high platelet in her anemia blood test. Hemoglobin and WBC are normal, her platelet was 1170. After three days we made a test again and got the result 960. What can I do now, baby is fine. No unusual symptoms. Sometimes, she gets cold and fever but that is normal I guess. Is there anything to worry? Doctor: Hello. Your child's liver, spleen and lymph nodes should be palpated to check for any enlargement, if present. The thrombocytosis is usually considered reactive when decreasing with the time. Your child's platelet reduces in three days so mostly it will be reactive secondary high platelet for which no specific treatment needed. But you need to repeat your child's CBC again after one week. If after one week it remains high, then you should consult hematologist or pediatrician for detailed evaluation as per my opinion." + }, + { + "id": 21430, + "tgt": "Is it life-threatening to have blood on return during IM injection?", + "src": "Patient: Hello doctor,I injected Kenacort into the muscle and when I made the return there was some blood. I did not notice that and I finished the injection. Is there a danger to the life of the patient? Doctor: Hello. I understand your concern. Usually, we do not inject when during the return there is blood. However, we often recommend the patient: If you need to inject another vial, please report what you experienced the last time to your primary doctor, so can advise stopping giving the injection until we are totally sure nothing has happened on that muscle. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 13798, + "tgt": "My father is a diabetic. What kind of fruits can he have?", + "src": "Patient: Hi doctor, My father is a diabetic. He likes to have fruits. But I am worried he is not supposed to eat some kind of fruits. Please advise regarding what kind of fruits he can have and those which he should not have. Doctor: Hi. Fiber-rich foods are generally safe for diabetics to eat because they tend to have a lower glycemic index and therefore do not spike blood sugar levels to the same extent as high glycemic index foods. Fruits with high fiber content include passion fruit, orange, raspberries, apples, pears, apricots, blueberries, kiwifruit, strawberries, avocados, and raw papaya. Quantity to be consumed: A person who is diabetic should make frequent changes in his menu, meaning your father should take a small quantity of these fruits in a day asevery 10 g equals to 40 calories. So, he should not take any fruit in too much quantity, because all fruits have sugar in them. But the ones which I have mentioned above have low sugar and high fiber. For example, if he takes 1 medium orange a day, he can replace it with a pear the next day. So that each day he can have a different fruit." + }, + { + "id": 8889, + "tgt": "Why did I vomit three worms?", + "src": "Patient: Hello doctor, I am a 36-year-old male. I vomited yesterday, feel fine now. But I puked up three worms. About 1.5 to 2 inches wide. How do I kill them? Doctor: Hi. You seem to be having severe worm infestation. In such case scenarios, I recommend my patients to take tablet Albendazole 400 mg twice a day for three days. However, I first recommend a stool examination for ova and cyst." + }, + { + "id": 28513, + "tgt": "I would like to get tubal ligation reverse surgery. Is it safe?", + "src": "Patient: Hi\u00a0doctor,I have had tubes tied for about seven years now and had a tummy tuck before four years. Now, I would like to get tubal ligation reverse surgery done. I was wondering is it safe to have the procedure done. Please explain. Doctor: Hi. For further information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 23453, + "tgt": "Why do I feel dizzy when I get up suddenly?", + "src": "Patient: Hello doctor,Almost everytime I suddenly get up from sitting or laying, I feel very dizzy for about five to 10 seconds. I am better the longer I stand, it is just initially I am dizzy. I recently had a CBC, blood glucose, thyroid, and kidney function test that came back normal and during my physical exam, my doctor said I seem perfectly healthy. What could be the cause of this? It is like orthostatic hypotension but why would I have it? Doctor: Hello. It is very common to feel this way when one suddenly changes his/her position from lying down to standing very abruptly. One should not abruptly stand up from lying position. It happens due to the sudden flow down extremities from above. So, due to a sudden change in circulation, it can lead to that. It is advised that you always get up slowly to avoid further similar episodes. I hope you find this helpful. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 28870, + "tgt": "I am suffering from epididymo-orchitis. Please tell me whether I am fertile or not", + "src": "Patient: Hi doctor,I had an attack of orchitis in my right testis. I have undergone a scan due to pain. It showed right epididymo-orchitis, and my sperm count is 59 million and 60% actively motile. Please tell me whether I\u00a0am fertile enough or not. My affected testis size is small, and I am mentally getting disturbed. Nowadays, I am not experiencing the pain, and it is witnessed only in stressful condition and on strenuous exercise. Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 8704, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7566, + "tgt": "How to get sound sleep without Alprazolam?", + "src": "Patient: Hello doctor, I am a 34 year old male. My weight is 68 kg. I am married and have two kids. Because, of the disturbance made by my kids, I was not able to sleep well sometimes. So, I just started taking tablet Alprazolam 0.25 mg. Now I have been trying to gradually stop taking the medicine. So, I had 0.25 mg on the alternate days and in between 0.5 mg twice a day. I have a feeling that my body has got addicted to tablet Alprazolam. Because, from the day I stopped taking the tablet, I am not able to sleep even a little bit. Yesterday too, I tried without medicine. But, I could not sleep. Then at midnight, I had 0.5 mg and then slept for 4 hours. Please help. Thank you in advance. Doctor: Hi.I can understand your concerns. Alprazolam is a habit forming drug. I would suggest you to take Zolpidem for disturbed sleep. Zolpidem is less addictive compared to Alprazolam. I will suggest you the following measures to get a sound sleep. Please try." + }, + { + "id": 15749, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11832, + "tgt": "What can be done for raised heart rate in a hypothyroid patient?", + "src": "Patient: Hi doctor, My wife sometimes has a high heart beat more than 200 times in a minute. Gone through ECG and Holter test, but could not find why it is happening. She is 40 and hypothyroid patient and taking Thyroxine 50 mg. Please suggest any treatment for that. Doctor: Hello. Please show me ECG and Holter so that I may diagnose what is rhythm, and prescribe management plan. She is taking Thyroxine which may also cause sometimes fast heart rate. Do thyroid profile, if not done recently, and send me results. Finally, try to reduce weight. Obesity is a field in which different diseases grow including cardiovascular, cerebrovascular and sugar. Thyroxine overdose, anxiety, atrial fibrillation. TSH, free THE, free T4." + }, + { + "id": 30662, + "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": 9215, + "tgt": "Please explain MRI taken for head, neck, and sinuses", + "src": "Patient: Hello doctor, I need a report on MRI done for head, neck, and sinuses. Kindly help. Doctor: Hi. There is mild deviation of the nasal septum with convexity to the left of the mid line (attachment removed to protect patient identity). There is a mucosal polyp in the right maxillary sinus and minimal mucosal thickening. There is mild opacification of the bilateral ethmoid sinuses. There are multiple small bilateral cervical level Ia, Ib and II lymph nodes. Neck lymph nodes are commonly due to infections of the head and neck area and even mild infections can be the cause of few enlarged reactive lymph nodes." + }, + { + "id": 8587, + "tgt": "Please view my wife's transthoracic echo doppler report and tell us what is wrong", + "src": "Patient: Hello doctor, My wife's transthoracic echo doppler report interpretations are as follows. 1. No regional wall motion abnormality (LVEF 60 %). 2. Normal cardiac chamber dimensions. 3. a.Trace MR. b. Trace TR, normal PASP. 4. IVC is normal in diameter. 5. No LV Clot, vegetation, pericardial effusion. Are these findings fine, or is there anything to worry? Doctor: Hello. This echo is normal, however considering her diabetes status and dyslipidemia, it is better to subject her to further testing like treadmill test or CT coronary angiography to know the status of cardiac vessels. Patients with such risk factors frequently have blockages in the arteries, so should undergo further evaluation. I hope this helps you and get back if you have any doubts." + }, + { + "id": 19452, + "tgt": "I have vulvodynia, will I always have this? Have you seen this cured in your experience?", + "src": "Patient: Hi doctor, I am 48 years old and have been in good health.\u00a0I have not been officially diagnosed, but I think my issue is some form of vulvodynia. \u00a0Symptoms started as discomfort as if something was digging around my panty line. This went away completely for three weeks. Then again started to get stabbing pain and burning sensations as if raw skin (very sore). I had scanned and swab test done, all came back clear. I had internal and external investigations in vain, but terrible soreness\u00a0was there. Finally after two months, GP prescribed Amitryptiline 20 mg and last week put up to 30 mg. I was using Lanacane every day but GP prescribed Cinchocaine ointment which helped greatly. GP said that it will take a few months to get back to normal but I read on the internet which gives out loads of horror stories. Should this go away eventually? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5541, + "tgt": "Why do I lose erection with no pleasure during sex?", + "src": "Patient: Hello doctor, On having sex I start to lose my erection, when I wear condoms also I do not feel anything after wearing condom. It was my first time and I did not feel any pleasure while entering a vagina. Is this a major issue? Should I get it checked? Doctor: Hi. First of all, you should understand erectile dysfunction. You are just 23. At your age ED will never come unless you are in some influence of liquor or drugs. Other than these two reasons, ED can also happen due to performance anxiety. Anyone can feel anxiety and apprehension when they go for first time sex. That is natural. Not knowing what to do and how to do, not having sexual experience, worry about getting pregnant, worry about failure, worry about satisfying that partner, worry about what will happen if others come to know, etc., there are so many stressful anxious questions inside your mind. All these combines to create performance anxiety and ED happens. So do not worry about that one incident. Regarding condom, while wearing condom, men naturally have lesser pleasure because of the sheet between penis wall and the vaginal hole. Do not worry too much about it because the more you worry, more the problem will trouble you. Take care." + }, + { + "id": 30996, + "tgt": "My girlfriend took Mifepristone instead of I-pill. Will it cause any side effect?", + "src": "Patient: Hi doctor, Is taking contraceptive pill - Mifepristone\u00a0after sex safe? Doctor: Hi. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3040, + "tgt": "How to fix the problem of repeated collection of fluid in ears?", + "src": "Patient: Hi doctor, I have a history of ear problems (seven surgeries as of right now). I had tubes placed in both ears when I was younger and more recent before few years. After the tubes were removed, both ear drums were left with holes in them which have been closed with surgery. In the left ear, there was only one tympanoplasty done. As for the right ear, there was a fat plug done and failed, next there was a tympanoplasty which also failed. Finally, a neurotologist preformed another tympanoplasty with cartilage back up and it has taken. Within the last three months, I have had fluid in the left ear twice and Prednisone has been used. Once I was flying and caused barotrauma from being sick and flying. The other was just fluid sitting there, which is still there after 12 days of Prednisone. Also, I have been told to take Amoxicillin three times the last three months, only I did it with the barotrauma as there was blood sitting behind the ear. Now, I have got three different opinions from ENT doctors and still, I am confused as to what to try. The normal ENT that has done all but the last surgery, where he made me go elsewhere because he was not comfortable trying again and said the hearing in my right ear has gotten worse from the last hearing test (I do not have a copy of the most recent hearing test), he wants to put a hole in the right ear. The neurotologist was for putting a tube in the right after surgery, as there was fluid behind the ear drum but he has left the country so my choices are limited to go back to him. I have been traveling back and forth 12 hours each way for the last few months and driving after the barotrauma is getting pain in the left ear. Now, the second doctor's opinion, he said that he would not recommend tubes as both ear drums are intact. He recommended for an allergy test if it helps at all I have been using Flonase as well continuously (all three doctors said to do it). The third doctor told me he would leave the right ear alone and recommended a tube in my left ear with my travel schedule. He basically said I need to determine if I want to live with holes or leave them intact and have pain when it comes on. Also, I have been diagnosed with TMJ after the first tube surgery, which I think that lead to the pain that made me go through with the tubes in the first place. I have had treatment for that, I hit all the limits I could with my dentist and am now having a day time splint made. All the problems in the left ear have started since three months back. I was placed on Prozac by a doctor, which is known for making clenching worse. I have done the botox in the masseter (for TMJ), which has helped in the past and we did 25 units this time (last time was 15 units). Overall, I am wondering if it is in my best interest to try and pull off the Prozac (with the doctor's permission) or just getting tubes in both ears and not doing any more reconstructive surgery. Doctor: Hello. Thanks for the detailed history. I can understand that you have gone through a lot because of your repeated ear issues. Very clearly none of the conditions you have (either fluid in middle ear or hole in the eardrum) are painful conditions. Surgery for these conditions is done mainly to improve hearing. Repeated collection of fluid in the middle ear can occur due to various reasons such as eustachian tube dysfunction, adenoids, allergy, etc. The most common being eustachian tube dysfunction. Now, coming to the treatment of your condition. You can continue Flonase nasal spray for a few months and see if there is any improvement in fluid in the middle ear. If that is not working then the next option would be to undergo balloon dilatation of eustachian tubes which may work sometimes. Last option would be the insertion of grommet again. But an operated ear grommet can cause permanent perforation and you have to live with it all your life. As far as pain is concerned, it is probably due to TMJ dysfunction. As you said Prozac worsens bruxism and you may need to stop it with your symptoms or doctor's consent. These chronic conditions such as eustachian tube dysfunction are difficult to treat and eustachian tube balloon dilatation may be a good choice for you (as you are a frequent flyer)." + }, + { + "id": 29263, + "tgt": "Following skin firming treatment, I got very large bulges on my lower face. Is this normal?", + "src": "Patient: Hi doctor, I am 34, and I used to get Botox once in every few months.\u00a0I recently went to a plastic surgeon to have a consult for skin firming treatment.\u00a0I was told that I am an excellent candidate for Sculptra facial injections.\u00a0I was told that the facial injections would cause no down time and give a gradual firming effect over a few months. I proceeded to have the injections, and after the first week of bruising and swelling went down, I was left with two very large bulges on each side of my lower face along the jawline. One side is even larger than the other. As I was very concerned, I went back to the doctor. I was told this was normal and it would go away. Over a month later I still had these bulges and went back again, and I was given steroids.\u00a0I am inquiring about the second option because I am still being told by the doctor that this is normal and it has been two months. I would like an option on the result, if it truly is normal or if I am dealing with something else. What can I do to fix it?\u00a0Thank you so much. Doctor: Hi. For further information consult a plastic surgeon\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 20362, + "tgt": "How can I reduce the frequency of passing stools by taking ayurvedic medicines?", + "src": "Patient: Hi doctor, My stools are well-formed. But I go multiple times. Many years ago, I used to pass loose stools. I took Ayurveda treatment for eight days. It gave me good results. How can I reduce my number of seats? Please suggest. Doctor: Hi. Passing stools frequently in well-formed consistency indicates the history of grahani roga. It correlates with IBS (irritable bowel syndrome). If it is associated with pain, burning, and stool with mucus, then it is diagnosed as colitis. You can manage them naturally by taking ayurvedic medicines and by doing yoga practices. Take these medicines regularly for one month. Take Bilva Avaleha (Baelphal with Avaleha) one teaspoon twice a day before having food. Take Dadimastaka Churna (Vamsha with Nagakesara) three grams twice a day with warm water. Take Kutajaghana Vati (Kutaj herb) two tablets twice a day with warm water after having meals. Take Pipallyasava (Amla with Lodhra) 15 ml twice a day with an equal amount of water after having meals. Avoid taking spicy and fried junk foods. Avoid smoking and drinking if you have these habits. Avoid taking milk and milk products, tea, coffee, cold drinks, soft drinks, and ice creams. Eat fibrous foods and fruits as well as green leafy vegetables. Do regular kapalbhati and mandukasana as well as pranayamas like anuloma vilom, Nadi sodhana pranayama, and bhramari pranayama. Do these things and provide your valuable feedback after fifteen days." + }, + { + "id": 4813, + "tgt": "Does swelling of gums after root extraction suggest infection or dry socket?", + "src": "Patient: Hello doctor, I had seven teeth extracted today, just the roots. Anyway, over two of the teeth the dentist said there was an infection. I did not get any antibiotics, but she cleaned the area after. There is a lot of swelling in that area, and the gums are real red and like an ulcer. But not much pain. Is this normal? How do I know if it is infected or dry socket? Or anything else it could be? Doctor: Hi. I have seen the photos. (attachment removed to protect patient identity). Nothing to worry about. For the swelling give cold pack from the outside of the extraction area. Do not spit or rinse the mouth for a day. Drink lots of water to keep yourself hydrated. Do not suck anything such as ice cubes, using a straw to have liquid, etc., because it will lead to dislodgement of the blood clot. Do not see the extraction site every time, it will heal in seven to ten days. After 24 hours of extraction rinse your mouth with lukewarm saline water three to four times a day, it will help in healing. Do not smoke or chew tobacco. Do not drink alcohol or sodas. Have semi-solid food for two to three days. Dry socket is caused by the dislodgement of the blood clot from the extraction socket. In your case, white color flim is there that clot is covering the socket. Wait for one more day, if the swelling does not reduce consult your dentist. If you could provide me your age, gender and medical history, I will be able to advise on medication as well." + }, + { + "id": 8311, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 4000, + "tgt": "My sister is suffering from severe vaginal pain. What to do?", + "src": "Patient: Hi doctor, I need an opinion regarding my elder sister. She is 52 years old. She is diabetic and is suffering from severe vaginal pain for the last few weeks. While collection of pap smear, the swab was bloody and it was very painful for her. She is currently using Candid cream and Candid V6 tablet for vaginal insertion. I have attached the reports of pap smear and CEA - carcinoembryonic antigen serum test. Please help. Doctor: Hello. The reports of both pap smear and tumor markers are within normal limits and rules out any malignancy in terms of possible cervical cancer. However, the pain in vagina and blood tinge at her age, where she is likely menopausal, could be due to atrophic vaginitis. There will be severe burning sensation and vaginal dryness, which can cause pain especially on moving or walking. Revert back with the details to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5885, + "tgt": "I have throat pain on swallowing and it persists even after taking medicine. Why?", + "src": "Patient: Hello doctor, I am a 30-year-old male. I have a throat infection with pain in swallowing which increases at night. I took Enzoflam two tablets per day for three days, but the pain still persists. Please advise. Doctor: Hello. The majority of throat infections are caused by viruses that cause the common cold and flu. Less often, sore throats are due to bacterial infections. Not all are viral or bacterial, other causes include an allergy to mold, pollen or other irritants or smoking cigarettes or even gastroesophageal reflux (in common words acidity). It is important to determine the cause, which will help to treat the symptoms. If you are having a fever with a lot of irritation or pain in the throat it is important to consult an ENT specialist in your town and get your throat examined. He will do a physical examination and examine the throat with a lighted instrument. He will also feel your neck for swollen lymph nodes. This will help to reach the diagnosis. If throat infection and fever last for more than five days, it is necessary to run blood tests. My advice on treatment: 1) Even if the cause is viral, there can be a bacterial added infection, so start on antibiotics. A combination of Amoxycillin with Clavulanic acid (625 mg) is good to be taken twice daily after food for five days. 2) Reduce inflammation and pain with Acetaminophen twice daily after food. Take an antacid with a pain killer to reduce gastric irritation. 3) Gargling with warm salt water or betadine gargles three to four times a day will help. 4) Drink plenty of warm fluids like tea, soup, and water. 5) Take throat lozenges. 6) Avoid allergens like dust and smoking. I hope this helps." + }, + { + "id": 26217, + "tgt": "How to protect my newborn from mosquito bites?", + "src": "Patient: Hello doctor, I have a newborn baby girl at home. What mosquito repellent can I use for her? Can I use camphor at home? Will placing camphor pieces at the corners of the home harm the inhalation of the\u00a0baby? Doctor: Hello. For further queries consult a child health specialist online --> https://icliniq.com./ask-a-doctor-online/child-health-specialist" + }, + { + "id": 17204, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6595, + "tgt": "My daughter is diagnosed with PAN and multiple aneurysms. What is the treatment?", + "src": "Patient: Hello doctor, My 21 years old daughter suffered from severe abdominal pain and vomiting one month back. I consulted a local physician for treatment. He gave some antibiotics, but no relief. I consulted gastrologist too. He prescribed some medicines, but no relief. He advised me to do the abdominal sonography; no abnormality found. I consulted Rheumatologist, and she was diagnosed with PAN. The doctor advised doing a CT angiogram. The CT angiogram showed multiple aneurysms. Previous CT has done eight years back. She is currently taking Predace, Azoran 50 mg, Telma 40 bd, Stamlo 5 mg bd and Cizaspa-X. Doctor: Hello. I have gone through your query. The diagnosis of Polyarteritis nodosa looks quite certain. Microaneurysms, high blood pressure, and high CRP are favoring it as well. I understood that she had been started on steroids and Azoran (Azathioprine). My personal recommendation would be to go for Cyclophosphamide as it can shut off the disease quickly and decrease the incidence of relapses. I hope this helps." + }, + { + "id": 181, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 28668, + "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": 27485, + "tgt": "Please suggest a permanent cure for Meniere's disease", + "src": "Patient: Hello doctor,My mother\u00a0has\u00a0Meniere's disease. What could possibly stop attacks of headaches and head spinning? She is currently taking Vertin tablet whenever she gets an attack. Doctor: Hi. Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 22004, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19340, + "tgt": "What can cause arm pain particularly after sleep?", + "src": "Patient: Hi doctor, I am a 23 year old male student. I have severe pain in my right arm for the past 12 hours. There is no other accompanying symptom. I had encountered the same problem a couple of times in the past. The pain starts suddenly preferably after sleep. What to do? Doctor: Hello. 1. Cervical disc radiculopathy. 2. Saturday night palsy (radial nerve compression). 3. Rotator cuff tear or sprain. Revert back with the answers to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27538, + "tgt": "Is my thyroid function test report normal?", + "src": "Patient: Hi doctor, All of a sudden, my skin has become very dry, but it was oily before. So, I got a thyroid profile done, and the values are T3 1.35, T4 12.4, and TSH 0.77. Doctor: Hello. I just read your query about your thyroid function test, and it appears that you have a normal thyroid function.\u00a0Although it would have been better if you had mentioned the units of each as well. For more information consult an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 23078, + "tgt": "Is it safe to take a prematurely born six month old baby to a hill station during winter?", + "src": "Patient: Hello doctor, I have a premature baby girl who was born at 800 g. She is now 6 months old by actual age and 4 months by adjusted. We have to attend a very close family wedding at a nearby hill station which is very cold at this time of the year. She weighs 4.82 kg now. Being born premature and this being her first winter, should we take the baby there? The function will take place at night. Doctor: Hello. There is no absolute contraindication to attend the wedding. A premature baby is more susceptible to infections (common cough and cold) as the immunity is low. At present, her weight is within the normal range considering premature nature of birth. Take utmost care. Cover the head portion and leg with extra cloth so that the baby does not catch a cold. Enjoy safely and take care of the baby. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 28682, + "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": 4970, + "tgt": "Had sex before two days of periods. What is the chance of pregnancy?", + "src": "Patient: Hi doctor, We had sex before 2 days of her period. She had a pill after 64 hours. She got her periods but it has been continuing for six days. What is the chance of pregnancy? 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": 29164, + "tgt": "Is regular running bad for heart?", + "src": "Patient: Hi doctor, I am a 40 year old female. I am an avid runner. I run 5 to 7 miles daily. Is this bad for my heart? I keep reading that I could be damaging my heart instead of hurting it. I have tried only running 3 to 4 miles instead of the longer mileage, and it makes me crabby. I have no heart disease in my family. Doctor: Hi. Jogging is a good exercise, and it benefits the whole body including the cardiovascular system. So, you need not worry about this. For further doubts consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 8735, + "tgt": "What is the cause of brownish discharge after intercourse?", + "src": "Patient: Hi doctor, I recently had unprotected sex with a guy twice in an interval of three days. After the first time, there was a lot of pain, but had a regular whitish discharge. Second time, I started having this brownish or yellowish discharge and I have taken the photo of the discharge. I am not sure what it is? Neither of us have STDs. I am quite scared of being pregnant. I do not remember when I had my last period. Is this discharge normal? Please help me. Doctor: Hi. The brownish discharge seems to be due to rupture of your hymen. Generally, if you have sex for the first time in case of a virgin, then the hymen gets partly withered or at times does not. However, during repeated acts of intercourse, there are fair enough chances that it ruptures and maybe that is the cause of brownish discharge after the second time. However, we will wait and watch as there is no such matter of concern. If it happens again, then please do visit a nearby gynecologist and get an internal check done. Coming to the pregnancy point, if you do not remember your periods date, then at least get a urine pregnancy test done after one month and wait for the results. If the result is negative, then repeat the test after a week. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8427, + "tgt": "I get frequent pus-filled pimples in my underarms and the groin area. Please help", + "src": "Patient: Hello doctor, From the past 2 to 3 years, I frequently get pus-filled pimples. I consulted two different doctors, who told it is probably a gland infection. They suggested medicines for months. When I take the medicines, I do not get any pimples, but they come back as soon as I stop taking them. From the past few days, I got the same pus-filled pimple in my groin area, below the testicles. Kindly suggest suitable treatment. Doctor: Hi. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 15135, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15195, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29961, + "tgt": "Is vasectomy a safe procedure?", + "src": "Patient: Hi doctor, How safe is vasectomy? In the long term, will it affect my sexual life? Will it affect the capability to have erection of penis? Will it cause any kind of erectile problems?\u00a0What are the side effects of vasectomy? How long does it take to heal? Is it possible to lead a normal, active life after the procedure? If given a choice of either vasectomy or tubectomy, which is better? 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": 17652, + "tgt": "I have a tiny swelling beside the uvula. Should I worry?", + "src": "Patient: Hello\u00a0doctor, Last week, I had two\u00a0specialists check me for throat discomfort. Both suggested antihistamines\u00a0and proton pump blockers. I also had a wisdom tooth surgery the same week and now my inflammation has subsided after antibiotics and NSAID with serratiopeptidase. I had been anxious and was told to have cancer phobia by doctors. However, yesterday while inspecting my mouth, I discovered a tiny lump-like swelling just beside the uvula. It is almost the same color as the mucosa or maybe very slightly yellowish. It does not pain or bleed on touch, but I can feel it as a grain on touch. I have attached a picture. I am very worked up and I need your help. It is painless and about the same color as the mucous membrane. It is the size of a tiny grain. I am currently taking Pantoprazole and Losartan. Doctor: Hello. For more information consult an ENT otolaryngologist online --> https://icliniq.com./ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 8976, + "tgt": "I am getting root canal treatment, but I feel pain even after three sittings. Why?", + "src": "Patient: Hello doctor,I am doing a root canal on one tooth, it has been taking three sittings, and I still feel the pain during the procedure, and I cannot bear it. What shall I do? I am now terrified of going, and I want to deal with the painful tooth? What is your suggestion? Doctor: Hello. I understand your concern. Root canal treatment usually takes three to five visits. However, pain virtually vanishes from the second visit onwards. Underlying infection may make it difficult to obtain proper anesthesia, because of which it hurts during treatment. You should go through a complete course of antibiotics, as prescribed by your doctor, and in the same course, your treatment should also ideally get completed. Treatment may even take more visits, but pain automatically subsides with the elimination of infection. The procedure is almost pain-free." + }, + { + "id": 22794, + "tgt": "I have burns on penis after masturbation. Is it due to friction or balanitis?", + "src": "Patient: Hello doctor, I noticed after masturbation that my penis had friction like burns on the gland portion of my penis. I got circumcised at the age of 21. So, I have a little extra foreskin. I had a few small red bumps show and then disappear. One doctor said it was balanitis and the other said penile friction. One prescribed an antifungal cream and one prescribed Bacitracin. The area burns a little. What do you think? Doctor: Hi. I have gone through your history and seen the attached photograph (attachment removed to protect patient identity). I think it is due to penile friction. I do not see any signs suggestive of fungal infection. You should apply a steroid-antibiotic combination like Mometasone Fusidic acid cream on the affected area twice daily for a week's time. Besides this, keep this area as dry as possible. Use plain water for washing this area and avoid vigorous masturbation till it gets healed. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6930, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 4709, + "tgt": "Young patient is suffering from decreasing memory. Does it mean dementia?", + "src": "Patient: Hello doctor, I am an 18-year-old female who has for the past months been experiencing that my memory is degrading badly. I have always had a memory that was fair enough. I do have much stress and I do have social anxiety. I do not sleep that well, but that was never a problem before. I sleep around, 6-7 hours on school week. And 9+ hours on a holiday. I do take some medications for my ADHD and I am aware there are some side effects to that medicine. I could not even remember, a friend's name that I recently met, for some split seconds. Then after some thinking, I could finally remember it. I can remember certain situations that were very important. I could remember something from 5 years ago but not 2 weeks ago. And I do feel like, my memory gets better after I eat food. But it feels like it is getting worse as time passes. I did as a child had to do mind memory games at school, but I felt like I could still remember basic information or situations that happened some days prior. But now, I cannot even remember what I did 3 days ago? Is there something wrong with me? I am showing early signs of dementia? Or I am just overreacting? Doctor: Hi. I appreciate that you approached for counseling. I am not sure whether you are diagnosed with ADHD or not. Also please do mention medicines you are taking. Based on given information, it seems that you are experiencing attention problems due to stressful events and preoccupations in your daily work. Also, lack of quality sleep may effect concentration that leads to recalling problems. You need thorough assessment for that. Apparently it is related to anxiousness and stress factors. Dementia occurs in later age of life and you are too young for that. You might need help for anxiety management and stress management. Also, if you are diagnosed with ADHD then another detailed assessment is required." + }, + { + "id": 23977, + "tgt": "I have continuous leakage of urine. Please tell me what is causing this", + "src": "Patient: Hello doctor, I have been taking Furosemide (Lasix) for swollen legs prescribed by PCP 20 milligrams daily as needed since last year. This was during a followup following a hospitalization for swollen legs due to feet infection. The hospital doctor said that the swelling would go down in time, but was not so. I saw the PCP. The medication has only helped a little. There was some improvement, but legs and feet are still swollen. A week ago, I started having problems that when I urinate and go to wipe, I cannot get dry. I have to keep on wiping going through 12 rolls of tissue and still am not dry. It stops on its own after I put depends on an hour or more later. It looks like urine on the tissue. So, I am assuming it is urine. I do not know what else it could be. It is taking me an hour or longer to wipe. The PCP took a urine sample to test for UTI. He does not know what the problem is. He has not come across this problem ever before. He does not think the Lasix is causing this. I stopped the Lasix five days ago before seeing the PCP. But, the problem has continued. This is very distressing and interferes with getting my daily activities done. I was diagnosed with overactive bladder by a urologist four years ago. Due to a problem with colonic inertia, the doctor would only prescribe one medication Myrbetriq which did not work and the doctor had me stop it because it only raised my blood pressure. The medication was stopped four years ago. Please tell me what you think is causing the urination problem described above. Doctor: Hello. Relax and do not worry. I do not think the problem is due to Furosemide. You may be suffering from severe form of stress urinary incontinence which is very common at this age. The cause and severity of stress incontinence are to be found out. I suggest you see a urologist as you require a physical examination and also a vaginal examination to rule out any prolapse. You require the below tests: So, get yourself evaluated properly by a urologist. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 14620, + "tgt": "If mother drinks alcohol during first trimester, what are the chances of FAS?", + "src": "Patient: Hello doctor, I just found out that I am 9 weeks and 5 days pregnant and I have been drinking two standard glasses of wine a day, sometimes less but sometimes more. Twice I had a 50 ml shot of Gin. I will not drink again now. What are the chances my baby has FAS including facial defects? Will abstaining reverse the damage? I always take daily Multivitamins and Minerals and Omega 3 anyway. Doctor: Hi. If you are regularly having alcohol, then yes, there are 10 to 15 percentage chances of having fetal alcohol syndrome. You should get NT scan done at 11 weeks 4 days. Start Folic Acid twice a day. After NT scan, take a decision whether to continue the pregnancy or not." + }, + { + "id": 1593, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 5623, + "tgt": "Kindly suggest a vegetarian diet plan for a type 2 diabetic patient", + "src": "Patient: Hi doctor, I would like to know vegetarian diet plan for a type 2 diabetes patient. She is a 58 year old female and her blood sugar level is 150. Please suggest. Doctor: Hello. You can start by following some basic rules of eating healthy. Also, please answer the following questions: Please follow up with these details to get a detailed diet plan to a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 1119, + "tgt": "I have white patch on my face. What could this be?", + "src": "Patient: Hello doctor, I have white patch on my face. It was very pale but when I apply Fluticasone, it appears as white even my cheeks are rough and slightly depigmented. 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? Thyroid disorder? Any known drug reaction? Looking forward to your response in order to help you." + }, + { + "id": 16286, + "tgt": "What are the criterias to know if a baby is getting the right amount of milk?", + "src": "Patient: Hi doctor, How to know if a baby is getting the right amount of milk? Doctor: Hi. The ways to know if the baby is getting an adequate amount of feed are as follows. The baby sleeps well for two hours post an adequate feed. Baby passes 6 to 8 times urine. Baby has a weight gain of 25 to 30 gm per day. These are the three main points determining the adequacy of the feed in babies." + }, + { + "id": 13279, + "tgt": "Why am I behaving like a crazy person? Is it due to schizophrenia or Marijuana?", + "src": "Patient: Hello doctor, Unsure of diagnosis (could be a combination). My questions are as follows: 1. What is my diagnosis (they say schizophrenia and autism high spectrum) memorized 200 digits of pi in one day? 2. Could I not have mental illness and Marijuana was a one-time incidence? 3. If I do need medicines and stay on Lithium, how do I get off of Olanzapine after taking it for 20 days 5 mg and 10 days 10 mg? So not to go manic from the stop. Took a lot of medical Marijuana with them and went crazy, they took me to the psych ward. Put me on medicines for the first time. Risperidone and Luvox and did great, so good I stopped taking it which I relapsed (did it too fast I believe) but the doctor will not put me back on. Then I went on Invega Sustena monthly shot and cut my self out of anger, did not really want to live, they took me off. Put me on Lithium 900, did great for six months, then I missed a few doses and mania started coming to play. They added Olanzapine and that is where my problems started. Slammed the refrigerator door 10 times, broke it. Felt the need to listen to a message of jumping out a window (I did it on the ground floor), then broke a second story window due to a message in a song. I feel Olanzapine is increasing the message and I read that it can increase hallucinations. Can I just stop Olanzapine cold turkey? Still getting messages at 10 mg but never had messages before the Olanzapine (except during medical Marijuana). Doctor: Hi. I read your query and understand your concerns about the diagnosis and problems encountered by you. Although the provided information is not sufficient to make a diagnosis of a case, but from the available description, it appears to me that you are suffering from cannabis-induced psychosis, a variant of schizophrenia which often starts with the use of cannabis. Although this has a cause, elimination of cause itself never sufficient to cure the problem. I must acknowledge that before making a diagnosis I need to have access to all your records or at least 30 minutes interaction with you. As stated above I do not think your mental illness and Marijuana can be separated from each other. Although the literature is scarce I have seen multiple numbers of patients with cannabis-induced psychosis. Since the problem is already there I think there is a need to treat. Since you have responded well to Risperidone or Invega, I see more merit with Risperidone use in your case in compare to Olanzapine. Although Olanzapine can be discontinued cold turkey, there is a need to manage those voices with the use of any other medication, preferably Risperidone as stated above. So I mean to say that it is fine to discontinue Olanzapine but simultaneously talk to your psychiatrist to prescribe Risperidone to manage those hallucinations. Having said this, I would like to inform you that we need to have a one to one discussion for making a proper diagnosis and designing the best strategy for the cure of your problem. This can be done through online consultation provided you are comfortable with the idea of online consultation." + }, + { + "id": 25712, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 27144, + "tgt": "I missed my periods after I stopped using birth control pills. Why?", + "src": "Patient: Hi doctor, I am a 19 year old female, who weighs around 120 lbs, and I am 5.4 feet tall. I\u00a0stopped using birth control around a month ago after being on it for about a year. This would have been the time I would get my period if I were still on it, but I am a week late. I have been having symptoms of backaches, headaches, cramps, bloating, random uterus twitching, but no bleeding. I took a pregnancy test this morning, but it was negative.\u00a0I will add that before birth control, I had very irregular periods, and I saw a doctor and gynecologist. They said that nothing was wrong. But something has to be if wrong if I am not getting periods. Maybe estrogen levels or thyroid or pituitary problems. I am not sure, and I am just looking for clarification. Thanks. Doctor: Hi. Take care. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21601, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 3259, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24491, + "tgt": "If I had unprotected sex after missing birth control pill, could I be pregnant?", + "src": "Patient: Hello doctor, I accidentally missed one birth control pill. I have been on Levlen for many years, and this has never happened before. I did not realize until the next night the one from the day before was there, so I took both pills together. I had unprotected sex with my partner a day later, I have continued pills as normal. Is there a chance I could be pregnant? I was due for my period yesterday, and it still has not come. Doctor: Hello. Levlen is a combined oral contraceptive pill that contains Ethinylestradiol/Levonorgestrel. It acts by inhibition of ovulation. It increases the risk of heart attack, stroke and blood clot so better to avoid for years and years. It is also contraindicated in few conditions like a migraine with aura, SLE, etc. You can have other choices of contraception as well that could be more convenient and easy like mini-pills containing Progestogen-only safe and same method of usage as you are up to now if, it is more convenient or preferable to you. Other choices of contraception like injectables Medroxyprogesterone for 12 weeks you cannot have any stress of taking pills and can have again after 12 weeks. The better choice is Mirena (Levonorgesterone) that is an intrauterine device for contraception for around three years, but if you want to discontinue it before that, you can ask your doctor to remove it even after one year. You missed Levlen and took two pills next day. Rule of missed pill for oral contraceptive pills is if less than three pills missed or low dose estrogen one pill, take next pills as per schedule, no need extra precautions. If missed pills three or greater or low dose estrogen two pills then take a missed pill and extra precautions for seven days. If in the third week of the cycle, you missed pill then omit pill-free interval. And if missed in the first week, use emergency contraception. You can check which time cycle you missed the pill and also follow regular menses coming on time. For more information consult an obstetrician and gynecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25436, + "tgt": "Which mast cell stabilizer would help my multiple allergies?", + "src": "Patient: Hello doctor,I am a 23 year old. I have got a lot many allergies. Actually allergy from almost everything. 15 to 16 to be precise and reports of my prick test are attached. I get stomach problems, hyperacidity, indigestion, hives (urticaria), sinus, breathing problems and my eyelids and a part below that stays swollen almost all round the year. My weight fluctuates a lot. There is a difference of 1 to 2 kg somedays in the morning and evening measurements. The things stay under control when I pop in about two antihistamines a day and 2500+ mg Vitamin C and occasionally vitamin D. But management is difficult. I have tried diet changes and everything. Bromelain helps too. I also have anxiety issues for which having 25 ml rum every night helps me and stops me from getting so frustrated that I stop everything.I am allergic to ghee, neem, wheat, dust, paper dust, cats, mouse, fish, chicken, milk and milk products, and few more insignificant things that I cannot recall at the moment. Immunotherapy will not work that is what my last doctor said and well, to be honest, it was so expensive Icould not have gone for it anyway. Please give me something so I can reduce the amount of medicines I take. I was actually looking for a mast cell stabilizer that brought me here. Doctor: Hello. Cromolyn (Cromoglicic acid) is a mast cell stabilizer. Sodium cromoglycate is the chemical name for it. You must try allergen avoidance. That seems to be the only way. Allergy to so many substances will make immunotherapy very difficult. The success of avoidance depends on how strictly you follow it. It will be very cumbersome initially but over time you will learn to avoid the offending stuff. Although regarded less predictive than skin prick test, blood allergy testing may be useful in you in reducing the positive allergen detection. If we are able to pinpoint to fewer allergens then avoidance becomes easy. Blood allergy testing or specific IgE testing is called immunoCAP. For more information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 18229, + "tgt": "My prostate is boggy, and my semen culture showed E. coli bacteria. What to do?", + "src": "Patient: Hello\u00a0doctor, I am a 27 years old, and I have been suffering from pain during ejaculation. After ejaculation, I feel severe burning during urination at the tip of the\u00a0penis, from the past six\u00a0years. From the past year, at the time of ejaculation, the semen does not come\u00a0out with force, and it remains in the urethra. When I urinate after intercourse, then semen comes out with urine. I started having erectile dysfunction also. The semen culture analysis showed E.coli bacteria. Since then I consulted many urologists and tried all possible antibiotics, but I only had temporary relief. Every time there was an E.coli infection, all the symptoms come back. After a physical examination, my urologist told me that I have grade 1 prostate boggy because my prostate was hurting when he was palpating. I have lost all hope, and I am depressed. I want to know about intraprostatic injection because it is the only thing that can cure me. The ultrasound and uroflowmetry are\u00a0normal. Please help. Doctor: Hello. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 17735, + "tgt": "Kindly let me know some medicine for itchy throat?", + "src": "Patient: Hi doctor, I am a 28 year old male.\u00a0For the past month, I have been having some symptoms of asthmatic bronchitis such as wheezing, cough, etc. The symptoms have reduced now as I have been taking some medications.\u00a0Right now, I have some itching sensation in my throat below my Adam's apple, causing occasional cough and also post nasal drip, which is irritating a lot. Please let me know some medication for this problem. Doctor: Hi. Welcome to icliniq.com. We are here to help you. Revert back after 10 days to a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 16364, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1366, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 9642, + "tgt": "I am wondering what are the flat and dark brown spots on my vulva. Please help", + "src": "Patient: Hello doctor,I had pain in my vagina about two nights ago, but I brushed it off. Today I had some spotting (very little light red blood), and I noticed I had two dark spots on my vulva. They are small and flat and dark brown. I also had sex last night (about 12 hours ago from now), but it was with a condom. I was wondering what this means. Doctor: Hello. It is difficult to make a comment over the possible petechiae (dark spots) over your vulval region. However, bleeding or spotting per vaginum post vaginal pain is likely to be your start of menses but as you had sex 12 hours back so due to rise in endorphins and progesterones post sexual activity the bleeding would have stopped. The cause of vulval spots could be frictional injury during intercourse or foreplay, now exhibiting as local small petechiae hemorrhage or hematoma. It would be best if you can send a picture of the lesion for an opinion and to rule out any STD (sexually transmitted disease) if you are suspecting one." + }, + { + "id": 20175, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15211, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 13225, + "tgt": "Can cleaning the teeth cause sensitivity to heat?", + "src": "Patient: Hello doctor, I got my teeth cleaned two weeks ago by a dentist and now a tooth is sensitive to heat. Doctor: Hi. Sensitivity is a common encounter after scaling and cleaning. I reckon you should try toothpastes which help reduce sensitivity. But even after using them if you feel sensitive to hot or cold then visit your dentist again to check for any hidden cavities. X-rays might be required to find them out." + }, + { + "id": 29189, + "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": 6418, + "tgt": "Will taking L-Lysine everyday cause any side-effect?", + "src": "Patient: Hi doctor, Please tell me whether L-Lysine is safe to take every day or not. Doctor: Hello. Yes, it is safe to take it daily upto 5 gm. It has shown positive effects in depression, wound healing and is good for skin and hair as well. Excess can cause gastric upset." + }, + { + "id": 3593, + "tgt": "I am getting yearly itchy rash outbreaks. What are they?", + "src": "Patient: Hello doctor, I have been suffering from this problem for a few years and every year it seems to be worsening than the previous one. I am overweight and by working hard I have lost about 15 pounds. I got yearly rash outbreaks on arms, especially forearms. I have diabetes and taking many medications, but doctors say that none of my medicines are responsible for it. It happens mostly in the summer. They are very itchy and do not go away in spite of using creams. I took some pills that did not help either. It leaves horrible scars. Even a dermatologist I saw did not seem to know what was wrong. I am sure it is partially a heat rash, but it has completely scarred up my arms. I am attaching the list of medicines I am taking as well as the biopsy report. Please help. Doctor: Hi. It looks like (attachment removed to protect patient identity) polymorphic light eruptions, may be allergic contact dermatitis. You can use full sleeve cotton shirts to cover the photo exposed area. You need absolute sun protection, good quality broad spectrum physical sunscreen. It is a chronic problem and it may occur off and on. You can use mid potency topical steroids over the affected areas once daily for around one week and can continue Hydroxyzine. 1. Control your blood sugar. 2. Go for photopatch test. 1. Polymorphic light eruptions. 2. Allergic contact dermatitis. 3. Photoallergic reactions to drugs. Polymorphic light eruptions. Revert back after the investigations to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12966, + "tgt": "My daughter has a bald patch on her head. What condition is this?", + "src": "Patient: Hi doctor, My 2 year old daughter has a bald patch on head. It is oval in shape with no hair in it. It is getting bigger time to time. I am waiting for her blood test appointment now. What is this condition called? How to cure it? Doctor: Hi. I presume it as tinea capitis or simply a fungal infection of the scalp. Do not worry, hair can regrow again and there is no permanent damage. It is common in children. It is very important to start the following early for best results: Before we commence treatment, wash baby cap or cloth coming in contact with the baby's head in hot water with some antiseptic. It is crucial to kill the fungus sticking on to the cloth. Same applies to her comb. Otherwise, it will relapse." + }, + { + "id": 28527, + "tgt": "How to approach insomnia and anxiety through ayurveda?", + "src": "Patient: Hi doctor, I have started on drugs to address insomnia and job related anxiety. When I experienced allergic reaction I was advised to discontinue Clonazepam a Benzodiazepine drug and I am experiencing withdrawal symptoms. They include sleeping problem and flu like symptoms. I am taking medication such as Doxazosin, Valsartan, Atenolol and Amlodipine for prostate and BP control. Could you advise a medicine that can help with the symptoms especially the sleep problem? Also my tolerance for anything resembling a Benzodiazepine is very low. So, I need to be careful not to take anything that might interact.\u00a0Thank you. Doctor: Hi. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 28623, + "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": 11569, + "tgt": "What causes irregular periods in a 21-year-old?", + "src": "Patient: Hello doctor, I am a 21-year-old female. For the past four months, my menstrual cycle was not right. It lasted a whole month and was heavy by the end, and it stopped after I took some vitamin C. Then, after one month, it started again and lasted for two weeks (stopped after I got some vitamin C again, and I was not taking any before). After that, it disappeared for two months, and started again, except this time it appears for a day, the next day it is gone, shows up every couple of days, and there was a very little of blood. None of this ever happened before, although my cycle was never exactly every 30 days, everything was fine. I am not sure what could be causing it, it might be stress related, but I do not have an opportunity to see a doctor for the next three months. Currently I am on Omep 40 g, for duodenal inflammation and Cinnabsin N for sinusitis. Doctor: Hello. At the age of 21 years, possibilities for such irregular cycles are, 1. You have severe physical or mental stress in any form, which would interfere with regular normal ovulation and periods will be haphazard. Try to reduce stress with meditation, breaks, etc. 2. If you have suddenly put on weight. This excess cholesterol will get converted into hormones and interfere with ovulation. So have a healthy lifestyle and diet. You can have cyclical birth control pills for five to six cycles. You have to take pills from day one of the periods for three weeks, then no pills for one week. After eight days start a new pack. Do not wait for next period. 3. You have not mentioned about your sexual activity. If sexually active, then infection could be a cause. If so, you and your partner need to meet a doctor and have a course of antibiotics. 4. If none of these a reason, have a pelvic scan to look for any local problem like polyp or fibroids inside the uterus. 5. Do have a serum thyroid hormone profile and serum prolactin levels to rule out, a hormonal angle. I hope I have clarified your query and do write back if any other questions, and for feedback." + }, + { + "id": 6663, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 4729, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 10701, + "tgt": "Is PET scan necessary for epilepsy diagnosis?", + "src": "Patient: Hi doctor, My four year old son, weighing 16 kg is taking medicine for benign childhood epilepsy. Medicines he is taking are namely Topamac 100 mg a day in two divided doses and Lobazam 15 mg a day (5-0-10). \u00a0His MRI for epilepsy protocol is normal without abnormalities. I would like to know whether he is taking overdosed medication.\u00a0Does anti-epileptic drug cause lot of side effect?\u00a0Doctor suggested PET scan. Is PET scan required for epilepsy diagnosis? Please suggest. Doctor: Hello. For benign childhood epilepsy (BCE) your child is on 6.25 mg/kg/day of tablet Topiramate (anticonvulsant) which is a medium dose and is fine. Side effect to look from Topamac is dehydration. For dehydration, he needs to drink at least 700-1000 mL water daily. He can get tingling in finger which usually responds to taking high potassium diet like banana or raisin. Occasional side effects are kidney stones and word finding difficulty. All anti-epileptic medication comes with some side effects and one has to choose between them and benefit one can have with control of seizures. PET scan is performed in epilepsy patients for surgical evaluation in refractory cases. Is your child still having seizures after taking these two medicines? Also, has he been tried on other medicines before?" + }, + { + "id": 15053, + "tgt": "What is the reason for rectal burning and hot air from the nose?", + "src": "Patient: Hello doctor, The last six months I am having rectal burning and hot air from the nose. I have visited many hospitals and all doctors checked the rectum area by putting their fingers and told fissure. I have taken many antibiotics and no results. Last time I checked my blood test and found H-pylori positive. I took many tablets. Again I checked that disease and did not find in the stomach. Please guide me for burning rectal area. Doctor: Hi. I appreciate you seeking help. I would recommend the following for relief. Pilex ointment to be applied topically at the anus (with the clean applicator) 1 to 2 times daily, before and after passing stool, for the next one week. Keep up a healthy, balanced and anti-inflammatory diet, preferably Mediterranean one comprising mostly of fresh leafy greens and seasonal fruits. Include broccoli sprouts in your diet on a daily basis. Stay well hydrated and have an active lifestyle. Recommend aerobic exercises, walking is the safest, for at least 30 minutes daily. Restrict foods that worsen your constipation, if any, and consequently complicate fissure issues still. Try to avoid constipation by all means lest it injures the anal canal or anus. High-calorie foodstuff including sweets, cakes, pastries, greasy, oily, hot, spicy and fast foods are best avoided too. Take a glass of freshly prepared juice made of ripe bael fruit, honey (one tablespoon), black pepper, cardamom, etc., all, daily evening. Take freshly prepared buttermilk, to which 1/2 teaspoon fresh turmeric powder is mixed thoroughly, daily during lunch. A glass of non-sweetened and pure cranberry juice, once daily." + }, + { + "id": 21242, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 9885, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 16514, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7241, + "tgt": "What should I do for sneezing after teeth extraction?", + "src": "Patient: Hello doctor,I had got two teethpulled yesterday. Developed terrible sneezing. What should I do? I have tried over the counter drugs, but not helping. Doctor: Hi. Firstly, I would like to know if it is the upper back tooth which has been pulled out. If no, then there is no connection between the sneezing and it. You will be absolutely fine with home remedies. Over the counter medication will take at least three dosages to work. So, be patient enough. If yes, then we got to look for the healing of those sockets carefully. The reason being more chances of oro-antral communication. In that case please visit back your dentist to ensure it. Otherwise, start home remedies for sneezing like steam inhalation with Vicks vaporub. Drink turmeric and black pepper milk in the night before bed. This works amazingly. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 25330, + "tgt": "Will missing a dose of Lorazepam cause serious symptoms?", + "src": "Patient: Hello doctor,I have been taking Lorazepam for 25 years. The last four years I am taking 4 mg daily. 2 mg at night for sleep and the other two split in the day. I only had two today and do not have any for tonight. I will pick up my prescription in the morning. I am concerned if me going from 4 to 2 will cause any serious symptoms. Doctor: Hello. It will cause some symptoms like tremors, anxiety, lack of sleep tonight, but serious side effects will probably not occur especially if the dose is taken in the late afternoon or evening. Usually, symptoms onset occurs after 24 hours of stopping the drug and I guess you will be able to get another dose within that time period. You can have some antihistaminics like Cetrizine or Levocetirizine 10 mg tonight if available and help in tackling the symptoms to some extent. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. If you noticed excessive symptoms then you should call the ambulance and keep someone informed about your Lorazepam status or keep a chit in your wallet. Overall, I do not think, there will be any serious side effects within such a short period as some amount of Lorazepam will stay in your body 24 to 48 hours. 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": 4163, + "tgt": "Is it advisable to use TENS to improve muscle pain?", + "src": "Patient: Hello doctor, I played volleyball on Monday night and everything was fine but then I played squash on Tuesday night. My glutes were really really sore on Wednesday. Just deep muscle soreness, But I chalked it up to not having played in 9 months. Then I played volleyball Wednesday night too. And things were really sore. Thursday my left glute started hurting around 2 PM and by 10 PM I could not walk at all. So much pain. I have been taking hydromorphone, and oxycodone and Celebrex anti inflammatory pills all night and day Friday and today. Not getting better. It is either a really good strain or a tear. I have iced it, I have got my home tens unit on it right now and often throughout the day/night. This feels like it is the exact same muscle that I hurt at the rehab center three years back and it really hurts. It feels like my Glute Minimus maybe. On Thursday I used my massage chair, hot tub, foam roller, trigger point lacrosse ball and my massage gun on it. I am thinking that digging into the injury that much probably made it worse or aggravated it. Sorry, so here is my question. I have dry needled in the past and it has helped a lot, but is it okay to dry needle if it is a torn glute muscle or even a strain? The tens machine seems to take some of the pain away, but could my tens be making things worse? Also, I have been in bed laid up all day and night yesterday, literally only crawling to the bathroom and back. I was hoping that staying off of it a few days will make it better but I am not sure what else I can do. Since it is the weekend and the clinic is closed, I was gonna look around for a mobile physiotherapist to come to my place and maybe dry needle me or other therapy for some pain relief? I honestly do not think I could climb into a car to drive anywhere. Otherwise I will stay in bed for the weekend and hope that enough of the pain is gone and I can go into the clinic and see someone on Monday. Doctor: Hello. From the history it sounds more of a muscle strain or you can say it as DOMS which is sometimes common as one lands or take a flight for taking up the shot but the pain is not reducing, is not making things clear, whether it is a DOMS or muscle strain as both of it should resolve within 3-4 days of time. So what I can advice is continue with TENS and take proper rest. TENS will never make the injury worse. Its a modality for reducing the pain. I will advice to take TENS for almost 30-40 minutes, 3-4 times a day and allow a complete bed rest without doing much mobility. We can expect the pain to come down drastically. In case after a day or two of applying TENS for 30-40 minutes if the pain still persist we need to look for other factors but rest is what is needed without having much mobility in the muscle." + }, + { + "id": 20567, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 21391, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 28011, + "tgt": "Am I suffering from Klinefelter syndrome?", + "src": "Patient: Hello doctor, I am an 18 year old,\u00a0who weighs 95 kg, and I am obese. I have small testicles and penis. My testosterone level is 7.8. The test was done at 9 AM.\u00a0I have very less body hair, little hair on my legs, and a lot of pubic hair. I have less beard growth and no hair in the armpits. I am concerned that I am suffering from KS because I have many obese friends, who have a lot of body hair and they\u00a0have normal physical attributes. Even then, I have less development than them. Please help me because I am suffering from constant emotional and sociological breakdown. Just in case you wanted to know, I masturbate once daily, but the semen is quite less in amount. The amount has stayed the same from the onset of my puberty. I am attaching all my test reports. Doctor: Hello. Hope you find my advice of some benefit. Good luck. Revert with more information to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 3598, + "tgt": "What can the open sore on head be?", + "src": "Patient: Hello doctor, My husband has an\u00a0open sore on his head. It is the size of a softball with redness under it and it is causing a shocking pain into his ear. It is swollen and has caused soreness in his neck and swollen adenoids. It looks like it has mucus or pus, which is trying to come out, but nothing does. He has been squeezing it like a pimple and soaking it with hot water and Epsom salt. Previously he got bit by a spider twice and the wound had to be cut open and drained, but it has never got like this before. I can send pictures for your reference. Doctor: Hello. Infected sebaceous cyst developing an abscess. Excision of the cyst and antibiotic treatment preferably Keflex (Cefalexin), Bactrim (comprises of Sulfamethoxazole and Trimethoprim) or Doxycycline. For further information consult a internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20788, + "tgt": "How can I fix my gum bleeding problem?", + "src": "Patient: Hello doctor,How to fix the blood leak in gums or gum bleeding? I am facing this problem for the last two years. I tried two times brushing but no improvement till now. Anyone help me. Doctor: Hello. Gum bleeding is a common problem faced by many people. Mainly it is due to improper tooth brushing, bad oral health, food lodgement, and poor gum health. All you can do is visit a dentist soon and get it checked properly. After the checking, go for cleaning of teeth. It is not a costly process. After cleaning just maintain your oral health. Brush twice every day, once in morning and then in the night just before sleep. Use dental floss or interdental toothbrush according to your teeth alignment. If your teeth are aligned well and no zigzag pattern is there then use dental floss. Eat fibrous food more, avoid sweet food and sticky food. Rinse mouth after every meal or every drink you take. Avoid smoking, drinking alcohol, etc. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 9647, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 25434, + "tgt": "Can normal saline aid in curing cough in a kid?", + "src": "Patient: Hello doctor, My 6-year-old child is having asthma and is coughing in the night. He uses a nebulizer. I am giving him normal saline. Please help. Doctor: Hello. Since your child is having an asthmatic cough, I suggest you give Asthalin (Salbutamol/Albuterol) nebulization and Budecort (Budesonide) nebulization along with an oral cough syrup with Salbutamol or Levosalbutamol. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Just giving normal saline will not help. If the wheezing is heavy consult your pediatrician. For more information consult a pediatric allergy asthma specialist online --> https://www.icliniq.com/ask-a-doctor-online/pediatric-allergy-asthma-specialist" + }, + { + "id": 18712, + "tgt": "Can I use Rejuglow Gel for skin whitening. I have very tanned skin. Give me suggestions", + "src": "Patient: Hello, I am a 22 year old, male. I have a very sensitive skin, even after using sunscreens, it is tanned. Suggest me any skin whitening pills. Doctor: Hi, Thanks for writing to us. As such there are no skin whitening pills. Glutathione pills are marketed as skin whitening pill, but its use is not recommended by doctors. It is essential to know how you use your sunscreen. Sunscreens with SPF 30 are good for regular use. Sunscreen should be applied at least half an hour prior to stepping out and should be repeated for every three hours. Sunscreen use is advised in between 10 am to 4 pm. (Know all about sunprotection and sunscreens) Also use a Kojic acid and Glycolic acid based cream daily like Kojivit plus gel or Rejuglow gel once in a day. And use Vitamin C Serum at night. Take a diet rich in fruits and nuts. You may also apply tomato pulp, turmeric mixed in yogurt to improve skin tone apart from the creams suggested above. Also you may take few sessions of chemical peels. Consult a dermatologist online for further help --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 1306, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 18264, + "tgt": "I had sex on the 12th day of my cycle. Could I be pregnant?", + "src": "Patient: Hello doctor, \u00a0I had sex 11 days after my period. Today is my expected date of period, but I did not get it. I am having white discharge. Am I pregnant? Doctor: Hello. Revert with more information to an obstetrician and gynecologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27240, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28748, + "tgt": "Please review my blood sugar reports and let me know if I am diabetic", + "src": "Patient: Hello doctor, I started taking medicine for diabetes from last year. Then after two\u00a0months, I had to stop because my sugar went down very much. And sometimes, I had to eat glucose to maintain the sugar level. I used to continuously check my blood sugar levels after every 2 to 3 months. As the tests were normal, I stopped the medicines.\u00a0I did my routine blood test recently, as I had slight continuous foot sole pain. Please review my report, and let me know. Doctor: Hi. I have seen your reports (attachment removed to protect patient identity). For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 29797, + "tgt": "Can you suggest an alternative to Accutane for acne?", + "src": "Patient: Hi doctor, I am on Isotretinoin for around 50 days. My face is now clear and it really improved my skin as I have oily skin. But, I have noticed clay colored stools. I am also having high fever and facing weakness. Now, my veins on hand started to swell. I am also having difficulty in breathing. But, my acne will return if I stop Accutane. What should I do? Can you suggest any alternative to Accutane like any vitamin supplement that will decrease my sebum and is safe as well? I have also heard that Isotretinoin will damage liver. Please clarify. Doctor: Hi. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20933, + "tgt": "How can itching be effectively and safely controlled during pregnancy?", + "src": "Patient: Hello doctor, My wife is 35 years old and is four months pregnant now. She is suffering from severe itching which is not responding to any medication. Her doctor advised to take Udiliv 150 and Cetirizine, but there is no relief. We changed the doctor, and this doc advised to take Udiplus 300, capsule Coetrie, and tablet Alivher. But, this also is not working. I suspect that it is a case of obstetric cholestasis. Kindly suggest an effective and safe remedy to control the itching. The laboratory tests performed were LFT, billirubin, and sonography. Doctor: Hi. I have gone through your query and reports (attachment removed to protect patient identity). Yes, it is obstetric cholestasis. During pregnancy, Udiliv (Ursodeoxycholic acid) 300 mg is the best and effective treatment for cholestasis. Your gynecologist has prescribed you proper medication. Also, apply some Calamine lotion to have a soothing effect on skin and prevent itching. However, if you do not find relief, then get her checked by an endocrinologist. Do get back to me with the reports after meeting the endocrinologist, 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": 30001, + "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": 13985, + "tgt": "Will smoking once a day with 9 to 10 Nicotex gums cause nicotine overdose?", + "src": "Patient: Hello doctor, I have smoked excessively (a pack a day) for six years now. I feel the need to quit now but nothing will give me the same feeling and hit that a cigarette gives me. So I have decided to gradually reduce the habit. I have bought a pack of Nicotex and instead of quitting cold turkey, I plan to have one smoke a day and have the recommended 9 to 10 Nicotex gums a day. I want to know if it is safe and hoping it will not cause Nicotine overdose. Please advise. Doctor: Hi. My recommendations would be not to take Nicotine on regular basis. Instead of that, take it whenever you have craving for it. You may take up to 8 to 10 tablets initially, but you have to reduce that also, as few people get addicted to that also. I would recommend you to discuss with your doctor to put you on a medicine known as Bupropion for short duration as it reduces the cravings of cigarettes." + }, + { + "id": 8747, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 4142, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 1993, + "tgt": "I have pimple scars all over the face and seeking permanent solution. Please suggest", + "src": "Patient: Hi doctor, I have been very prone to acne and I have pimples and pimple marks almost everywhere on my face for three years, even though I use Master anti-pimple facial wash and Master anti-pimple cleanser every night, it does not seem to be the solution. I am about to use Skinlight body care rejuvenating set and I also have a Skinmate shark oil. Is it fine to use the set with the shark oil? Can you please suggest a solution? Is it necessary for me to use pore minimizer? Are my pimples might be caused by strong products? Do I have to buy stronger products to get rid of my pimples and pimple marks? Doctor: Hi. Pimples present on whiteheads, blackheads, abscesses over the face. This is the spectrum of acne vulgaris which is common at a young age. In your case, as you have reported there are active lesions as well as active acne. This occurs due to androgen production during the young age, which leads to sebaceous gland overactivity and their blockage and inflammation. It can be cured by drugs as well as general prevention. General prevention includes avoiding oily things over the face and over the scalp. Avoid steroid creams over the face. Diet has no much role in acne vulgaris. Some cosmetics also increase acne. Drug treatment includes capsule Isotretinoin 20 mg OD with meals at night for four weeks. Clindamycin gel twice daily for four weeks. Salicylic acid 2% face wash use for 30 seconds daily if there is a lot of dryness due to this treatment use salicylic acid face wash only alternate day. Take plenty of fluids. Do not touch the face too often. This treatment sometimes has to be continued for three to four months as per response. When active acne stops coming, acne star are treated according to their type by microsurgery methods. Please review after four weeks with photo. I do not advise taking any other extra tonics, oils, or any food supplements as they can increase acne. I hope this helps" + }, + { + "id": 21480, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13378, + "tgt": "How can I manage blackening around the mouth?", + "src": "Patient: Hello doctor, I have blackening around my mouth since two months and it is not fading. I went to Dermatologist, she prescribed me a deepwhite cream. But it is not working. What should I do? Please help me. Doctor: Hi. Keep applying that cream plus start taking tablet Folic acid twice a day for 10 days, then make it once a day for next two weeks. Cranking around lip corners occur due to deficiency of Multivitamins, Folic acid and winter season can also be a reason. As far as home remedy is concerned, put olive oil on finger and put it around your lips so that soreness is reduced. Do it before sleeping for a week. And above all start drinking water, like 1 litre per day mandatory." + }, + { + "id": 1613, + "tgt": "I did HIV RNA PCR quantitative test at 69 days, which was negative. Am I risk-free?", + "src": "Patient: Hi Doctor, I had done antibody for HIV1 &2 Rapid Screening Test at 63 days which was negative and then I did HIV RNA Realtime PCR Quantitative test at 69 days which was also negative \u201cTarget Not Detected\u201d. I heard PCR is very sensitive and conclusive. Is that true at 70 days as well? Should I be concerned or am I risk free? Although I am having diarrea from a few days. Thank you Doctor: Hi welcome to icliniq. As the test are negative at 69 days , so you are free from HIV infection and need not to repeat the test. PCR test is usually not used routinely . Antigen antibody test can detect almost all cases after 4 weeks. If you can tell me about thest rapid test for HIV 1and 2 you have done then I can give more detail ? which generation test you have tested, was it 4th generation test ? 4th generation test can pick up more than 95 percent case at 4 weeks , and you have tested after 69 days and the results are negative. So just relax. Thanks and regards." + }, + { + "id": 952, + "tgt": "Does Adderall tablet cause allergic reactions?", + "src": "Patient: Hi doctor, I am a 22 year old male. My weight is 180 lbs and height is 5'10\".\u00a0I was prescribed a generic brand of Adderall 20 mg about a year ago. It truly has improved my lifestyle. Up until about two months ago everything was fine. I noticed that on the left side of my neck became red randomly. I would describe it as looking more like a heat rash that starts around my collar, goes up only on the left side of my neck. It extends to my left ear and sometimes I get some redness on my left cheek bone. It does not itch or bother me in any way, but it is very noticeable sometimes. I have not been able to find any other factor that could be causing this. I have tried not eating particular foods, changed my laundry detergent, etc. My older brother and I both get a redness in our face when we play sports and this has happened every since I can remember. I do occasionally smoke cigarettes and have tried different brands to see if that may have a factor, but nothing. I have been to my local doctor and they have said that it is probably allergies, but I just do not agree. I am not allergic to anything, but I have not got around to getting an allergy test since the redness appeared. I am very concerned about this and more embarrassed. Thank you for any advice. Doctor: Hi. I have read your concern and I appreciate your effort for a detailed and meticulous history. Revert back after seven days to a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 29699, + "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": 6339, + "tgt": "Can I take Testosterone cypionate and Trenbolone enanthate while on Benicar?", + "src": "Patient: Hello doctor, Can I take Testosterone cypionate and Trenbolone enanthate, while on high blood pressure medication Benicar 20 mg? Doctor: Hello. If you have low testosterone and have been given a prescription for using testosterone, after consulting an endocrinologist you can take it. But always remember you should not have very high doses of testosterone since hypertension already puts the cardiac system under some risk for development of coronary artery disease in the future. Even though nothing has been reported scientifically, but doctors believe there is an indirect association between high testosterone and cardiac ailments. As you know men are prone to more heart attacks. So it is better to take it lower doses if it is required medically." + }, + { + "id": 1178, + "tgt": "Please give some tips to improve my speech and articulation skill", + "src": "Patient: Hi doctor, My voice is very low. I am not able to scold or intimidate anyone. When my friends abuse me, I am not able to reply them. They take advantage of me. They never heed my words. Sometimes, I feel much worried about it. I also hesitate and vibrate while talking. People keep me down with their voice. I am not able to cope with them. My friends suggest me to increase my pitch. Sometimes, I am not audible to my friends also. I have this problem since my childhood. I am having some fear to speak to people and even my friends. Give me some tips to improve my speech and articulation skills. Doctor: Hello. For further doubts consult a speech therapist online --> https://www.icliniq.com/ask-a-doctor-online/speech-therapist" + }, + { + "id": 1221, + "tgt": "What is the best treatment option, apart from surgery or minimally invasive surgery, for sciatica?", + "src": "Patient: My father has been having sciantica on lower left leg and back pains. This have continuously happened for last 5 months. In the past 2 years it only pains periodically. What are the best options (1) without surgery or (2) minimal invasive surgery? I would be able to share further on the MRI scans once I have established a link to upload or email. Doctor: Hello, Sorry to hear this. The MRI does show degenerative disease of the lumbar spine mainly at L45 L5S1 level. The main indications for surgery are as follows Thus the decision for surgery is generally based on both patient perception as well as thorough clinical examination. He needs to visit a surgeon for examination. Generally speaking, the surgeon usually recommends a non surgical treatment first if there are no neurological deficits. These may include rest, activity modifications, medications,physiotherapy, combination of nerve blocks and/or facet blocks etc. Wishing him a speedy recovery. Best wishes." + }, + { + "id": 24234, + "tgt": "After urinary infection, I have burning sensation during sex. What can I do?", + "src": "Patient: Hello doctor, I had urinal infection two weeks back. At that time the pus cells were 55. Then, I got treated and the pus cells became three. After four days, the urine culture result shows the growth of Enterococcus. The doctor advised Utinift SR 100 mg 1-0-1 for five days. I have only two more tablets balance, but from that day of infection, I cannot have sex with my husband. I have severe burning sensation while having intercourse. Doctor: Hello. Burning is common after urinary infection and this is the reason they advise to abstain from sex while on treatment. If you are having burning during sex then please avoid sex for a couple of weeks. Your partner should also receive full antibiotic course. After that, you can use lubricants like KY jelly during sex and this will reduce the pain. For further queries consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 6408, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 19473, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4995, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 20564, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14869, + "tgt": "Baby passes stool only after two days. Is it normal?", + "src": "Patient: Hello doctor, My 3 month old son passes stool only every two days. He passes stool only after we insert a soap stick and stimulate his excretory movements. This has been happening for the past three weeks. Is this normal? Doctor: Hi. If your baby is breastfed, it is perfectly normal to pass stool less often. On the other hand, it does not seem normal for such a young kid. If it continues for more than two weeks, get him checked by a pediatrician. Consult a paediatrician online to know the management of constipation in children --> https://wwwk.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 18515, + "tgt": "My father got a fever suddenly from yesterday. Should we be worried about dengue?", + "src": "Patient: Hello doctor, My\u00a0father had sudden fever ranging from 100 to 102.6 F yesterday, but he has no clear symptoms. As he had loose stool yesterday, he was advised Oflox O by the doctor, two tablets daily for five days. And also Dolo 650, which we started giving him yesterday. Today the fever has been around 99.5 F the whole day, and he has no stomach problem except slight abdominal pain, but he has been complaining of weakness.\u00a0What could be the reason for this fever? And if the fever subsides, should we be worried about dengue? Please see the attached reports, and tell me why his blood counts are low? He is diabetic, hypertensive, and had a CABG two years back. He also suffered a right-sided hemiparesis, ten years back.\u00a0He is taking Mixtard Insulin 30/70 (42 units in the morning and 12 units at night), Glycomet GP, Linagliptin 5 mg, Fibator 10 mg, \u00a0Metolar 25, \u00a0Dynapres 0.4, Arreno,\u00a0Ecosprin, Thyronorm 25 mg, and capsule Uprise once a month. Doctor: Hi. For further queries consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 25011, + "tgt": "My heart was fine 12 months ago. Suddenly, I developed too many problems. Why?", + "src": "Patient: Hello doctor, I am a 24 year old female who has celiac disease and was recently diagnosed with cardiomyopathy, a left bundle branch block (starts I believe when my pulse gets above 80). I had atrial flutter and had an electrophysiology study, where they ablated some arrhythmias, and during the procedure, I went into atrial fibrillation and required cardioversion to fix it. They have also told me that I have left ventricular dysfunction that is causing heart failure. I also got a cardiac implant that records my heart but is not a pacemaker or defibrillator. My heart was completely fine twelve months ago. I had an EKG that showed no problems. Then towards the end of last year, I developed all of the above-stated problems. Recently I have been feeling quite sick and these are my symptoms: Sensitivity to sound. Lots of ringing and roaring in the ears. Dry eyes. Dry mouth. Very sore joints. Exhausted. Light-headed. Chest bubbles/fluttering. Bad memory. Diarrhea/constipation (causing bleeding). Tremors. No appetite. Significant pain in armpits. Sore neck. Night sweats. My main medical care is through Veterans Affairs. So, any possible answers would be greatly appreciated. Doctor: Hello. I understand all your concerns. From what you mentioned, the medications that you take for the heart failure like the diuretics may be responsible for the great majority of your symptoms like the dry eyes, the ear problem, sore joints. So, I suggest that you tell me all your drug list and send the last echocardiography report. Any investigations you performed would be helpful. I recommend that you follow up as your case is quite debatable. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29748, + "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": 11208, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 11382, + "tgt": "My friend has a second-degree heart block and low blood pressure. How to get it treated?", + "src": "Patient: Hello doctor, My boyfriend is 24 years old. Being a fitness trainer, he does not take any drugs. He has been getting chest pain for the past four months and sometimes lightheadedness. He went to the doctor and had done a blood test which came back normal. His blood pressure is low, and he had a 24-hour Holter monitoring and ECG. The results came back as second-degree heart block four times in 24 hours. Our appointment with cardiologist is after a month. I am worried because he feels weaker when he exercises and the pains are more frequent. Not sure what we can do in the meantime or what is causing it. Doctor: Hello. I understand your concern. I want to explain that when we are in front of a cardiac conductance abnormality in an young adult first, it is necessary to exclude an infectious and inflammatory disease, like Lyme disease, sarcoidosis, and other cardiac issues, like myocarditis, and anomalous coronary artery, etc. It is necessary to undergo a full blood test panel and a cardiac ultrasound test. For a more detailed cardiac tissue characterization, it is necessary to undergo a cardiac magnetic resonance imaging test (CMR). Meanwhile, I recommend that your friend refrains from competitive sports and any excessive physical exertion. I hope it is helpful for you." + }, + { + "id": 25758, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14783, + "tgt": "Is it advisable to have braces five years after teeth whitening?", + "src": "Patient: Hello doctor, I want to ask you that, can I have braces because five years back I had teeth whitening due to which I have many cracks in my teeth. So can I put braces or will it worsen it? Doctor: Hi. I want to answer your question in two parts. Firstly, I would like to give an honest opinion about your question that is will the braces further create more cracks in your original teeth? So answer is yes if you will go for conventional orthodontic treatment (in which manually metal brackets are put on teeth) and I would say no if you will go for invisible aligner type orthodontic treatment (in it only invisible tray is given to wear, no bracketing is involved). Secondly, I would like to give my suggestion regarding your case. I would suggest going for ortho treatment inspite of the fact your tooth enamel is weaken. If your teeth are severly malaligned, crowded or you have any difficulty in eating, air passage, etc., like there is a genuine cause that needs to be corrected through ortho braces because you are 20 and it is an ideal age for treatment. More you delay, more it will become difficult for teeth to move. Treatment will take more time as age grows older like one year treatment at 20 might take two and a half year time at age 30. If there is no severe ortho issue and you want braces just for a cosmetic reason then I would suggest you to avoid ortho treatment. If you opt for doing ortho braces treatment then your enamel might get weakened due to bracketing but later you can get it fixed by veneering procedure. It will look fine later. Hopefully, you will be able to decide well now about what treatment you should go for. I might give a better opinion after seeing picture of your teeth." + }, + { + "id": 11081, + "tgt": "How to reduce the symptoms of IBS?", + "src": "Patient: Hi doctor, Please say about the specific ways to reduce the IBS symptoms. Doctor: Hi. Irritable bowel syndrome has these symptoms such as decreased sleep at night, depression, musculoskeletal pain or fibromyalgia, decreased sexual performance, and inadequate attention. IBS can be diarrhea-predominant or constipation predominant or mixed. In the case of diarrhea-predominant IBS, it is better to avoid eating vegetables, flour containing products and other foods containing FODMAP (Fermented foods containing oligosaccharides, monosaccharides, and polyols). It is helpful for some patients. After having repeated counseling, they need pharmacotherapy. I advise taking Chlordiazepoxide with Clidinium bromide and a probiotic combination trial. It helps for some persons. In the case of constipation-predominant IBS, I advise stool bulking agents like psyllium husk or lactulose to the patient. For the depression and musculoskeletal pain, I usually prescribe Duloxetine which works better than SSRI (selective serotonin reuptake inhibitors). But in cases when the musculoskeletal pain is not severe, I advise SSRI. Hyperacidity is a common problem seen in these type of patients. Treat with a short course of PPI (proton pump inhibitors) first and then downgrade to Ranitidine after the symptoms get controlled. In some patients, counseling plays an essential role in the treatment of IBS." + }, + { + "id": 5017, + "tgt": "Kindly suggest me the ways to cure premature ejaculation", + "src": "Patient: Hello doctor, I am 25 years old, male. I have fast ejaculation. If I am very much sexually excited, ejaculation can happen also at about 1 minute. If I do sex second or third time in a row in this case duration of act can be 4-6 minutes or more, but in this case problem is that I sometimes lose erection during the act and I am much less excited, so I do not get big pleasure. I have some symptoms which, in my opinion, can have some connection with my problem of premature ejaculation: 1. I started regular sexual life very late, at age 24, (one year ago) before it was not regular, but very rare. From the age of 13, I was making regular masturbation, almost every day, until I started regular sexual life (3-4 times a week). (Now masturbation almost does not give me pleasure) . 2. I think that the head of my penis is too much sensitive, because it hurts me when it touches to my underwear, if the head of my penis is not completely covered by foreskin. From my childhood until the age of 14-15 the foreskin of my penis was narrow and I could not to make head of penis to come completely out of it. I noticed high sensitivity only after. Now it has no problem and it is very elastic. I am saying this last fact because maybe the sensitivity of my penis was because of later adaptation of penis head without cover. 3. This period I have sex 3-4 times a week. During last one year the frequency of sexual acts was the same, but I want to have more often, minimum 6 days a week. Anyway, I am not sure this is the reason of my problem because also in the case if I do sex every day and next day I am very excited I will finish fast. 4. With oral stimulation of my penis, it is very difficult for me finish, because it does not excite me very much and I need much more time to have ejaculation. 5. My body temperature normally in the morning is about 36.6 celsius, but at midday till evening it remains 37.0-37.2 celsius. Can it be the symptom of inflammation in my genitourinary system or somewhere else, or it is normal? (My general blood and urine analysis are perfect, everything is normal). What can I do for treatment of my problem? Doctor: Hello. Forget about your past. It has nothing to do with your present problems. Premature ejaculation has nothing to do with timing of sex or masturbation. Some people have inherently sensitive genitalia. Also your body temperature is perfectly normal. There is no inflammation. The solution is to start a medicine called Dapoxetine 30 mg which can be taken as and when you have sex. One tablet to be taken one hour before intercourse. This will delay the ejaculation. As long as your partner is satisfied it does not matter how fast you ejaculate. You can bring your partner closer to point of ejaculation by stimulating her by other means like oral sex. And then penetrate her at the peak of her excitement. You can also use a jelly for local application on genitalia called Lignocaine 5 % jelly to be applied 20 minutes before sex. In some countries a spray of Lignocaine, Prilocaine is available. Take it easy." + }, + { + "id": 1549, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 26596, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 3326, + "tgt": "My 2-year-old son has high fever with wet cough and runny nose. Please suggest treatment", + "src": "Patient: Hello doctor, My 2-year-old son has high fever since last night. I gave 5 ml of 100 mg Nurofen syrup. It helped but did not bring the fever fully down. He had another dose of syrup this morning, for the same issue. He has wet diapers, passed stools, ate a bit but not much, drinks water and is breastfed. He has a bit of cough (wet) and a very runny nose. We did bloodwork. Any thoughts? Doctor: Hi. I understand your concern. I have gone through the blood investigation (attachment removed to protect patient identity), which is suggestive of viral fever with low thrombocytopenia (low platelet count). From the history and investigation, it looks like a viral fever which usually requires symptomatic treatment and will subside over a period of five to seven days. Give fever medicine round the clock (four to six hourly). Instead of Nurofen (Ibuprofen), give local brand of Paracetamol 15 mg/kg per dose. Nurofen affects platelet counts, so it is usually avoided in viral fevers. Make sure that the throat is clear, no congestion which is usually a source of infection. Use warm saline gargles frequently and use soap to wash your hands. If fever does not subside after 48 hours please do visit a doctor. I hope this helps." + }, + { + "id": 2663, + "tgt": "My son has frequent nosebleeds since a head injury four years back. What to do?", + "src": "Patient: hi doc, my son fell when he was 3 yrs old and his head hit by sharp stone inward, he undergo ct scan right after..and was discharge after few days but years pass by he experience frequent nosebleed even sleeping..he is now 7 years old. I feel worry for him now, Is nosebleed is the long term effect of the incident 4 years ago or something else... i hope i can get some answers to this thank you... Doctor: Hello, It is not uncommon for children this age to get nosebleeds, along with the elderly---the children usually grow out of it by age 15 or so...It is likely that he might have a deviated septum from the trauma that might need to be addressed in the distant future. For now, I would use NoBleed. It is a cream that you apply with the tip of the finger (DO NOT USE QTIPS TO APPLY!!!--this will only stir up bleeding!) to the inside of the nasal septum and then \"pinch it back\" by pinching the nostrils...this gently squeezes the cream back--do this twice a day X 1 month, then once a day X 1 month, then once a week...the frequency of the nosebleeds should slowly go down to none...if tis persists despite this treatment, then see an ENT for cautery. One tube should do the trick, and it is cheaper than the estrogen cream that can also work in this situation. Also, make sure his fingernails are trimmed very close over the next 3-4 month." + }, + { + "id": 25151, + "tgt": "I have itching in the penis and tear when I retract the foreskin. Please advise", + "src": "Patient: Hello doctor, I had itching in the penis and tear when I retract my foreskin. This is happening for the past two to three times when I participate in intercourse and use condoms. I did not know what to do. Recently, I went to a doctor who told me that it is balanoposthitis and gave Lobate GM cream, Augmentin tablet, Metrogyl and Zerodol SP. I am uploading the image. Kindly advise me. I am having diabetes for the last two years. I am using Gluconorm Forte G2, (morning) and Figomet V 03 (night). Doctor: Hello. Firstly, I suggest stopping all the medications you are taking. I suggest you start with applying Onabet (Sertaconazole) cream twice a day for five days. Please send photos after five days. This looks like candidiasis, but as you have applied steroid cream, it is difficult to say for sure at the moment. Clean the area only with soap and water while bathing. Avoid intercourse for a few days. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 21207, + "tgt": "Will taking Iron supplements make ferritin levels better?", + "src": "Patient: Hello doctor, I have an iron deficiency for three months and have been using Iron supplements. My ferritin is still low though, so I am using Iron supplements still. My question is, my RBC has been increased to 4.52, hemoglobin is also gradually increasing to its normal levels (11.2). Now it is on its normal levels but hematocrit was increased too yet it is still low (35.0 %) at this point, am I anemic? The more I use Iron supplements, will my results become better gradually? I really need to know. Doctor: Hello. Serum ferritin reflects the iron store. Whenever an Iron supplement is started, the iron store is replenished in last. So gradually your ferritin and iron level will come back to normal. Your RBC and PCV (packed cell volume) are not much altered. So do not worry about that. So you are having mild anemia. You can investigate with stool routine micro examination and occult blood test to exclude any parasitic infestation which can lead to a small amount of bleeding from the intestine and so anemia can worsen. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 24578, + "tgt": "How can I control frequent urination due to consumption of alcohol?", + "src": "Patient: Hello doctor, When I drink alcohol, I get frequent urination that happens on bed without my knowledge. It is the worst situation for me. Is there any remedy? Doctor: Hi. This is commonly seen with many people. The best way out is to either avoid alcohol or do not consume more than 60 ml at one time. Actually by consuming alcohol, you lose your brain command and hence, it happens. You can also avoid consuming alcohol after 8 PM and go to the toilet before you go to bed. Medicines are not indicated because they may interact with alcohol. For more information consult a nephrologist online --> https://www.icliniq.com/ask-a-doctor-online/nephrologist" + }, + { + "id": 17793, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7286, + "tgt": "What are the possibilities of Listeria monocytogenes to colonise and proliferate in a dry plate?", + "src": "Patient: Hello doctor, Can Listeria monocytogenes colonise and proliferate on a plate that had plain pasta on it but pasta has been taken out, and plate left out for about a week at room temperature? I am 16 weeks pregnant, and when I was washing said plate, I spilled some of the dirty water from it onto a tea towel that my husband then used to dry a cup which I then drank water out of. I am wondering how likely if at all that listeria may have contaminated my cup through the tea towel. Doctor: Hello. I understand your concern. I suggest that you get a culture for listeria from the cloth which was used. If the cloth was dry, then the chance of the listeria to survive is less. It is difficult to predict if the water was first infected with the bacteria. Then if it would have survived for the time. Follow-up if you have any fever or symptoms." + }, + { + "id": 3532, + "tgt": "What does my mom's urinalysis suggest?", + "src": "Patient: Hello doctor, I have attached my mother's urinalysis report. She is experiencing burning sensation while urinating, but no fever. She is diabetic and on following medicines. 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 help. Doctor: Hi. I saw the report (attachment removed to protect patient identity). Revert back after the test to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 21422, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 17177, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 11552, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 26340, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6730, + "tgt": "My father is depressed and attempted sucide twice. How to help him to manage his thoughts?", + "src": "Patient: Hello doctor, I am writing on behalf of my father. Two years back, my dad was terminated from the job and was depressed. Suddenly one day, he started doing some weird stuff just like as he was possessed by the devil. He tried to commit suicide and jumped from a building, but luckily he survived and we took him to a doctor. He prescribed some medicines, and he became alright, but after six months, he started doing the same thing. It has been two years and now he seems to be stable, but he does not go out and always stays at home. Doctor: Hello. From your description, it looks like your father had probably developed stress-induced depression and psychotic features after losing his job. I can understand that it would be tough for your father and the whole family. It is positive that he is stable now. But he will need further support to help him function again. You mentioned that he does not go out and always stay at home. It could be due to several reasons like anxiety, residual depression, negative symptoms, and ongoing stressful feelings related to losing his job and social stature. It is advisable to get him reviewed by a psychiatrist and consider counseling and psychological support. It will help to gradually regain his confidence and function better. Gently encourage him to go out for walks during the early morning or later in the evening. It will be better if someone accompanies him. Also, try yoga, which can be beneficial." + }, + { + "id": 7007, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 2670, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11070, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23697, + "tgt": "My daughter's recent ultrasound reports are causing me to worry. Please advise", + "src": "Patient: Hello doctor,My daughter, 26 years old, has had abdominal pain and is prone to constipation for several years.\u00a0She recently had an\u00a0ultrasound which showed hyperechoic\u00a0results in her liver, possibly due to a hepatitis process.\u00a0She never drinks alcohol, does not eat gluten, wheat or sugar.\u00a0Of course,\u00a0I\u00a0am concerned.\u00a0What does her ultrasound mean? Doctor: Hello. Thank you. For more information consult a hematologist online --> https://icliniq.com./ask-a-doctor-online/hematologist" + }, + { + "id": 26357, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 30043, + "tgt": "Please help with my headache and double vision", + "src": "Patient: Hi doctor, I am having\u00a0headache and double vision. My body is vibrating. I am feeling sad and could not concentrate on anything for the past 15 days. Since a few days, I feel like vomiting and heartburn after having food. Please help. Doctor: Hi. Revert back with the results to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 23943, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8205, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 576, + "tgt": "I have not ovulated this month. Can it be due to Depot injection?", + "src": "Patient: Hello doctor, I was on the Depo injection, finished it four months back, then started the pill for 8 days only. I wanted to try for a baby, I was wondering as I have spotted last month and had a period 14 days later, but all the time before that I have had unprotected sex and not caught pregnant, is there a problem as I am trying for a baby. I have not ovulated this month. Could this be due to the Depo or the pill or something else? I am not pregnant as I have done test, it is negative. Doctor: Hello. It is for your information that post prolonged use of Depot injection, the menstruation cycle is likely to be anovulatory for 2-3 cycles after it restarts post stoppage of injection. You had your initiation of bleed last month and had a proper menses 14 days later, but this cycle is likely to be anovulatory in most of the cases. So, even though you may be trying, yet you would not conceive. It would be best if you can start using ovulation kits from the next cycle from day 10 daily to check for LH surge, which would help find the time of ovulation (again whether or not you ovulate as well) and you would be able to have a better control over your actions." + }, + { + "id": 23275, + "tgt": "What is the reason for low sex drive in men?", + "src": "Patient: Hello doctor,From the last two months, I am not interested in sex. I do not know why. Doctor: Hello. Please check your thyroid hormone profile, testosterone, and FSH (follicle-stimulating hormone). For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19175, + "tgt": "Can I have I-pill after three days of unprotected sex?", + "src": "Patient: Hi doctor, I had unprotected sex and taken a pill after the sex. I did not get any bleeding after taking a pill. Then, I\u00a0had unprotected sex again after six days. Shall I take Unwanted 72 today that is, after three days of last unprotected sex? Doctor: Hi. If you have not crossed 72 hours of intercourse, then please take an emergency contraceptive pill. However, if you have already crossed 72 hours of intercourse, then there is no help for taking the medication. In case of doubt, you can get a urine pregnancy test done with early morning urine sample to ensure that your not pregnant. Do not take any medications without an expert advice. Just get your urine pregnancy test done and get back to me with the reports. Take care. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4022, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 30313, + "tgt": "Kindly advise whether my report is all right after bariatric surgery", + "src": "Patient: Hi doctor, I am a 25 year old male. I had gastric sleeve surgery around 1.5 years ago. I have lost around 55 kg till now and now, my weight is 68 kg. I have not followed the dietary recommendations\u00a0and vitamin and calcium supplements prescribed by the doctor for quite a long time. Now, I am in poor health. I have attached my CBC report. It shows vitamin D and folic acid deficiency along with a high lymphocyte count. I am also suffering from scalp folliculitis for a few years. There is no other recent infection or disease that could cause the high lymphocyte count. My diet is extremely poor and I am taking very less amount of water.\u00a0A preliminary detailed analysis of the report would be appreciated before my scheduled visit to the hospital later this week. Doctor: Hi. My first step is to congratulate you for a definite action towards your health as the bariatric surgery. Also, you have achieved a great weight reduction with it which needs appreciation too. I understand that you have not been following the diet and just accept the fact and move forward in life. But, I could not understand the term poor health. Is it low, lean muscle mass or weakness or fever or not achieving the desirable body shape? I did analyze your blood report (attachment removed to protect patient identity), which does show vitamin D and folic acid deficiency, with apolipoprotein-A and lymphocytes being high. With poor compliance to diet, vitamin A, D, E and K deficiency are expected. So, the same to the folic acid. It can be easily corrected with supplementation. High apolipoprotein-A is surrogate of cardiac disease marker and can be raised in inflammatory stress to the body such as your current state. For lymphocyte being high I will not worry at present as the absolute value is less than 5000. I suggest repeating a CBC (complete blood count) after two to three weeks. If it is still high or increasing, then we will evaluate. Scalp folliculitis can be an indirect representation of your body inflammatory state and also can reflect vitamin A and D deficiency. Though depending on state, you may need antibiotics. You will do well with dietary supplementation and regular exercise. Take help of a dietician who can incorporate healthy food choice according to your preference. Yes, adequate water is highly recommended. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 4556, + "tgt": "What test should I undergo to confirm HIV?", + "src": "Patient: Hi doctor, I\u00a0had sex 40 days back. I feel\u00a0burning sensation in penis for last 1 month. I had HIV test after 12 days of exposure and it was negative. Now, I have severe throat pain and fever even after three days course of medication. What to do? Please guide. Doctor: Hi. For further information consult an HIV AIDS specialist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 9930, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 21458, + "tgt": "Concerned about leakage of silicon from ruptured breast implant. How dangerous is this?", + "src": "Patient: Hi doctor, Before eight years, my daughter underwent breast surgery. After that, she had a baby who is 18 months of age now. Before a month, she felt pain in one breast and went to GP. He did an X-ray, which showed a tear in one of the implants. Yesterday she visited a surgeon. He informed her that there is no chance for any replacement surgery until the inflammation clears up entirely. He said he could take out the implants, but will not replace it until the swelling gets clear completely. She is advised to take Ibuprofen for the reduction of inflammation. She was advised to visit the surgeon after a week. My concern is whether the leakage from the silicon breast implant is going in her body? How dangerous is this leakage? Is it safe to take these implants out and inserting new ones at a later date after healing? Doctor: Hi. I can assure that silicon from the ruptured implant will stay there only and it will not go anywhere in her body. Your surgeon is correct in telling you that the replacement can be done just after the inflammatory response settles down. It is better to remove the ruptured implant and wait for a replacement with a new one until the active inflammatory response gets resolved. Taking time for an inflammatory response to settle with Ibuprofen is also a good option. Because after that, you can undergo only a single surgery rather than two. For more information consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 4560, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22418, + "tgt": "Is there a better way to remove teeth in a 5-year-old other than putting him to sleep?", + "src": "Patient: Hello doctor,I have a 5-year-old with a front tooth abscess and four cavities in the back teeth. The dentist wants to put him to sleep and do at once. Is there a different or better way you do not wanna have him put to sleep? Doctor: Hello. At 5 years, it should be possible to make him calm with just a nitrous oxide inhalation, if possible. If he is not cooperating, then either just give him antibiotics for a week, delay for a month or so like that. Brush twice a day. The abscess and pain will go away for a few months. Then when he is relaxed you can go ahead with treatment. Else go ahead with general anesthesia as the doctor says. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 25735, + "tgt": "What is hereditary macular degeneration?", + "src": "Patient: Hello doctor, What is HMD (hereditary macular degeneration) and what is the maximum possible impact of this disease in future on a person? Can this disease make one blind? Doctor: Hello. HMD (hereditary macular degeneration) is a broad term given to a group of diseases that mainly affect the retina by deposition of some kind of material in between the retinal layers. These are genetic diseases. Though I have not seen anybody going completely blind with HMD, it can affect the visual acuity to a great extent. The visual loss starts gradually and can get severe in the next 15 to 20 years or so. The patient becomes disable up to the age of 45 years approximately. Right now, there is no intervention possible for this disease. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 18338, + "tgt": "Levosure has not relieved me of my cough. What should I do?", + "src": "Patient: Hello doctor, I am a 21-year-old male and I weigh 57 Kg. I am 5 feet 6 inches in height. My symptoms are a cough for one month. I am currently on tablet Levosure 500 mg, tablet Ventair 10 mg, and syrup Adovas. Please help. Doctor: Hello. The symptoms you provided are typical findings of this season. If you have a productive cough which is yellowish or greenish, it indicates a bacterial infection of the respiratory tract. It could be a case of bronchitis and Levofloxacin should work. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. If not, you could get a culture and sensitivity test of the sputum and switch to another antibiotic according to the report. However, if you have a dry cough, no fever or purulent sputum, it could also be a post-infectious cough or a cough associated with postnasal drip. Also, if you smoke, it can make your cough worse. If your symptoms do not resolve with medication, you should get a chest x-ray done. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 6000, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 5948, + "tgt": "I still have lot of pain a day after sedative filling. Is this normal?", + "src": "Patient: Hello doctor, I got a sedative filling done after a filling that was done a week ago became very painful. A day after the sedative filling, I am still experiencing a lot of pain. Is this normal? When should I consider going back to the dentist? Doctor: Hello. I have gone through your issue. Since you have pain after sedative/temporary filling, this indicates the tooth is either non-vital or the cavity has reached the pulp (blood supply of tooth). So, kindly visit the dentist, take an X-ray (intraoral periapical radiograph) of the tooth. Get the filling removed and get root canal treatment done. You can take antibiotics too based on the X-ray and clinical findings, which will be prescribed by your dentist. Once the canals are exposed and the compression from the filling is removed, the pain will be relieved. If you have an X-ray, send that along with a photo of the tooth to guide you better. Also, we need to check whether the pain is from somewhere else or due to food lodgement between teeth or gum pain and treatment will vary accordingly. If the cause is that filled tooth, then removal of filling and root canal treatment will help. 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": 3695, + "tgt": "I have severe neck pain. Please interpret my MRI report to know the cause", + "src": "Patient: Hi doctor, I am suffering from neck pain for over three weeks now. I got an MRI done two days back but must wait for my results for a couple of weeks. I have the images of the MRI and would like to know is there is any disc herniation or anything else wrong with my cervical spine? Would you be able to have a look at it and let me know if everything is fine? I am in a great deal of pain and just want to know what is wrong with my neck? Doctor: Hi. I received your neck MRI images and saw it now. (attachment removed to protect patient identity). There is a loss of cervical lordosis (straightening of your cervical spine). There is squaring of the vertebral bodies. Signal changes in the bodies suggestive of marrow edema more at levels C6, C5, C6 and C7. The discs are hyperintense on both T1 and T2 suggestive of calcification. Early syndesmophyte formation at C4-C5 levels. The height of the disc spaces are maintained. There is no disc herniation. There is no cord or root compression. Well, this was the scientific description of the set of images you have sent me. The message for you is stated below. The good news is that there is no disc herniation or buldge and pressure on the cord. But there are changes suggestive of the inflammatory changes in the spine at multiple levels and that is the reason for your pain in the neck. Regarding inflammation, my first impression would be an autoimmune disorder called ankylosing spondylitis. We need to do several lab tests to catch the diagnosis, the most important being HLA B27 assay, the others would include the ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), RA factor (rheumatoid factor) and anti-CCP (anti-cyclic citrullinated peptide) antibodies. The results of these tests would find the cause of the inflammation. Regarding treatment, the primary (or first-line) treatment of all the inflammatory disorder is common NSAIDS like Ibuprofen thrice daily after food. Along with this, you should take Pantoprazole 40 mg one tablet before 20 minutes of your breakfast. (If Ibuprofen causes uncontrollable heartburn, you can go for other options in NSAID group). Going through the tests is required to establish the cause of inflammation. In case the NSAIDs does not work, further treatment depends on the cause. Also, the ESR and CRP levels help in monitoring the response to the treatment with NSAIDs. I hope this helps." + }, + { + "id": 4583, + "tgt": "Other than Baclofen, which medicine can be used for muscle stiffness?", + "src": "Patient: Hi doctor, My dad is without ventilator support since 40 days and his tracheostomy has also removed five days back. Without any life support system, he is currently breathing by himself for last 7-8 days with saturation level 100% on air. Past four\u00a0days he is able to keep his eyes open for few minutes and moving his pupils and following the moving objects. My brother showed him pictures of family members and he is trying to look at the picture and recognize it.\u00a0He is trying to hold hand or other objects with his left hand when asked. He has minor movement in his left leg as well. But there is no movement on right hand or leg and occasionally he moves his neck. I have attached a video showing his movements.\u00a0Bedsore on side of the head and hip continues to be a point of concern. As per your advice I\u00a0had requested the treating doctor for MRI however they only did a CT scan and the same is attached for your reference I am also sharing the two CT scans which they did two months back for comparison.\u00a0Please advise on the below, his left hand and leg getting stiff and he was given Baclofen for the same. Is there other better medicine?\u00a0Apart from changing position every 1-2 hours and applying Candid powder on the affected area, is there any\u00a0medicine for curing bedsore?\u00a0Do you see any chances of recovery from here?\u00a0What needs to be done next for reasonable improvement?\u00a0Do you see any chances of him speaking soon?\u00a0Below are his vital statuses.\u00a0Serum sodium- 129.\u00a0Serum potassium- 4.8.\u00a0Serum chloride- 98.\u00a0Serum creatinine- 0.6.\u00a0eGFR-103.\u00a0Blood pressure-150/100.\u00a0O2 saturation-100% maintaining without oxygen support for last 7-8 days.\u00a0Pulse-75-90.\u00a0Blood sugar 230 to 265 after taking insulin comes down to 140-160. I have attached the list of medicines which he is taking for the past one week. Kindly guide us. Doctor: Hi. Thank you for the detailed information. I am happy to see your father improve gradually. Here is what I suggest. For further information consult a neurosurgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 26254, + "tgt": "I have tingling in head and occasional dizziness. What is to be done?", + "src": "Patient: Hello doctor, Since three months, I have a head tingling which is irritating and sometimes dizziness. Also, I have\u00a0left arm numbness sometimes. I am not sure what to do. I am currently taking Maxgalin M 50 and Neurogin. Doctor: Hello. Your symptoms could be related to epilepsy seizures. I recommend performing a brain MRI (magnetic resonance imaging) and an EEG (electroencephalogram). An anti-epilepsy agent (Lamotrigine, Topiramate, etc.) may be necessary. Kind regards. For more information consult a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + }, + { + "id": 1519, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 18372, + "tgt": "Will there be any problem in pregnancy if the couple have same blood group?", + "src": "Patient: Hello doctor, I am 25 years old. I am willing to marry my childhood friend. She is elder than me by five months, and our blood group is same, which is AB positive. Here are my questions: Will there be any problem during pregnancy? Any tests required to be done for ensuring no problem in future? Is there any solution? Doctor: Hello. The medical condition that is troubling is due to Rh incompatibility. There is no possibility of that in your case as you both are AB positive and hence, your blood groups are compatible. There is no problem medically. You need not go for any tests too. All the best. For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 7196, + "tgt": "I am experiencing weakness even after a little bit of standing or walking. Why?", + "src": "Patient: Hello doctor,I am suffering from extreme weakness even after a little bit of standing or walking. I have undergone the LFT test result as follows. Alkaline phosphate 136 SGPT 60, SGOT 45, bilirubin 1.0, albumin 4.86, and protein 8.69. Also lipid profile result cholesterol 280, triglyceride is 150. Is anything to worry? Doctor: Hello. Your blood investigation seems to be normal, not to worry. But higher level of cholesterol is seen. For your symptoms and high cholesterolFollow the instructions. s.cholesterol after one month without stopping the medication. 1. Tablet Atorvastatin (20mg) once a day at bedtime for a month. 2. Tablet Supradyn once a day in the morning. 3. Tablet Shelcal (500 mg) once a day after the meal in the afternoon. Avoid unhealthy diet and take a full meal without skipping. Do follow-up with me after 10 days, whether symptoms improve or not." + }, + { + "id": 29429, + "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": 14880, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28569, + "tgt": "I had a bad reaction to a face hair removal cream. What to do?", + "src": "Patient: Hello doctor, I am a 21 year old female, who weighs 56 kg and I am 164 cm tall. I have had a bad reaction to cream that I used on my face. The cream is a hair removal cream designed to be used on your face. I did a patch test on my arm (as instructed in the product instructions) and had no reactions after 24 hours, so I proceeded to use it on my face. It tells you to leave it on for 3 to 10 minutes (not exceeding 10 minutes). I checked after three minutes and decided to leave it on for a further 30 seconds, as I could not see that it was doing anything. My face started to feel like it was burning, and I could see small red dots forming on my face. I carefully removed the product and saw that the red dots were bleeding. The product was actually removing smalls chunks of my skin. The areas where I applied the cream were left red raw. I made sure my face was completely rid of the product and applied ice, soothing creams, and coconut oil. The redness went down after few hours, the pain continued until I went to sleep (but has gone down a lot since then), but the red marks remain. I do not have sensitive skin, and I have never had a reaction like this in the past. Can you please confirm, from the pictures attached, that the product has caused these reactions? What can I do to help these wounds on my face to heal properly? Doctor: Hello. I have read your concern 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": 23401, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 15447, + "tgt": "How to give the next deworming dose after recurrence of worms?", + "src": "Patient: Hi doctor, My daughter is three years old, and she was given a single Zentel liquid before two months and an antibiotic course of Taxim O for five days after having a vomit, stomach ache and worm-like symptoms. She was back to normal. Then again after 15 days, it got recurred. Last month, after a proper diagnosis of pinworms, Albendazole was given in two doses, 5 ml on the day night and 5 ml on the next day night. The doctor told me to stop repeating the dose after 14 days. On the 16th day, she started to have vomiting and bum scratching was back. I gave Albendazole again for two nights. Today, I can still see worms near her anus and vagina. She has nausea and lack of appetite. When and how can I give her the next dose of a deworming agent? Should we all in the family take a deworming agent? How to prevent new eggs from hatching in my daughter's digestive tract? She looks thin, less active, more tired and irritated. She is anemic, and we are giving her Vitcofol and Multivitamin. Please guide us. Doctor: Hi. The dose of Albendazole must be 10 ml as a single dose at night and not as 5 ml for the child weighing more than 10 kilograms. Clean your house thoroughly, and after that, all the members in the family are advised to take one dose of Albendazole as per weight at night once a week for six weeks. Giving Albendazole in the right dose can help to kill the organism even after having the eggs hatched in the abdomen. Please get an ultrasound abdomen done to rule out any harboring of the organism in the liver." + }, + { + "id": 9357, + "tgt": "What causes a hard pea sized lymph node above collar bone?", + "src": "Patient: Hi doctor, I am female, 36 years old, 5 feet, generally healthy. I have recently found a small hard pea sized painless lump on my left collar bone, it moves around and I have had for periods of few days at a time over last few months, very sore, tender to touch breasts. I have not seen anyone about this yet as it is recent and thought it would pass. Do I have to be concerned? Doctor: Hi. Tender breasts are very common during pre-menstrual phases due to hormonal causes, so do not worry for this. The hard lump over collar bone, which is non-tender and pea sized needs to be ruled out that whether it is lipoma or an increase in supraclavicular lymphnode, which is 90 % enlarged in upper respiratory causes. Lipoma is generally not movable, soft in consistency and is very common. You can go for mammogram if you have any breast lump, if not, then no need to panic." + }, + { + "id": 22879, + "tgt": "What number of APCs are normal for a 24 year old female?", + "src": "Patient: Hello doctor, I had a 24-hour heart monitor on for tracing palpitations. Results showed nothing but 700 pacs. No runs. I am a 24 year old female and this number worries me. What is the amount of pacs a person my age would usually have? And how many pacs is too many? I fear of it leading to afib. Doctor: Hi. I can understand you may have Holter monitor or loop recorder. First of all, if you are reading from a machine, it is not accurate every time, a doctor needs to check the rhythms if your machine recorded something. PACs as you said, are premature atrial contractions, most of the time these are fairly benign rhythms and especially if your Holter did not record any atrial flutter or fibrillation or NSVT rhythm with that, it means its tendency to degenerate into an abnormal rhythm is very minimal. Next, it depends upon how many APCs you have and what symptoms you have with that. Usually, less than 5 to 10 % APC of total time are not considered a problem but if you have symptoms like dizziness, lightheadedness, and sweating with that, that may be worrisome even with 1 % APCs. Treatment is usually decreasing stress levels, cutting back on caffeine and alcohol and also if you snore at night, getting a sleep study for obstructive sleep apnea. If these things do not work for your symptoms, then low dose beta blocker, once daily (extended release) can be used and are very effective, I would suggest you have an echocardiography done regardless of symptoms for any structural abnormalities and also get TSH (thyroid-stimulating hormone) done. In contrast to PVCs, APCs are considered benign. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 6059, + "tgt": "I get cold frequently with fever and heavy head. Why?", + "src": "Patient: Hello doctor, I get frequent cold, and it will be severe with a fever of 102-103 degrees. My head remains heavy, and I have thick mucus when I blow my nose. I usually get sneeze with a change in outside temperature. Please help. Doctor: Hello. From the way you have described your symptoms which include recurrent fever, cold, and heavy head with nasal discharge. It is very apparent that you are suffering from chronic sinusitis, and whenever you have acute attacks it leads to the above symptoms. For treatment: 1) During acute episodes when you have fever and cold, at that time you will need a seven days course of antibiotics and decongestants. Take Amoxy-Clav 625 mg (Amoxycillin and Clavulanic acid) one tablet two times a day after food, and Wikoryl (Paracetamol, Phenylephrine, and Levocetirizine) one tablet twice a day. Along with this, you will need Nasivion drops, two drops twice a day for not more than seven days. 2) However, this will be a temporary treatment. You will have to get a CT (computed tomography) scan of the PNS (paranasal sinus) axial and coronal view done. 3) Based on the CT Scan reports, we can decide if you need just medical management or any surgical intervention in the form of surgery called FESS (functional endoscopic sinus surgery). I hope this helps." + }, + { + "id": 15252, + "tgt": "I am taking Corparin injection daily. Will it cause any harm to my pregnancy?", + "src": "Patient: Hi doctor, I am six weeks pregnant, and I am using 20 units of Corparin injection daily. On the first day, I was given 20 units, and on the next day, I was given 40 units. Will it cause any harm to my pregnancy? Doctor: Hi. Corparin (Enoxaparin) has low molecular weight. It blocks the formation of blood coagulation proteins, and it prevents the formation of blood clots. So the blood flow to the baby will be good. There will not be any rejection of the baby tissue by your body. Thus it reduces the chances of abortion. It is especially useful if you have SLE (systemic lupus erythematosus) or APLA syndrome (antiphospholipid antibody syndrome) or history of having repeated abortion or history of having an abortion after seeing the baby's heartbeat in a previous pregnancy. The effective dose of the drug is 1 mg by kilogram body weight, once a day. It is given subcutaneously. Usually, we can take 40 mg per day. Duration of action of this medicine is 24 hours if it is a prophylactic dose. If it is a therapeutic dose, it is given twice a day (if you had a history of thromboembolism or pulmonary embolism or deep vein thrombosis). A single change of dosage will not make any significant difference. Try to have a right dose of 40 mg per day from the next dose. Do not worry about the previous dose as you cannot change it. Just do everything right from the next dose. You and your baby will be fine." + }, + { + "id": 12143, + "tgt": "When will I be typhoid free after taking medications?", + "src": "Patient: Hi doctor, I am suffering from typhoid from the last 10 days. Now, I have completed my seven days course. I want to ask when to report again that I am typhoid free. And I eat banana, wheat bread, milk, peanut butter, and do 30 minutes workout. Is it fine for after cardio and will this diet cause my liver to swell? Doctor: Hi. You finished typhoid fever medicine course, but you see typhoid fever otherwise called enteric fever, so the main infection pathology is in our intestine wall gland. So intestine will be inflamed and weak so better take easily digestible food. Do not strain too much with your work-outs for some more days. Otherwise, typhoid will relapse." + }, + { + "id": 25053, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12678, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5039, + "tgt": "I have chronic pain in joints with neck and shoulder stiffness. Is it due to vitamin deficiency?", + "src": "Patient: Hello doctor, I am 18 years old. I have chronic pain in joints and morning stiffness. I have normal C3, C4 blood work. My vitamin D level was 12.6 ng/ml before and at present it is 28 ng/ml. Doctor: Hi. I have gone through your message and understand your concern. You seem to have weak bones and vitamin deficiency. That is causing bone and joint pains. You need to take supplements and symptomatic treatment." + }, + { + "id": 30589, + "tgt": "What does high deceleration time in echocardiogram indicate?", + "src": "Patient: Hi doctor, I recently had an echocardiogram. The results were normal, but the deceleration time is 439 ms. My doctor did not say anything about it while reviewing the results. But, I have subsequently learned that it is very prolonged. What should I do now? Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 27574, + "tgt": "What should I do if my mom's diabetes medicine causes hypoglycemia?", + "src": "Patient: Hello doctor, My mother was\u00a0diagnosed with type 2 diabetes. Her first blood sugar test report was at 437. Now, after three\u00a0months, the fasting level is 86.\u00a0Last month fasting was 105 and post-prandial was 120. She is taking half\u00a0a tablet of Glimepiride 2 mg and Metformin 1000 mg both twice a day. She follows a\u00a0strict diet. Now I am worried about the possibility of hypoglycemia and unsure if she is considered a diabetic or not? Doctor: Hello. I just read your query about your mother and it seems that she has a very good diabetes control. Hope you find my advice of some benefit. Good luck. For more information consult a diabetologist online --> https://icliniq.com./ask-a-doctor-online/diabetologist" + }, + { + "id": 3039, + "tgt": "Why do I get vertigo while lying down and turning head towards left?", + "src": "Patient: Hello doctor, I am a 40-year-old male. I weigh about 79 kg and my height is 5'11\". My BP is 130/78 and pulse rate is 90 bpm. I have no diabetecs and I am a non-smoker, and non-alcoholic. I am a software engineer. I am having neck and back pain issues for the past 10 years particularly more severe neck pain for the last one week, as my neck is hurting and pain is radiating into my head and shoulders, etc. Till now there is no pain in my hands or fingers. My job is computer programming so I have to focus hours on the screen this is one of the main reasons behind it as I never had any vehicle or sports accident. Now more terrible thing is that I have started vertigo/spinning in head while lying down and move my head towards the left side. Because of this vertigo fear, I kept laying straight on my back full night. I can cope with the pain but vertigo/spinning of my head is putting me under stress and depression as it could affect my daily life too. I have taken thousands of medicines in the last ten years. Currently, my doctor advised me some medicines, which I am using since four days. I take Zenorit 8mg (Azithromycin), Lavistina 16 mg (Betahistine dihydrochloride), Parafon (Chlorzoxazone 250 mg and Paracetamol 300 mg) and Neurobion Forte. Well my first question is, what is the main reason for having vertigo/spinning head while lying down and tilt the head on the left side? My doctor has diagnosed that my ear is having balancing issue. Is that true? However, I guess any of my cervical disc pinches some nerve or artery while I lay down and turn my head as you can see from the MRI report that almost all of my discs are having issues. Moreover, regularly I do a light massage with deep-heat cream and then keep a hot water bottle on my neck/back for some time. Earlier I had some physiotherapy sessions as well for pain management. However, there is no chiropractor available in our city. I will be greatly thankful to you if you could at least diagnose the root cause of this vertigo which comes up while lying down and turn head to the left side. Once the vertigo is subsided we can start working on pain management. Please note that I feel quite relax and less pain while I walk or even stand up, however having full of pain while sitting and had neck pain and vertigo in the bed. Doctor: Hello. I read your history and reviewed your total spinal MRI. (attachment removed to protect patient identity). Do not be nervous. Vertigo that you are experiencing is not related to your discopathy. You have disc bulging in the cervical spine (C5-C6 and C6-C7), at least one mild disc bulging in the thoracic spine and two more disc problems in the lumbar area, especially in L5-S1 that is complicated by spondylolisthesis (i.e. spinal body sliding). Nevertheless, as I said, none of them is related to vertigo. Your vertigo is a benign paroxysmal peripheral vertigo (BPPV) that is caused due to a benign problem in one of your horizontal semicircular canal in the inner ear. In simple words, one of your sensors which reports the brain any horizontal rotation of the head, suffers from a temporary problem and gives exaggerated data to the brain. I agree with the prescribed medicine, except the antibiotic Azithromycin that seems unnecessary if you do not have a fever or ear pain. The key treatment is not medicine. Please accept my advice and do not avoid the head movement that triggers your vertigo. In contrast, repeat it more and more. In every try, you will notice that the severity of vertigo will lessen. It is similar to seasickness. By repeating the movement and sending exaggerated data by your ear, your brain habits the situation and will neglect the bad data and you will improve. If this strategy does not work after five days, in combination medicines, then you will need to be treated by a maneuver that is called Gufoni' maneuver. It should be done by a trained neurologist or ENT specialist. I hope this helps." + }, + { + "id": 23475, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5308, + "tgt": "My mother developed neuropathy on taking anti-tubercular drugs. What to do?", + "src": "Patient: Hello doctor, My mother is 75 years old. She had been treated for TB (tuberculosis) of the abdomen as her ultrasound of abdomen finding was thicken bowel loop. In general terms, it was informed about TB in her abdomen. Accordingly, medicines were given to her as per the advise of a local MD doctor. Treatment continued for three months and due to some discontinuation of medicine it relapsed and again she was diagnosed with Thicken bowel loop as per USG. Again treatment continued. However, while undergoing treatment she lost sensation in her legs and complained of losing sensation in her legs and numbness in her feet and was unable to put on slippers in her feet with difficulty in moving. She also complained that while moving she felt as if she was moving on a bed of soft cotton. Subsequent treatment by neuro experts revealed that overdose of treatment of her TB in abdomen resulted in this condition and she was diagnosed for peripheral neuropathy and was advised for biopsy for proper diagnosis. Meanwhile, she fell and hurt herself which was later on diagnosed that her spine at L3 - L4 was compressed due to felling abruptly and accordingly she was advised to take bed rest for three months. Slowly, she recovered from this condition felt pain in her back and was facing another kind of problem as she could not sit for a longer time and preferred to lay down on the bed. Finding her bad condition subsequetly, we also took consultation from other neuro experts at a prestigious institution where she was prescribed Lupivitin one tablet and Sammy one tablet. When condition persisted thereafter she was given Primosa one tablet daily, Neurox one tablet daily, Maxglobin 50 mg one tablet and Defart 6 mg. But, whenever she was given medicine her condition further aggravated. After about six months of treatment by the neuro expert, she has now been referred to the department of immunology for their advice. Meanwhile, we also took advice from a rheumatologist who diagnosed a kind of arthritis and started treating accordingly. He also started the course of Defzacort (steroid) along with other medicines. The steroid was prescribed with a decreasing dose per week from 60 mg per day to 6 mg per day. However, after taking about two months of steroid course her condition deteriorated and had severe breathlessness. Her blood sugar level also shot up and ultimately she was hospitalized and the treatment of steroid withdrawn. After 15 days of treatment at the hospital she recovered to her previous condition. But, her neuro problem of numbness in her legs and loss of sensation in legs still continues. Please help. Doctor: Hello. I have carefully gone through the details provided by you and have short-listed the following possibilities. Isoniazid-induced peripheral neuropathy, which occurs in a few patients who are on anti-tubercular drugs (including Isoniazid-INH). The specific treatment for drug-induced neuropathy is Pyridoxine (vitamin B9), available under the brand name of Pyricontin 100 mg tablets. You may, therefore, start immediately with 50 mg Pyridoxine per day for two months initially. The decision to continue further will depend on the response and, whether the neuropathy is reversible or has reached an irreversible stage. In addition, the addition of vitamin B12 (Methylcobalamin) 1500 micrograms/day would be of great benefit. Compressive Myelopathy, due to compression over the terminal end of the spine at L3-L4 level, following trauma. If that is the cause, then surgical decompression is the only treatment of choice. The neurosurgeon will get a repeat MRI (magnetic resonance imaging) myelogram done and depending on the findings, remove part of the discs or bone which is pressing over the nerves supplying the legs. Consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order the required test, and based on the reports we will arrive at a certain diagnosis and prescribe suitable treatment as advised. I hope this helps." + }, + { + "id": 13278, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18945, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16644, + "tgt": "Is anejaculation a side effect of Silodal?", + "src": "Patient: Hello doctor, I have enlarged prostate and some lesion on the prostate. The report has been\u00a0attached. For the past four years, I have been suffering from urinary tract infections and kidney stones and my life is very much disturbed. I am attaching the files of my reports and the medicines which I am taking. I am recovering, but my nephrologist advised me to consult for the prostate lesion. I am having frequent urination and sometimes ejaculation does not happen after sex. I have hydronephrosis in left kidney which is by birth and was disturbed by kidney stones three years back. In the past, I had some homeopathy medicines.\u00a0I am taking medicine Utforte (1-0-1), Silodal (0-0-1) and Soliten (0-0-1) for the past two months as prescribed.\u00a0I\u00a0just want know the concern about the lesion on my prostate. Doctor: Hi. Infection. 1. Per rectal examination by urologist. 2. Uroflow test. 3. DTPA scan (Diethylenetriamine pentaacetic acid scan) for pujo (pelvi-ureteric junction obstruction). CPPS (chronic pelvic pain syndrome). Chronic prostatitis. Antibiotics. Revert back with the investigation reports to a urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 22442, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 6039, + "tgt": "What is the connection between cystic acne and mental health conditions?", + "src": "Patient: Hello doctor, I would like to know the connection between cystic acne and mental health conditions, specifically the ways acne can indirectly exacerbate anxiety and depression. How often these issues occur together? What are the current theories for why they occur together so often? How are they treated when they occur together and are there any medication interactions to keep in mind? Doctor: Hello. As far as the connection between acne and mental health conditions such as anxiety and depression is concerned, definitely we as a psychologist come across such cases of young girls who develop an inferiority complex and doubt over their self-image due to the perceived ugliness over their face. It can not be said that this is a sole factor leading to anxiety or depression among young girls, but it can be counted as one of the factors affecting the mental health of women. Currently, no such theoretical lines are developed which indicate a connection of acne and depression or anxiety. However, such research can be planned to see the relationship between the two health conditions i.e. cystic acne and depression or anxiety. Though the literature on self-image and appearance anxiety might provide some clues over the relationship between the two conditions. A doctor may prescribe medication to reduce cystic acne, for improvement of the client's self-image. Counseling can serve the best. You may counsel the patient yourself or can refer to a psychologist for the patient's mental health improvement. I hope this is helpful for you. Do take follow-up if you feel the need. Best Regards." + }, + { + "id": 27836, + "tgt": "Will low T4 levels affect the baby's brain development during the first 5 weeks of pregnancy?", + "src": "Patient: Hi doctor, I am five weeks pregnant now. Currently, my T3 is 1.05 ng/mL, T4 is 5.0 \u03bcg/dL, TSH is 27.62 \u03bcIU/mL. I started Thyronorm 75 mcg today. What if my T4 was low from the past five weeks? Has it affected my baby already? Will it affect the baby's brain development? Doctor: Hello. I just read your query about your thyroid function test results, and it appears that you have hypothyroidism. Let us be positive and hope for the best.\u00a0Hope 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": 10188, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 16292, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 14896, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 7169, + "tgt": "I have excessive fear associated with jittery and flutters. What does it indicate?", + "src": "Patient: Hello doctor, I sometimes get, jittery and flutters. Uncontrollable fear of bad things. I feel cold in my head, running stomach and need to urinate. My left side feels numb. What can I do? Doctor: Hello. The symptoms which you have mentioned are suggestive of anxiety disorder. However, the common medical causes of your symptoms like diabetes, hypertension, and cardiac diseases, thyroid disorder, and vitamin B12 deficiency must be ruled out. An MRI of the brain will help to rule out brain pathology, which can cause numbness. Assuming it to be an anxiety disorder, relaxation exercises like deep breathing and meditation will be beneficial for you. Drugs like Klonopin (prescription drug) are helpful in cases of intense anxiety. Visit a psychiatrist for proper evaluation and treatment. I hope this helps. You can post a direct query if you need any more suggestions. I will be glad to help you." + }, + { + "id": 13127, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 29338, + "tgt": "Can you suggest some food to help my son gain weight?", + "src": "Patient: Hi doctor, My son is 16 months old. He was 2.48 kg during birth. Now, he is 9.2 kg. He is taking three to four meals per day. He is also given Enfamil formula milk. But, his weight gaining is very slow. My local pediatrician has prescribed Lysiplex suspension for two months and Calcium suspension for four months. Should we start these medicines? Can you suggest some healthy food to help him gain weight? Doctor: Hi. For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 4830, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22150, + "tgt": "I have a bruise on my arm after plasma transfusion. Why?", + "src": "Patient: Hi doctor, I have a really bad bruise on my arm after giving plasma. I think it might be a blood clot. I am an\u00a018 year old male. Doctor: Hi. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 15202, + "tgt": "How can I manage the feel of heart beat in right chest due to stress?", + "src": "Patient: Hello doctor, I have heart beats in my right chest for the past three days, not continuously but sometimes. I am mostly busy with work. My BP was 116/77. I was diagnosed with vitamin B12, D deficiency three months back. Now it has increased and my BP is 140/80 due to excess stress in work. Now I am going to morning walk daily but a feeling of beats in right chest is there. I think it is due to stress. How to get rid of it? Doctor: Hi. You hear your heart beats on the right side. You do X-ray of chest PA to see the heart position. You are suffering from stress and most of your symptoms are related to stress. I have gone through your reports and found it to be fine (attachment removed to protect patient identity). You should control your stress. Do breathing exercise for five minutes two times daily. Attend yoga class. All these will help you to control your stress. Make good friends with whom you can share your problem. Take a vacation from your work, go to hills or sea beach and enjoy with your family the quality times." + }, + { + "id": 9851, + "tgt": "I want to be at least 6 feet tall. Is there any way to stimulate growth hormone secretion?", + "src": "Patient: Hello doctor, I am a 21 year old guy. I am just 5'5\" tall. I want to be at least 6 feet tall. Is there any way to stimulate the pituitary gland to secrete growth hormones? Doctor: Hi. Growth depends on many factors: Growth after 21 years is not possible since the growing ends of the bone would have fused. So, do not go in search of medicines to stimulate growth. Regular exercising and proper sleep is the natural way of stimulating growth hormone. But this might not be of any help at this age. Consult an endocrinologist online for further help --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 1775, + "tgt": "How to improve WBC count following chemotherapy?", + "src": "Patient: Hi doctor, I am a 23 year old male. I am suffering from acute lymphoblastic lymphoma and I am going to finish my last chemotherapy. My\u00a0WBC count has reduced due to discontinuation of GCSF. After the completion of chemotherapy session,\u00a0how to recover WBC count?\u00a0Please suggest me. Doctor: Hi. For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 20202, + "tgt": "What can cause less dense beard?", + "src": "Patient: Hi doctor, I am a 23 year old male. My height is 5'8\" and weight is 63 kg. I am currently not using any kind of medicine. My beard is not growing completely and I notice less growth on my mustache. Please help me. Doctor: Hi. Revert back with the reports to a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 22441, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 27798, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20531, + "tgt": "Do you have any idea about my undiagnosed flares?", + "src": "Patient: Hi doctor, I have been having undiagnosed flares for the past five years. The symptoms are usually similar, but during each flare I have a few different ones that seem to take the lead. They almost always start with pain in my legs. First it starts with shin, then calfs, thighs and butt. The pain usually spreads randomly, but this time it started and sets in as a longer crushing pain. The pain spreads to the joints, muscles and the eyes. It seems like organ pain. I also get muscle spasms throughout the body. I get very strong headaches that usually start behind one eye and feel like a tension headache. I also get long and short stabbing pains in my head. During my current episode and two previous ones, I also have very apparent neurological symptoms such as vertigo, brain fog, etc. I have gastro symptoms as well, such as constipation, diarrhea, abdominal pains and upper right quadrant pain. I also have frequent urinary symptoms and sharp random pains in my groin, testicle and penis. I have also had blood in my urine. I have heart palpitations too. This is not happening with this flare for some reason. My random symptoms are hives, especially in one patch on my left rib cage only, rapid weight loss (I have lost 10 lbs in one week and 30 total during the first episode), interrupted sleep, red irritated eyes, occasional sore throat, nasal drip, strong fatigue and occasional mouth sores. I have had MRIs, ultrasounds and CT scans, which were all negative. I am going for another brain MRI and ECG by next week. My blood test shows ESR - 3 x negative, CRP - 3 x negative, CBC - 7 x always in range, metabolic panel - always in range, cortisol - negative, RA and lupus serum - negative, Lyme (ELISA) - negative, HIV - negative, ANCA - negative, ENAS - negative, Ferritin - slightly elevated, celiac panel - all negative except gliadin AB, IgG positive, TSH and free T4 - in range. Biopsies for celiac and Crohn's were negative. Do you have any ideas of what this syndrome could be? Please help. Doctor: Hello. I am sorry that you have been through so much in such a young age. I am thinking of Behcet's disease, also known as Behcet's syndrome. It is a relatively rare disorder that causes blood vessel inflammation throughout the body. Unfortunately, there are no classical laboratory tests in Behcet\u2019s syndrome. The diagnosis is clinical. In the absence of other systemic diseases (as you had a negative work up), the Behcet\u2019s syndrome is diagnosed in patients with recurrent oral aphthous ulcers and two of the following clinical features: The mild elevation of ferritin could be an indicator of inflammation since it is an excellent acute phase reactant. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12472, + "tgt": "I have been facing excessive sleeping. Why?", + "src": "Patient: Hi doctor, I am 22 years old. I have been facing excessive sleeping for the last two weeks. Even after having a sound sleep for 6 to 8 hours at night I find it difficult to wake up. I feel sleepy all day long. If I think of taking a nap in the afternoon, then it again lasts for 3 to 4 hours and again I cannot wake up. My height is 5'3\" and weight is 58 kg. Doctor: Hi. With the symptoms I feel sorry for your health condition. It is bothersome for sure. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12850, + "tgt": "Can ringworm infection cause blisters on fingers?", + "src": "Patient: Hello doctor, I hope you are doing well. A blister kind of wound as appeared on one of my fingers in my left hand. I am sure I did not hurt myself on that finger. It is not itching and painful but it is healing now. The wound is circular in shape. I am taking the attached medications for IBS at the moment. Could you please review this and advise? Is it related to ringworm? Or is it side effects of the IBS medication? Similar kind of wound appeared two months back also but it was in my right hand. Would like to know why this wound has appeared? Please advise. Doctor: Hi, Welcome to iclinq.com. This is not a fungal infection, looks to be a bacterial infection. The wound has started healing due to antibiotics you are on. It is difficult to comment on the exact cause of lesion. Topically, you may consider the application of Fusidic acid 2 % cream twice daily." + }, + { + "id": 12808, + "tgt": "Is it advisable to use Silver nitrate to cure granulation with pharyngitis?", + "src": "Patient: Hello doctor, My ENT doctor told me that I am having granulation with pharyngitis. He applied silver nitrate. Will I be fine? Doctor: Hi. The condition you specified might be granular pharyngitis. If it is a recurrent condition you can be treated with Silver Nitrate to remove those granulations. There is no problem in the above-mentioned treatment. Apart from antacids, I suggest you take antibiotics and mouth gargles. If possible, provide me a picture of your throat by taking a picture in the mirror (if possible)." + }, + { + "id": 2600, + "tgt": "I have sore throat with mild fever. Is it due to swollen tonsils?", + "src": "Patient: Hello doctor, I have a sore throat since yesterday. There is also a slight fever of 37.4. I suspect my swollen tonsil. I had taken juices and gargled warm water with salt. For the fever, I took paracetamol if needed. Doctor: Hi. Do you have any other symptoms such as cough or difficulty breathing? Any recent history of travel to China? Or any exposure to someone who may be possible with Covid-19?" + }, + { + "id": 649, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 30410, + "tgt": "Is it fine to give BCG and OPV after 15 days of birth?", + "src": "Patient: Hi doctor, My baby is 10 days old. The doctor has given only hepatitis B vaccines at the time of birth.\u00a0And, they planned BCG and OPV-B after 15 days.\u00a0Is that fine? Doctor: Hi. I have read your question and I know that you are very concerned about your child, but do not worry. For further information consult a paediatrician online -->https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 20595, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23849, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 98, + "tgt": "My inguinal hernia is causing pain suddenly. How can I reduce the pain for a month?", + "src": "Patient: Hi sir, I'm an 18 year old boy. I have an inborn inguinal hernia. But till now it hasn't given me that much pain as it is giving right now. If I lay down for more than 2 hours then it starts hurting and I can't sleep anymore. The pain extends from lower abdomen, pelvic region to some upper portion of fimer. I can't take surgery now as I have an entrance exam within a month and also there's corona outbreak outside so I have a fear to go to hospital. So Sir, can you please tell me how can I reduce my pain at least for this month?? And also, should I take surgery immediately or can I wait for this month?? Doctor: Hello Your complaints of pain related to the hernia needs to be examined . If there is no complications within the herni In normal circumstances I would suggest all hernia should be operated but since you are having exams you can delay the surgery given that on physical examination and ultrasound you do not have any complications. For the time being as a temporary measure you can use what is called as a TRUS available in the market even online . But it is temporary and once you are free fork your exams I suggest you to get operated there after as TRUS or any other treatment is just temporary and has its own pro and cons. But if on ultrasound it shows you have any complication the you need immediate surgery. Avoid lifting heavy weights add fiber rich food to your diet and avoid constipation to prevent exacerbation of your hernia. Hope this helps" + }, + { + "id": 24553, + "tgt": "I have itchy spots that are not clearing with treatment. Please take a look", + "src": "Patient: Hello doctor, I have red itchy spots on chest, stomach, shoulder and a few on shins and itchy arms. I am being treated by my GP for a fungal infection. However, after two months of treatment it does not seem to be clearing and indeed the itching is worse. I have a further appointment with her next week but I feel I would like one of your consultants to take a look. Present treatment: Daktacort 2 %/ 1 %.Dandrazol 2 % shampoo for head and body. Doctor: Hello. There can be manyreasons for itchy red spots. I have viewed the files (attachment removed to protect patient identity). This does not seem like a fungal infection. This seems to be like an allergy to something which can be soap, plants, insect bite, etc. You are applying a mild steroid cream. If the potency of steroid cream is increased you might feel relief. Plus apply moisturizer in the morning and afternoon, medicated one like Cetaphil dam which is non-allergic one. Spray insect repellant medicine at home. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 8960, + "tgt": "Can I have pineapple to cure acid reflux?", + "src": "Patient: Hello doctor, I have acid reflux problem. To the maximum it will cause problems like twice in six months. Shall I eat pineapple for the acid reflux issue?\u00a0What if I eat pineapple daily or alternate basis and manipulate my liver to produce less acid for the future? Also, due to this habit, I can get rid of antacids or other medication. I am also getting nervous and dizzy while traveling due to excess acidity and that cause motion sickness. Doctor: Hi. Acid reflux, also known as GERD (gastroesophageal reflux disease), is a condition related mostly to the esophageal sphincter incompetence. Low to moderate grades of GERD are treated first with antacid drugs, which is the best and the first non-invasive solution. Severe cases require surgery to reinforce the sphincter. As for the pineapple, there are controversial opinions among doctors. Some of them do not recommend it because it is a highly acidic fruit and can worsen the symptoms. While others recommend it as it may have good effects due to Bromelain. You can try it for a week and see how your heartburn goes through. If you decide to avoid drugs and use foods, then I would recommend you high calcium foods and basic ones such as milk, which buffer the acids. Also, you have to eat in small portions several times, avoid spicy, fatty and acidic foods and also avoid late evening meals. Use antacids if these measures fail. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 2339, + "tgt": "My daughter has perforation in right ear and doctor suggested hearing aid. Is this the right treatment?", + "src": "Patient: Hello doctor, My daughter is 11 years old with a tube in her left ear and a perforation in her right ear. The doctor does not want to fix the perforated ear until the tube falls out of the left ear and is healthy for a year. In the meantime, it is suggested that a hearing aid be used until the perforation surgery. Does this sound like a normal course of action and will ear perforation surgery improve the situation? Doctor: Hello. We shall do the ear perforation surgery only when we are sure that eustachian tube ventilation to the middle ear is normal and not hampered by any reason. The functioning of the eustachian tube is indicated by the successful falling off of the ventilation tube (the grommet). The falling off indicates that middle ear pressures are getting maintained by the natural eustachian tube. Usually, kids of this age have some remnant adenoids which causes tubal obstruction causing recurrent ear issues (like in your kid). Usually, the adenoids regress by this age. If they don't, then the kid will have symptoms of mouth breathing, snoring, teeth crowding and protrusion, and other signs of adenoid facies. If these issues are there then before we attempt ear surgery we will have to remove the adenoids (and +/- tonsils). Because the source of ear infection is adenoids (+/- tonsils). Otherwise we can wait for a while until the natural eustachian tubes function well and then we can repair the eardrum. We would need to do an adenoid x-ray to check for the adenoid size. Meanwhile, hearing aid is the best option because you cannot risk your child not hearing properly at this age as it would adversely affect his speech and development. For any queries on this matter please revert back to me." + }, + { + "id": 8842, + "tgt": "My mother's sugar level is not decreasing inspite of using medicines. Kindly suggest other medications?", + "src": "Patient: Hello doctor, My mother has diabetics type 2. Currently, she is using Metformin 500 mg two times a day with Glibenclamide. The problem is it is not dropping as before. Can you please help with other medications or tablets? Doctor: Hello. Your mother needs some different medications, Glimepiride 3 mg before breakfast, Sitagliptin Metformin combination of 50/850 twice daily after meals. Decrease fats in her diet, avoid fast food. Increase physical activity if possible. Sugary things should be avoided altogether. Report me after one week." + }, + { + "id": 20887, + "tgt": "Does the CT scan mean any infective or neoplastic etiology?", + "src": "Patient: Hello doctor, My mother had CT scan done today and report says following: Lobulated hypodense SOL's in the peritoneal cavity in the left paracolic region measuring 5.6x3.8 cm and 3.0x3.0 cm, with mild perilesional fat stranding. Infective or neoplastic etiology? The doctor thinks it is cancer tumor. Please advise. There is a test suggested- CT contrast abdomen. Doctor: Hello. In CT scan report (attachment removed to protect patient identity), space occupying lesion is present. Hence malignancy has to be ruled out here. For that CT or USG-guided biopsy has to be taken and send it for histopathology examination. By histopathology report, the diagnosis will be clear and then accordingly further discussion can be done. Take care. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 7345, + "tgt": "I have the feeling of nausea everytime after eating. Is this gastritis?", + "src": "Patient: Hello doctor,Nausea, feeling fall quicker nausea after eating. I do have silent reflux I take Solmac for that. Could it be gastritis? I feel well no pains, but I have this odd pain like I have not eaten all day like pain. A gurgly stomach, no temperature. Doctor: Hello. I got to know your problems and kindly tell you to get your pregnancy test done. I got to know you are female with childbearing age. If it is not pregnancy nausea, then whatever you have is such a somatoform disorder. Yes, your anxiety has caused all this. It is a type of manifestation of psychiatry disorder. But do not worry, you can control this mind. Do yoga and meditation. Stop thinking or being anxious or even take some psychiatry doctor help. I do not think you have any other issues. For a safer side, get an ultrasound abdomen done since you had a history of diverticulitis. And yes gastritis with reflux can also have this type of problem. You can try any gastric tablets for two weeks and see. It can also reduce the problem. Do the combination approach of above mentioned to tackle your problems. I hope this info helps you sort out your problems. Anxiety. USG abdomen. Gastritis, and pregnancy. Somatoform disorder. Yoga, meditation, USG abdomen, pregnancy test, and gastric medication. Yoga, and meditation." + }, + { + "id": 573, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 14968, + "tgt": "Is it advisable to take antibiotics for ureaplasma parvum?", + "src": "Patient: Hello doctor, I and my fiancee have ureaplasma parvum (DNA analysis). I have no symptoms, she has a little excreta. Should we take antibiotics or not? Doctor: Hi. I have gone through your query. Men usually do not get significant symptoms in this infection. Women usually get some whitish discharge, not very significant. It would be best to get it treated and both of you would need treatment as it can be sexually transmitted. However, it is completely curable. I would suggest you visit your local urologist for a clinical examination before any treatment." + }, + { + "id": 7281, + "tgt": "I am feeling tired after inhaling gasoline in a car shop. Is it serious?", + "src": "Patient: Hello doctor, I have always been scared of gasses and other environments dangers and sometimes I just cannot stop thinking about them. So, please do not scare me more here, but could you please advice me and tell me if the danger I am thinking about is something to worry about or nothing at all. Everyone knows carbon monoxide is dangerous and car exhaust produces this dangerous gas. But we cannot fully protect against this environment gas, while every car in the country runs on it. Yesterday we were in a car center, looking for a brand new car to buy, and inside this car center (fearly small) they showed us a car, and they did start the engine inside (gasoline), to show us the backing camera. This was a brand new car, and it did run for about 20 to 30 seconds. And after this, we did talk in the same room for about 1 to 2 minutes. Then we did go out. I did not feel any strange smell and after six hours I did not feel any symptoms. This morning I feel very tired and I think it is because I have been thinking about this over and over in my head. My wife who was with me, do not feel anything and she did not even say a word about this. When we read on the internet, we can read all the danger about this, and I just want to know if this will make any damage to my body or not. Doctor: Hi. You have the answer \"I think it is because I have been thinking about this over and over in my head\". Generally, it is true that environmental toxicity (air pollutions or water pollutions) are increasing that directly affects our health. If you have a respiratory allergy or skin allergy due to pollutions, then it should be taken special care. Otherwise, nothing to worry. In your case, I am 100 % sure that your tiredness is not due to the pollution. Usually, people who are working in the pollution area for a long period, only then they will suffer. Usually, our body is capable of handling pollution issues to a certain level. You may do some positive things about it such as: a) Pranayama practice daily morning - to purify the lung. b) You may maintain interior plants (within your room, office, house) to give more oxygen. c) You may check the air pollution level of your living city (through government health office). If pollution is more, you may shift to another village or city having less pollution. Moreover, you be confident that your body has the capablity of fighting against pollution. That confidence is helpful for mental peace. You can consume more vegetables and fruits (natural detoxifier) to maintain your health." + }, + { + "id": 6643, + "tgt": "I have borderline personality disorder and obsession. Will Fluoxetine help me?", + "src": "Patient: Hello doctor, I am a 30 years old female. I suffer from borderline personality disorder, bipolar disorder, psychosis, anxiety, and obsessive thoughts for ten years. I am taking Olanzapine 10 mg for 68 days, Lamotrigine 200 mg for 101 days, and Fluoxetine 20 mg for 53 days. Now I am not depressed but also not happy. I have a little moment of happiness, elevated mood, and ambitions, but it is so mild and lasts for seconds. Is this normal, or should I stop taking Fluoxetine? Also, I have no control over eating and sleeping, especially at night, why? When will this go away? When does Fluoxetine gets kicked in and make me happy? For how long should I take fluoxetine, or should I increase my dose? Then when should I lower the dose and how? When should I stop Fluoxetine? After I increased my dose of Lamotrigine from 150 mg to 200 mg, I suffer from less speaking with others, why? When will this go away? Should I lower my dose to 150 mg or continue this dose? Should I take Paroxetine for depression instead of Fluoxetine? For how doses and for how long? I was treated by a psychiatric doctor and want to know a detailed information about what I have asked before visiting him next time? Please help. Doctor: Hello, Welcome to icliniq.com. You have a lot of questions, let me answer one by one. 1. Fluoxetine is good medicine for OCD (Obsessive-compulsive disorder) and depression cases. 2. If this is the first time you are having the problem, you should take medicines for at least six months, if not then continue longer. 3. Fluoxetine will control your depression. Staying happy is your job. 4. I strongly recommended taking counseling (talk therapy) sessions. 5. Therapy will help you recognize the negative subconscious thoughts which are keeping you in the loop of depression. 6. Cognitive-behavioral therapy (a type of talk therapy) is very effective in OCD and depression cases, and the best results come when done while taking medicine. So that you never have this problem again, or even if it occurs, it is not this severe. 7. You can find a counselor in your city and talk in detail about what you are going through, so you can get better help." + }, + { + "id": 19739, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2530, + "tgt": "Why am I not gaining weight?", + "src": "Patient: Hi doctor, I am a 60 year old male. My height is 5'9\" and my weight 150 lbs.\u00a0Diagnosed with type 2 diabetes three years ago at 140 lbs weight. I\u00a0went on with Metformin 2 x 1000 mg per day. It worked well for a while, but not good enough. Then I opted Insulin and gained some weight of about 4 lbs, but stopped Insulin due to inconvenience of injections. Then, I had Jentadueto for a while. Now, I just started Invokana 100 mg and it is bringing down the numbers greatly. 20 years ago, I was diagnosed with hyperthyroidism. Now, it is in normal range with Synthroid. My\u00a0blood pressure is also normal.\u00a0I feel great, but I am now down to 125 lbs. I do not exercise with a fear of losing more weight. I also have attached some test result. Why am I not gaining weight? Doctor: Hello. For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 10296, + "tgt": "I have chest and arm pain with fever and vomiting. What should I do?", + "src": "Patient: Hello doctor, I am suffering from right side chest pain and right arm and also have fever and vomiting. What should I do? Is it symptoms of something big? Doctor: Hello. You have mentioned that you have diabetes. Patients with diabetes need not always be present with typical chest pain in case of any sudden cardiac event; symptoms like right sided pain, and persistent vomiting should not be taken lightly. And also you did not mention about history of any 1) cough, 2) abdominal pain, and 3) burning urination In addition to a coronary cardiac event, your symptoms also suggest the possibility of any lung infection as it can lead to fever chest pain and even vomitings sometimes.And as people with diabetes have a predisposition to infections, patients with fever and vomitings should be evaluated for urinary infection also if other symptoms are present. You need to get 1) ECG. 2) Chest X-ray. 3) Complete blood picture. 4) Complete urine examination is done. Without any delay and also chest and abdomen needs to be examined for any infection. You can contact me any further queries." + }, + { + "id": 194, + "tgt": "My mom is extremely depressed and angry. How to deal with her?", + "src": "Patient: Hi doctor, My mom is extremely depressed and showing the anger towards my dad with the wrong assumptions. She is not at all listening to our words. Whenever we advise on this, she is showing abnormal anger, which is unusual. I tried to take her to a psychiatrist, but she is not ready to come. She had the same issue before four years and was rectified after consulting with a psychiatrist. Can you please suggest or guide to deal this. Doctor: Hi. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 23571, + "tgt": "I have intermittent twitching in hypothenar muscle. Should I be worried about ALS?", + "src": "Patient: Hi doctor, I am worried about ALS. I have had a twitch in my left hypothenar muscle intermittently for three weeks or so. Perhaps a few twitches per hour followed by hours of no twitching. I also have twitches in other parts of my body quite regularly though this one is focal and the others are diffuse. I have not dropped anything. Doing self-tests, my left pinky seems a bit weaker. Though I think I have atrophy in the hypothenar, I have had three general practice doctors tell me it is just asymmetrical with my dominant right hand. The doctors have also performed basic finger strength tests (spread fingers and resist ) and they say they are normal. Reflexes are normal. No tripping, dropping, slurring, etc. Should I be worried about this given the above scenario and that doctors have told me no atrophy and no weakness? Thank you. Doctor: Hello. I read carefully your question and would explain that your symptoms are not typical of ALS (amyotrophic lateral sclerosis). Benign fasciculation syndrome, an electrolyte imbalance or thyroid gland dysfunction could mimic this clinical situation. Coming to this point, I would recommend performing some tests to investigate possible causes: Consulting with a neurologist may be needed in case of abnormal EMG. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 12897, + "tgt": "How can I treat the skin patches on hand and forehead?", + "src": "Patient: Hi doctor, I am having the patches on hand and near the forehead. This has been for the last 3 to 6 months. Had psorasis earlier that was cured. What do I do for these kinds of patches on the skin? Is it serious? Kindly help me with medication to provide a solution. Doctor: Hi. I have gone through your case. In my opinion, you are having different types of lesions on your face and arms. For the face lesion, apply Clindamycin gel two times a day only on the raised red lesion. Lesion around the eye may take somewhat longer time to heal. Brown lesion on arms is due to sun and dryness. Please regularly apply sunblock lotion with SPF 40 or above to prevent further more lesions. These are called lentigines. For dryness use E45 lotion. No cause for the facial lesion. Sun exposure for brown arms lesion." + }, + { + "id": 30373, + "tgt": "Shall I get hysterectomy for irregular and heavy periods?", + "src": "Patient: Hi doctor, I am an athlete and my period is such a hassle. I just wish I could get rid of it. It is irregular and lasts for seven to eight days. I do not want to go on the pill, because emotionally my hormones have balanced out. I am worried that if I take any form of birth control, then it will mess that up. I have started considering a hysterectomy just to get rid of it, but I cannot really take time off from my training. I just do not know what to do. I am currently on Lexapro, Wellbutrin, Midodrine, Mestinon and Trazodone. Doctor: Hi. Hysterectomy is a kind of an extreme option considering it is permanent. I understand that you may be hassled by your periods, but removing your uterus before you have completed your family or without any pathology is not the way to go. You can take the oral contraceptive pills, which will both regularize your periods as well as decrease the duration of flow, the pain and the discomfort as well. If you have an event and you need to be not bleeding, then you can manage to postpone the periods with minimal disruption to your hormones. You can take a milder form of contraception, which will not give you the side effects like bloating or migraines. I would suggest Yasmin or Yaz. It is mild and will keep your hormones in order. When you do wish to conceive you just need to stop the oral contraceptive pill. You can take it for six months on a cyclical basis as per the instructions on the back of the pack and give a break of a couple of months and then restart again with the consent of your specialist doctor. Please do not be frustrated. There are more conservative options than major surgery. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18691, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 30565, + "tgt": "My wife has been suffering from left arm and collar bone pain. Please help", + "src": "Patient: Hi doctor, My wife is 32 years old. She is complaining of collar bone pain on the left side and left arm pain. Whenever there is some movement, she feels the pain. We consulted a doctor before six months. She was fine for some time, but it has started again now. Please help. Doctor: Hello. 1. Neck - Nonradicular pain. 2. Shoulder - Tendonitis. For further information consult an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 8951, + "tgt": "Do muscle twitch and body weakness occur due to mineral deficiency?", + "src": "Patient: Hi doctor, I am suffering from muscle twitches, joint pain and\u00a0extreme body weakness for over three to four months.\u00a0My skin has become dry. My finger knuckles has got black pigmentation. My neurologist tells me that my reflexes are normal. I have a history of masturbation from my teenage and I also have problem of excessive nightfall. Does this problem occur due to any potassium or magnesium deficiency? Or due to any hormonal problem like testosterone or HGH deficiency? My thyroid profile is normal. My brain MRI, EEG and BP are normal too. I am 5'10\" tall and my weight is 79 kg. \u00a0I am currently taking tablet Remylin D but there is no improvement. I am also taking ayurveda remedy for nightfall. Please help to improve my condition. 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": 23586, + "tgt": "Is HPV type 73 virus transmitted only by sexual intercourse?", + "src": "Patient: Hello doctor, I want to know how the virus HPV type 73 is transmitted? I have heard that it can only be transmitted from sexual course but I want to be sure. My fiancee also has the virus. Doctor: Hi. I read your query and understand your concerns. It is true that HPV (human papilloma virus) 73 is transmitted through sexual intercourse. On the current date no other mechanism is known for transmission of HPV 73. Considering the fact that your fiancee has HPV, there is high possibility of transmission to you. I must inform you that even the use of condom does not ensure 100 % protection as areas such as inner thighs are not covered with use of condom. For more information consult an andrologist online --> https://www.icliniq.com/ask-a-doctor-online/andrologist" + }, + { + "id": 4547, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 25942, + "tgt": "What medicines can treat my severe panic attacks?", + "src": "Patient: Hello doctor, I suffer from very severe panic attacks. I have a very hard time just going out in public to do normal routines. I have tried so many methods to combat my anxiety but they do not work. Is there any medicine that helps with this problem. I feel like I have tried everything. Of note, in the past, I have been prescribed Clonazepam. Doctor: Hello. You are suffering from panic attack disorder. You should start tablet Escitalopram 10 mg once a day after breakfast. It is a selective serotonin reuptake inhibitor. It will help you prevent your anxiety and panic attack. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Tablet Clonazepam is used during panic attack to resolve the attack. You can take it round-the-clock. It is a Benzodiazepine drug and you can get easily addicted to it if you take it for a longer time. You can take Clonazepam for four weeks two times a day and then taper it off and finally stop it. For more information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 12240, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22719, + "tgt": "Can spotting after 10 days of taking emergency contraceptive mean pregnancy?", + "src": "Patient: Hi doctor, I had unprotected sex on the last day of my period. Three days later I took unwanted 72. 10 days after taking the emergency contraceptive I experienced spotting accompanied with mild stomach pain and sore breast. Could I be pregnant? Doctor: Hi. If you have had sex on the last day of your period, your chances of getting pregnant are slim. When you say you took unwanted 72 after three days, did you take it within 72 hours of having sex? If you have then it is unlikely you are pregnant. The spotting you had after 10 days could be the withdrawal to the pill. Breast soreness too is because of the pill as it is very high in hormones. It should only be used in emergencies not as a routine contraceptive. Effects can change. It has a failure rate of 0 % to 2 %. So if you do not get your next period in two weeks, 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": 9760, + "tgt": "I was diagnosed with bronchitis in ER. Is it the correct diagnosis?", + "src": "Patient: Hello doctor, I was diagnosed with bronchitis today in the emergency room. I felt very weak and had difficulty breathing and could not wait for my doctor's appointment in two weeks. I have an unproductive cough for a month and a half and burning in my chest. I have attached my reports. Do you see anything else in these X-rays (tumor)? Is bronchitis the correct diagnosis? Are the medications they prescribed correct? Doctor: Hello. According to your present and past history, it could be allergic rhinitis with bronchial asthma if rhonchi present on auscultation. it could be bronchitis in which rhonchi may or may not be present. I have gone through the reports (attachment removed to protect patient identity). There is no evidence of malignancy. Although medicines are correct, if symptoms are not controlled, then I suggest you should go for nasal spray BD, Montair LC (Montelukast and Levocetirizine) HS, Seretide Accuhaler (Fluticasone Propionate and Salmeterol Xinafoate) BD. For more information consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 8008, + "tgt": "Can premature ventricular contractions (PVC) be the result of anxiety?", + "src": "Patient: Hi doctor, I am a 34 year old female, and I weigh 135 lbs. I gave birth to my second child seven months ago. Ever since then, my heart has had extra beats, and I also have the skipped beat feeling. It happens daily and many times a day at rest. I went to the doctor, and he sent me to the emergency room. I had blood tests, EKGs, chest x-ray and a heart monitor for six hours. The doctor said it was from anxiety and nothing is wrong. However, I have reduced my anxiety but still get them. I returned to the emergency room recently, because it became more frequent, and I was told to do an\u00a0internet search on health anxiety and heart palpitations for reassurance. I learned that I have PVC. I am still worried about this because they would not go away. Is this really just anxiety? Doctor: Hi. I understand how you are feeling. For further queries consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 7134, + "tgt": "I am suffering from hair loss. My hairline is receding. Can I take Finasteride?", + "src": "Patient: Hello doctor, I am a 25 year old male. I am suffering from hair loss for the past three to four years. I can see my hairline slowly receding from the forehead. I have been suggested Hair4U 10 % lotion and Biotin tablets. Do these drugs have any side effects on the body? Can I take Finasteride for hair loss? Doctor: Hi. The treatment started by your doctor is fine. The only thing is that the treatment for hair loss has to be followed for a long time and you need to be regular with your follow up visits. Regarding side effects, both these medications (Hair4U and Biotin tablets) are pretty safe. So, you need not worry. Hair4U is a topical solution used to treat male pattern baldness (androgenetic alopecia). It contains 10 % Minoxidil or Aminexil (Kopexil). Biotin (Multivitamin) tablets promote hair growth as well. Finasteride is used to treat androgenetic alopecia in adult men only. It slows down hair loss and promotes hair regrowth. Finasteride might cause the risk of developing prostate cancer. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3272, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 3520, + "tgt": "Why do I get multiple erections during sleep?", + "src": "Patient: Hello doctor, I am 56 years old, diabetic with high blood pressure. In the last four years, when I am sleeping I have multiples erections, dreams and not a calm night of sleep. My wife always complains and we argue because during day time I have no desires and it is very hard to have an erection and this makes more friction between us. Sometimes we take a month to have intercourse. We have been together for almost 22 years. The problem of erection during sleep time started with fewer times and now it is getting worse sometimes six times during a night. I really need some help to have a calm night. What do you suggest? I am currently taking medications for diabetes and high blood pressure along with Insulin and Baby Aspirin. Doctor: Hi. Firstly, you will need good control of your sugar levels. It will help with the erection problem and sleep. Start a good exercise regimen and lose some weight. Also search on the internet for Kegel's exercises and do them daily. It will help strengthen the muscles at the base of the penis and help with good erections. Also, start a good multivitamin with a lot of B-complex group of vitamins. Finally, for a few times, you can try taking Sildenafil or Tadalafil to help with getting erections. For sleeping, you should try taking something harmless initially like Melatonin supplements, or you can try to take something which will give you sleep and also help with your stress such as Mirtazapine 7.5 or Vilazodone 20 mg which do not have any sexual side effects." + }, + { + "id": 16603, + "tgt": "I am passing black stools since two days. Why?", + "src": "Patient: Hi doctor, I am passing black stools since two days. I am on medication since four months. The current medication I am taking is Irozorb and Cranbe. Please suggest me what to do. Doctor: Hello. Welcome to icliniq.com. Iron in Irozorb can make the stools black or it may be happening due to gastritis or stomach ulcers. It is the iron that oxidizes and give black color, but it seems like you are taking these medications since four months. Revert with the answers to the surgical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-gastroenterologist" + }, + { + "id": 20139, + "tgt": "Am I in trouble with 20% gum bone loss at the age of 45?", + "src": "Patient: Hi doctor, I was told that my gums are fine with most of them at level 3 and a few in level 4. One doctor said that I have some bone loss, but there is no big deal. Another qualified dentist said that bone loss is 20%. Now, I am scared. Am I in trouble with 20% bone loss at the age 45? I have a previous history of grinding teeth and was on night guard for that. I am currently on Synthyroid for my thyroid problem. Doctor: Hi. For further information consult a periodontist online -->https://www.icliniq.com/ask-a-doctor-online/periodontist" + }, + { + "id": 21546, + "tgt": "Why do I have light pink colored discharge?", + "src": "Patient: Hi doctor, I have a light pink colored discharge for almost three weeks. Usually, it will go off, but this time it has not gone. I am expecting menstrual cycle for two weeks. My color is generally brown before and after my period. My PAP test was fine. I always use condoms on and off with my partner. There is no pain, cramping or smell. Doctor: Hi. Since you have the discharge for three weeks, it has to be evaluated. It is good to hear that your PAP smear (papanicolaou test) is normal. You may have spotting due to some hormonal imbalance or uterine pathology. Do serum TSH (thyroid stimulating hormone), serum beta hCG (Human chorionic gonadotrophin) and serum prolactin blood test on an empty stomach in the morning to see if you have any hormonal imbalance. Do USG (ultrasonography) pelvis by transvaginal scan to look for polyp in uterine cavity or cervix, thickened endometrium. Let me know your report after getting them. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 31018, + "tgt": "What does a hole in the heart mean?", + "src": "Patient: Hi doctor, Our doctor said that my baby has a hole in the heart. I have attached the reports for your reference. Please explain. Doctor: Hi. For further information consult a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 7138, + "tgt": "What causes the tongue to turn yellow?", + "src": "Patient: Hi doctor, My tongue looks yellow from a\u00a0couple of days now. What is the cause? How to get rid of this?\u00a0Please help. Doctor: Hi. I read your query, and I can understand your concern. I would like to know the following: Regards. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 15770, + "tgt": "Should I worry about my elevated cortisol and DHEA levels?", + "src": "Patient: Hi doctor, I have done blood work and urinalysis. Everything came back normal except with slightly elevated cortisol of 25 ug/dl in the morning and elevated DHEA-S of 480 micrograms per deciliter also in the morning. My urine has some microscopic blood in it. I get my periods two times a month. Please help me. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). The normal upper limit of DHEA (dehydroepiandrosterone) for your age is 400 micrograms per deciliter of blood. Your level is 480 micrograms per deciliter of blood which is a mild elevation. The normal upper limit of cortisol in the morning sample is 20 ug/dl, and you have 25 ug/dl which is a slight elevation. This minor elevation does not have any significance, and it needs to be followed up with repeated tests after three to four months. I need to know whether you are taking any medicines because some medicines can alter the DHEA levels or cortisol levels. Please mention about the other symptoms like excessive hair growth on the face or body, change in voice, any shrinkage in breast size or anything else." + }, + { + "id": 4254, + "tgt": "I have been asked to take Vysov for blood sugar. Can I continue the same?", + "src": "Patient: Hi doctor,I am 29 years old. My\u00a0blood sugar levels were FBS 296 and PP 441. So, I consult with doctor and they suggested to take Insulin 14 units in the morning and 8 units at night for 15 days. After 15 days, it reduced to FBS 180 and PP 230. So, they stopped insulin and then they asked to take Vysov M 50/1000 twice a day. After a month I checked my sugar level and it showed FBS 110 and PP 150. They asked to continue same tablet for next three months. My question is can I continue the same dosage? Are there any side effects if I reduce the dose? Please guide. Doctor: Hello. 1. Patient should get his eyes examined for ruling out retinal involvement as in diabetes this is one of the common and a serious complication that comes without any symptoms. 2. Plus check HbA1c% every 6 months. Lipid profile and complete blood count (CBC). Revert back after the investigations to a diabetologist online.---> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 21327, + "tgt": "I want to know about my ECG report. Please explain", + "src": "Patient: Hi doctor, I want to know about my ECG report. I have attached it. Please suggest. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). There is an irregular rhythm called atrial fibrillation, which is usually not life-threatening but needs evaluation for the cause. Also, there are Q waves in the inferior leads which suggest the possibility of heart damage and blockages in some patients. So you should get an echo (echocardiography) and TMT (treadmill test) done to look for a cause. Also, get your thyroid test done, if there is any snoring, interrupted sleep, and morning headaches. If yes, I suggest the possibility of sleep apnea. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 2519, + "tgt": "Being vaccinated, is it fine to get 2 doses of rabies vaccine now for dog bite?", + "src": "Patient: Hi doctor, I had 5 doses of rabies vaccine along with rabies immunoglobulin before two years. A month later again, I was bitten by a dog and took three doses of rabies vaccine. Then after a year when I was bitten by a dog, I had two doses of vaccine. Now, again, I was bitten by a stray dog and took two rabies doses. Still, is there a possibility to get rabies? Doctor: Hi. For further doubts consult a community medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/community-medicine-physician" + }, + { + "id": 23988, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27067, + "tgt": "My dad has a bitter taste in the mouth every morning. What is causing it?", + "src": "Patient: Hello doctor, My father is 54 years old. He had a gallbladder surgery for gallstone removal 14 years ago. He takes medicines for BP and for hypothyroidism. His SGPT is 56, SGOT is 46 and ALP\u00a0is 278. Earlier, for triglycerides, he used to take Fenofibrate. His HDL and LDL\u00a0were not very high, rather in the marginal high range or even normal. He complaints of a bitter taste in the mouth every morning after waking up. That taste goes away after some time.\u00a0Our family doctor prescribed him Udimarin forte tablets and now Liv 52 DS tablets and Sorbiline syrup. Is there anything to worry? He also had a deficiency of vitamin D. Doctor: Hello. I went through your post. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 16305, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29535, + "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": 18078, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27599, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1082, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 18307, + "tgt": "How can I manage high cholesterol?", + "src": "Patient: Hello doctor, I am 35-year-old male. My weight is 77 kg and height is 5 feet 6 inches. What is a skipping pulse? Is it blockage in the heart or not? My test reports is as follows, Cholesterol : 247, Triglycerides : 283, Hdl : 43, Ldl : 149, VLDL : 57, Non-Hdl cholesterol : 204, Lipoprotein a : 94, HS-CRP : 8, Sugar fasting : 90, and BP mostly : 130 / 85. Doctor: Hello. I recommend performing an ambulatory 24-48 hours ECG (electrocardiogram) monitoring to investigate for any cardiac arrhythmia. I would also recommend performing complete blood count and blood electrolytes for any possible imbalance, which could trigger ectopic heartbeats. Regarding your blood lipid profile, I would recommend trying to modify your diet, avoid fatty food or sugar and take a lot of omega fatty acids (fish, fish oil, olive oil, walnuts, etc.). I would also recommend taking a statin, considering your blood lipid profile. Atorvastatin 20 mg daily for a month would help improve your blood lipid profile. Hope to have been helpful! If you have any other questions, please do not hesitate to ask me again. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 24592, + "tgt": "Please advise on the exceeded values of the blood report", + "src": "Patient: Hello doctor, I have attached the PFA and the blood test report of my wife who is 29 years of age. 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? She has got the blood test profile checked just as a general checkup and not specific to any illness. We get it checked once every two years. Doctor: Hello. I have thoroughly gone through the reports (attachment removed to protect patient identity), and I understand that she did not have any symptoms, but you got the tests done just for the regular checkup. Out of these, there are some red flags which need to be further evaluated like the low iron and low values indicating an iron deficiency anemia. Also, the stimulating thyroid hormone is raised, but T3 and T4 are normal which could be subclinical hypothyroidism. For this, we need to see if there are any thyroid antibodies present. Please get the tests that I mention below done. Also, the raised ALP (Alkaline Phosphatase) needs to be looked at. Given that CRP (C-Reactive Protein Test) is raised it means there is an underlying disease process. It could be the subclinical hypothyroidism, or it could be something else. Sometimes autoimmune hypothyroidism can be associated with other conditions that can cause both anemia and a raised ALP. Please get the tests done so that we can promptly get to the bottom of this. Also, tell me if she has other symptoms like itching or fatigue, etc. Hope this helps. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 12425, + "tgt": "What are the symptoms of pregnancy?", + "src": "Patient: Hello doctor, I and my fiancee became physical last week. Now we are in doubt that she might be pregnant. We need some help and suggestions regarding this. Doctor: Hi. There is no contraceptive that will work now as it has been a week now. Emergency contraceptive works only within 72 hours. I suggest you wait for her period and if it gets delayed by a week do a pregnancy test and check. If positive we can handle the issue as per your need. All the best." + }, + { + "id": 5974, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 14414, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14113, + "tgt": "How can I manage pain in ribs with breathing difficulty after a fall?", + "src": "Patient: Hello doctor, I slipped, fell and landed on my side four days ago and have been in a lot of pain since around my ribs on the left side. The pain has not lessened, sometimes feels worse. It hurts when I breathe so I have to take shallow breaths. I know that X-rays will not do much and I realize that not much can really be done at all. So my question is what can I do to help the healing process or if there is anything I should not be doing. I have been going to work and avoiding heavy lifting. I cannot really afford to take more than a few days off. Would it slow the process of healing if I continue to go to work but avoid heavy lifting and any strenuous activity? Doctor: Hi. I have thoroughly gone through your case and can well understand your genuine health concern. Severe pain on the ribs and breathing difficulty after a fall indicates some injury to the ribs. Even a minor fracture of the ribs can cause severe pain and breathing difficulty. Sometimes, severe muscular spasm following a fall can also cause such symptoms. So you need a proper physical examination. As you mentioned that you fell on the left side and having severe pain and breathing difficulty also, I suggest you get an X-ray done and consult an orthopedician. It is true that X-ray will not help much but you can get it done to make sure that there is no rib fracture. For minor rib fracture, only conservative management should be done. You need to take rest, avoid excessive spine movements, avoid sleeping on left side, avoid lifting heavy weights. In my opinion, you should take rest and avoid working for a few days. I would suggest you take some oral anti-inflammatory drug in combination with muscle relaxant drug twice daily for about five days. You can also apply some analgesic cream or ointment twice daily. Also, hot water bag over the painful area for 20 minutes thrice daily for pain relief. Rib fracture or muscular spasm. X-ray thoracic spine- AP and lateral." + }, + { + "id": 107, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 16100, + "tgt": "When I sit and look into the computer screen, I experience severe back pain. Please help", + "src": "Patient: Hello doctor, I am a 23 year old male. I am having pain in the upper back. When I sit on the chair in office the pain starts and it reduces when I stand, stretch or walk. I work for nine hours, from morning 11 to evening 8. I do not have any previous injuries or accidents. Eight days ago, I felt pain in the upper right back just below the shoulder. Then, the pain shifted to the upper middle back. When I sit and look into the computer screen, it pains more. When I look up, I feel relief. Give me your advice. Doctor: Hi. You have given an excellent description of a common problem in persons who have a desk-based job. The condition you are experiencing is due to poor posture. Stretching and looking away from your constant position is helpful as you have also figured out. Get up and move around after every half an hour. Keep the top of your computer screen at your eye level while sitting with your back supported in the chair. You can do intermittent stretches of your neck and shoulder muscles. Practice isometric and range of motion exercises of the neck which will help you a lot. Take painkillers and apply an anti-inflammatory gel locally for immediate relief. Do not take the painkillers for a long time. If you follow these instructions, these will help you recover in a few days. If the pain persists, investigations may be required. Consult an orthopaedician online if the pain persists --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 8783, + "tgt": "I have a tiny lymphnode on my collar bone. What could be the cause and treatment?", + "src": "Patient: Hello doctor, I have been on a rollercoaster, and I found a tiny lymphnode on the left side above the collar bone. So I went to my ENT, put a scope down my nose, he said to keep an eye on it, it has not grown since I found it. I got an ultrasound today, and I guess it is smaller than what I thought, its 3x3 mm. What do you think? Doctor: Hello. The lymphnode you are talking about is insignificant. You need not worry about it unless it grows in size or become painful. Some lymphnodes grow bigger in size due to hyper reaction, so you need not worry." + }, + { + "id": 21929, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22291, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 2977, + "tgt": "Does fertilization occur immediately after egg release?", + "src": "Patient: Hello doctor, Will fertilization occur immediately after an egg is released? And will the ovulation test show positive regardless of fertilization has occurred immediately? I had sex three days ago but the ovulation test still showed positive today. Please suggest. Doctor: Hi. Ovulation test is not confirmatory for ovulation. It means LH (luteinizing hormones) hormones increased during the menstrual cycle. Fertilization can happen within 24 hours after ovulation. Once LH surge happens ovulation actually occurs after 36 hours of LH surge. Ovulation test comes positive when LH surge happens. So you should have sex after two or three days of positive ovulation test. It is the most likely time of ovulation. But it is not confirmatory. Ovulation does not always happens after LH surge. Ovulation test does not have a relation with fertilization. Fertilization may or may not occurs even after ovulation." + }, + { + "id": 12595, + "tgt": "What can be done to cure swollen lips due to a fall in a baby?", + "src": "Patient: Hello doctor, My 15 months old son fell from a queen size bed and landed on his face. His lips swole up. He cried and seemed hard to calm down. He is now sleeping. This all occurred about one hour ago. He is responding to touch. He seeme very sleepy. But I do not know if it is because of falling or because it is late. I am afraid. Doctor: Hi. I can understand your situation. It is good that at present she is stable. Let me give you some information about it. He may be tired so he slept. It is possible that lip swelling can cause pain so need to give pain killer like Paracetamol. Sometimes in small baby like him it is possible that due to some trauma there may be some brain injury or inside bleeding. It is a very rare chance that your son has it but watch for some symptoms like persistent vomiting, seizure (fits), extremely irritability, prolonged sleeping, abnormal behavior or if you feel that he is not looking normal then rush to the nearest medical facility. Sometimes, these kinds of symptoms can take some time to appear. So be vigilant. I am giving this information not to panic you but to be more proactive. Make all child safety measures now onwards." + }, + { + "id": 3378, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 10363, + "tgt": "If I stop taking Keppra suddenly, will it cause withdrawal seizure?", + "src": "Patient: Hello doctor, I had a seizure for the first time in\u00a0my life when I was about 19 years old. The emergency room physician did not do any tests before he put me on Keppra. After I had been put on Keppra, I went to a neurologist who did an MRI and a sleep study. Nothing showed up on either test, but he wants to keep me on the medication. The issue that I have is I think the medication is causing more problems than helping. Why would he keep me on the medication when I was not diagnosed with anything? But I was told that even if I do not need the medication and I still stopped it cold turkey, it could cause seizures. Is it true? Doctor: Hi. I read your query and understand your\u00a0concern. I hope this answers you.\u00a0If you have more questions feel free to write back to me. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 17560, + "tgt": "What precaution should I take for fibroid and low lying placenta?", + "src": "Patient: Hi doctor, I\u00a0am attaching the two ultrasound reports of 7th week and 14th week pregnancy.\u00a0As per reports there are\u00a0fibroid and low lying posterior placenta.\u00a0What are chances of the baby to be delivered safe and sound?\u00a0Will this fibroid contribute any bad effect to the baby or baby's growth in the uterus?\u00a0Is there any way to remove this fibroid after baby's birth without causing any harm to the uterus?\u00a0Are there any chances of another fibroid (in future), if the existing one removed by any treatment?\u00a0What precautions need to take so that there are no or minimum harm to baby because of this fibroid?\u00a0Any additional comment or advise would be highly appreciated.\u00a0Thank you very much. Doctor: Hi. Placenta previa. Bed rest. For further information consult an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19031, + "tgt": "Can depression be a cause for weight loss?", + "src": "Patient: Hi doctor, I am suffering from gastric problem for the last one and a half month. I lost 4 kg due to depression. I did my whole body checkup and all the reports are clear. But, I am having pain in my right hand muscle as well as have body pain. Is it due to depression?\u00a0I studied about leukemia on internet and I am afraid that I am having \u00a0the disease. Please help. Doctor: Hi. I have gone through your query. There are many causes for weight loss. Weight loss can be due to depression. Even any chronic infection in body can cause weight loss. If you are not taking proper diet due to gastric problem, then this might also the reason for your weight loss. As your reports were normal, there is less chance for having malignancy. But, still if you are in doubt you can repeat your investigations. Body pains can be due depression. Take bland diet. Drink plenty of water. Have fiber rich diet and avoid fatty and oily food. Get the following investigations done as soon as possible. 1. Complete blood count test. 2. Differential count test. 3. Gastroscopy. Revert back with the reports to a general medicine physician online.--->https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 11479, + "tgt": "Why are there bleeding, pain, and discomfort during sex?", + "src": "Patient: Hello doctor, I have been experiencing bleeding, pain, and discomfort during sex. It started about three weeks ago when my fiance and I had multiple sexes in a day for almost a week. At first, the bleeding was very little, only during intercourse, and stopped immediately after the intercourse. We had sex before three days, and the bleeding was minimal. But now the bleeding continues. I can tell that it is coming from my vagina wall (near the entrance) instead of the uterus. Neither of us has STI or STD. I am on combination pill Rigevidon for almost a year. The pain goes away immediately after intercourse, and it is not that intense. What could be the problem? I also do not have a yeast infection. Doctor: Hello. The most common cause of post-coital bleeding is either vaginal mucous frictional lesions, and the other is cervical erosions or cervicitis (lesions over the cervix which bleed due to frictional injury during intercourse). It is essential that you should get speculum examination, and pap smear done to check for cervicitis, and any vaginal mucous lesions if any. Please avoid intercourse. If diagnosed then this may require a course of antibiotics for the next 10 days as would be advised by a gynecologist after evaluation. Please consult your gynecologist." + }, + { + "id": 6467, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 7915, + "tgt": "Does Levofloxacin cure both chlamydia and gonorrhea?", + "src": "Patient: Hi doctor, I did IgG test for HSV-1 and HSV-2 after four months of possible exposure, which was negative. Is it conclusive? Is there any need to do IgM test? If IgG is negative, can I consider that I am not infected? Doctor: Hello. Hope your query is answered, but if you have any other question, please revert. For further queries consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 22838, + "tgt": "What is the best method to avoid pregnancy if I missed using a condom?", + "src": "Patient: Hello doctor, I am a 28 year old male and my partner is a 22 year old female. If I skipped using a condom during sex, what is the best option to avoid pregnancy? Also, please mention the side effects of the medicine. Doctor: Hello. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21931, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 15141, + "tgt": "Had PCL surgery before five weeks. When can I walk without support?", + "src": "Patient: Hi doctor, Five weeks before my PCL surgery was done using a screw which fixed my left knee PCL with the leg down bone patella. After four weeks, my doctor had recommended me to start walking with a well-weight and try to bend my leg to remove the freeze. After five weeks, my doctor has suggested me to try to walk without knee braceses and allow for my sitting work but I need to use braces while walking. This time I am walking with the help of a walker. But after two days, I have to go to the office. So, please let me know should I use a cane or crutches for walking and when I can walk without any support? Doctor: Hello. You had a PCL (posterior cruciate ligament) injury five weeks back which was managed by a screw fixation. I have seen both your pre-operative MRI scan and a post-operative X-ray (attachment removed to protect patient identity). In my opinion, you can continue with the use of knee ROM brace with intermittent knee movements, crutch aided PWB movement for one more week and then crutch aided full weight bearing ambulation. Repeat X-ray after four weeks, and maybe 6 to 8 weeks post-surgery, the patient can be made to ambulate without any support depending upon initial reduction and subsequent healing. So, as of now, you can go to your office with the help of crutches and partial weight bearing on the operated leg." + }, + { + "id": 4951, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 18415, + "tgt": "How can I improve my learning skill without any fear?", + "src": "Patient: Hi doctor, As a student how to improve learning skill without any fear? How can I live stressless and enjoy my student life happily? Doctor: Hi. I can understand. 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 helps too. Avocados, beetroots, blueberries, broccoli, celery, coconut oil, dark chocolate, etc., are good for improving concentration and memory. I suggest online education counseling. Take care." + }, + { + "id": 26130, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2327, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 10473, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 5446, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 18801, + "tgt": "What causes bowel movement immediately after drinking whiskey?", + "src": "Patient: Hi doctor, I always get bowl movements in the evening immediately after I drink one or two pegs of whiskey. It has been happening daily for the past 2 or 3 years. The stool floats and dark brown in color. Last night, I got stomach pain and stools are very loose.\u00a0I have mild fever too and I am now\u00a0on liquid diet. I am on Telma 80 and Acitrom as I have a clot in my right popliteal artery. 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": 10881, + "tgt": "What causes palpitations and episodes of passing out for a few years?", + "src": "Patient: Hello doctor, I had palpitations and episodes of passing out on and off for a few years. I had blood, ultrasound, and ECG (electrocardiogram) tests done, and so far, I have no answers as what is causing it. Is there anything they can do to help the symptoms at this point or do I have to put up with it and hope they find a cause and treat. Doctor: Hello. The probable cause in you is a cardiac arrhythmia. Firstly, were these episodes witnessed by others? And I guess there are tonic clonic movements as seen in seizures. Also, any precipitating events like stress, urination or passing stool, etc., this is to rule out the possibility of vasovagal syncopes. So, considering the likely possibility of cardiac arrhythmia and recurrent syncopes, there is an option of electrophysiological studies which can answer the cause. Otherwise, we will have to wait and watch until the episode of arrhythmia recurs and captured on ILR (implantable loop recorder). But, if you are having symptoms at present and there is nothing on ILR, then it cannot be a cardiac arrhythmia. So, if you are symptoms at present, then ILR should be interrogated, and if asymptomatic, then electrophysiological studies is an option. Otherwise, wait and watch. I hope this helps you and get back if you have any doubts." + }, + { + "id": 27461, + "tgt": "My wife made a mistake while taking the abortion kit. Should she take another?", + "src": "Patient: Hi doctor, My wife's pregnancy test came positive. So, she had\u00a0taken\u00a0a Clear kit on the 20th. But, the period did not come. What to do? Can she take another Clear kit? Doctor: Hello. For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9816, + "tgt": "I have 6/6 right eye, 6/6 left eye and 6/5 uniocular vision with glasses. Please explain", + "src": "Patient: Hello doctor, What is meant by 6/6 right eye, 6/6 left eye and 6/5 uniocular vision with glasses? Doctor: Hi. In laymen terms, 6 by 6 means scientificly defined perfect vision. In medical terms, 6 by 6 means what you see from six meters, a person with normal vision also sees it from 6 metres. 6 by 5 means what a normal person sees from 5 metres you see it from 6 metres only means better than normal vision. In this case, 6 by 5 is possible with spectacles." + }, + { + "id": 20015, + "tgt": "Are Ovral pills reliable to avoid pregnancy?", + "src": "Patient: Hello doctor, Can we rely 100 % on Ovral pills to avoid pregnancy? What are the side effects?\u00a0Is there any other option with no side effects to avoid pregnancy for two years? Doctor: Hi. Ovral pills (combination of Ethinyl estradiol and Levonorgestrel) are 100 % reliable if taken regularly. They have very few side effects and can be taken same time every day. If you miss one tablet it is okay, but if missed twice, can lead to failure in that particular month. No other contraceptive method matches it. You can use the Multiload but only after first pregnancy. It is used for 3 or 5 years depending on the brand. Implant are also available which is inserted under the skin by a small operation over forearm. The advantage is you do not have to take tablets. I suggest you do the following tests. So, choose according to your convenience and future plans. Feel free to consult for any problem. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8616, + "tgt": "What is the reason for sinus infection?", + "src": "Patient: Hello doctor, I require some information about sinus infection. 1. What are sinus infections, and what causes it? 2. Suggest some reasons why we are getting frequent sinus infections, and what should done? Doctor: Hello. 1. Sinus infections (sinusitis) are swelling or inflammation of the tissue lining the sinuses. 2. Causes include a virus, bacteria, fungus, allergies, polyps, tooth infections. 3. Blockage of the nose, especially if you are allergic or having nasal polyps makes you prone to have frequent sinusitis. Plus, congenital illness or weak immunity also puts at risk for sinus infections more often than healthy patients. Prevention consists of keeping nasal pathways clean, stay well hydrated, avoid dry air places. You can use air humidifiers to moisten the air. Eat healthily, get enough sleep, and exercise more." + }, + { + "id": 5105, + "tgt": "Is it possible to experience hearing loss after skull fracture?", + "src": "Patient: Hello doctor, Before one and a half months ago, I had a skull fracture on the right side of my head. Is it possible to lose hearing? Because I cannot hear from my right ear since then. Doctor: Hi. It is possible to have hearing loss after a head injury, especially if it was as severe as in your case where it leads to a fracture. Our ear consists of three little bones called ossicles which help in taking the vibrations of sound from the ear drum to the inner ear (cochlea). These little bones may have easily been dislocated due to the impact of your injury. This will cause a hearing loss of 40 - 50%. It may also be possible that the ossicles are intact but your ear drum may have ruptured due to the impact. In this case, you may experience 30-40% hearing loss. The third possibility is that your ear drum and ossicles are intact but there is bleeding within the middle ear from the injury and that is restricting the movement of the ossicles. This may cause 20-30% hearing loss. The least likely possibility is the injury to the inner ear because it is housed within a very strong bone. Injuries here will lead to more permanent hearing losses. The only way to find out is by getting a hearing test pure tone audiogram (PTA) from an audiologist and an examination of the ear from an ENT specialist. A high resolution CT (computed tomography) scan may also be indicated to look for the status of the ossicles and the inner ear. If it is ear drum injury, ossicular injury or blood collection within the middle ear, it can be treated easily through surgery. You can expect to regain your hearing to a close as normal. Please do share the report of your PTA with me for a more specific management pathway." + }, + { + "id": 23933, + "tgt": "Can only children with RA get fever or adults as well?", + "src": "Patient: Hello doctor,Is fever found only in children with RA or can adults get this symptom also? I have had a fever (low grade) for nine days, but enough to make me feel more horrible. My rheumatologist said only children get fever from RA. I am 45 years old and was diagnosed years ago but only started with symptoms a little over a year ago. I take Cimzia and Hydroxychloroquine. My doctor said not to do my injections until I am three days without a fever. Doctor: Hello. In rheumatoid arthritis, inflammation is present. So, mild fever can occur. But mostly in adults, fever is not as high-grade like that of a child. You are taking disease-modifying drugs and biological drugs for rheumatoid arthritis. These two medications should be continued as per your doctor's instruction. If no improvement, then other disease-modifying drugs like Methotrexate can be started in place of Hydroxychloroquine. For relieving pain and inflammation, a non-steroid anti-inflammatory drug can be prescribed. A steroid is usually reserved only for high-grade inflammation. Consult a rheumatologist for examination and medicines accordingly. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 30870, + "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": 12464, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26169, + "tgt": "Can I get pregnant if I miss one birth control pill?", + "src": "Patient: Hi doctor, I am a\u00a029 year old female, and I have started taking Femilon from last month, from the fourth day of my period. I forgot to take the 18th-day pill at night, but I took it the next day early morning as soon as I remembered. At that time, I did not have sex with my husband. After this on the first pill-free day, I had unprotected sex. Except for that one pill, I took all the pills on the correct time without any mistake. I am worried about pregnancy. Today is my fifth pill-free day, but I have not got my period and yesterday I checked pregnancy test, which was negative. Please help. Can I be pregnant? Doctor: Hello. You are unduly worried. A single pill miss is so common, and you have managed it effectively. Wait for your periods for next two days and if not, do not bother, start a new pack. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15691, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 4257, + "tgt": "Shall I use oxygen concentrator to do pranayama?", + "src": "Patient: Hi doctor, I do not have any existing problem. I live in a very congested neighborhood and it is very much polluted. I would like to do pranayama basically for my well being and mental peace. Shall I use an oxygen concentrator to do pranayama? What precautions should I take? I am not any regular medication. Thank you. Doctor: Hi. For further doubts consult a pulmonologist online --> https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 16801, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25797, + "tgt": "I am pregnant and I have nerve pain all over my face. What could it be?", + "src": "Patient: Hello doctor, I am a 28-year-old female with a height of 5 feet 5 inches weighing 140 pounds, healthy, non-smoking, non-drinking female with no drugs and no other known health problems. Two months ago, I was exposed to HSV-1 and then seven days later, I was tested positive for HSV-1 oral with IgG of 1.51 and IgM confirming a recent infection. The same day I started taking Acyclovir for three weeks and then one month later, I was switched to Valtrex (Valaciclovir) at 1 g twice daily. I started having HSV-1 facial symptoms, but never any outbreak. It started with tingling lips and then nerve pain running all over my face, cheeks then under my eyes. The last two weeks, the nerve pain has gradually increased from my eyes to my head, mainly at my trigeminal ganglion. The pain is 5/10 and is now on my forehead and the top of my head. I am still taking the Valtrex but would like to know is this common with HSV-1? What should I worry about from a neurological standpoint? Five weeks later, I still have never had a cold sore outbreak. Today, I went to see a neurologist and because I am four weeks pregnant, he suggested that I not have an MRI and not take neurologic medicines. He basically said I should just wait to see if it impacts more than the TG and wait to see if nerve pain goes away. Can someone please help me? Should I be worried about herpes encephalitis? In the past, I have been on Gabapentin. Doctor: Hello. Your symptoms are compatible with trigeminal neuralgia. I agree with your doctor's decision to avoid performing brain MRI (magnetic resonance imaging) or any medication within the first trimester. Regarding encephalitis, you should know that it is a very serious condition, characterized by acute confusion and persistent seizures, associated with fever. So, you can understand that it is not your case. You should also know that pregnancy makes you more vulnerable to trigeminal neuralgia. I suggest you taking just Acetaminophen (Paracetamol) or Ibuprofen for the pain. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. In the second trimester of your pregnancy, I would recommend performing a brain MRI and checking again IgM (immunoglobulin M) levels. For the moment a neurological consult would help exclude any other physical signs of neurological disease. Regarding the outbreak, you should know that even though you do not have it, as IgM has resulted high, the presence of infection has been confirmed. It usually stays hidden inside the trigeminal nerve ganglion within the skull. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 27818, + "tgt": "My son has rashes all over his body since five months. Please help", + "src": "Patient: Hi doctor, My son is 2 years and 9 months old. Five months back, he got rashes all over his\u00a0hands, face and legs, from buttocks to toe. We have consulted many doctors. One of them said it would last three months and prescribed some medicines, but it did not subside. I was then told he is hypersensitive and was given medications for the same. Even though it did not\u00a0help, we are just continuing those medicines. Doctor: Hello. From your description, your kid might be having acute urticaria symptoms, papular urticaria or purpura. Please send me a few pictures, taken when the rash is active. This will help me in diagnosis. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 29792, + "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": 25046, + "tgt": "There was blood on my finger after a scuffle. Is this a risk for HIV?", + "src": "Patient: Hello doctor,I got in a scuffle. Near my fingernails, I saw blood. I am not sure if it was mine or the offenders. I have no deep wound. Just small marks from biting nails or from handcuffs. I am worried if the offender was infected with HIV and it was his blood. Any advice? Doctor: Hello. I have noted your concern. HIV is only transmitted through a fresh, deep, and actively bleeding wound. A scratch or a paper cut would not provide direct access for the virus into the bloodstream. Regards. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 1884, + "tgt": "Is repetition of image popping into mind a symptom of OCD?", + "src": "Patient: Hi doctor, I am a 25 year old male. I am scared of turning into a gay or homosexual. In the past, I had senseless and intrusive images popping in my head that I am kissing a guy whenever I used to be with my male friends. I never felt an attraction towards any guy. It happened six years before, but never thought about the reason. This thing stopped when I asked about this issue to a doctor and he said it as OCD. Everything was fine for over six to seven months. But, when I over think about why I am getting those images in my mind then the thing gets worse. I check every time when I see a guy whether I am attracted to him or not. Indeed, it sounds like I have gone mad. In my office there is a guy who is very attractive. But, when I fantasize him just to check whether I am normal or turning into a gay, I feel weird. But, I cannot stop myself looking at him. I envy him too, because I always wanted personality, health and voice like him. Whenever I see him I feel something different as if I am looking a girl. I am scared now. Please help. Doctor: Hello. After analyzing your current complaint and taking into consideration your previous history, I am of the opinion that your current symptom is also a symptom of Obsessive compulsive disorder (OCD). An obsession is an automatic, repetitive, intrusive and senseless thought or image which pops into a person's mind. Your previous symptom of seeing images of kissing a guy was an obsession. A compulsion is an action that you cannot resist doing despite knowing that it is senseless and should not be done. Your current symptom is a compulsion. Obsessive compulsive disorder. 1. Cognitive behavior therapy. 2. Anti-OCD medications like Fluvoxamine or Clomipramine. For further details consult a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 25084, + "tgt": "My husband behaves weirdly in the bedroom. What is wrong with him?", + "src": "Patient: Hello doctor, I got married six months ago. My husband behaves weirdly in the bedroom. And he is using psychiatric medicine. Those are Limbitrol, Flutop 60, Prolol TR 40, Ventab plus from three months and Sildenafil too, but it is not effective.He keeps locking himself, avoids me, washing things repeatedly, repeats things and is scared when I am beside him. He is saying he does not feel like having sex with me. He says he is not getting erections. I asked him to take a semen test as well. The sperm count is 18 million and actively motile 5 % and asthenospermia. Could you please suggest whether he is marriage material or not. My in-laws blame me for not conceiving. Doctor: Hello. Your husband is suffering from some psychiatric illness most probably an affective disorder. Semen analysis report (attachment removed to protect patient identity) is suggestive of asthenospermia, that is, low sperm motility. But all these problems including erectile dysfunction if present can be treated and several treatment options are available. First of all make sure he is taking treatment from a psychiatrist and not from a non-specialist, that is, a general practitioner. Support him and say you are with him and motivate him to share his problems with you. Open communication is the key for a healthy relationship. Not having a baby is not necessarily your fault, asthenospermia is one reason, and also to have a baby proper sexual relationship should be there. To conclude, I would say that every problem has a solution. You just need to try solving it. 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": 13069, + "tgt": "Can I use L-Carnitine to reduce weight?", + "src": "Patient: Hello doctor, I am a 40 year old male. My weight is 84 kg. I am unable to lose fat despite proper diet and exercise. Can I use L-Carnitine supplement? Doctor: Hi. Well, I am sorry to inform you that it is a myth that L-Carnitine reduces weight by burning fat. I know that you can easily find thousands of websites on the internet which claims that consuming their energy drinks and supplements containing L-Carnitine will burn out excess fat and will reduce weight. But, the real fact is that there is not even single scientific evidence to prove L-Carnitine helps in reducing weight. You will not lose weight by using L-Carnitine but on the contrary, you might suffer from some serious side effects of L-Carnitine like nausea, vomiting, persistent loose motions, body cramps and weakness, fishy body odor and renal failure. However, do not lose hope. There are some good medicines available which can help you to lose that stubborn fat. If you want me to prescribe you medicines then kindly provide me the following information, so that I can evaluate your case and prescribe you the best possible medicine." + }, + { + "id": 29684, + "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": 6632, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 2385, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 20142, + "tgt": "Am I suffering from any thyroid disorder?", + "src": "Patient: Hi doctor, I am a 27 year old male. My height is 5'9\" and weight is 92 kg. I got tested for thyroid yesterday and got an antithyroid panel test today. My reports are attached. Am I suffering from hypothyroidism or any thyroid disorder? Do I need to start medication? 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": 2636, + "tgt": "I recently started getting pimples on my face, and my face itches a lot. Please help", + "src": "Patient: I\u2019ve recently (like a month) started to get acne and pimples on my face and my face itches a lot through out the day for no reason I don\u2019t have any rashes or anything it just randomly itches and I\u2019ve been trying to get rid of the acne by take pantothenic acid vitamin b5 pills. I\u2019m not allergic to anything that I know of at least and I\u2019ve always had acne on my cheeks but very very faded they\u2019ve recently popped up and turned into pimples and my face itches for no reason it\u2019s the most annoying feeling Also I\u2019ve been getting a bunch of pimples on my nose and I have one that\u2019s been there for a month and it doesn\u2019t look like it\u2019s gonna go. I didn\u2019t really struggle with acne before on my whole face but I always had a little cheek acne and eyebrow pimples. Pantothenic acid vitamin b5 it wasn\u2019t prescribed I just got it cause I seen a video of a lot of people saying it helps. . Doctor:" + }, + { + "id": 30211, + "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": 14468, + "tgt": "What are the expected complications in case of cord around fetus neck?", + "src": "Patient: Hello doctor, A pregnant woman aged 24 years with running the 36th week of the gestation period, undergone ultrasound given a report of looped nuchal cord around the neck twice. Is there any complication? Fetus movements are good with a normal heartbeat and raised liquor. Are there any complications? Doctor: Hi. The complication could be at labor, at contractions or during Braxton Hicks contractions. Have a strict check on fetal movements and do have recurrent fetal electronic monitoring. In case of reduced fetal monitoring, you need to evaluate electronic fetal monitoring. During labor also this could be stressed labor as cord around the neck that can press neck and can cause compression and reduced fetal hearts. During labor, you need strict and continuous monitoring. In case of abnormal graph during labor, you need to be evaluated by a senior gynecologist and to decide for delivery. Have a strict check on fetal movements and report if feel reduced." + }, + { + "id": 24427, + "tgt": "What can be done for frequent urination in a prostatitis patient?", + "src": "Patient: Hello doctor, I am a 50-year-old male. I am suffering from prostatitis and have following complaints like weak urine flow (4.8 ml/sec average flow and 8.8 maximum flow), dribbling at the end of passing urine, mild pain in testes, and frequent urination (four to five times a day and none at night). I got the following tests done, USG abdomen and pelvis, USG scrotum, DRE by two urologists, and uroflowmetry. The important findings are prostate size 3.0 x 3.1 x 2.8 cm (14 cc), pre-void bladder volume 202 cc, post void residue 14 cc, and prostate is normal in size and echotexture. There were normal ultrasound findings in both scrotal viscera, prostate was found to be normal, smooth, firm, and tender in DRE test. Currently taking Alfoo 10 mg (once daily) and Tadalafil 5 mg (twice a week). Current complaint is that I have got all complaints resolved except urine flow after one month but have a flare back. Please suggest advice on any more medicine needed. Doctor: Hi. I have gone through your query and the reports (attachment removed to protect patient identity). You definitely have an obstructive pattern of urination on uroflowmetry. I see that you have also mentioned that your flow had not improved after one month of medical therapy. I would like to know whether any urine analysis was done to diagnose you as prostatitis? As your prostate glands are not enlarged and your flow is relatively poor, I would also not rule out any urethral stricture. If I were your treating physician I would first get a urinalysis before and after the prostatic massage to rule out any prostatic infection or inflammation. Then, give a trial of some newer alpha blocker for a month to assess any improvement in a symptom scoring and repeat uroflowmetry. If there is no improvement then I would suggest a urethrogram with or without an office flexible cystoscopy to ascertain the site of obstruction. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 6652, + "tgt": "I got a pimple near the vaginal area which is gradually growing and tender. What is it?", + "src": "Patient: Hello doctor, I am a 22-year-old female. I got a pimple near my vaginal area; it is growing gradually and is very tender to touch. Can you please tell me what it is? And I am currently taking medicines for typhoid. Please suggest some medication. Doctor: Hello. From your history, it is suggestive more likely to be a Bartholin's cyst. It usually appears near the vaginal opening on one side between the upper two-third and lower one-third. If it is there, then it is more likely Bartholin's cyst, and if the position is other than that, it may be an abscess. In both conditions, you have to drain it. It is a minor procedure, and you have to go through either local or general anesthesia. And in the case of Bartholin's cyst, you have to remove it by a minor operation. Continue your treatment for typhoid and get a consultation with a gynecologist for confirmation and procedure." + }, + { + "id": 16162, + "tgt": "White tongue and blisters in the throat three months after sex. Is it serious?", + "src": "Patient: Hello doctor, I had sex about three months ago but the body has been feeling strange lately. My partner is negative. This is how my symptoms started. It was one day in school two months back where I just could not sit down because of my lower back pain and would go away about two days later and notice everytime I get out of the bed, I would have back pain in the spine area. I would say after that started going on, about two weeks later my tongue and fever popped up on my lip and form a white clear blister popped out and noticed my tongue got white and all my lymph nodes started to swell. The next day I felt my arms burn on and off and the right side of my groin throbbing but you can see it swollen there. I went to the first aid and they said it is an upper yeast infection and then I went to another and they said it could be cancer or HIV symptoms because of the white tongue and blisters in my throat. So I panicked and went to the hospital and they ran for HIV and it came back negative. I have to include that I took an OraQuick test for HIV and it came back negative. She came and told me that I had a viral infection and to drink plenty of water. Now, today I went to the health department for a full STD test of everthing for that as well. However, my result was fine and I had night sweats when I started taking medicine. And now that some of my lymph nodes are there on my left side of my neck and armpit, and the right side of my groin is throbbing but does not appear to be swollen. My mouth is tingling because of HSV1 and my finger are throbbing or jumpy but painless and sometimes become stiff. Doctor: Hello. First of all, you have to acknowledge that your STD tests and HIV OraQuick are negative so that there is nothing serious. You are 26 and if the whitish lesions were not there prior to sex then we can rule out cancer too. You are not in a high-risk age and cancerous lesion does not appear all of sudden. HIV has been ruled out already. The test came negative and your partner is safe too. The enlarged lymph nodes could occur even in candida infection too. Rest of the symptoms you have could be explained by active febrile illness most likely viral. You should get your CBC or complete hemogram done again. This will help in finding out infection. Continue to take anti inflammatory drugs for symptomatic relief. Tingling could be partially due to anxiety." + }, + { + "id": 26867, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 17556, + "tgt": "I am passing blood in stool. Am I suffering from piles or some other problem?", + "src": "Patient: Hi doctor, My query is that whether I am suffering from piles or it is some other problem. I have attached images for reference. For almost 10 days, I\u00a0am passing blood in my stool. It is not much in quantity, but still, it is there. I\u00a0was on Isotretinoin cycles for 10 to 12 weeks to cure my acne problem. Please suggest what to do for blood in stools? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19036, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 9671, + "tgt": "How to heal post-trauma scratch mark faster? Met with an accident and got scratches on face and forehead", + "src": "Patient: Dear Doctor, I met with an accident recently and got few scratches on my face and the forehead. Kindly give me suggestions to cure faster. Age-20 years/ male. Doctor: Hi. I am sorry to hear about your accident. I hope you just sustained some scratches and have been otherwise well! Now coming to your skin query. Well, ideally, the best would be to let me have a look at your scratches by posting well-focused pictures of your scratched or abraded areas, or come for a video-chat. Otherwise, I would suggest simple remedies as of now which would definitely expedite the healing of any post-trauma scratch mark: 1) Apply a cream containing an antibiotic, preferably containing a healing substance. There is a tube called ENZOMAC (containing antibiotic mupirocin and healing agent bromelain) or you may use SOFINOX cream (containing antibiotic fusidic acid and healing agents). Apply any one of them twice a day for 7-10 days. 2) If the above mentioned tubes are not available, then you may use separate antibiotic cream twice a day and a healing cream twice a day, example: T-BACT (containing antibiotic mupirocin) cream/ointment or NADIBACT (containing antibiotic nadifloxacin) cream/gel twice a day as the antibiotic and for healing - PLACENTREX gel can be applied one hour after applying either of the above mentioned antibiotic creams. 3) Avoid using a medicated soap or face wash and also avoid a scrub. Wash the scratched area with a mild moisturising soap or baby soap. 4) Keep that area completely protected from sun exposure. Preferably apply a sunscreen lotion with SPF of at least 30, two times a day on the entire face and other affected areas. First coat of sunscreen should be applied half hour before anticipated exposure and second coat after 4-5 hours. 5) Just in case if your scratches are deep, you should take oral vitamin C 500mg twice a day for 10 days (CELIN 500 or LIMCEE 500) and a zinc containing multivitamin capsule once a day (ZINCOVIT or BECOSULE-Z) I hope this helps you. Though I would still prefer to look at the skin condition through posting picture or video conference. Consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 10977, + "tgt": "I am diagnosed with adult acne and mild eczema with a spot on my cheeks. What is the treatment?", + "src": "Patient: Hello doctor,I have a spot on my cheek and I am diagnosed with adult acne and mild eczema. Is it anything to be concerned about? Doctor: Hello. I understand your concern. You have both eczema and acne it seems. But medicines for both are different. Use the following medicines for eczema. Kindly consult your doctor to discuss the suggestions and take the treatment with consent. 1. Mometasone 0.1 % cream local application twice a day. 2. Cetaphil moisturizer for body twice a day. 3. Tablet Desloratadine 5 mg twice a day. For acne use the following medicines. 1. Fixed combination of Adapalene 0.1 % and Benzoyl peroxide 2.5 % gel for local application at night. The gel needs to be applied very gently as spots on acne and a thin layer over the acne-prone site, and it is not to be rubbed. It can cause mild irritation upon initial use, which can subside with continued usage. It is nothing to worry about. Use the medicines given above. It should decrease in two to three weeks after which you can follow up again. It does not look like anything that should raise your concern. The spot appears to be an excoriated lesion of acne. Is there anything specific you wish to ask that is bothering you? I would be glad to clarify your doubt." + }, + { + "id": 12699, + "tgt": "Is there a way to treat burning back pain on shoulder blade area?", + "src": "Patient: Hello doctor, I have been recently suffering from extreme burning back pain on my shoulder blade area. For a few months, I have had this strange clicking feeling in my neck, on the same side where my shoulder blade pain is happening. Not a normal joint crack, it felt weird, bothersome. It was infrequent, but now, the weird clicking happens almost every day. A few months before I was vitamin D deficient but am taking supplements. Maybe the deficiency contributed to this? I am wondering if it could be my neck or if they are just knots from stress, but I have never had this bad of a burning sensation before. What I could do? Is this common? Doctor: Hello. As you have a burning sensation and unlocking sound in the cervical spine, it could be related to the nerve entrapment. I will advise you to take a neck collar and do hot water fermentation for a week post which you can update me so we can plan the exercise for strengthening the muscle. Meantime, please take an MRI of the cervical spine. It is common in cervical spine degenerative changes that people tend to have nerve entrapment and with conservative management, they respond well. Waiting for your reports." + }, + { + "id": 1190, + "tgt": "What can happen if a small ant crawls inside the human body through nose or ear?", + "src": "Patient: What is the worst thing that can happen if a small ant crawl in human body through nose or ear? Doctor:" + }, + { + "id": 20086, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 26743, + "tgt": "How often can I take Unwanted 72 to avoid pregnancy?", + "src": "Patient: Hello doctor, I\u00a0am a 44 year old woman. I have a hole in my heart since birth and dextrocardia. I do not want to get pregnant again, as I already have a 19 year old daughter. I cannot take any of the regular contraceptive medicines due to my heart condition. I regularly take Unwanted 72 after an unprotected sexual intercourse. I wanted to know, how often\u00a0this pill can be taken to avoid pregnancy? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10383, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 2939, + "tgt": "Should I visit a doctor for my lying behavior?", + "src": "Patient: Hi doctor,My mom wants to take me to a doctor, because she thinks I need help. But, I told her I am fine and refused to go. I started to wonder whether I really do have a problem. She started telling me I needed help because I would just lie about something stupid instead of telling the truth. Also, how I could just stop caring about anything? Another thing I would do is just pretend fake happiness about something that I really did not care about. I also started to care more about how I look and try to look perfect. But, I do not have any one to impress. I just feel like if I do not look perfect something is wrong. If you have any ideas about what is happening I would love to know. Thank you. Doctor: Hi. For further doubts consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 23115, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2587, + "tgt": "My son has puffy eyes with fever. Please suggest treatment", + "src": "Patient: Hello doctor, My son incurred puffy eyes last week until now. He experiences fever and headache. Fever reduces when I give him Paracetamol but it will recur again and still, he is having swollen/puffy eyes. Please help. Doctor: Hi, Welcome to icliniq.com. As per the picture (attachment removed to protect patient identity), it seems your child is having some kind of allergy or infection. Are there any other symptoms like itching, pain or any eye discharge? How is his left eye? Is he having an allergy to anything he ate or came in contact with anything unusual? We will do basic investigation urine routine including proteins and RBC (red blood cells), complete blood count and blood pressure presently you can give him Paracetamol 500 mg twice a day for three days and can repeat Paracetamol by keeping a gap of at least six hours between two doses if fever persists and tablet Cetirizine 5 mg once at night for five days and maintain proper hygiene of eyes. Avoid warm compresses for now. Please upload a picture with an open eye and let me know the history in detail." + }, + { + "id": 10243, + "tgt": "My right eye is smaller than my left eye. How to correct it?", + "src": "Patient: Hello doctor, I am a 19 year old male. My right eye is smaller than my left eye. For this cause I am not able to see clearly with my right eye. Please help. Doctor: Hi. I understand your concerns. The treatment options for you include: Consult an eye care ophthalmologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 21289, + "tgt": "Will antibiotics help in curing high fever due to dengue?", + "src": "Patient: Hello doctor, My daughter, 21 years old, has a fever (100 degF to 101 degF) and nausea for the last five days. She has very low appetite and abdominal pain. Among all other tests, the CBC test worries me. The test result reveals that her WBC count is 3300, neutrophils 83 % and lymphocytes 11 %, platelet count 101000. Her RBC is 3.66 million, Hb 10.7 %. All other parameters including kidney and liver functions are normal. Doctors say that it is a viral infection, dengue. She has been advised to take Paracetamol, Omeprazole, B12 Vitamins and Fefol tablets and also to take plenty of water. Fever does not get subsided completely. Do you think giving antibiotics would help her at this stage? Could it be a bacterial infection too? The doctor did not prescribe any antibiotics. I need a second opinion from you. Doctor: Hi. I have read through your query in detail. Please find my observations below: Your daughter has slightly low hemoglobin and platelets (attachment removed to protect patient identity). The normal hemoglobin is considered above 12 and platelets more than 150000. RBC count is less and 4.5 million is normal. The total count is also less showing leucopenia, normally more than 4000 and the neutrophil percentage is more and lymphocytes percentage is less. There is NS1Ag (antigen) test showing positive which indicates the possibility of dengue infection. Rapid test and dengue ELISA (enzyme-linked immunosorbent assay) might appear negative now but will become positive after some time. Right now antibiotics are not required because there is no sign of bacterial infection. Fever will take time to respond and please give her Paracetamol after food every six hours for fever. Supportive care is important for dengue fever and that is the reason your doctor has prescribed Paracetamol for fever and pain and Omeprazole to prevent gastritis. Daily water and fresh juices should be two liters and diet should be 1800 kcal daily. It is still in a mild stage and regular platelet test is required for monitoring. The doctor might also tell to get ultrasound scan abdomen done to look for any water collection in the abdomen." + }, + { + "id": 24001, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 73, + "tgt": "Please give me some advice or medication for fatty liver", + "src": "Patient: Hi, a pleasant day..i have a problem with my liver,i just have an ultrasound last month, to found out i have a moderate fatty lever grade 2,,my problems is sometimes i feel some soreness in my stomach. if i to rate the pain 1-10,10 being the highest ,around 3-4..may i ask for sum advice..or medication for it Doctor: Hi, I went through your USG report and I see that you are worried about your Fatty Liver.. Need not worry about it.. Fatty Liver is something very common in most of the population in the current era all because of our present food habits and less physical work due to digitalization in every industry.. Fatty liver is nothing but excess cholesterol deposition in the Liver.. It is still correctable, you need have some diet modifications, reduce oily and high fatty and carbohydrate foods and increase your physical exercise.. Engage yourself in regular exercise.. That will do.. And do check your Serum cholesterol levels and revert back to me.. We may start medicines if levels are very high.. See you.. Take care.. Fasting Lipid Profile FBS, PPBS Fatty Liver Diet modification as adviced Regular exercise avoid alcohol" + }, + { + "id": 25539, + "tgt": "Taking Azoran for myasthenia gravis. Will it cause any side effect?", + "src": "Patient: Hi doctor, My brother is a myasthenia gravis patient. He had undergone thymectomy four years back. Since then he is continuously taking Azoran 50, an acetylcholinesterase inhibitor. Surgeons are not able to suggest him for reducing the amount of drugs. Available neurologists also do not have any experience with this rare disease. Please, suggest whether he can stop taking these medicines for rest of his life. If not, can it be reduced to one or two a day? Currently, he is taking three tablets a day. Occasionally, he reduced drugs because of some reason, and did not feel any physiological changes in his body. If he takes this drug for his whole life then will it cause any side effect? Moreover, any suggestion related to lifestyle or food is welcome. Thank you. 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": 16786, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25479, + "tgt": "I had three episodes of acute diarrhea. Is it food poisoning?", + "src": "Patient: Hello doctor, I am 46 year old female. Starting yesterday morning, I had three episodes of acute diarrhea, vomited once as well. Those symptoms stopped but I still have a low-grade fever of 97.7 and severe muscle cramps in my legs, chest, and abdomen. I took one Ondansetron 4 mg for nausea yesterday and have taken four rounds of Hyoscyamine 0.125 mg for the cramping. No one else in the house is sick just me. I had a similar issue last year and the diagnosis was food poisoning or stomach virus. Doctor: Hello. This seems to be a case of acute food poisoning too. If the vomiting and diarrhea have stopped then it is a mild case, however, you may have lost quite a bit of body fluid and salts which is causing the cramps. Please take an ORS (oral rehydration) solution according to the instruction on the sachet. Also stay hydrated. Drink plenty of fluids. Coconut water and bananas should be taken every day. Your symptoms should improve in a few days. The temperature is normal. If it rises, or if your symptoms return or worsen, you may need a prescription antibiotic. For now, just stay hydrated and take plenty of rest. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 4407, + "tgt": "Is there a link between loss of appetite and depression?", + "src": "Patient: Hello doctor, I am on psychiatric medication since two to three years, but found no improvement. I have started exercise such as walking, yoga and pranayama and found some relief. I become depressed more when I read about depression on internet. My main issue now is loss of appetite, headache when free or anxious and anxiety due to loss of appetite. Are these due to major depression or minor depression?\u00a0I am taking Megapose plus one pill at bedtime.\u00a0I was very happy and loss of appetite also had cured at certain level, but when I read in internet that major depression cannot be cured by exercise, I become more depressed and problems again aroused. Please advise me about exercise for major depression. Can exercise cure major depression? I am consuming whisky three pegs daily and I am having tobacco chewing habit. I cannot sleep without drinking alcohol. I want to withdraw drinking, but due to sleep problem I am unable to stop. I am suffering from stomach gas, loose motions and also constipation. I have attached my past medication prescriptions. Please help. Doctor: Hello. For further queries consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 30466, + "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": 7406, + "tgt": "Kindly have a look on the laboratory results for neurological issues and explain", + "src": "Patient: Hello doctor, I am going to post some lab results for my 3.5 years old son who has been experiencing neurological issues which lead us to have this testing done. Not sure where to go from here, if someone can please shed some light for us. Doctor: Hello. I have read your attached reports (attachment removed to protect patient identity). The stool report is showing positive result for fungal infection which can be treated by antifungal medication. Your child's CBC report and other reports seem to be normal and you may need not worry about that. However, the BUN to creatinine ratio is high which can be due to kidney disease but creatinine is within limit. You can discuss regrading that with doctor and urine output also need to be measured. Your child's delay in speech development is not related to any of the provided reports. You need to consult pediatric neurologist for detailed neurological evaluation and to exclude developmental delay including speech and language problem. Without examination, medicine cannot be prescribed. So you should first consult pediatrician who has done specialization in neurology called pediatric neurologist." + }, + { + "id": 15786, + "tgt": "Can HIV transmit through the cuts in the finger or sores in the mouth?", + "src": "Patient: Hi doctor, I am a 27-year-old male. I met a girl recently. We both did deep kissing and fingering many times. I do not know about her HIV status. Recently, I read about HIV, and I am worried. I do not remember whether I had any cut in my finger. Can I have HIV through the cuts in the finger or sores in the mouth? Please assess my risk factor. Please suggest. Doctor: Hi. Fingering alone will not cause HIV transmission. For transmission, the virus needs to enter the bloodstream. Regarding the cut, there should be a fresh lesion for having an active transfer. As far as deep kissing is concerned, there is no possibility to have HIV transmission through the saliva and if it is mixed with blood, there can be a possibility. If you have any doubt about the exposure, you can do a test at four weeks of the exposure, and if the result is negative, you can do another test at three months of the last exposure. It will reduce your fear soon." + }, + { + "id": 25746, + "tgt": "Are these blue-looking penis veins treatable in a phimosis patient?", + "src": "Patient: Hello doctor, I am a 25-year-old male and I have never been able to fully retract my penis. I have severe phimosis. I know phimosis can be treated, but my biggest concern is that I now have blue-looking veins from the shaft of my penis to the actual penis head that is supposed to be exposed. Is it serious? I have an appointment with a urologist in two weeks but the suspense is really killing me. Is it common? or can it be treated? Will I be able to successfully retract the penis head? I also feel pain sensation when I touch the hole at the tip of the penis. Please help. Of note, I smoke marijuana. I have attached photos for your reference. Doctor: Hello. I have gone through the photograph (attachment removed to protect patient identity). It looks like a case of phimosis. It can be treated by a simple circumcision. Those veins seen are normally present. Do not worry about surgery. It will not affect the blood supply to your penis. Phimosis is a pretty common issue and as I said it just takes a minor surgery and a couple of weeks for recovery. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 18483, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16355, + "tgt": "How to have a normal blood pressure at the age of 24?", + "src": "Patient: Hi doctor, I am a 24-year-old male. My weight is 75 kilograms. I have a healthy diet. I have a habit of drinking alcohol once a month, and I do not have the habit of smoking. I checked my blood pressure, and it was 155 by 65 mmHg. Is it high? Please suggest. Doctor: Hi. You are slightly overweight. I suggest you reduce taking carbohydrates and fats in your diet. Your blood pressure is elevated. Still, a single elevated reading does not mean that you have hypertension. Taking repeated measurement for at least two to three times, and having your BP high at these measurements, may suggest that you are hypertensive. At your age, a normal BP should be below 120 by 80 mmHg. BP (blood pressure) is a dynamic parameter. It usually gets elevated after having an emotional upset, anxiety or physical exercise. Repeat your blood pressure measurement soon. Reduce taking salt in your diet. I also advise you do a blood test called lipid profile. An elevated cholesterol or triglyceride level can also cause high BP." + }, + { + "id": 2736, + "tgt": "My husband has APL and BMA shows 3% on FISH RARA. Is it minimal residual disease?", + "src": "Patient: Hi doctor, My husband was diagnosed with APL before six years. He underwent treatment by following the pethema protocol for APL. After consolidation phase, BMA revealed there is still 7% of PML Rara using fish rara test while negative on cytogenetics. His doctor proceeded to his maintenance phase two years on ATRA, Mercaptopurine, and Methotrexate. For two years monitoring blood counts are within the normal range. BMA was done this year and revealed there is still 3% on FISH Rara. Is this considered a minimal residual disease? Or incomplete remission? Does he need to undergo chemo again or start a new ATRA? Doctor: Hello. Sorry to hear about your husband's diagnosis. He is having acute promyelocytic leukemia cancer and it is considered among favorable outcome leukemia. After starting chemotherapy complete remission includes less than 5% blast in bone marrow aspirate, ANC more then 1500, platelets more than 1 lakh, extramedullary hematopoiesis absent and molecular testing negativity. After consolidation chemotherapy, if cytogenetic study remains positive then prognosis cannot be considered good as compared to a negative cytogenetic leukemic patient after chemotherapy and it can be considered here as a minimal residual disease. Treatment was given in the right way along with proper chemotherapy and retinoic acid as well. But you have to discuss your case with your treating oncologist and he will guide you further about what is the future treatment protocol. I hope this helps." + }, + { + "id": 18145, + "tgt": "I think my issues are because of botched circumcision. What are my treatment options?", + "src": "Patient: Hello doctor,All my life, I have struggled with several problems that, after stumbling on a post online, I am now fairly certain are the result of a botched circumcision. My scar is very near my glans, with an unsightly blemish near the center. My erections pull my skin and testicles very tight, and also pull up the skin from my pubis, causing a visible shortening and an unsightly mound. I also have excess hair along the shaft of my penis, and my scrotal skin connects just underneath the glans. This has not directly affected sexual function, but it makes condom use exceedingly difficult and is also costing me significant penile length. What treatment options do I have? Surgical vs nonsurgical? Estimated costs? I would prefer to avoid the use of any mechanical stretching devices. I have one, but it is rather intimidating and I am worried about injuring myself. Doctor: Hello. Relax and do not worry. I have seen the images sent by you (attachment removed to protect patient identity). For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 29077, + "tgt": "I am losing control of myself. Should I visit ER?", + "src": "Patient: Hi doctor, I am a 26 year old female. My weight is about 310 to 315 lbs. My height is 5'7\". I am in need to know if I am crazy or need to go to the ER. I have for some time now been having these sorts of attacks. I could not breathe, feel extremely hot and break in sweats. My chest is tight. My eyes get blurry. I feel like losing control of myself. For some reason, my left arm feels so weird, numb and tingling with lots of pressure. Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 9793, + "tgt": "What is the chance of survival of premature twins born at 25 weeks?", + "src": "Patient: Hi doctor, I prematurely gave birth to twins on the 18th at 25 weeks and two days. The reason behind it was told to me that my regular gynecologist did not put some closure on my uterus to avoid premature birth, which is a common issue in twins. Mine was a normal delivery. My boy was born at 865 g and girl at 585 g. They have now survived for over 45 hours in the NICU. The doctors have just been telling me that the children are alive and breathing. That is all they tell me. I am still very worried. What are the chances of such children to survive in NICU after they have survived for several hours in most odd conditions? I know they are going through the toughest challenges to breathe through their underdeveloped body but I still want to get a generic view. All their body parts have been found to be growing and fine in the last level-2 ultrasound. Doctor: Hello. Both your babies are extremely premature as well as extremely low birth weight. The main complication that arises is due to incomplete development of lung. So, immediate surfactant therapy and oxygen support would be required. The next common complication is sepsis. Complete asepsis is to be maintained. Tertiary level NICU (neonatal intensive care unit) care which should be handled by qualified neonatologist is the primary requirement. A complete aseptic environment is to be created. In my practice, I have very mixed experience in the prognosis. I have seen these babies succumbing mainly to the sepsis. As per me, the baby with more weight has a better prognosis. It also depends on the level of NICU care being provided. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 7412, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 8855, + "tgt": "Is surgery mandatory for a muscle tear?", + "src": "Patient: Hello doctor, I suffered an injury in the right shoulder region four months back by falling off a fast speedboat. I was wearing a life jacket and buckles on impacted shoulder and I believe my arm was pulled back. It bruised badly. It is painful in some range of motions and have started back at the gym and hurts when under load on an exercise like pec dec. I went to an osteopath who reported below: During an examination, there was pain on lateral flexion of his right shoulder. On observation, during right lateral flexion of the shoulder, his pectoralis looked atrophied and unsymmetrical compared to the left. On palpation, he was very tender on his right pectoralis major tendon and lateral muscle belly. I have therefore diagnosed him with a right pectoralis major tendon and muscle tear. I have just received results from an MRI. My questions are: What treatment should be done? Should I continue to exercise and slowly build up weights? Would it require surgery? Doctor: Hi. Treatment should be very low weight and high reps for building strength and physical therapy would be highly recommended. Surgery for rotator cuff tears are determined on a case by case basis by orthopedic surgeon and usually based on age, pain and restrictions. In this setting with multiple issues on MRI findings and abnormal physical exam findings, surgery may be warranted. Trauma from accident. None further - needs ortho referral. Rotator cuff tear, arthritis. Rotator cuff tear, labral tear. Physical therapy, orthopedic surgeon referral. Continue to lightly use shoulder, avoid heavy lifting. Follow up with ortho surgeon for surgical evaluation." + }, + { + "id": 29183, + "tgt": "What are the expected side effects of Simvastatin?", + "src": "Patient: Hi doctor, I am taking Amlodipine 2.5 mg and my doctor prescribed Simvastatin 40 mg. When I picked up the medication the pharmacist warned me of a major interaction. The doctor told me to take the medication anyway because I was able to tolerate Pravastatin, which I was on previously. I had also been on Lipitor and Crestor previously, but both gave me muscle aches. Although my cholesterol levels have been fine on Pravastatin, my doctor wanted to be more aggressive about my treatment. I am confused as to whether take the Simvastatin or insist on something else. Kindly help. Doctor: Hello. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 21644, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25263, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25312, + "tgt": "29-year-old seems too tired, sleepy, and moody. What is causing this?", + "src": "Patient: Hello doctor,This is for my son. We have got his blood tests done. He is on Thyronorm 500 mcg one tablet per day in the morning. Off late, he is having mood swings. Sometimes he seems to be active and sometimes too tired. He sleeps a lot maybe about nine hours in the night. In holidays, he tries to sleep in the afternoon also. He is about 5 feet 10 inches and weight 90 kgs. His age is 29. I checked his nails and bottom of the feet and they seem to be fine. There are no cracks, etc. He has no numbness in the feet or in the body. For the past few days, he is having a dry cough for which he is taking a cough syrup. Doctor: Hello. I just read your query about your son and it appears that your son has hypothyroidism and vitamin D deficiency. The combination of hypothyroidism and severe vitamin D deficiency can give rise to the symptoms that you have mentioned. I suggest that you give him tablet Vitamin D 50000 IU once weekly after lunchtime for three months. Give him tablet Calcium 500 mg once daily after lunch as well. Continue Thyronorm at the same dose. 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": 28304, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12617, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 28716, + "tgt": "We have been trying to conceive for 2 years. How to achieve conception?", + "src": "Patient: Hi doctor, I have been trying to conceive for about 2 years now. My prolactin is 31.8 ng/mL, progesterone is 4.1ng/mL, not opacified left fallopian tube and no free peritoneal spillage of contrast noted. My partner has varicocele. I had a shot of progesterone. Please provide some advice on how we can achieve conception. Doctor: Hello. It is evident from HSG (hysterosalpingogram) that you have a left tubal block and only the right tube is patent. Secondly, considering that your partner has varicocele, it is important to get his semen analysis done to check for sperm count and quality if it is adequate or not. Thirdly, your prolactin levels are high making you hyperprolactinemic, and your progesterone levels are low indicating progesterone deficiency. Revert with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22183, + "tgt": "What can be done for dark spots due to pimple?", + "src": "Patient: Hello doctor,I had a pimple that was huge and it busted with puss and left a dark spot on my face. What should I do to heal and get rid of the dark spots? Doctor: Hi. Your history is suggestive of post-inflammatory hyperpigmentation. To prevent further darkening, make sure you use good non-comedogenic sunscreen with SPF 50. To improve the dark spot, you can use topical Kojic acid cream, apply to the dark spot at night. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24526, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 19599, + "tgt": "Had gestational diabetes during pregnancy. How to control my sugar levels now?", + "src": "Patient: Hello doctor, I had gestational diabetes during my pregnancy. I did not take any medications. I controlled it through diet. I delivered a boy baby. Three days after the delivery, my sugar levels were checked, and they were found to be normal. Yesterday,\u00a0I checked again and found my fasting blood sugar to be 88 and postprandial blood sugar at 157. Are there still any chances of my blood sugar coming to normal? I had PCOS (polycystic ovarian syndrome)\u00a0and thyroid problems before pregnancy. Am I in the pre-diabetic phase? Currently, I am having mainly rice\u00a0to help ease the digestion of\u00a0my baby. Doctor: Hello. For more information consult an obstetrician and a gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16276, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 23343, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8922, + "tgt": "Is the pimple in genital area due to STD?", + "src": "Patient: Hello doctor, I have noticed what I think is either an ingrown hair or pimple in my genital area. I would like to get a dermatologist's look at it for confirmation, in case I am wrong and it is a potential STD (though from what I have found it does not seem like HPV or herpes, nor molluscum). It appeared about a day and a half after I trimmed my pubic hair. Doctor: Hi. I have gone through your case. There are two possible causes of your pimple like lesion.c 1. Ingrowing hair or folliculitis. These are usually painful lesion. Treatment is to apply Fusidic acid cream 2 to 3 times a day for seven days. 2. Chancre of primary syphilis which is actually STD. If you have a history of sexual contact during the last four weeks, then it is likely to be syphilis because this is usually painless lesions as in your case. For this, you need to undergo an investigation first and then treatment. VDRL or TPHA. 1. Fusidic acid cream two times a day. 2. Oral Penicillin in case of syphilis." + }, + { + "id": 20288, + "tgt": "I have diastasis recti. Do I need surgery to repair it?", + "src": "Patient: Hello doctor, I have diastasis recti. Do I need surgery to repair it? I have three children of ages 4 and a half years, 2 years and 7 months. Doctor: Hello. Diastasis recti is a medical condition in which the abdominal muscle is separated into right and left halves. This occurs in pregnant women due to the stretching of the abdominal muscle during growth of uterus at the time of pregnancy. The most common cause for this is repeated pregnancies at short intervals. Make sure you do not have constipation. Eat healthy, nutritional homemade food. Have a lot of green vegetables, fruits, fresh juices, etc. Drink plenty of water and fluids." + }, + { + "id": 14228, + "tgt": "I have body pain. Is it because of the low Hb count?", + "src": "Patient: Hello doctor, Today I checked my Hb count and it is only 11.8. For the past two months, I have been getting blood spots after the 10th day of my periods along with discharge. Is there any problem? I can also feel some body pain. Is it because of the low Hb count? My height is 5'9\" and I weigh 76kg. Doctor: Hi. Hemoglobin (Hb) of 11.8 g/dL can be considered as not too low. Just occasional spotting after periods should not reduce your Hb (if it was higher than 12 g/dL previously). Regarding your symptoms of body pain, it depends on what was your Hb level previously. If it has reduced by 1.5 to 2 g/dL compared to past reports, then there is a possibility that your symptoms are due to reduced Hb. In any case, you can either take iron supplements (with tablets containing elemental iron of >50mg, preferably 100mg) or increase dietary iron intake in the form of green leafy vegetables, dates etc., to improve Hb. This should also treat symptoms of body pain if it is due to low Hb. Regarding intermenstrual spotting/bleeding, if it persists beyond 3 menstrual cycles, it needs evaluation by a gynecologist and needs local examination and probably one ultrasound. Kindly get it done if bleeding/spotting persists beyond three cycles. The doctor can also evaluate Hb and other tests." + }, + { + "id": 18664, + "tgt": "Can tactile hallucination occur due to alcohol abstinence?", + "src": "Patient: Hi doctor, I have\u00a0schizophrenia for more than 25 years. I had Clozapine for 15 years and now I am on Aripiprazole. I stayed away from alcohol for eight years. Before six months, I had alcohol once. Now, I am having some tactile hallucination. Is it due to alcohol abstinence? Will it disappear? Doctor: Hi. If you are abstinent for the last eight years, then tactile hallucinations are not due to alcohol intoxication or alcohol withdrawal. It means, it is due to your illness schizophrenia. Are you on any antipsychotic now? Revert back with the answer to the above question to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 2298, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 16560, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1145, + "tgt": "Do I have Crohn\u2019s disease or ulcerative colitis?", + "src": "Patient: Doctors are switching between whether I have Crohn\u2019s or Ulcerative Colitis, based off response to treatment and medicine. Started humira last month but it has come in for my 2nd Round, and it\u2019s already a month late. Won\u2019t know if that worked or not since I\u2019m off schedule. This past week the area around my rectum with is very raw has swelled up. It\u2019s around where I have the seton in from a fistula. Past week, my bowels have nothing but liquids. Every time I go to the bathroom is expands that area where the seton is, causing excruciating pain. I\u2019m currently on Imodium and Flagil. I\u2019ve taken Advil and Tylenol. Nothing has reduced the pain. Doctor: Hello. I welcome you to icliniq. I know you must be very upset about your ongoing condition. You symptoms suggest that you have crohns disease not ulcerative colitis. Humira and biologic medications like this work for a while before losing effect till the time of next dose. So yes If the interval between two doses is extended the patient can develop flare in interval period. The symptoms you mention may be of a mild to moderate intesity flare but can be secondary to infections the Clostridium difficle infection which is common. You did not mention that the pain in area of where you have seton is new or occurring before as well? and when did you have seton for fistula? The swelling you mention can be an evolving perianal abscess due to active lumnial disease. The abscess formation is the first step in the formation of fistula which is a end result due to repture of abscess from both side-lumen on one side and skin on other side. So I am afraid you me have this. Flagyl is good if taken for long time to treat perianal disease but you did not mention for how long you been using this. for now you can continue this and get yourself examined by your physician to look for evolving abscess. Adalimumab (humira) works well for perianal disease but make sure you need to increase the frequency and do not distrub the schedule. I hope this will help Take care crohns disease with perianl disease stool for c.difficle antigen and stool for calprotectin stool detail report stool culture" + }, + { + "id": 14687, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 19107, + "tgt": "Will epididymitis result in infertility?", + "src": "Patient: Hello doctor, Last week, I was forced to go to the ER due to intense pain and swelling of the left testicle. I was then made to urinate in a cup and ultrasound of the testes. After the ultrasound it was concluded that I did not need surgery which is a relief, and I am thankful for this.\u00a0I then had an appointment to see a urologist. Soon after however, I noticed that my testes were smaller than usual. When I saw the urologist I told him what happened and he conducted a prostate exam. Based on the pain I was experiencing due to the prostate exam, he diagnosed me with prostatitis. He prescribed me a course of antibiotics (Tarivid). He told me that these things are common in sexually active young men. However, I have not been sexually active since last five months.\u00a0I have now come to the conclusion that I have STD (most likely chlamydia) from my last encounter as it was high risk. I received unprotected oral sex from a sex worker. I presented no symptoms and so I did not go see a doctor earlier. However, it was now mentioned by the doctors as orchitis or epididymitis. I think the former is what I experienced. My question is will the size of the testes recover if testosterone function is impaired? Is there any risk of infertility? I have a follow up appointment with my urologist next week. Is it advisable to get tested for STDs? I would also appreciate any insight what happened to me or other possible causes. I would like your opinion on the most likely cause, and anything I should tell my urologist. Doctor: Hi. Revert back after the tests to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 6496, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 22638, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11610, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5136, + "tgt": "What can cause swelling on private parts?", + "src": "Patient: Hello doctor, I am a female. I have some swelling on my private part. There is no irritation, but swelling has been present since a week. Please help. 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": 26616, + "tgt": "The moment I go to bed, thoughts starts pouring without any relevance. Please help", + "src": "Patient: Hi\u00a0doctor, I am a patient with neuropathy and bedridden for the last eight years. I watch tv for eight to nine hours a day. I am suffering from insomnia for the last one year. The reason for sleeplessness is thoughts and thoughts. The moment I go to bed thoughts starts pouring in one by one without any relevance. I have tried all types of hypnotics like Nitrazepam 10 mg, Diazepam 10 mg and tranquilizers like Lorazepam 2 mg, etc. Please help. Doctor: Hi. Thanks for the query. Hope this helps. Take care. Feel free to drop in a query anytime. For further queries consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 27308, + "tgt": "I swallowed a lot of water at the swimming pool and now feel sick. Please help", + "src": "Patient: Hello doctor, Yesterday, I was swimming in a pool that had salt water in it. I went underwater and accidentally swallowed the salt water. It burned my nose and my throat. I woke up today dizzy and my throat kills and my nose still does. I keep coughing up mucus. I also keep sneezing. What should I do? Doctor: Hello,Welcome in icliniq.com.I understand your concern. You are likely to have an acute upper respiratory tract infection, and associated labyrinthitis as you have vertigo. Now, you are advised to take: I hope above will help you. If not, you have to consult your ENT doctor for a thorough examination and necessary investigations to manage your problem. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 4309, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 11312, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 19881, + "tgt": "How to get rid of gas trouble?", + "src": "Patient: Hello doctor, I am a 30 year old male. I am working as a software professional. I have a\u00a0gas problem since 20 days. I have this problem since two years but, I recovered well after every episode. \u00a0I have a severe burning sensation in the chest and flatulence.\u00a0How can I get rid of this problem permanently? Please help. Doctor: Hello. You seem to have a long standing gas problem. I suggest the following: For more information consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 5066, + "tgt": "Is surgery the suggested treatment option for breast cancer in situ?", + "src": "Patient: Hello doctor, My mother is 68 years old. She was just diagnosed with breast cancer in situ. The medical team says it is not aggressive. The hospital in which she was treated already did a biopsy on her breast. I read today that biopsies can actually open the door to cancerous cells and allow the spread. Also, her surgery is already scheduled for this week. I also read that surgery at such an early stage may cause more problems than there was original. I read an article online. I do not know how reliable it is? Also, in my place, doctors follow a protocol, they will not offer anything but the conventional way which is surgery, no alternative treatments are suggested. What is your advise? Doctor: Hello. I have gone through your reports. (attachment removed to protect patient identity). As far as I was able to understand, the lesion is a high grade (microcalcification and necrosis). Though I had to use google translation. What I am going to tell you is as per recognized and approved evidences it does not include newer theories and understanding which are though upcoming have not yet come in clinical practice. High-grade DCIS (ductal carcinoma in situ) increases the risk of invasive cancer. What above article has mentioned regarding mortality being the same in DCIS patients and normal individuals is not totally correct. The study which showed mortality of three percent, these patients were treated and it is not sure whether the similar mortality is due to treatment or nature of the disease. The medical community is clear that some DCIS are low grade and may not need treatment and thus have removed DCIS from premalignant. But high-risk DCIS increases risk of having invasive component which might be missed just by biopsies. There is some evidence that we can avoid RT (radiotherapy) in low risk group, but none of the mainstream studies have avoided surgery. The use of hormonal therapy is to avoid recurrence. Now the above article mentions that it does not change overall mortality. But this is due to the fact that we usually detect recurrences earlier and treat them before progressing to advanced stage. If we have not then there is a chance that some of them will progress to aggressive disease. Regarding biopsy there is enough evidence that it does not increase the chance of cancer spreading. These are just hypotheses. Also, it definitely does not affect overall prognosis. Lastly, being from a medical background I do not have an idea regarding natural treatment. Though I would say that all these are just hypotheses and not proven things. As per my idea, she would need a breast conservation therapy plus radiotherapy, and endocrine treatment depending on the final biopsy result. DCIS. Wide local excision, radiotherapy and endocrine therapy depending on the final report, hormone status and invasive component. Six monthly mammography." + }, + { + "id": 7064, + "tgt": "I am getting bumps filled with pus on my scalp. What could this be?", + "src": "Patient: Hello doctor, I am 32 years old. I am getting bumps with pus on my scalp. I have already contacted dermatologist but no luck. It has been more than a year I am suffering with this. Please suggest best tablets or shampoo. Doctor: Hi. I need to know a few more things about your health issue. Please do attach pictures and revert back with the answers to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27966, + "tgt": "My 6 year old son is vomiting and has a stomach ache. Please help", + "src": "Patient: Hello doctor, My 6 year\u00a0old boy is suffering from stomach ache. He vomited\u00a02 to 3 times already. He had mangoes yesterday, and today he is having yellow vomiting. I gave him Ondansetron syrup and Cyclopam. The vomiting has stopped now, but he still has the stomach pain. The stomach pain is so severe that he starts crying. Doctor: Hello. Consult a specialist doctor, discuss with him or her and strat taking the medicines after their consent. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 9385, + "tgt": "I swallowed my dental crown. What do I do?", + "src": "Patient: Hello doctor, I have swallowed my dental cap while eating. What do I do now? I am very scared. Doctor: Hello. Hope it helps you. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 3389, + "tgt": "What is failing pregnancy?", + "src": "Patient: Hi doctor,I\u00a0had some symptoms like heaviness in stomach, frequent urination, breast tenderness and morning sickness.\u00a0Last week when I took hCG blood test it was 11.34. My doctor advised me to repeat a test on couple of days and it was 9.26. I used to travel many hours to office. This week I did not have any symptoms. But, still I did not get my periods. What would be the reason for this? Before a year I had periods continuously for 24 days. So, I took Yamini tablet for three months. Same time, I had a scan as well and that was normal. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9291, + "tgt": "Is it safe for my mom to take Rabium for a long time?", + "src": "Patient: Hello doctor, My mother is 47 years old. She takes Rabium\u00a020 mg tablet daily and it gives her relief in her health problem. I just wanted to know whether this medicine\u00a0is safe on daily basis. Does this cause any side effects? Is it safe for my mom to take it for a long time? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 21762, + "tgt": "Can masturbation result in itching of penis?", + "src": "Patient: Hi doctor, While masturbating in the shower with soap, I had a slight itch at the bottom left side of the penile meatus. I continued to masturbate in the next two days, and the tip became very irritated. I have been treating an irritated penile gland (feels like sandpaper at the tip when rubbing against clothes) with an antifungal cream for about 14 days. It is 98 % gone. There is no discharge or pain or itching when urinating or ejaculation. I live in a place with high heat and humidity. I also have a lot of sweating during sports-related activity. Is this a fungal infection or could it be something else? Doctor: Hi. The changes are due to irritation with soap as well as due to frequent rubbing. Any soothing and moisturizing cream or lotion would help to resolve. Were there any white patches to suggest fungal infection? Did you have any sexual contact recently to suspect any infections? We cannot rule out the possibility of superimposed fungal infection as the fungus is usually present in that area. Trauma to the mucous membranes helps their proliferation leading to worsening of the symptoms. The possibility of any other STD (sexually transmitted diseases) appears to be less if you did not have any recent sexual encounters. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3825, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22378, + "tgt": "What can be done for black puffy eyes?", + "src": "Patient: Hello doctor,I am 24, male and have been suffering from black puffy eyes for about 3 to 4 months now. It has got to the point where people have started noticing as it looks as if I am sick and tired. I have a healthy lifestyle and sleep 7 to 8 hours on an average. I never smoke and drink moderately like once a week. I did have a heavy coffee intake 3 to 4 months ago but I have stopped it completely. Stress wise, I am pretty chill and I do not think I have any serious stress in life right now. Healthwise, I have a deviated nasal septum and constant nose problems. My nose often gets dry and bleeds and I use saline nasal spray very often. I also take antihistamine tablets (Allegra 120 mg) on a daily basis. Doctor: Hi, Welcome to icliniq.com. From from what you have told me and the photo of yourself (attachment removed to protect patient identity), I feel you have atopic conjunctivitis, a form of longstanding allergy. This is a problem which is related to the disease which you are experiencing in your nose and is essentially a form of the same disease in the eye. Although the disease is incurable, we can get the disease activity down to a level where it can not bother you in any way. For your problem of black and puffy eyes please do the following: Allergy 1.Skin pick test. 2.Slit lamp examination. 1.Allergic conjunctivitis. 2.Acute viral conjunctivitis Atopic conjunctivitis Anti-allergic eyedrops. Cold compresses. To stop eye rubbing. Stop eye rubbing. For more information consult an eyecare ophthalmologist online.--->https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 24275, + "tgt": "Why am I having dysphagia only with solid foods?", + "src": "Patient: Hello doctor, I have had dysphagia for six months. I have been taking Omeprazole for three months. However, I have been going for tests including blood tests, endoscopy and barium swallow and all are completely normal. It is only with solid foods and with every meal it is worse the worst being evening meal, and it is with every bite of solid food. Liquids are fine. The problem still persists. What is it? I have had reflux and regurgitation in the past but never regular. Doctor: Hello. I went through your query. You are suffering from reflux which probably was not very prominent. This condition is called a silent reflux. Because of this silent reflux, the esophagus undergoes spasm as soon as you eat any solid foods.This condition is called as a nutcracker esophagus. You need to consult a gastroenterologist and undergo a test called \"24-hour pH (potential of hydrogen) monitoring in the esophagus\" and an esophageal manometry. This will tell you the severity and extent of the damage to the esophagus physiologically that is if there is any functional derangement. The tests you have undergone are only anatomical tests which may not explain your condition. For more information consult an ENT Otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 30454, + "tgt": "I am worried about my breast lump. Please help", + "src": "Patient: Hi doctor, I am a 30 year old mother of a 11 months old. Today, I found a red, inflammation on the surface of left breast on the lower side. It is a lump kind of stuff. I am doubtful whether it is cancer. I did not see any other symptoms of breast cancer as other things look normal. I am so worried. Please help. Thanks in advance. Doctor: Hi. An inflamed lump is unlikely to be a cancer. This is an often occurrence in women with babies being breastfed. It occurs due to an infection. However, any lump must be examined by a breast surgeon and if required a sample of the tissue taken in order to ascertain the cause and nature of the lesions. For safety sake, you need to visit a breast surgeon. However, the chance of cancer is relatively low given your age, etc. Please have it checked out. It is not something that anyone can diagnose without examination. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11798, + "tgt": "Why do I have a problem of loosening of my eyelids?", + "src": "Patient: Hi doctor, I have a big problem in terms of loosening of upper and lower eyelids. Please check the attached pictures. I have been wearing rings on my fingers which have created pressure on my eyes and l believe have led to my condition. I am extremely worried as nonverbal communication is affected and I am having staring look. My confidence level goes down with this. I have shown to ophthalmologist for sight since the last six months and they have been prescribing drops such as Fusion, Systane ultra, anti-inflammatory eye drops and tablets but my condition is not improving. I have been using cold and hot compress as well and changed my diet. Please advise. Doctor: Hello. I have gone through the pictures (attachments removed to protect patient identity) of your eyes. As I can see, there is nothing abnormal with your eyes. Cosmetically, there are some fat deposits around the upper and lower eyelids. This condition is not in need of treatment now. If you want to improve appearance, cosmetic surgery can be done to correct the fat deposition. Fusion (combination of Sodium hyaluronate, Carboxymethylcellulose and Glycerin), Systane ultra, anti-inflammatory eyes drops or any other treatment will not help you in any way. Wearing rings is no way related to your eye appearance." + }, + { + "id": 19641, + "tgt": "My heart suddenly starts beating fast but reports are normal. Can you help?", + "src": "Patient: Hello doctor,My heart suddenly starts beating very fast from the last three years. My echo and ECG are always normal. Nowadays, I can feel the chest pain and some kind of picking in my right arm. My thyroid test is also normal. I do not know what to do. Doctors here do not know what my actual problem is. Can you please help me? 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. Usually, ECG is normal as it is usually done between the episodes. ECG done during episodes will show abnormality. It is better if you can upload your ECG and echo reports for an opinion. Is there any stress or anxiety associated with or prior to the increase in heart rate. Until the time your evaluation is complete, you can continue Concor (Bisoprolol). If none of the above is successful then last option is an 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 with some more information. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 365, + "tgt": "My daughter has pinhole on nasal bridge with swelling and discharge at present. Please help", + "src": "Patient: Hello doctor, My daughter has had a pin hole from birth on the bridge of her nose. We asked her pediatrician and she said with time it will fade away, but I have been researching because white stuff comes out from the tiny hole. Now she is 4 years and it starts to swell up and it is red and tender, her nose also sweats a lot. Is it a nasal dermoid cyst? Please help. Also, what can I do to bring the swelling down? Doctor: Hi. This is definitely a dermoid cyst sinus. This lesion typically presents as a small opening (sinus) at birth and as the child grows the wall lining in the cyst accumulates sebaceous material which can get secondarily infected, resulting in swelling and then a discharge. In very few cases, the sinus disappears as age progresses. The infection has to be treated with antibiotics and once the infection subsides this cyst along with the enter sinus tract has to be excised under general anesthesia. For now, you can give her an antibiotic containing Amoxicillin with Potassium clavulanate 475 mg 4 ml three times a day for one week. In addition syrup Ibugesic plus (or its equivalent) 4 ml two times a day for one week to reduce the inflammation and pain. I think, for now, this should be sufficient. Please do not go to puncture or do anything to the swelling as it can flare up the infection and inflammation. I hope this helps." + }, + { + "id": 11250, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 30500, + "tgt": "Could you please check my routine blood test report?", + "src": "Patient: Hi doctor,I am a healthy male. My age is 44. My weight is 71 kg and height is 165 cm. I do not take any medications except organic multivitamins and Omega everyday with vitamin D3. I am not suffering from any medical symptoms or conditions. I stay active and control my food intake to be as healthy as possible. I had herniated disc before four years and it is not much better.\u00a0I underwent a routine blood test and want to check whether there are any concern areas. Thank you. Doctor: Hi. We are glad to help you. Please attach your reports. Revert back with the reports to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 23764, + "tgt": "I have a tingling sensation in my inner arm. Is it something serious?", + "src": "Patient: Hello doctor, I have a tingling sensation without pain in the\u00a0inner aspect of the\u00a0arm on and off. Also, I have a\u00a0tingling in the gluteal and lower back sometimes going to the\u00a0feet. I \u00a0have no other issues. I am awaiting\u00a0a neurologist appointment. It is only on the\u00a0left side. Is it serious? Doctor: Hello. I \u00a0went through your post. It is nothing major. So, there is no need to be anxious about it. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11443, + "tgt": "What can cause RUQ pain?", + "src": "Patient: Hello doctor, I am suffering from NAFLD for the last six months. Now, I am having RUQ heaviness, back pain and flatulence for the last three months. I had several tests and I have given the details below 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 per 100 mL, lipid profile completely normal, liver function test - indirect bilirubin elevated 1.3 mg per 100 mL and others are normal.My doctor advised me to avoid oily and spicy food. Also, prescribed two medicines named Sompraz D 40 and Liv 52 DS. I\u00a0have lost 9 kg weight in the last four months. Now, my weight is 75 kg and Height is 175 cm. My age is 30 years.\u00a0Actually, I am having a constant RUQ discomfort and right-sided back pain for the last four weeks. I had the same fine before some time and it recurred again. Also, sometimes I felt tiredness and dizziness.\u00a0All the reports, which I had shared, are all the recent ones that are taken before seven days. How to recover faster from this situation? Is it dangerous? Also, Please let me know about a perfect diet for me to recover faster. Doctor: Hello. Thank you for the detailed 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": 12768, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22622, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 28975, + "tgt": "How to make a 14 months old baby start eating after adenoid surgery?", + "src": "Patient: Hi doctor, The patient's adenoids were removed before five days. He was taken to the recovery room and was so cranky. His breathing was funny, so he was put on oxygen.\u00a0In about 45 minutes he was able to breathe on his own, he coughs and get a lot. We bought grape juice, ice cream, and milk. He is mostly cranky and would not want to take anything. His mom sometimes had to force him to take milk. It is 2 AM, and he is up. We figure that it may be hard to sleep if the tummy is empty. Please help us. What methods can we adopt to make him start eating? He is only 14 months old. He gets cranky and cries to sleep. He is always pushing away the food. Doctor: Hello. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 12044, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28032, + "tgt": "I am 2 months pregnant. How to abort naturally using pills?", + "src": "Patient: Dear Doctor, I am 2 months pregnant. How to abort naturally using pills? Female, weight-43kg, height-155cm. Doctor: Hi. Consult an obstetrician and gynaecologist online for further help --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21970, + "tgt": "Is there any chance of lung cancer if there is spitting of blood with phlegm?", + "src": "Patient: Hello doctor,If X-ray is clear and the person is having a good appetite and no fatigue but the person is spitting up blood with phlegm not always. Sometimes the phelgm is white and sometimes black and sometimes traces of blood in phlegm. No chest pain, no shortness of breath. Is anything to worry? Is there any chance of lungs cancer after clear X-ray. Doctor: Hello. I have read your issues. Coughing up blood can be a symptom of many diseases like throat or chest infection, tuberculosis, bronchiectasis (a disease where your windpipes are damaged) or lung cancer. A detailed history of complaints and your reports are needed to determine the reason. If you are below 40 years and coughing up blood only for a few days, it is likely a chest infection or tuberculosis (TB). If age is above 40 and a smoker, we need to consider the possibility of cancer. If coughing blood is for months to years, bronchiectasis is the likely cause. If X-ray is normal, TB and cancer become less likely. I would suggest you get a sputum exam for TB, blood tests CBC (complete blood count) and ESR (erythrocyte sedimentation rate). If TB is not detected in sputum and coughing up blood is persistent, CT scan of the chest may be needed. Bronchitis, bronchiectasis, tuberculosis. CBC, ESR, sputum AFB (acid-fast bacillus) smear, chest HRCT scan. For more information consult a pulmonologist online.--->https://www.icliniq.com/ask-a-doctor-online/pulmonologist" + }, + { + "id": 18130, + "tgt": "Suggest me ayurvedic medicine for premature ejaculation problem", + "src": "Patient: Hello Doctor, I am a 27 year old male. I have been masturbating since childhood. My problem is that whenever I indulge in sex, sperm comes out very soon like within a minute. Please suggest me any medicines that can increase the time of ejaculation upto half an hour. Doctor: Hi. This is not a major problem. It can be easily corrected. You have to follow the following instructions: Consult a sexologist online if the problem persists even after following these instructions --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 14645, + "tgt": "The level of anti TPO antibodies is 492. Doctors say it is a state of euthyroid. I am worried about my prognosis", + "src": "Patient: Hello doctor, The level of anti-TPO antibodies is 492. The doctors say it is a state of euthyroid. I am worried about my prognosis. I am a medical student, can I still become a surgeon? Doctor: Hi. Going by the details you have provided you have euthyroid. This means that you do have normal TSH with normal T4 and T3. The most common cause is autoimmune thyroid disease, which is confirmed by positive anti-TPO (anti-Thyroid Peroxidase) antibodies. Positive anti-TPO means you have these antibodies in your body which act against the thyroid cells. Most often this is a progressive disease. As of today, we do not have treatment against autoimmunity. Therefore, we replace thyroid hormone in the form of Thyroxine. With TSH near 10 and strongly positive antibodies, I suggest you get your TSH done after 6 weeks. If normal, there is nothing to worry. Apart from the destruction of thyroid cells, anti-TPO antibodies do not cause any other harm. Disease per se is harmless if TSH is kept normal. Keep track of TSH and treat it accordingly. This will never affect your future, and you can continue your studies without fear of not becoming a surgeon. You will become a surgeon, all the best." + }, + { + "id": 14247, + "tgt": "I had a pelvic CT scan with contrast done. Will this affect my plans to have kids?", + "src": "Patient: Hello doctor, I had a lower GI and pelvic CT scan with contrast done at the age of 36 years. I fly a lot. I want kids. Did this scan harm my eggs or increase my chances of developing cancer? Nothing was found in the scan, and the MSV was 8. Doctor: Hi. I have read through your query in detail. Please find my observations below. The contrast CT scan pelvis has exposed you to radiation of 8 mSv as recorded on the machine. For a 36 year old female patient, this means you are exposed to an additional cancer risk of 0.09 percent. In other words, there is a 99.91 percent chance of having no effects due to the CT scan pelvis. Flying exposes a pilot to radiation of approximately 2.2 mSv/year. Natural radiation we are exposed to is approximately 3.1 mSv/year. In conclusion, the 8 mSv radiation exposure has not caused any significant adverse effects and will not affect your plans to have kids. Hope this answers your question." + }, + { + "id": 2288, + "tgt": "I have gum disease with receding gums and bleeding. Please suggest", + "src": "Patient: Hello doctor, I went to the dentist recently and they told me I have gum disease and receding gums but there is no damage to my teeth or bone so I just have to improve my brushing. Since then I have taken their advice but my gums still bleed, my whole mouth is sensitive and I have noticed my teeth feel slightly loose. It is currently impossible to get to a dentist so I am concerned. Please help. Doctor: Hi. Yes, I can make out from x-ray and picture (attachment removed to protect patient identity), it is gum disease for obvious. Your lower front teeth have grown gingival inflammation better called gingivitis. Gingivitis needs to be treated by a procedure called gingivectomy, means removal of excess gingiva. Home remedies as such there are not many or much effective in this case yet I can understand the situation cannot permit you to go out. For now only until the situation gets better try the following: 1. Warm water salt rinse three to four times daily. 2. If you can get some guava leaves crush them and mix with warm water use as mouth rinse for one to two minutes and spit out. 3. Crushed cloves act as good oral treatment in pain and gum diseases or if you can get clove oil that will be great to apply. 4. For loose tooth, you can apply a mixture of table salt and mustard oil where there is loose gums and then later spit it out. 5. Rest, keep brushing teeth twice daily. Kindly use soft bristle brush and do not brush very hardly or for very long. You need to brush softly for one to two minutes only. 6. Before brushing apply toothpaste all over teeth and at place teeth attaching to gums, leave it for two to three minutes then do the brushing. After brushing must give soft finger massage overall teeth and especially gums. 7. Brush in a circular manner and not in up and down motion. I hope this helps. I advise you for a complete deep scaling and root planning as soon as things get better in your area." + }, + { + "id": 11286, + "tgt": "How can I confirm that whether my spotting is implantation bleeding or periods?", + "src": "Patient: Hello doctor, I am 30 years old and married for 2.4 years. Now we are planning for a child. On 14th of this month, I experienced periods with very little stomach pain and pain in legs. The next day on 15th there was no bleeding at all, 16th I had spotting of light red colored blood flow, 17th the same thing happened and then the flow stopped. Again on 23rd night I had bleeding light red coloured blood flow, on 24th no bleeding at all, 25th I had fresh pink colored spotting. Then 26th pinkish brownish spotting occurred, 27th morning I did pregnancy test by urine, it came negative, and at 8 AM had brownish spotting, 28th had brownish spotting too. Please help me to know whether it is implantation bleeding or anything else. Doctor: Hello. This is not an implantation bleed at all as even urine pregnancy test is negative. Considering that you have been having regular spotting during this month since 14th of this month with hypomenorrhoea, there are possibilities that your serum Estradiol levels are low which is a possible cause of such irregular shedding of the endometrium. It is important that you get an ultrasound pelvis done to check for endometrial thickness which if less than 8 mm then likely that you would not conceive during this cycle. Please tell me what hormonal profile was done with thyroid levels, serum prolactin, serum progesterone, serum estradiol, FSH, LH and AMH levels to establish the cause of such irregular shedding." + }, + { + "id": 25348, + "tgt": "I am told surgery will not help my macular hole. Why?", + "src": "Patient: Hello doctor, I have Best's disease and am currently undergoing injections in my left eye and it is improving. I have now been told that my right eye has a full blown macular hole but surgery may not help. Why not? Doctor: Hello. There are two surgical outcomes of a macular hole surgery. Anatomical correction, that is, whether the gap (hole) that has formed will be filled again or not. Usually, it has 90 percent chances in a macular hole surgery. Functional correction, that is, how many functional retinal cells remain there or who again take part in bridging that hole. This functional correction depends on the timing of the surgery, that is, how old is the hole. Older the hole, poor is recovery. Also, it depends on the grade of the hole. More the grade, poorer the recovery. Your hole is old and as you said full-blown (which I am assuming grade 4), and also there is a concomitant Best disease which primarily affects retina and macula. So, combining all these factors makes surgery a less likely intervention. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 5181, + "tgt": "Why do I have strange feelings of being abandoned?", + "src": "Patient: Hi doctor, I am\u00a0suffering from anxiety for years now and I got with my boyfriend seven months ago. I have never been so happy, I love him more than anything and we have plans for the future together. But, I would worry every day about him leaving me or finding someone better which I know is stupid because he has told me over and over again he never will. The other day I felt really strange like I have no feelings or emotions and find it hard to kiss him or miss him. It makes me feel like I do not love him which I know is not true and it is starting to get me down. I am not sure if this could be something to do with the anxiety. Because, it seems to have got worse lately to the point, where I do not enjoy going out like I used to. I used to prefer to stay in, I feel no love for my family and now I find it hard to cope like I am going insane, but I know this is not me. I have always been caring and I love hard. But, now I feel nothing. I do not know what is wrong with me. Could it be depression? Doctor: Hello. As I read through your question, I find that the worry of being abandoned by your boyfriend is apparent in your thoughts. Generalized anxiety disorder. 1. Generalized anxiety disorder. 2. Depression. Cognitive behavioral therapy. Meditation. For further information consult a psychologist counsellor online.---> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 25018, + "tgt": "What is the reason for tummy ache and clay-colored stools?", + "src": "Patient: Hello doctor, I have had reflux and a bit of a tummy ache off and on between my naval and hip, for the last week (no diarrhea). (I also know this can be indicative of an appendix problem but it is where I always have pain with tummy troubles and it is not my appendix). This is not uncommon as I have digestive issues kind of often. However, this time is different. I have had pale, clay-colored stools and some pain in my right flank for going on five days. It feels a bit more sore on my right side after a bowel movement. I went to the ER, my blood work indicates no problem and is normal across the board, no infection, normal pancreatic enzymes and liver enzymes, normal bilirubin and I had a had a scan of the biliary ducts and they appear normal. I have two gallstones that are not blocking anything and there is no indication of inflammation of my gallbladder. Please help me find an answer or an alternative reason to pale stools (also no change in diet). Doctor: Hello. I need following details to help you better. Revert with the asked details for a better help. Revert with more information to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 2562, + "tgt": "I have chest pain and shortness of breath. Why do I get this?", + "src": "Patient: Hello doctor, I have chest pain and shortness of breath. It started on 16th March. Since then, it is still present, continued discomfort in chest and back. I am on 5 mg of Atorvastatin. Doctor: Hello. I have gone through your reports. (attachment removed to protect patient identity). Resting ECG and echo showed no abnormalities, and stress test does not show any abnormalities, although could not be completed. So, we cannot be certain that this is not cardiac pain, but appears to be less likely. So you should undergo further testing with either pharmacological stress test or CT (computed tomography) coronary angiography. Now normal BNP (brain natriuretic peptide) level is against cardiac cause for shortness of breath. Your thyroid shows significant abnormalities, you need to be on thyroid supplements like Eltroxin and should begin as soon as possible. Now do you get this chest heaviness at rest or on exertion? If this heaviness occurs at rest only then possibility of other causes like acid reflux should also be considered especially if you have other symptoms. You should try antacid then. If heaviness classically occurs on exertion and relieves with rest then strongly suggest cardiac cause only and then should undergo further cardiac resting. So possibility of non-cardiac cause should also be suspected, however, should undergo further cardiac evaluation. I hope this helps." + }, + { + "id": 12639, + "tgt": "Is there something to help itching with a history of hyperthyroidism and abnormal liver test?", + "src": "Patient: Hi doctor, My thyroid levels indicate that I have hyperthyroidism and I am so itchy. Itch is my number one complaint. I also have an elevated heart rate, abnormal liver tests, and weight loss. I made an appointment with an endocrinologist. However, I need help now. I am so itchy. Is there a low dose of something that can help? Doctor: Hi. Yes, please attach your liver function tests for review." + }, + { + "id": 7764, + "tgt": "What are the ways to improve height?", + "src": "Patient: Hello doctor, I just turned 18 two months back. I am 5'8.5\". Over this summer, all my friends have grown very tall and I have not grown an inch. Not even this year, I did not grow an inch. People tell me I have a lean physique and I am tall for my age and they say I may grow up till 6'1\". That is my goal. I weigh 59 kg. My mother is 5'5/6\" and my dad is 5'8\". I used to be known as a tall kid before the summer, now I seem short. It troubles me. I am not very built, I am quite thin and over summer I actually did not eat enough food which may be a problem. I just want you to give me hope that I can grow tall and give me tips on how I can improve it. Doctor: Hello. Your final height will be determined by your genetics, eating good nutritious food, keeping yourself physically active by exercise and maintaining good posture. You will continue to gain height till puberty is complete. You are already nearly 5'9\" which is good. It is difficult to predict your eventual height accurately, mid-parental height helps but has its limitations. Do not compare with your friends as each person grows at a different pace. Eat well daily with adequate intake of fresh fruits, vegetables, whole grains, and nuts. Keep yourself active. Play regularly. Take adequate rest and sleep well to aid your body to recuperate well. Take care." + }, + { + "id": 17017, + "tgt": "I have been on Isotretinoin for four months. How to stop it?", + "src": "Patient: Hello doctor, I had a severe skin infection\u00a0and almost cured under my doctor's medication. I have been prescribed Sotret 20 mg (Isotretinoin) for four months.\u00a0I am married. So, should I continue this? Already four months are done, and progress is 80%. Whenever I am under Isotretinoin medication, pimples are not coming back. Recently I have stopped it, and some are appearing. But, the severe infection has gone. The scars on my face are still there, and not turning into the state as I had before.\u00a0I am using Kojivit gel and\u00a0Faceclin gel. Please suggest some way of removing the scars. Also, which sunscreen shall I use to remove the tan from my hand? Doctor: Hello. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 22562, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 25271, + "tgt": "What is the chance of getting ALS if someone in the family had it?", + "src": "Patient: Hello doctor,My grandfather died of ALS and now I am having signs of it. He is the only one that we know of that had it in the family. So my first question is what is the chances of me getting it? Second question is I twitch in my left arm, left hand, left leg, left calve non-stop. Sometimes I get it on my right side but it is more frequent on the left side. So is this BFS? I had a clean EMG three months ago but I have started twitching more and have more weakness/soreness. If I had an EMG but did not twitch during the EMG would it had still picked up ALS or does the EMG just work when you twitch?The last thing is my vastus lateralis muscle on my left leg twitches non stop for six months and gets a painful soreness sometimes. Could this be ALS? Doctor: Hello. I understand your concerns. ALS (Amyotrophic lateral sclerosis) is familial in only 10 % of the cases. The diagnosis is mainly clinical (with characteristic symptoms). EMG AND NCS (nerve conduction studies) may help in the diagnosis, symptoms include: 1. fasciculations (muscle twitches) in the arm, leg, shoulder, or tongue. 2. muscle cramps. 3. tight and stiff muscles (spasticity). 4. muscle weakness affecting an arm, a leg, neck or diaphragm. 5. slurred and nasal speech. 6. difficulty chewing or swallowing. If you have some of these symptoms, neurological examination is required. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30118, + "tgt": "I am experiencing heavy bloating and excess urination. Why?", + "src": "Patient: Hi doctor, I am a 39 year old female with no major illness, except gallstone, which was 22 mm and was found last year. I am on prediabetic side too. Since last few months, I am experiencing heavy bloating, gas and occasional burping after anything I eat. In the morning, I am having a flat tummy. My family history has acidity problem. I pass stool only three times a week for the last so many years. Also, my urination is not completed in one go. So, I have to go again in a few minutes to pass little more dribble urine. When my bloating is high, I noticed more urination too. What could be the cause? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 632, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 28334, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12160, + "tgt": "Is asthma permanently curable?", + "src": "Patient: Hi doctor, My son aged 4 years and 4 months is premature by birth at 34 weeks. His current weight is 15.5 kg. He always used to get a cough and sometimes fever in an interval of every two to three months, especially since last one year. However, there is no other visible physical or mental problem because of his preterm birth. Recently doctor has diagnosed, based on his stethoscope examination and repeated illness, mild intermittent asthma. However, we do not have any family history of asthma. His last 6 months illness history and medication are attached here. Kindly go through it and reply to my queries. Based on the symptoms and background, can it be confirmed that my son is suffering from asthma? If it is asthma, is it the right course of medication in the initial stage? Do we need any other test for reconfirmation and start with essential medicines? Is it permanently curable? What are the dietary do and do not for asthmatic patients? Is there any other better means of treatment in ayurveda or homeopathy for complete treatment? Earlier he was advised 1 mL of Kidrich D3 (multivitamin) for 3 months. Can we continue this along with present medicines? What about routine vaccinations like polio drop, etc? Thanks and regards for your valuable advice. Doctor: Hi. Though your son is premature, it does not matter with the present illness. Let me first clear you that he is suffering from bronchial asthma. And anyone can have asthma without any family history. So, it is not necessary to be always run in families. To confirm the diagnosis we do spirometry test in children over 6 years of age. But as your son is too young, he will not be able to perform the spirometry. So, we have to make diagnosis on clinical basis. There is no other way to confirm. Now, we have made a firm diagnosis of asthma.Regarding the treatment, nebulization medications are only to be used in emergency. Also, it is not advisable to use steroids syrup on long-term basis. The best treatment for asthma to your son is using inhaler medicines with spacer. You start him on Budecort inhaler (Budesonide) 100 two puffs twice daily with Zerostat VT spacer. Both medicines are from Cipla company. Ask him to gargle after each use of inhaler. Multivitamin and cough syrup can be used as required. But stop Syrup Omnacortil (Prednisolone) by tapering the dose. Use Asthalin nebulizer (Salbutamol) when required in emergency only and not daily. You can give him his vaccines even polio drops while on inhaler treatment. There is no problem in it. Last thing to clear you is that asthma is a life-long disease. We can only control the symptoms of asthma by taking inhaler medicines. It is an incurable disease. In many children, asthma disappears as they grow, in many it remains the same and in some cases it gets worse with increasing age.At this step, no one can predict what will happen to his asthma ahead. So for time being, we must continue with the inhaler medicines.I have tried to give you overall idea about asthma as much possible after carefully reading the history. Please get back if you have any doubts. Allergy to anything. 1. Inhaler medicines like Budecort 100 MDI (metered dose inhaler) 2 puffs twice daily with Zerostat-VT Spacer. 2. Asthalin MDI to be used as required. Avoid dusts, cold liquids or ice creams." + }, + { + "id": 11323, + "tgt": "Could gastritis cause black stools?", + "src": "Patient: Hi doctor, I have acid reflux problem for the last 5 years. Pain in my throat also happens because of it. For the last eight\u00a0months, I feel dizzy, vertigo after eating food and sometimes even after drinking water. I have started taking herbal medicines for psoriatic arthritis before six months. Whenever I stop them, I have a\u00a0normal stool. But, for the last few days, I have black stools and a little pain in the upper stomach too. Is it due to gastritis? Should I consult gastroenterologist? Last time when I took vitamin D supplement with multivitamins this dizziness stopped. My TSH is 4.9, and other reports are normal. 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": 15744, + "tgt": "Is it possible for gingival fibers to regenerate after scaling?", + "src": "Patient: Hello doctor, Is it true that gingival fiber does not regenerate once destroyed? Can they regenerate in certain conditions? I got scaling of teeth done recently and developed gaps. I am wondering whether the gingiva can grow into this space. Doctor: Hi. I have gone through your question. I can understand your concern. No, you are not right in this case, gingival tissue regenerates as do others except the nerve fibers, if an injury takes place. Dental scaling is good for the heath of gums and should be employed after every six months. If you have a gingival recession, that cannot be because of oral prophylaxis (scaling). So do not worry. The attachment will happen within days." + }, + { + "id": 14826, + "tgt": "I have missed one birth control pill. There is bleeding and cramping. Please help", + "src": "Patient: Hello doctor, I am in my mid-cycle. There is a pretty good amount of bleeding and cramping. There is also some bloating. I have missed only one birth control pill. This has happened only when I have missed about 3 pills. Please help. Doctor: Hi. Normally when you miss your contraceptive pill, it may lead to withdrawal bleeding because of hormonal effect of the pill on the endometrium which suddenly withdraws. You should consult a gynecologist online and start taking the pills again based on her suggestion." + }, + { + "id": 712, + "tgt": "My mom's behavior changes every single minute. How to resolve this?", + "src": "Patient: Hi doctor, Myself and my wife are stressed by my mom's behavior. She keeps changing every single minute and fights with us for small matters. Kindly help me to resolve this. Doctor: Hi. For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 17366, + "tgt": "Can a child be a victim for sexual abuse?", + "src": "Patient: Hello doctor, Would a 4 year old child, who is diagnosed with gastroenteritis, show severe inflammation from rectum all the way up to the tail end of the colon? He was diagnosed based on vomiting and diarrhea. His vomit and diarrhea were of the consistency of thick peanut butter and both looked identical. I had never seen vomit or stool that looked liked thick, whipped paste and in very light brown color. He had no fever, no abdominal pain but cried and cried that his butt really hurt. They did a CAT scan thinking it might be his appendix but the CAT scan came back negative but clearly showed an\u00a0inflamed rectum and lower colon, about 12\" from the anus. My little boy was in play therapy for reasons of possible sexual abuse and reported to his therapist six weeks later that he was forced to sleep naked with an adult male and he did not like it. If a small child's anus and rectum suffered trauma, could that result in the child throwing up and defecating this paste type substance? The ER doctor was puzzled because he said it was unusual that diarrhea inflamed the entire colon and not the tail end and rectum. Doctor: Hi. It is really very unfortunate that you are dealing with this problem. I wish your child a good health. For further queries consult a child health specialist online --> \u00a0https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 8791, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 17315, + "tgt": "Can you tell me the reason for deficient perineum?", + "src": "Patient: Hello doctor, I am 28 and sexually active. But, I do not have any baby yet. I had noticed a long time back that I do not have any gap between my vagina and anus. I got to know that as deficient perineum, but I could not find out more on the internet. Can you tell me why I do not have it and its consequences? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28302, + "tgt": "I have inappropriate sinus tachycardia. Should I get a pacemaker?", + "src": "Patient: Hi doctor, I had been diagnosed with inappropriate sinus tachycardia nearly two years back. I have\u00a0dizziness, chest pain, shortness of breath, not able to exercise, and anxiety.\u00a0I am currently managing my symptoms with Ivabradine 5 mg, once a day, but the quality of life is very poor due to which I am suffering from depression and anxiety disorders. Sometimes, I feel better and can work off the\u00a0medicines, but as soon as I try strenuous exercises, all the symptoms return. Please apologize for my words, but I cannot even masturbate. My questions to you are, should I consider for ablation? If yes, then what are the risks and success rate? If I have to undergo pacemaker implantation, then what may be the complications and success rate and will I be able to perform strenuous exercises with a pacemaker? Should I consider going for a pacemaker at 21 years of age? Lastly, should I continue with medicines, if there is a possibility of self-healing in the future? Doctor: Hello. Firstly, do not get depressed, this is not a life-threatening condition, and may resolve with time. The symptoms may be troublesome for some time. How much are your resting and maximum heart rate? You should get yourself evaluated by a psychiatrist for anxiety and depression, which I think is causing your poor quality of life. I assume all other causes are ruled out like thyroid, low hemoglobin, and postural orthostatic tachycardia syndrome. The echocardiogram is also normal I guess. 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": 30015, + "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": 15910, + "tgt": "Will my mild hearing loss reverse by itself?", + "src": "Patient: Hi doctor, I recently had a hearing test which indicated mild hearing loss at the 4k Hz level. The audiologist said not to worry about it at all, protect my ears and it will very unlikely worsen. He even mentioned that it may reverse itself. I am only 32 years old, so I understand any recording above the 20DB mark is not ideal. The values are for 250, 500, 1k, 2k, 4k and 8k Hz levels. Left is 10, 5, 15, 20, 25, 20 (air conduction), left is n/a, 10, 10, 20, 25, n/a (bone conduction). Right is 15, 10, 15, 15, 30, 15 (air conduction). So my direct questions are would you agree that this is a mild case of hearing loss and there should not be anything to worry about at this stage provided I look after my hearing and ensure I am not exposed to loud sounds too often? Is it likely that this will not worsen (excluding any age-related hearing loss as I get older)? Are my audiologist's comments that it may even reverse itself accurate? How severe is this level of hearing loss and what implications will it mean? Doctor: Hello. According to the reports indicated (attachment removed to protect patient identity), there is a dip at 4k which indicated a noise-induced hearing loss. Many people suggest that it is not a thing to be worried about, however, we cannot neglect it completely. There are various kinds of hearing loss having various reasons. In this kind of audiogram, it is clear that you have exposed yourself to loud sounds. Now as you have clarified you use headphones for 1 or 2 hours. Let me inform a headphone noise can have a different effect on different people. Some people are more susceptible to hearing loss. Check your work environment if it is noisy you may suffer from hearing loss too. It is not much likely to increase if you are careful. Your audiologist comments are not entirely accurate. The 4k dip is likely to reverse when the 4k area in the organ of corti get enough of blood supply to reverse the damage. The loss is not that severe which will affect your quality of life. But we need to be careful." + }, + { + "id": 5412, + "tgt": "Are weakness in hands, tremors and strange feeling in feet symptoms of alcoholic neuropathy?", + "src": "Patient: Hello doctor, I am 29 years old. What would be the specific symptoms of alcoholic neuropathy? I am having some nerve issues, they conducted two separate neurological exams (no conductivity testing just the general exam) but the neurologist did not find anything abnormal. I am a mild to moderate drinker and have been drinking for about six years. I do not binge drink or drink more than a glass or two of alcohol every other day or so. I eat very healthfully and work out. I have had all sorts of bloodwork and nothing has come up (Ac1, B12, thyroid, etc.). My MRI is scheduled in five weeks to rule anything else out. Doctor says my symptoms are anxiety but want to make sure. Symptoms include some weakness in my hands when I wake up, tremors at night, feelings that have changed over time in my feet. No official pins or needles, just some general \"strange\" feelings in my feet that come and go and change from foot to foot. I only had a feeling of burning in my feet twice. Sometimes there is a region that feels like there is something in my shoe. This has all come up in the past two months. Would alcoholic neuropathy take longer? Will it have more consistent symptoms? Will it show up on a neuro exam? The neurologist insists that I do not need conductivity testing. I just want to rule out alcohol before I drink anything again. It seems like from the literature I have read that alcoholic neuropathy develops after a lot of drinking and poor nutrition. And it seems to be pain that is constant that develops first. Is it true? I am currently taking Spironolactone, Yaz, and Urex. Doctor: Hello. I read carefully your question and would explain that your symptoms are not typical of alcoholic neuropathy. Anyway, tremor is very common after years of alcohol intake. I would first recommend checking vitamin B1 plasma levels and vitamin D plasma levels for possible deficiency. I agree with your neurologist, on the fact that when reflexes are present we can exclude peripheral neuropathy. But sometimes, single-fiber EMG (electromyography) would give more information on possible small fiber neuropathy. In the meantime, I would recommend taking magnesium supplements in order to help to improve your situation. You should discuss it with your doctor on the above tests. I hope this helps." + }, + { + "id": 489, + "tgt": "I have troubled gut with gas, constant rumbling in stomach, and frequent burps. Please help", + "src": "Patient: Hello doctor, For the last year or so I have been experiencing a troubled gut, gassy disposition, constant rumbling in the stomach, and frequent burps. Since then I have stopped consuming lactose, heavy foods such as cheese, full-fat milk, and paneer since but my stomach is still unsettled a year on. I have also noticed that over the last three months my skin has been breaking out on the chin, forehead, and cheeks. This coincides with the start of the lockdown where I live. I have never experienced acne or other skin issues before. My diet has remained the same vegetarian, lactose-free, a decent amount of fruits and veggies, next to no sweets, ghee, butter, chapatis, and rice. I do not smoke at all and drink very infrequently. I do not skip meals. I do not take supplements currently, only Cod liver oil capsules for immunity for the last 5-6 years. How do I improve my gut health and does it have anything to do with my sudden skin problems? Doctor: Hi. If your gut is not normal, it will definitely affect your skin. First thing, include a lot of probiotics in your diet. Take two cups of curd daily. Have small frequent meals like two to three hours eat something. Your meal should be breakfast, lunch, and dinner with two intermittent snacks. Include ghee every day in your diet. Add one or two teaspoons ghee with rice along with other accompaniments. Stop the Cod liver capsules completely. Supplements should not be taken for years together. Occasionally if you eat homemade sweets, nothing will happen. You can take it as your weight is very low. For in-between snacks, you can eat fruits, buttermilk (include every day), protein powder in the evening, channa, etc. Always have protein-rich foods in the morning hours and the later meal should be light. Avoid breads, bakery products, processed foods, sodas, rich sweets, junks, etc. Get a complete blood test done. Follow up after a week with your reports." + }, + { + "id": 26234, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24371, + "tgt": "What could be the reason and treatment for recurrent tonsillitis?", + "src": "Patient: Hello doctor, My daughter is 20 years old and has tonsil problem for last six days. She took medicine for last six days but did not get any relief. She often has the problem of tonsils in two to three months interval. I have tested the CBC. Kindly suggest the remedy. I am also worried about CBC. Due to prolactin deficiency, she is taking Cabergoline as per the advice of an endocrinologist. But now, prolactin is in normal level, but the medicine is being continued. Doctor: Hello. If the tonsillar infection is not reducing with regular medical management in six days, it indicates that it is chronic tonsillitis. The treatment given may be inadequate or resistant to the organism causing infection. You need to consult an ENT doctor in person and take a throat swab for the culture of the organism and take the appropriate antibiotic. If the infection of tonsil is recurring once every three to four months since last two to three years, then you need to go for surgical removal of tonsil called tonsillectomy. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 7813, + "tgt": "As Coumadin causes skin rash, shall we switch to Aspirin?", + "src": "Patient: Hi doctor, My mother is 91 years old. She is currently taking 4.5 mg of Coumadin a day. She has developed a very itchy rash on most of her body. She has been on Coumadin for six years, but this dosage is particularly high for her. Her INRs were only showing 1.2 to 1.4, which is why it was increased to 4.6 mg from 3 mg. Will this medicine cause this rash? She is miserable and we are currently putting Triamcinolone cream on the rash. Coumadin was originally prescribed for atrial fib, but she now has a pacemaker and did have an ablation. Is there any way to change her to Aspirin and discontinue Coumadin, which seems to be wreaking havoc with her system? I will be calling her primary doctor tomorrow; however, I want to have a little knowledge when I talk with him. Any of your comments will be appreciated. Thank you. Doctor: Hi. Based on your query, my opinion is as follows: For further information consult a geriatrician online --> https://www.icliniq.com/ask-a-doctor-online/geriatrician" + }, + { + "id": 7731, + "tgt": "What are the treatments available for chickenpox in an adult?", + "src": "Patient: Hi doctor, What are the treatments available for chickenpox in an adult and secondary bacterial infection of the skin due to chicken pox? Doctor: Hi. Treatment for chickenpox in adults is tablet Acyclovir 800 mg five times a day for seven days. For secondary bacterial infection, you can apply Soframycin (Framycetin) ointment over the skin lesions three times a day for one week. You can also take some antihistaminics like tablet Allegra 120 mg (Fexofenadine) once daily to prevent pruritus. Hope it helps. Consult a general medicine physician online to know more about chickenpox --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 12019, + "tgt": "I have dry eyes associated with light flashes and burning sensation. Kindly help", + "src": "Patient: Hello doctor, I work on the computer for over 10 hours daily. I have dry eyes and minus power of 1.75 in both eyes. However, of late I see light flashes in left eye followed by heat like sensation coming out from the eye. Please advise. Doctor: Hello. Heat sensations are due to continuous computer work. 1. Always use a well light room. The light position should be behind your head not in front. 2. Screen height should be below eye level. 3. Every 20 minutes take your eyes off the screen and try to relax for 20 seconds try to see an object as far as possible for 20 seconds. 4. Every 45 minutes take a five minutes break. Use HD screen for your computer and mobile screen. 5. Use Refresh Tears eye drop six times a day. For light flashes, you need to get your fundus checked by a vitreoretinal specialist ophthalmologist to rule out any retinal lesion." + }, + { + "id": 892, + "tgt": "Can you get infected by coming in contact with someone with leprosy?", + "src": "Patient: Dear Dr., I want some information about the Leprosy disease. When I go out, I often see beggars who are suffering from Leprosy(skin lesions or deformed fingers and toes). I am concerned whether there is any risk of contracting the disease from them. Please give me detailed information about what is the risk of getting this disease. Also, can this disease be contracted by touching object which could have been contaminated like door handles, etc.? Can it be contracted from the ground or soil? Doctor: Hello It is very commendable of you to find out more about this disease. A lot of stigma is associated with the disease and its sufferers. Common public just sees those people as untouchables or a taboo. It is a bacterial infection caused by Mycobacterium leprae. The organism is similar to TB bacteria and so their treatments are also similar and run for months together. But the treatment and drugs are not the same. The laprosy bacteria produces lesions in skin, mucous membranes, eyes, nerves and tissues. Gradually untreated lesions spread inside and affect nerves causing their swelling and loss of sensation. Slowly the body resorbs the extremities and thats why you see a lot of untreated patients having loss of digits and toes. You might have found a lot of people with saddle nose deformity also. The transmission of leprosy with what is known occurs after prolonged and close contact with untreated leprosy patients over months. It doesn't spread that easily or fast. You dont contract it from ground or soil. You dont get it if you touch an object touched by a leper. Nor would you get the disease if you hug the patient. There is very minimal to no risk in contracting the disease from patients who are outside. However, avoid prolonged contact with the patients. Wear a mask always when you are outside, considering the current situation. Recently there is some evidence suggesting the disease may be spread by droplets, like sneezes or coughs or bodily fluids. But nothing has been concluded. It is best to avoid close personal contact with a patient and wear a mask to prevent droplet infection. Treatment of the disease involved multidrug therapy for long durations. With adequate therapy the disease is curable. Is there anything else that you would like to know?" + }, + { + "id": 21426, + "tgt": "Can I use eye massage pen instead of warm compress for Meibomian gland dysfunction?", + "src": "Patient: Hello doctor, I have been diagnosed with Meibomian gland dysfunction and I was advised to put warm compresses under my eyes. The problem is that it is causing me a lot of dry skin and wrinkles. I found an eye massage pen online. It gives heat also to the area. Can I use this instead of the warm compress? Doctor: Hello. The main purpose of the massager pen is to remove wrinkles and not to provide heat. So, it will not help with your Meibomian gland disease. The rationale behind advising warm compresses is to force out pent up secretions inside the Meibomian gland. Giving this heat and later massaging in a way as to force secretions out would be the best way to get rid of your problems. In case you are not fine with water, you can use a warm cup of coffee or any other beverage to warm your hand with or you could use palming where you rub your hands together until they become warm and give the heat to your eyelids. Meibomian gland disease is usually a long-standing condition and only if treated properly, it can subside. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 13930, + "tgt": "My fiance has noticed a small pink lump on the back of her calf. What could it be?", + "src": "Patient: Hello doctor, My fiance has noticed a small pink lump (probably smaller than a pencil eraser) on the back of her calf. I have attached pictures of the same. She thinks it is only a few months old and may have grown in size to some extent. But she is not sure, and it could have been there longer. It looks like a pimple (or actually two tiny one's side by side) with some reddish outline. It is not painful at all. She does not know about her family history and considers herself medium in terms of skin shade. We are concerned because we read somewhere that the lower leg is the most common spot for a woman to develop a melanoma. We would like to have an opinion on this to know if we should have it checked. Thank you! Doctor: Hi. I have seen the pictures (attachment removed to protect patient identity). This is mostly a wart. Melanoma is generally black in color and is very rarely seen in young age. This lesion of hers has mostly no feature of melanoma. Wart occurs due to one of these reasons say pricking, thorn or from other people if the virus gets into your skin. The virus stays there and slowly grows. Also, a wart is infectious, i.e., after touching a wart if you touch anywhere else, you can get a wart there too. So the most important advice is \"do not touch at all.\" Wart has to be removed as early as possible before it spreads much. It can be removed by radio frequency cautery which burns the wart and is removed. Many creams and acids are also there to use, but I consider cautery as the first line of treatment, as chances of recurrence are less with it and the wart is removed in one sitting. I advise her to get it removed by cautery as early as possible." + }, + { + "id": 26321, + "tgt": "My partner has herpes 2. Is it possible for me to get herpes 1 as well from her?", + "src": "Patient: Hello doctor, My\u00a0partner has herpes II. Last time, when I was tested before dating her, I did not have either herpes I or II. Is it possible for me to get herpes I and II from her? Or just herpes II? Doctor: Hello. I went through your post. Regards. For more information consult a venereologist online --> https://icliniq.com./ask-a-doctor-online/venereologist" + }, + { + "id": 27223, + "tgt": "How to cope with post-holiday depression?", + "src": "Patient: Hello doctor, I am a 20 year old\u00a0female. I live in really good standards. But, I have been suffering from apathy and depression for four years and took five different medications namely Salipax, Cipralex, Cymbalta, Zoloft\u00a0and now Prozac, which seems to be working. The first time I experienced depression four years ago was when I traveled and had a really amazing time and cried a lot when it was time to go back home. I really cried like never before for two days before our traveling time and I slept and woke up with depression. I do not know why I was so terrified of going back home, I really do not. All I knew is that I wanted this amazing feeling to last. It was a religious place where I experienced peace. Now, I am out of town for the fifth time after that trip but, this one is different. I had this feeling again. I started crying really bad and want these moments to last and not go back home. How do I deal with it this time? I want my trip to give me energy for what is coming. I do not want it to happen again. Please tell me how to deal with these thoughts and feelings. Doctor: Hello. I can understand your concern. I hope this helps you. Thanks and take care. For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 30508, + "tgt": "Please help me understand the reason for my symptoms", + "src": "Patient: Hi doctor, I have the following problems in my daily life. Social phobia, inferiority complex, lack of concentration and fear of everything. I am not interested to do anything. I am leading a sedentary lifestyle. I also masturbate a lot. I am thinking consistently about my future and living without happiness. I am also suffering from hypertension and palpitations. Please help. Doctor: Hi. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 27675, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13645, + "tgt": "Is it normal to get headache around eyes in a myopic?", + "src": "Patient: Hello doctor, I am 24 years old. Two years back I grew some vision problem (myopia) because I think I used the phone a lot with full intensity at night. Till then my number has been increasing. Although now, I refrain from using gadgets at a high light intensity, till now I have visited the doctor about three times and every time, my number got increased. Right now my right eye's number is 2.00 and left eye's number is 1.75. I suffer from constant headache nad whether or not I wear glasses my eyes get stressed and then I grind my teeth. My questions are that with such decline in eyesight will I get blind? The last doctor I visit told me that at my age eyesight gets constant, so why mine is decreasing? What could be the cause of a headache around eyes? Why I have to apply stress to my eyes while reading or looking at far objects? Is there some exercise to cure myopia? How do you suggest LASIK treatment? Why people prefer lens rather than going for LASIK? Is LASIK harmful? What kind of food do I need to eat to cure myopia? Doctor: Hello. I understand your concerns and please be reassured there is nothing to worry about. This kind of myopia will not cause any blindness. Even though most people's power stabilizes by 20 to 25, few may have progression all the way to 30, it is not usual but is still normal. There are numerous causes that can lead to a headache, but the amount of myopia you have is very small to actually cause a headache. My advice is to meet with a neurologist to get things clarified. If the power of your eyes is correct, there is actually no need for you to stress while you are reading. This can, however, happen in case you have been wrongly given an increased power while you actually had no change. There are no exercises to cure myopia. Regarding LASIK, it is an older surgery, but it is quite safe. SMILE is the newer procedure. But for either of them, your power needs to be stable for at least six months. We prefer lasik to lenses because lenses if worn throughout the day, cause damage to your corneas, sometimes this damage can be permanent. Myopia is not dependent on the food you eat, but the amount of near work you do. So to lessen the progress, avoid using your mobile for a longer duration and keep them at least 30 cm away while you are looking at it." + }, + { + "id": 11677, + "tgt": "How to treat persistent itchy rashes on the ear?", + "src": "Patient: Hello doctor, I have some rashes on and behind my ear. I have tried everything but it is still there for over one and a half month. I have been ignoring it because I get better quickly but does not entirely disappear, and right now is worst than ever. It is quite itchy and at night it is even worst. Sometimes I feel the itchiness inside my ear. I went to an Otolaryngologist, and he told me to use Clotrimazole, but it did not work and turned worst. Other doctor told me it looked like herpes because sometimes when it is horrible, you can see little red bumps in the ear. I took Acyclovir and at the beginning looked like getting better, but it has not got better. I have not consulted a skin specialist yet. Doctor: Hello. I understand your concern. This is not herpes (attachment removed to protect patient identity), and this is a superficial fungal infection known as tinea corporis. If it involves the face exclusively, then it is called tinea faciei. Kindly consult your doctor, discuss the suggestion and take the treatment with consent. A. Capsule Itraconazole 100 mg twice a day after meals. B. Tablet Levocetirizine 5 mg twice a day. C. Cream Terbinafine apply twice a day. Do this for 10 days, and you will feel better. Follow up after that." + }, + { + "id": 14840, + "tgt": "Cannot breastfeed since breast pores are blocked. Please help", + "src": "Patient: Hi doctor, My child is 4 months old. Since birth, he is on formula feed because my breast pores have been blocked. I really want to breastfeed him. Please suggest a way to feed my child. Doctor: Hello. It is a common problem which women face. An underwired bra or any kind of pressure on the breast could have caused a plugged milk duct. It is recommended to position the baby's chin pointing to the lump and to change the baby's feeding position. Unplug the duct by taking steam or manually preparing the breast for feeding the child, try to unplug it with some moist heat pack, massage, pumping, and nursing. Once you start feeding, it will start unplugging without any additional effort. Before nursing, gently massage your breast with hot water steam. Do try this and it will help you a lot. Consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16523, + "tgt": "What does borderline ST segment response mean in TMT?", + "src": "Patient: Hello\u00a0doctor, I do regular health checkups and last year my test reports were normal. I had another health checkup last week. In my TMT it showed the impression as borderline ST segment response. Fair exercise tolerance.\u00a0What does it mean? How serious is this? What is the next step? Tests like echocardiogram and resting ECG were normal. I am attaching my test reports. Doctor: Hi. I have gone through your reports (attachment removed to protect patient identity) very carefully. Do not worry as ST-T changes less than 1 mm are not significant in inferior leads, and in the anterior leads also the changes are less than 1 mm. You achieved the target heart rate, and exercise tolerance was also fair. The changes reverted to normal in less than a minute. I do not think you need to worry as echocardiogram was normal. The sensitivity of TMT (treadmill test) to rule out coronary artery disease is around 70 %. In 30 % of cases, it is a false positive. Are you a smoker or alcoholic? Revert with more information to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 1790, + "tgt": "Why am I getting some irritation around anus?", + "src": "Patient: Hi doctor, It has been two days that I am feeling some irritation around anus. Today, I noticed some small lumps that are tender to touch and causing mild irritation regularly. Apart from that I have upset stomach and I am getting semi-solid motion. A month back, I had a stone in the urinary tract, which came out of its own and I have been taking Cystone two or one tablet twice a day. In the past, I had balanitis, which happened due to taking Ofloxin and Ornidazole. I am 6 feet height and 86 kg weight. Doctor: Hello. 1. Use 0.2% to 0.4% Nitroglycerin cream twice daily for six weeks. 2. If you are having soft stools then you are good. Since you are having semi solid stools; please add fiber to your diet. 3. You can try Isabgol husk one teaspoon every morning in warm water. 4. You should not be straining for the poop to come out since it will cause further tears. 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": 12834, + "tgt": "Which medicine can be used to quit smoking?", + "src": "Patient: Hello doctor, I want to leave cigarette smoking. So, please help me and give a solution. Is there any ayurvedic medicine available then please tell me. Doctor: Hi. There is no short cut to quit smoking. There are two methods you can try. The natural method. You decrease the number of cigarettes by 20 % each week till you reach to a point where you smoke only 4 to 5 cigarettes per day. Then reduce it by one each week. the other method is to substitute cigarettes with Nicotine chewing gums. These chewing gums are to be cheeked in the mouth like Khaini or Zarda. Along with it, start taking tablet Bupron XL 150. It will help in reducing the withdrawal effects of Nicotine." + }, + { + "id": 16229, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13956, + "tgt": "My period is heavy after taking ECP in this cycle. Why?", + "src": "Patient: Hi doctor, I had sex a week prior to my period and took EC pills immediately. I took a blood test the following week and it detected negative. On a day after my period, I woke up with a full pad and the blood was red with little clots and I washed up and changed so the second was almost filled up too. On the second day the flow was quite scanty with cramps. Today is the third day, my pad was filled and I saw clots and normal period tissue discharges, but there is no blood flow tonight. I am having a slight headache although I had a stressful day, but I am scared and worried. Could it be implantation bleeding? Doctor: Hi, Welcome to iclinig.com. Considering your periods to be regular in general, you had intercourse in a safe period. Secondly, you also took an emergency contraceptive pill and took a blood test to rule out pregnancy. There are nil chances of pregnancy. Your heavy periods are due to the EC (which contain high dose of progesterone) side effect. It should wane off gradually. You also have a chance of the next period to be a bit irregular and heavy." + }, + { + "id": 7140, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 235, + "tgt": "What causes wheezing and cough in an asthmatic patient?", + "src": "Patient: Hello doctor, Wheezing, mild sputum, cough for the last 5 days, asthmatic patient and weather change happening. Please advise. Doctor: Hello. I understand you have wheezing and a productive cough for the past 5 days. You are likely having an acute exacerbation of asthma. It could have been triggered by viral infection, cold environment, allergens such as pollen, dust, strong odor, etc. I would also love to know if you had a fever, runny nose or currently having chest pain or shortness of breath? Any contact with a suspected or confirmed COVID-19 positive patient? (due to the current pandemic), color of sputum, is sputum bloody? How many episodes of same complaints you have had recently? Chest X-ray COVID 19 screening -Acute upper respiratory tract infection -Community acquired Pneumonia Acute exacerbation of asthma. I would suggest you use - Prednisolone tablets 10 mg, 3 times a day for a week - Continue with the Levolin inhaler 2 puffs whenever needed and Allegra M, 1 tablet per day - If symptoms persist, you will have to use a nebulizer if available or in a nearby hospital Identify and avoid triggers like cold temperature, pollen, dust, strong odors, etc. Please, I would love to follow up as soon as the investigations are available or you provide answers to the questions or if you got further question." + }, + { + "id": 1958, + "tgt": "For a month, I have earache and headache on the same side. What to do?", + "src": "Patient: Ear ache/ pressure. Headache on same side. Pain when I wash that side of my face near my ear for almost a month. Doctor: Hi, I hope your doing well. I understood your concern regarding headaches. I learn that you're having a headache and earaches on same side. Also, it is more when you wash your face. I like to know the nature of pain whether its electric shock-like, whether its comes and go or it's dull boring continuous in nature. This type of pain mostly due to inflammation in-ear or trigeminal nerve pain (trigeminal neuralgia). If it is associated with light and sound sensitivity it could be due to migraines. Sometimes ear wax can harden and block the ear canal, causing discomfort and itching, earache. I like to suggest simple antiinflammatory to try first. such as Paracetamol or ibuprofen. You should take them after food. further plan : If no benefit, we should evaluate for Trigeminal neuralgia, depends upon your symptoms. If it is Trigeminal neuralgia, Pregabalin 75 mg HS or Caobamazepin 100 mg at night time initially then gradually increasing to 3 times a days. Both this medication has significant side effects like dizziness and allergic skin rash, so it needs to take with a doctor's prescription. Hope this will be helpful. Regards" + }, + { + "id": 631, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 2754, + "tgt": "What does cardiomegaly with no evidence of focal infiltrate suggest?", + "src": "Patient: Hello doctor, I am a 26-year-old female. I recently found out via online test results that I have an enlarged heart, but no reason was given for why it is enlarged or how enlarged it is? The impression is Cardiomegaly with no evidence of focal infiltrate. I am currently obese but in good health with the exception of this enlarged heart and insulin resistance (not diabetic or insulin-dependent). Is it too late to reverse this heart enlargement with diet, weight loss, and lifestyle changes? I am currently on Metformin, Xanax and Provera. Doctor: Hi. Enlarged heart only on chest x-ray is not reliable. X-ray is just like a shadow, the farther you stand from the wall, the larger will be your shadow. In the same way, if you stand away from x-ray film even a few centimeters, it will give an enlarged shadow of heart on the film. Best way to assess the size of the heart is via echocardiography. Echocardiography is indicated if you have symptoms of shortness of breath not explained from other causes. If you have such symptoms, have echocardiography and ECG done. I hope these will be normal." + }, + { + "id": 22339, + "tgt": "I developed pancreatitis. Do i have chronic pancreatitis ?", + "src": "Patient: Hello Doctor, I developed\u00a0pancreatic disease. I have been worsening the condition by taking the triggers (heavy food and alcohol). Last April and July I could manage with a\u00a0strict diet\u00a0to bring the inflammation and enzyme levels down. I am maintaining a low fat diet and I have reduced the amount of\u00a0alcohol\u00a0I consume. Then I was doing fine. Two weeks ago, I had a\u00a0heavy meal\u00a0and\u00a0too much alcohol\u00a0and got an acute attack. I was\u00a0hospitalized\u00a0and now I feel better\u00a0as I strictly follow the diet.\u00a0 The MRI scan which I took last week (1st August) shows an improvement than the CT scan taken in the month of July. I am taking the following as maintenance medications: Metoprolol 50mg twice a day and Irbesartan 150 mg once a day for\u00a0hypertension. Escitalopram 10mg once 1 day for\u00a0anxiety. Pantoprazole 40mg twice a day for my\u00a0acidity\u00a0issue. Pancreatin 650mg 3 times a day with meals. I have the following questions: Is there really no medicine to help the pancreas for complete healing or will I have this issue for\u00a0my entire life? Are there any supplements like\u00a0vitamins, minerals etc., apart from healthy living that would protect my pancreas? Do I have\u00a0chronic pancreatitis? Doctor: Hi. I have gone through your history and investigations.You are hypertensive, under medication for the same. You are also under medication for anxiety, gastritis and reflux.You are having acute attacks of pancreatitis (inflammation of the pancreas). If you continue taking heavy meals and alcohol, it might result in chronic pancreatitis, which in turn will cause irreversible changes in the pancreas.There is no medicine which can prevent pancreatitis if you continue taking alcohol and fatty fried meals. I would suggest you to continue the medicines that you are taking and follow these instructions very strictly. Consult a general medicine physician online for further help --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 18512, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 6479, + "tgt": "I want to do intercourse but not getting erection. Please help", + "src": "Patient: Hello doctor, I want to do intercourse with my wife, but there is no erection even after so many efforts. Please suggest some medicines. Doctor: Hello. I read your query. Your problem may have many reasons. First of all, I saw your BMI. You have a higher BMI than normal. BMI should be between 18.9 - 24.5. So, first of all, try to decrease your weight. Sometimes overweight hinders sexual activity. Do regular exercises. Exercise will help to reduce your weight, and it will increase the blood supply of your body organs, and it will also improve the erection of your penis. Another important thing is diet. At your age your body might need some more energy than a younger man. Add milk to your diet. Milk helps in improving semen quality. Add fresh fruits and fresh vegetables to your diet too. Ayurvedic text favors mash dhal in improving sperm quality, so try to take this dhal twice or thrice a week. And whatever you take, take in a proportional value and eat healthy food. Sleep for six to eight hours daily. Sleep helps to overcome the wear and tear of your body. Quit smoking and drinking if you do because both these thing affects your sexual activity. Use Himcolin gel (Himalaya). Apply this gel in adequate quantity on the penis and pubic region with a gentle massage before sexual intercourse. Avoid using on glans penis. This gel will help you in the erection process. Take Makardhwaj Rasayan tablet one tablet twice a day with milk for two to three weeks only. Take Tentex royal capsule (Himalaya) two capsules once daily one hour before sexual intercourse for six to eight weeks. Take at least six weeks for satisfactory results. Age or lack of proper diet or some drug abuse. Semen examination. After one month." + }, + { + "id": 27921, + "tgt": "Even after septoplasty, why is my ear still blocked?", + "src": "Patient: Hi doctor, I recently got a septoplasty.\u00a0My problem started two months ago\u00a0when I had a breathing problem, and my ear was also blocked. I used to have mild pain in my ear. The doctor checked my ear, and he said it is fine. He said that my Eustachian\u00a0tubes are blocked, and I had a deviated nasal septum. The doctor suggested septoplasty, which will help resolve breathing problem as well as open up my Euschtasian tubes. It has been 24 days since the operation, and my breathing problem is over, but my ear and tubes are blocked.\u00a0I went to the doctor again, and he did suction. He told me to continue steam inhalation and wash. But there is no effect on my ear, and it stays blocked. Sometimes, I get mild pain, and it is always full. Is there any other way to remove the block? Is something stuck inside my tube, as no mucus comes out when I do steam inhalation? It is very uncomfortable. Please suggest. Doctor: Hi. Any further questions are always welcome. Take care.\u00a0Thanks and regards. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 5629, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 5210, + "tgt": "I feel dizzy with tingling sensation in my forehead. Is it vestibular schwannoma?", + "src": "Patient: Hello doctor, I would like to know the results of my brain MRI. I do not know what this bright spot near the vestibular nerve is? Can it be vestibular schwannoma? Or something else in some cranial nerves or near the brain stem. In the second picture that is highlighted what can this white cluster shaped thing be? I have got a few symptoms. For the past three months, I have had tingling and needle sensation starting from the right eyebrow then radiating towards the left side and the entire forehead and right eyelid and sometimes even towards the tip of the nose. The sensation never stops no matter what I do. I feel dizzy all the time like if I am on a boat. When I tilt my head and move it gets even worse and starts spinning. I have a hard time looking at an object and cannot focus. My left eye is getting blood red whenever I look at a screen. My doctor prescribed Cortisone tablets that did not help. My left ear feels clogged and my hearing on that ear is reduced too. I also have tinnitus lately on the same ear. Doctors at first thought it was due to B12 or Iron deficiency but both are at normal range. My blood pressure is normal too. Lately, I have this numbness and tingling sensations om my feet and fingers too and whenever I visit the toilet when I check the stool is yellowish color and floats on the water and no solid shape. The full blood tests show absolutely normal for liver, pancreas and bile. Blood sugar levels are also normal. Doctor: Hi. I have seen the reports. (attachment removed to protect patient identity). The white area in the circle is likely minimal fluid and mastoid effusion in the left mastoid temporal bone, in the inferior air cells area. It can be due to a mild left middle ear infection. Your symptoms of feeling dizzy and spinning and left ear problems can be explained by the finding. There are less changes of vestibular schwannoma in the area. There are no other lesions in the brain." + }, + { + "id": 124, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7826, + "tgt": "Is there a possibility to get false negative pregnancy result six weeks after sex?", + "src": "Patient: Hello doctor, I am a 20 year old female and had sex for the first time. I took Regestrone to delay my periods because I planned to get intimate the same day as my periods. I took them for three to four days before my expected period date and had the tablet two to three times a day. Last dose I had it just the night before having sex. I had sex many times the next night but with protection and took an i-pill to be sure. Next week got light periods that were very painful. But ignored it thinking it was because of hormonal imbalance. Both of us were affected by flu and it turned into a stomach infection with alternate periods of diarrhea and constipation that was accompanied with mild nausea but had no vomiting. I became very weak and then eventually recovered by taking Pantocid, Digene and Zandu pancharishta. I am six days overdue and had slight back pain, nausea and increased urination. I do have migraine issues as well as I am quite obese with a BMI of 33.8. I got two home pregnancy tests done and both of them turned out to be negative. However, I still have not got my periods yet and I have been insisted to check for PCOS and get an ultrasound done. I am worried if the ultrasound shows that I am pregnant. I have gained about 4 kg. Is it possible to get a false negative six weeks after having sex? What can I do to get my periods early? Please advice. Doctor: Hi. It is impossible for a urine pregnancy test to show false negative six weeks after sex. Delay in periods may be as a result of anovulation due to stress or infection as well as because of gaining weight. For regular ovulation and to avoid hormonal imbalance, it is advisable to maintain your weight. Healthy BMI (body mass index) is essential for our overall health as well as reproductive health. No pregnancy will be seen in ultrasound when a urine pregnancy test is negative. If you had regular periods previously, you can wait for a week for the start of menses. Or can induce withdrawal bleeding by having tablet Progesterone (Medroxyprogesterone acetate) twice daily for five days. Period generally starts within a week of stopping tablets. If you get periods while taking tablets, you can just stop them. It will not cause any harm." + }, + { + "id": 28766, + "tgt": "Why am I often getting mouth sores?", + "src": "Patient: Hi doctor, I am getting sores in my mouth when I eat anything. Also, I get the feeling in my mouth as if I am eating something sour and it is annoying. I get it around the same time every year for a couple of occasions. It usually starts around my exams. I am a 15 year old female. My height is 158 cm, and weight is 58 kg. I am not on any regular medication. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27721, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 21803, + "tgt": "Does itching and ulcer on penis skin mean phimosis?", + "src": "Patient: Hello doctor,I think I am suffering from balanitis. I have a little ulcer on the head of my penis. Penis foreskin becomes a little red and some white layer is there on it. I have itching problem on it. And also some cuts on the outer skin. Maybe it is phimosis. Please help. Doctor: Hi. Balanitis means inflammation of the glans penis. It could be because of fungal infection or herpes or allergic contact dermatitis. The treatment is different for each condition. It is difficult to prescribe any medication without seeing the clinical picture. Please attach a good quality picture so that I can make an appropriate diagnosis and suggest medication. Please avoid using itch guard, it has a steroid in it along with antifungal. Steroid will flare up the condition if it is because of infection. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 14647, + "tgt": "I had my wisdom tooth removed yesterday. When can I have solid food?", + "src": "Patient: Hello doctor, I had my bottom left wisdom tooth removed yesterday. I am 25 years old and 11 weeks pregnant. I have been eating soft foods like mashed potatoes, jello, and pudding. However, I was wondering when I can begin to eat foods such as peanut butter and jelly sandwiches, cereals, pasta, etc. Doctor: Hi. You can start with a solid diet in another one day hopefully. Make sure you are following the postoperative instructions regularly. Do lukewarm saline water mouth rinses (put some salt in half glass of warm water) at least 3 times a day and continue for a week. This would enhance wound healing in the extraction site. This would not affect your blood pressure, as you are not taking in the salt water, you just have to rinse. After every meal, make sure you gargle or rinse and do not let any food debris stay on the wound, as it may cause infection. Then surely you may start with a normal healthy diet in 2 days." + }, + { + "id": 16148, + "tgt": "How to manage stomach pain, cramping and diarrhea?", + "src": "Patient: Hi doctor, My partner and I have symptoms of stomach pain, cramping and diarrhea for two days now. It got started after we had a meal. Please help us. Doctor: Hi. You have acute gastroenteritis as a result of food poisoning. Mostly, it is self-limiting within a few days. But we have to rule out other severe conditions like typhoid. Please mention whether you have any skin rash or bloody diarrhea. Drink plenty of water to prevent dehydration. Take Buscopan tablet (Hyoscine butyl bromide) for every six hours. You can take Imodium 4 mg (Loperamide) tablet after each motion of diarrhea. It will help to stop diarrhea." + }, + { + "id": 3810, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 19440, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26392, + "tgt": "My left testicle is painful and it appears to have reduced in size. Please guide me", + "src": "Patient: Hello doctor,I am a 28-year-old male. I am suffering from pain in my left testicle from the past two days. The size is also decreased when compared to before. I visited a\u00a0doctor and explained my problem to him. The\u00a0doctor asked various questions regarding causes like any recent injuries in that area. There was no injury but I told him I masturbate. He said it is not the cause. There is nothing to worry about. If required, go for a doppler\u00a0scan. So, I did. The report was normal. So, the doctor just prescribed a painkiller tablet. The thing is, I forgot to mention it to my doctor that I masturbate twice a day. Does that make a difference? Now, I want to know if this is\u00a0something major. Will this affect my sperm count or sex life? Will using painkillers solve the problem? Doctor: Hello. I have seen your reports and they are fine (attachment removed to protect patient identity). So, there is nothing to worry at all. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 23352, + "tgt": "Can ferritin levels increase from an injured elbow or osteoarthritis?", + "src": "Patient: Hello doctor, Last October, on a routine physical, I received a ferritin reading of 535 with all other CBC/ metabolic panel tests and Iron panel completely normal. A follow up six weeks later, still showed a raised ferritin of 448 and yet another showed two weeks after that at 575 (at time of the 575 value, my CRP was normal, less than .4, and my ESR was 2 mm/hr) I was referred to a hematologist who one week later did a ferritin test (different lab) and my result came back at 341 and one month later at 368. My TIBC averages around 269 and iron around 108. TS % usually 39 %. The hematologist also tested me for the HFE gene and this was negative. ANA negative, various viruses like hepatitis, and did another ESR which came back at 4 mm/hr. I had an abdominal u/s that was unremarkable with the exception of some renal cysts and repeated metabolic panels and CBCs with normal results. I am a 42 year old very fit male with a BMI of around 24. I am involved in boxing and other contact sports so not sure if this could be a factor. Can ferritin increase from an injured swollen elbow or osteoarthritis? Is there much variation amongst lab results measuring ferritin (575 down to 341 in six days seems like a lot? I am trying to get to the bottom of these results. I have no real symptoms of other diseases. I notice some labs quote a high of 300 as normal for a man, others 400 and a website indicates even a value of 500 is normal. Could this level just be normal for me? If not, what is the most likely underlying issue? I can provide more info as needed. Could my levels be a result of something serious considering the normal CRP, ESR, ANA and other blood work? Any other workup to be done other than follow up to check levels? One other thing, I do consume four to five meals per day and do eat iron-rich foods. Could this be a factor considering the data I presented? Any other info you need? Thank you. Doctor: Hello. Ferritin levels can vary from lab to lab. It also has a variation based on fasting status and time of the day when the sample is taken. Your ferritin levels are not alarmingly high. All the major workup are done and negative. Avoid alcohol intake if any. Your BMI is slightly above normal. Your USG does not suggest fatty liver, but I would suggest a fibroscan or USG elastography as it can pick up early fatty liver which can also cause a slight increase in ferritin. Red meat intake regularly can also cause a slight increase in ferritin. Osteoarthritis and old injury over elbow have no relation to high ferritin. Your condition is not serious, as a part of finishing your workup you can get a fibroscan of liver and follow up ferritin levels from the same lab every six months. Preferably give the samples at the same time of the day. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3382, + "tgt": "I have some spots on my penis. What is it?", + "src": "Patient: Hi doctor, I have got some spots on my penis. Can you please identify what is it? Also please let me know the reason for development. It is a recurring episode. Can you also suggest a remedy?\u00a0Thank you. Doctor: Hi. Revert back with the answers to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17222, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 22901, + "tgt": "Why am I not getting pregnant even though I do not use contraceptives?", + "src": "Patient: Hello doctor, I am a girl aged 18 years and I have been married for a year. I have severe dysmenorrhea. I am not getting pregnant but I do not take contraceptives or use protection. Why? Doctor: Hello. For your gynecological problem detail evaluation should be done. For that per speculum and pelvic examination done and transvaginal USG should be done. In USG report if any underlying cause present than it will be clear like for example fibroid, endometriosis, ovarian cause, etc. For infertility serum TSH (thyroid stimulating hormone) estimation, serum prolactin, FSH (follicular-stimulating hormone), LH (luteinizing hormone) estimation, serum DHEA (dehydroepiandrosterone) estimation done along with USG. If needed for further work-up diagnostic hysteroscopy or laparoscopy can be done. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 21760, + "tgt": "Should I stop pills right away or continue until this month if I am on Mirena?", + "src": "Patient: Hi doctor, I asked a question to you this morning. You advised me not to take contraceptive pills since I have the DIU MIRENA. But I have another question. You are right, I have been feeling my body temperature too high, and my last period almosts last seven days. Here is my question: There are five pills left in the blister, and because of your advice I would like to quit right now from taking pills. Is it alright to stop now or should I finish the pills this month and then stop taking them? Doctor: Hi. It is better to take the leftover pills for this time and then avoid taking any pill until you have Mirena. Take care. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3899, + "tgt": "What can be done for chronic anxiety with constant tachycardia?", + "src": "Patient: Hello doctor, I am a 24-year-old female who has been suffering with episodes of tachycardia and ventricular ectopic beats for 2 years now. I have had many testes domed on my heart, these include; various ECG\u2019s, a 24-hour heart monitor, a 5-day heart monitor, a 7-day heart monitor and an echocardiogram. All of these testes came back normal (other than occasional ectopic beats and episodes of tachycardia ranging from 100-160). Recently my ectopic beats have been a lot more intense. By this, I mean that I get a very large thud in my chest that makes me feel abit giddy and shook up. I have been to the doctors but nothing has come of it. I suffer with chronic anxiety but feel I am not loving my life because of this and the constant tachycardia. Could you give me some advice? Doctor: Hello. Your reports appear to be fine other than ectopics and probably sinus tachycardia, which are benign (attachment removed to protect patient identity). You should get your thyroid test and hemoglobin level done if not done recently. You should assure yourself that these are benign and will not cause any harm. You need to discuss with your doctor regarding withholding Salmeterol or use it to the minimum. It can cause or aggravate these. Also, coffee intake should be minimized. And if symptoms are too troublesome then you should discuss with your doctor regarding starting Betablockers or Calcium channel blockers, which would subside these, if not contraindicated in you." + }, + { + "id": 7040, + "tgt": "What could be the reason for nose drainage after FESS?", + "src": "Patient: Hello doctor, I had a FESS done before five months. Shortly after I noticed clear drainage from my nose. I had a pledget study done that confirm a bilateral CSF leak. Five weeks ago, I had sx to repair it, however in sx under intrathecal fluorescein, and the surgeon could not locate the leak. Nose still leaking and Beta 2 transferrin test came back negative. On Atrovent, for two days nose still drips, especially when bending over. Do I get a second opinion or assume it is caused by chronic rhinitis and start on a nasal spray that combines a steroid or antihistamine in it as my surgeon suggests? I never had any problems with a runny or drippy nose like this until after I had my sinus surgery. Doctor: Hello. CSF rhinorrhea is a known complication of extensive FESS (functional endoscopic sinus surgery). If a pledget had shown confirmed CSK leak, it sure needs to be investigated. Small leaks heal and recover by themselves however, if the leak persists longer, then it needs to be sealed by endoscopic surgery. In your case, any watery discharge from the nose should not be ignored. Especially if the release is more during bending, coughing, straining lifting weight etc. You may need an MRI, but I suggest meet an ENT endoscopic surgeon for further treatment. Sometimes this can get serious, so it is essential to meet your doctor." + }, + { + "id": 7762, + "tgt": "What is the Homeopathic medicine for pus cells in urine?", + "src": "Patient: Hello doctor, My wife is suffering from back pain for a few weeks, and we decided to go for full body checkup, and all the reports were normal expect urine test where it shows a few pus cell present. We consulted a urologist and doctor suggested urine culture and ultrasound after reports came doctor said there is some infection and gave two medicine SOS PCM 500 mg and Cranpac D to be used for 14 days. Is there any homeopathy medicine for this, then it will be helpful. Doctor: Hello. I have seen your reports (attachment removed to protect patient identity) which shows normal except pus cells in the urine. Now if you have any urine infection? Or having any burning urination? If yes, you have to use some homeopathic medicines. May due to less taking water or due to using unhygienic toilets. UTI 1. Merc sol 200 potency 10 pills once in five days. 2. Sarsaparilla mother tincture daily 10 drops with a cup of water twice a day. Drink more water." + }, + { + "id": 28435, + "tgt": "I have a bad temper, and I get irritated over small things. What is happening to me?", + "src": "Patient: Hello doctor, I am a 17 year old girl, and lately, my mood is not good, and I think I need counseling for that. Since my temper is bad, I easily get irritated over small things like doing chores, since it is my\u00a0vacation. My mood is always off, and I have a habit of thinking bad things at the back of my mind, and I realize that it is not a good thing. When I realize that I am doing that, I scold myself and get more irritated. I thought it was because of PMS, but now I think it is not. It scares me that I am already a bad girl and a bad daughter. It came to the point where I do not want to see or talk to my family at all. I got so irritated and used to get all upset, and then I would realize that I was a bad girl, then got more irritated then eventually would cry in the end. I tried calming myself by taking deep breaths, but it is not helping at all. Instead, I got more irritated. What is happening to me? I feel guilty about my actions, and I get angry at myself because of my actions. I cannot control my emotions anymore. I should fix myself before I start my classes, and I only have a month left. I cannot bear to see myself like this again, and I cannot do anything to fix myself. I really need help. I have a sister who is a psychology student, but I know she cannot help me.\u00a0I hope you can help me. I really, absolutely, need help. Thank you. Doctor: Hi. You can review with me for further follow-up. For further queries consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 4098, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 17908, + "tgt": "Does stress affect my menstrual bleeding?", + "src": "Patient: Hello doctor, I consulted with you the last time whether I can be pregnant as I had sex with my partner on the eighth day of my period and we used condoms as protection. You told that I would not get pregnant. Today I am on the fifth day of my period. On the first two days, the bleeding was normal. But, on the third day, it was very light and little brown in color. Usually, I have a bit less bleeding on the third day, but I was also very much stressed during this time related to my situation. Please tell me if I can get pregnant in this situation? And does stress affects my period bleeding? I am very much worried. Doctor: Hello. Be relaxed. Once you have your periods, it is enough evidence that there is no pregnancy. Yes, the mind controls the periods' dates, amount of bleeding and ovulation too. With so much stress, your period will show changes. I am 100% sure that there is no pregnancy. I was sure in the beginning itself. If u still want a proof, you can have a serum beta hCG blood test. This will diagnose the smallest of pregnancy anywhere in the body. I would suggest to relax and forget everything. You are fine. 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": 19399, + "tgt": "I had severe palpitations but my ECG and echo are normal. What could it be?", + "src": "Patient: Hello doctor, I had an episode of severe palpitations early this year, following which I went through ECG, 2D echo, stress test, and troponin. All the tests were normal. I have been experiencing intermittent chest, neck, and back pain since two yrars. The doctor started with Nebicard SM 5 mg, which he recently halved to 2.5 mg. Both the cardiologists I visited, have ruled out the possibility of a cardiac problem. I am anxiety-prone. I often feel like I may die of a heart attack. The thoughts of death have increased in the past two weeks. My pulse rate seems to be between 55 to 65 bpm at rest\u00a0and does not seem to rise beyond 80 bpm even while walking. The chest, neck, and back pain still persists. At times I feel dizzy, weak, and very occasionally feel short of breath. Doctor: Hello. I understand your concern. Anxiety is widespread amongst healthy young adults these days. Most often, palpitation is not as a result of a heart problem. I usually advise my patients to engage in exercises like Yoga or deep breathing exercises. Getting adequate sleep of six to seven hours, avoiding coffee, alcohol, and smoking will help your situation. If you stick to these changes, there should be an improvement in four to six weeks. If you do not get better, you will have to see a psychologist. Best regards. For more information consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 27157, + "tgt": "My daughter poked me in the eye and I have pain and redness. Please help", + "src": "Patient: Hello doctor, My daughter, by chance, poked her finger in my eye and I\u00a0got a redness on my left eye, in the white portion.\u00a0I had little pain for ten minutes and now it is better. I put refresh tears in my eyes as they are otherwise always red due to dry eyes.\u00a0Can I use the same or do you suggest any other? Doctor: Hello. Having said that, kindly share photos so that I may guide you better.\u00a0Regards. Revert with more information to an eye care ophthalmologist\u00a0online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 12977, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 20626, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 26269, + "tgt": "HSV 1 and 2 are positive. But, my doctor says no treatment is required. Why?", + "src": "Patient: Hi doctor, I am contacting you regarding some health issues. Recently, I got affected by some infection in the private parts which looks like an ulcer with fluid. However, I neglected it and did not consult a doctor assuming it would be a simple urine infection. I then visited a gynecologist and she asked me to take a swab and urine culture test. She just gave me a cream to apply, but it did not help. She referred me to a dermatologist, who did a check up and asked me to test for HSV 1 and 2, both IgG and\u00a0IgM. She gave me some tablets to take (antibiotic and antiviral). I am still under the medication. I will be completing it in another one or two days. Today, I got my report and both the virus came positive. So, I consulted the doctor and asked for the treatment. She said that there is no treatment needed as I am not having pain or itching. However, she said it will occur again in the future. My concern is if I am not going to be treated, how will I get cured? Can I have a\u00a0call with you? Doctor: Hello. I have noted your concern. You have genital herpes. It is an sexually transmitted disease and is caused by herpes simplex virus (HSV). There are two types of HSV - type 1 and 2. Your test is positive for both HSV type 1 and type 2. IgM positivity and IgG negative means that it is a recently acquired infection. Herpes simplex virus once acquired, stays inside the body and may cause intermittent episodes of genital sores (recurrent herpes). The frequency and severity of the recurrences decrease with time. Treatment is required only during a clinical episode of genital sores. The treatment of individual episodes is with oral antivirals like Valacyclovir, and Acyclovir. You can call me via phone consultation facility. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 10267, + "tgt": "I am getting recurrent left eye pain with worsening eyesight. What is the problem?", + "src": "Patient: Hi doctor, I am 19 years old. I have pain in the corner of my left eye for the past one year. I went to the doctor, and he gave me Sterdex. I used it and felt better. My pain went away. After a few months, I started to have pain, but it was not so severe as the first time. I wear glasses and lenses, and I am treating my eye allergy with Chibro Cadron 5 ml, and for dry eyes, I use Fluidabak after taking the lens. Whenever I do my yearly eye checkup, my eyesight gets worse because of the pain in the corner, and I am scared about my sight. I do not know whether I use an appropriate medicine to my eye. Whenever I consult the doctor, he gives me the same medication. Please help me. Doctor: Hi. Minimize the use of steroids as much as possible to avoid side effects such as an increase in eye pressure leading to glaucoma. Both Sterdex (Dexamethasone) and Chibro are steroids. They may relieve your symptoms in the short run but may harm your eyes if used for long term. Pain in the corner should not affect your eyesight. Just use appropriate glasses. For lubricant, you can start with Carboxymethylcellulose containing drops, and it can be changed later if more lubrication is needed. For allergies, Olopatadine containing drops can be used. Keep in touch with your doctor." + }, + { + "id": 7409, + "tgt": "I had 15 Regestrone tablets. What are the expected side effects?", + "src": "Patient: Hello doctor, I have taken 15 Regesterone tablets at once. Now having pain. Is there any side effect of this? Doctor: Hello. Norethisterone is progesterone-like a hormone, usually used to correct menstruation-related problems. It is never taken in such high doses. Taking such a high dose can cause a lot of unexpected side effects, including breast enlargement, pain in the chest, nausea, blurring of eyes, dizziness, and fainting, etc. One should not take such high doses. These type of medications should not be taken with out proper prescriptions. Now you will have to wait for a day or two till the whole drug goes out of the system." + }, + { + "id": 28416, + "tgt": "I am experiencing neck and shoulder pain from childhood. Why?", + "src": "Patient: Hi doctor, I am a 21 year old female, and I am experiencing chronic neck and shoulder pain. It ranges from dull to severe and happens when I stand or walk for over an hour. I have been experiencing this since I was a child and have never received an explanation or treatment. I am not sure if it is related, but I also have a particularly enlarged bone that sticks out when I tilt my head down, at the base of the back of my neck. My shoulders are in pain every day and it feels like the bones in my shoulders grind together when I move them. Can you give me any information? I am attaching the picture of the bone that sticks out when I tilt my head. Doctor: Hello. I have reviewed your question and viewed your image (attachment removed to protect patient identity). I am sorry you are experiencing chronic neck and shoulder pain. Revert with more information to a chiropractor online --> https://www.icliniq.com/ask-a-doctor-online/chiropractor" + }, + { + "id": 16160, + "tgt": "Kindly tell me how HIT exercise boosts the mood", + "src": "Patient: Hello doctor, How HIT exercise can boost your mood? Doctor: Hi. I am sure a lot of people are aware of the neurotransmitter serotonin which is directly linked to mood changes. A decrease in the amount of serotonin in the body can lead to depression and low mood. When talking about exercise to boost your mood, it is thereby wise to focus on the ones that raise your blood serotonin levels significantly. Running and yoga are the best ways to do that and if you cannot or unable to do either of these, you can try jogging or brisk walking, particularly in the early morning and preferably with surrounding greenery. Bicycling, one can take this up simply as a means of transport too and boost one's mood. Stretch exercises, treadmill if you want to keep to the gym. Any of these can be done multiple times a day in short bursts, and prove to be significantly effective according to various studies." + }, + { + "id": 5229, + "tgt": "I am having rashes all over the body. Is it due to psoriasis?", + "src": "Patient: Hello doctor, About 12 days ago I started getting a raised red rash on my stomach and upper leg/thigh area. Maybe about 15-20 spots on my stomach and same about on my legs each. At first I though it was some from of psoriasis as I have small psoriasis patch on my shins, elbows, and foot. After a couple more days I was getting red spots on my arms. 12 days later I have this red rash all over my body, stomach, breasts, chest, legs upper and lower, pubic area, back, arms, feet, hands, face and scalp. The rash is not blistery or puss filled, they are about the size of a pencil eraser or smaller. There seems to be dry skin on top of the spot, but not scaly dry skin like psoriasis. There has been no change in my diet, bathing habits, cleaners, or degenerates. My husband is not having any similar symptoms, no spots on him at all, so bed bugs and scabies are out. We have a cat, so I have checked him for fleas or ticks and he is clean. Over the last 2 weeks I have been taking epson and oatmeal baths, to try and elevate itch and redness, they rash seems to get swollen after a bath. Nothing seems to be helping this rash go away, I have been drinking only water for the last five days, cut sugar out of my diet as much as I can. I have also been taking Benadryl for the last 5 days as well. I have tried eczema creams, tea tree oil, white vinegar, anything to clear up and treat my rash and nothing is working. I would just like to know what this rash is so I can take the necessary precautions to get rid of it. Doctor: Hi. From the description of lesions and pictures attached (attachment removed to proetct patient identity), there could be a few possibilities like eruptive psoriasis, lichen planus, pityriasis rosea, pityriasis lichenoides, etc. As you already have history of psoriasis, eruptive or guttate psoriasis is most likely. It usually presents as numerous rain drop like red lesions covered with mild scales. It is often preceded by sore throat, fever, bacterial infection, any new medicine use, stress, etc. From your side, you should use a good emollient and a mild steroid cream. Also, a consultation with doctor is required for proper clinical examination and prescription. Avoid tea tree oil and vinegar as it may irritate and harm skin." + }, + { + "id": 2905, + "tgt": "I have weakness, weight gain and fluctuating BP with TSH level of 6. Please help", + "src": "Patient: Hello doctor, I have done my TSH test recently and the result is 6.0 but my doctor did not suggest any medication. What should I do now? I am having many problems like weakness, gaining weight, dizziness, trembling, back pain, and waist pain. My skin is getting pale and dry day by day. I remain frightened all the time. I also get a problem while breathing sometimes and my blood pressure gets high like 120/90 or 130/80 mmHg and it becomes normal again. I am having these problems for five years. Sometimes they show up high and sometimes they become normal. I sleep a lot. Please help. Doctor: Hello, Welcome to icliniq.com. I just read your query as to why your doctor does not want to prescribe any medication for your raised TSH (thyroid-stimulating hormone). Well, in my opinion, he is right because your TSH is a bit high but not above 10 when we need to prescribe treatment for the same. Your symptoms which you have described are mainly due to the anxiety and depression which you have for a long time and you already took medicines for the same. These medicines which you mentioned are also partially responsible for the weight gain and side effects. They are currently not related to thyroid issues. The TSH is not so high that it would give rise to these symptoms. Well, I would suggest you follow up with a good psychiatrist in your area for these symptoms. Also, I would suggest you do complete blood count and repeat thyroid function tests in three months. I hope this helps." + }, + { + "id": 9790, + "tgt": "My partner bled heavily after 3 years of menopause. What to do?", + "src": "Patient: Hi doctor, This is on behalf of my partner. She is 51 and has been through the menopause. She has not had a period in 3 years. Last week, she bled quite heavy for a few days.\u00a0A duty doctor told her to get a blood test done.\u00a0She had the blood test done today. My partner did not tell the family history of cervical cancer in her mother to the duty doctor on the phone or to the person taking her bloods today. My\u00a0question is, is the blood testing enough to rule out anything serious? Or should she see a doctor for an internal examination? Doctor: Hello. Postmenopausal bleeding is the vaginal bleeding, which occurs 1 year after attaining menopause. It should be evaluated, particularly in whom with a family history of carcinoma. PMP bleeding patients are at high risk of endometrial cancer. The causes of PMP bleeding include vaginal atrophy (the most common), hormonal replacement therapy for menopause Like Tamoxifen, endometritis or endometrial infection, endometrial hyperplasia, endometrial carcinoma, cervical polyps, cervical carcinoma and any other gynecological carcinoma. Better to go for TVUS (transvaginal ultrasound scan), Pap smear and then endometrial biopsy based on the wall thickness. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12249, + "tgt": "What is the treatment available for swollen gums with sharp pain while eating or drinking?", + "src": "Patient: Hello doctor, My tooth hurts anytime I eat or drink. It feels hot. I feel hot, it is sharp pain that does not go away. My gums are swollen. Doctor: Hello. Your tooth has sharp pain due to tooth sensitivity (due to enamel erosion) once you get it treated pain will subside. If erosion has not involved the pulp then only restoration can help you, or when the pulp is involved, then root canal treatment will be a solution. Please share pictures and radiograph of your affected tooth. Tooth sensitivity. IOPAR related to affected teeth. Restoration or RCT of the affected tooth." + }, + { + "id": 21012, + "tgt": "Is it normal to get period in mid follicle stimulation cycle?", + "src": "Patient: Hi doctor, I was going through follicle stimulation. My doctor started with Siphene 100 mg for five days, moved to FSH injections 75 for five days and when there was not enough growth in follicles she asked me to inject Humog 75 for two days. However, I got my periods the day I took the first Humog injection. Is it normal to get the period mid follicle stimulation cycle? Doctor: Hi. Getting periods in between only means that the follicles were not healthy enough. This is usually triggered by poor ovulation induction. Endometrial growth depends on the estradiol release from the follicles. So if follicles are not good, estrogen levels are not correct, so, the endometrial lining will not be healthy enough. In short, I would suggest, if I may, just forget this cycle. During the next cycle, it is better not to have injections as the ovarian response will be poor if stimulation is given every month. Month next to that, have CCQ (Clomiphene citrate) 100 mg from the third day of periods and at the same time start on HMG (Menotropin) or Humog (human menopausal gonadotropin) 75 or 112.5 IU. Further dose depending on follicles response." + }, + { + "id": 21661, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 28973, + "tgt": "I have a red spot around urethra and my foreskin is tight. What can it be?", + "src": "Patient: Hi doctor, I am a 26 year old male. I weigh 80 kg and I am 5 feet 4 inches. I have been suffering from an inflammation while urinating with a red spot around the urethra. I went to my physician. He prescribed me a tablet Ofloxacin and syrup Oricitral for 5 days. After that the inflammation got reduced but the red spot remain as it is. Once again went to my physician, then he prescribed with a different tablet Ebastine and told me to continue with the syrup. Now, it has been five days but there is no improvement. In fact inflammation has started again. Around the head of penis and urethra there is some itchiness too. Also from today, the foreskin has become tight and the head of my penis is a bit swollen. Please suggest me what to do? Are these the signs of balanitis? Doctor: Hello. I read your query and went through your photographs (attachment removed to protect patient identity). Follow up after three weeks to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 12456, + "tgt": "What is the reason for problem with breathing in summer?", + "src": "Patient: Hello doctor,I have a problem in breathing often especially in summers less in winters. It seems some sound while breathing and some chest pain often. My eye power is frequently changing in a short time interval. I cannot focus well on studies on laptop and books offline also. I am feeling this for a long time. What is the reason for changing my power of lens frequently and what is the solution?I have a problem in backbone near the lowermost corner, at below from top and below joints of hands in the backbone. How can I treat this? I had a treatment for this around ten years ago, but now the pain is quite severe. Please help me. Doctor: Hello. Problems with breathing during in summer seem to be related to allergy. Chest x-ray and allergy tests are advised to further together with stool examination for ova parasites. Changes in power lens often are due to hormonal changes or working too long in front of computer or cellphones. Should train your eyes when working with the computer. Keep in frequent contact with an eye specialist. Also, get thyroid hormones to check further. Back and joint problems seem like arthritis. You should run arthritis tests and x-ray of the back. Also, further consultation with rheumatologist advised. All the best." + }, + { + "id": 6513, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 25733, + "tgt": "I have severe anxiety issues with eating and drinking. Can you help me?", + "src": "Patient: Hello doctor, I have been recently having severe anxiety issues, especially with eating and drinking. Recently, I was eating peanut butter and I was afraid some of it may have gone down the wrong pipe. There was no urge to cough except for me coughing out of being scared of aspirating it. It did feel weird as I swallowed it, which has been happening a lot recently as I have had these anxiety issues with eating. I also have acid reflux if this contributes, as my chest is also hurting. But, I am assuming that is hopefully from the acid reflux. Doctor: Hello. Have you choked any time? What is the result of your reports? You may be suffering from anxiety neurosis/ phobia while eating. If you are feeling dysphagia, that may be due to acid reflex but it will not cause aspiration in the daytime. During night time acids regurgitate back may cause choking. Eat a small bite every time and chew properly. You may need cognitive behavioral therapy to improve your problem. You need to consult a psychiatrist. You will need an endoscopy to rule out a hiatus hernia or ulcers, etc. Use tablet Alprazolam 0.25 at night, head end elevation while sleeping. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Avoid spicy fatty food and caffeine. Follow up with your reports. All the best. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 887, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 841, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7006, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 16695, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7161, + "tgt": "What can be done for painful sore next to molar?", + "src": "Patient: Hello doctor, About 6 days ago I noticed a painful sore or lesion right next to one of my molars. It was very red and white and now it is mostly white. Even though half the sore touches my tooth, the tooth does not hurt at all. It is very painful to floss and eat anything spicy. Should I see a dentist? How urgent is this? Doctor: Hi. I have seen the picture of lesion and from it, it looks like gingivitis as the surrounding area is inflamed (attachment removed to protect patient identity). If you ask me ideally, then there is a definite need to see a dentist as it takes time to heal spontaneously and there is a possibility it can spread to adjacent areas.But in regard to your question about urgency, I do not think that is the case. Since it has changed from red to white which indicates that the healing process is ongoing. What you can do at this stage is buy a Chlorhexidine (mouthwash) from nearby grocery or medical store and do three times gargles. Take 10 ml of medicine with 10 ml of water and thoroughly rinse it in the mouth for two to three minutes. This will help you in early healing. Other than that, keep on watching it. If there is an increase in size, pain or redness report me back." + }, + { + "id": 1939, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 19104, + "tgt": "Please help me lower my blood sugar levels", + "src": "Patient: Hello doctor, I have diabetes since the last 11 to 12 years, and I started taking medicines given by my family doctor. Presently, I am taking Glimisave M2 (one tablet in the morning and evening), Dynaglipt\u00a020 (one tablet in the morning), and Absolut 3G (one in the evening). My health is fine, and I do not have any other diseases. Recently, my blood sugar level showed up high, so my family doctor advised me to consult a diabetologist to control blood sugar level. Please help me. I have attached my test reports. Doctor: Hello. I just read your query about your high blood sugar levels and from the lab results (attachment removed to protect patient identity), it appears that you have uncontrolled diabetes and dyslipidemia, that is, high cholesterol. Do let me know if you need assistance or if you do not understand anything. 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": 2968, + "tgt": "I have pain in back, legs and thighs with high WBC and low Hb. What should I do?", + "src": "Patient: Hello doctor, I am a 37-year-old female. I previously asked a query in icliniq and was attended by a doctor who advised as follows. Since all your reports are normal except for very mild anemia and a mild increase of WBC count, then the cause of your lower back pain that extends to your hip, thigh, and knees could be either sciatica or lumbar disc prolapse. This should be diagnosed by a CT scan of lumbar vertebra. You also need an x-ray of your hip joint to exclude osteoarthritis. For the anemia, you should take iron and folic acid supplements for a month. Last month I had pain in my legs, thighs, lower knees and in my back. I met an orthopaedician and find nothing wrong with the knee joint, PBH and lumbar spine. My USG abdomen and pelvis are also clear. Now my blood pressure remains high. I am feeling pain in my back, thighs, and legs below my knees. And I am feeling very weak. As per my last report, my WBC is high and hemoglobin is low (report attached). Currently, I am taking Ultra -D3 10000 IU once in a day, Fludac 20 mg capsule twice a day, Gemcal once in a day, Stamlo-5 twice a day. Doctor: Hello. After revising your x-rays (attachment removed to protect patient identity), it seems that you have degenerative changes in your knee joint and in your spines with diminished disc space between lumbar vertebra number 5 and spinal vertebra number 1. These degenerative changes actually indicated the presence of osteoarthritis which is a chronic progressive disease of joints. Treatment aims at stopping the progress and managing the symptoms, it should include analgesics and anti-inflammatory medications, corticosteroids, physiotherapy that should include stretching to improve flexibility and mobility of joints and excercising as well. As for your blood pressure, you should start a strict salt-free diet and monitor your blood pressure for 10 days, if still high then you will need an antihypertensive medication." + }, + { + "id": 17441, + "tgt": "I have white color eruption on my penis head. What is it?", + "src": "Patient: Hi doctor, I am 22 years old. I saw some eruption on my penis head for the first time yesterday. The color of the eruption is white. They are localized at very small area. I have attached the photos for your reference. Doctor: Hi. Revert back with the photographs to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 4858, + "tgt": "I get bad odor from mouth and nose. Could it be due to leaky gut or candida?", + "src": "Patient: Hello doctor, For a while now I have had a terrible odor that comes out my mouth and nose. The odor is somewhat subtle whenever I am not around a fan, AC, etc. But whenever I am around one of those, the smell seems to spread all around me. I am positive the smell is coming from inside my stomach. I have realized a lot about leaky gut and candida but neither one mentions a smell. My diet before has been poor, lots of packaged sugary foods, but I have always been a healthy weight. I feel terrible riding in a vehicle with others. I will sometimes hold my breath to try and stop the smell but it does not work most of the time. My symptoms started when I was a working nightshift job. Stress might have been a factor although I did not feel like I was. I have not worked there for almost six months and my condition has worsened. Could the amount of sugar I consumed destroyed my stomach lining? I also heard when Candida is starved it digs into the lining and essentially makes holes which can cause food to leak. Could this be the source of the smell? I am currently taking probiotics. Doctor: Hi, Welcome to icliniq.com. There is nothing like leaking gut in the medical dictionary. The bad breath you are experiencing, in medical terms is called halitosis. It is majorly because of poorly kept oral hygiene. It could be an indicator of gum infection, tooth decay, smoking, alcohol, etc. Sometimes it is because of organized infection of tonsils. My suggestion is to consult a dentist first to find out the cause as in the majority of patients it is related to the oral cavity. The remedy is simple. Maintain good oral hygiene by brushing twice daily, in your case after every feed. Do regular flossing. Avoid smoking and alcohol if you do so. You can use flavored mouthwashes regularly which are easily available with chemists." + }, + { + "id": 12648, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18175, + "tgt": "Is there anything of concern in my husband's blood test?", + "src": "Patient: Hello doctor, My husband is 27 years old. He had blood tests before nine months and the report is as follows: WBC 5800, RBC 5400, Hb 16.6, HCT 47, lymphocyte 46.8%, neutrophils 39.2%, monocytes 8.1%, eosinophils 5.3, platelet 186000, basophils 0.6%, ALT 0.8 and LIC 0.2. Again, he had a blood test last week and it showed WBC 5500, RBC 5100, Hb 15.5, HCT 46, lymphocyte 43%, neutrophils 41% and platelet 155000. Sometimes, he complains of itchy throat. Please help. 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": 19296, + "tgt": "Having ocular hypertension,will it lead to glaucoma? Is there a risk of blindness?", + "src": "Patient: Hello, I would like to have a remote eye view on a question related to glaucoma. I am 35 years old and I am being followed for 5 years for ocular hypertension. I have between 23 and 26 mmHg by applanation tonometer. My field of vision is good. Optical Coherence Tomography (OCT) examinations are good. And my optic nerves seem normal. During the first 4 years I had followed every six months. I do not have any treatment for the moment. Given my age, this worries me somewhat. So, I would like to get your opinion in response to some of my questions: Given my young age and this pressure, will it likely lead to glaucoma? My potential life expectancy is still important, is there a risk of blindness? I have a 4 years old boy, when should he start being examined for this problem? I would like to have more children, however, I wonder about the risk of transmitting a possible glaucoma which slows me yet. Thank you. Doctor: Hello. I reviewed your history. It seems from the history that you are having ocular hypertension. Since the results of visual field, optic disc changes and OCT are normal, there is no glaucoma. But treatment of ocular hypertension is necessary for you to prevent development of glaucoma. Hence, you need to start the treatment and aim should be to bring the intraocular pressure below 16 mmHg and keep it around 14-15 mmHg. If treatment and follow up is done, the risk of blindness is minimal or nil but better follow up and treatment is important in your case. Hope it helps. Consult an eye care ophthalmologist online for further clarifications --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 1164, + "tgt": "Are these medicines sufficient to control hypertension?", + "src": "Patient: Hi doctor, For controlling my hypertension, I was prescribed\u00a0Benicar 40/12.5 mg once in the morning,\u00a0Amlodipine 5 mg twice a day and\u00a0Clonidine once in the evening.\u00a0These were prescribed after ECG and blood work.\u00a0Even, after taking the medication, my BP is usually 160/85 mmHg. What to do further.\u00a0Please advise. Doctor: Hello. I want to highlight a few important points here: Amlodipine should be used once daily. Instead of taking 5 mg twice daily you should take 10 mg once daily, which is the maximum dose. Clonidine on the other side can actually cause rebound hypertension, which can explain your high blood pressure. It should be the last resort of the treatment of hypertension. It would be nice to know the dose that you are taking these days. I would like to know when did you take your blood pressure and if you follow a low salt diet. Benicar - Olmesartan is a good medication. Please consult your specialist doctor and discuss my opinion. I would like to know if you have any other medical conditions like diabetes, stroke, high cholesterol or a heart attack to determine your blood pressure goal according to the latest guidelines. 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": 26922, + "tgt": "My daughter has tumors in the heart. What are the chances of survival?", + "src": "Patient: Hello doctor,My daughter is in the ICU with pericardial effusion and multiple tumors. The fluid has been drained and there was blood mixed with the fluid. The regular blood test came back normal with no sign of cancerous cells. My question is, what are the chances that the tumors are benign? Through my research, there is a good chance that the tumors could be a rhabdomyoma. My daughter is only 9 years old and I want to take her to the best facility. They said her heart is weak and are unable to perform any test on the tumors. They have her on Coretec and albumin and said that it was not working and put her on something stronger. Could this be a result of the pericardial effusion? I am attaching the blood test reports. They said everything was normal with no sign of cancerous cells, but are still unable to say for certain if it is benign or malignant. \u00a0I am just a very worried father. Doctor: Hello. Firstly, there is a diagnostic dilemma. The reports you have uploaded (attachment removed to protect patient identity) are fine. But, you should upload the echo reports and the fluid investigations as well. Now, considering the pericardial effusion with multiple cardiac tumors, the possibilities of a rhabdomyoma or a teratoma are high. However, an effusion is not common with rhabdomyoma. It is possible to have some other cause for the effusion and it can also be as a result of a heart failure. Both of these are benign tumors. However, at this stage, we cannot rule out a malignancy. The next thing to be done is that she should undergo a cardiac MRI for further characterization of the lesions, which will give us a diagnosis and also resolve the issue of malignancy. Also, if the fluid is available, it should be tested for ADA (adenosine deaminase) and GeneXpert. She should also undergo a thyroid test. Rhabdomyomas usually occurs in patients with tuberous sclerosis, so she should be adequately examined by the doctor for the same. A definitive treatment is the excision of these tumors surgically. So, you can discuss this with the doctor as well. Hope this helps you. Do write back in case of doubts. Revert with more information to a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 203, + "tgt": "My testicle sizes are different. Will it be an issue in my visa medical test?", + "src": "Patient: Hi doctor, I was attacked by mumps around three years back and now my testicle sizes are different. So, I wanted to know about the treatment. Will I get rejected in visa medical test? I am a petroleum engineer. Please help. Doctor: Hello. I had gone through all the details posted. The difference in size of the testicles is mainly because of two reasons, orchitis and hydrocele. Orchitis is inflammation of the testicles, which has happened three years back due to mumps. There will be redness, pain and no fluid around the testis. For decrease of swelling and pain, we need to use anti-inflammatory agents. If there is any bacterial infection, then we need to use antibiotics. In case of hydrocele, if the inflammation is more, then the fluid will be formed around the testis, which needs ultrasound and clinical examination for diagnosis. If there is fluid around the testis, then it can be removed by surgery. If you have hydrocele, there is chance for rejection to foreign countries. So, you may need to be operated. If it is only different size of the testis and no fluid, then there may not be a chance for rejection. So, you need to consult a general surgeon and get an ultrasound of the scrotum for further management. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 7498, + "tgt": "What is the treatment for large open pores on the face?", + "src": "Patient: Hello doctor, I have many large open pores on my face and black spots. Please tell me about medicine. Doctor: Hello. You can try Berberis Aquifolium mother tincture for these pores and black spots. Add 10 drops of Berberis mother tincture in half cup of water, stir it well and apply over face using a ball of cotton. Let it remain on the face for 30 minutes and then wash it off with tap water. Try this twice a day, in the morning and night for one month. Then let me know how you feel. Please do not use this for a longer time. Keep the remaining liquid in the refrigerator. Kindly let me know if you have any other questions." + }, + { + "id": 21753, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18286, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 15360, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 231, + "tgt": "Due to scratch, white part of eye is with some blood. What to do?", + "src": "Patient: Hello doctor, Due to scratch in my eyes the white part surrounded with blood. What to do? Doctor: Hello. How did you get this? Because of the bleeding, the depth of the wound could not be perceived. If it is not severe enough just with bleeding there is not much problem. Just the point of worry is that the wound should not be open or otherwise it may be problematic and may require suturing. So you should seek emergency advice as well so that somebody can examine it. Until then use Moxitobra (Moxifloxacin) eye drop two hours one drop in the right eye only. Refresh tears 0.5% eye drops QID one drop in the right eye only. Avoid any kind of undue pressure." + }, + { + "id": 22164, + "tgt": "Can any natural treatment be effective in clearing up acne marks?", + "src": "Patient: Hello doctor, I have acne marks on my cheeks and forehead. No natural remedies were useful. I visited a dermatologist but it was not of much help. I have been recommended laser treatment but I am scared of the side effects. Can any other natural treatment or homeopathy medicines be effective in clearing up my skin? Currently, I am taking Glyco 6, Glyco A, Retinol 0.025 has been used in the recent past but they did not provide satisfactory results. Doctor: Hello. Acne is common in young people. These are caused by inflammation of the sebaceous glands present in the skin. It may appear anywhere in the skin of the body. These may appear at different places like face, shoulders, back of the chest. After healed they may leave scars. So these are causes low esteem feeling and depression may be developed in the patient. In this stage, homeopathy can help to remove scars. Homeopathy has a wide range of medicines for removal of scars. Remedies for removal of scars mainly Berberis Aq for pigmented acne scars. Psorinum for scars remained by dirty acne. Kali bromatum helps to remove scars caused by pustular acne. Like these many drugs are present depending upon cause and type of acne. For more information consult a homeopathic physician online --> https://www.icliniq.com/ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 1720, + "tgt": "I cough every night, which gets better after taking Cetirizine. What should I do?", + "src": "Patient: I have a cough and the mucus is white. Every night i suffer this kind of situation. I have a background medical records and the doctor said that i was allergic to dust and cold beverages. But i dont think that i am allergic to dust because i dont have any symptoms of it. Every night i take cetirizine because it works everytime i take it the cough stop. But im scared that it might be worst. What should i do? Doctor: You are probably having what we call as an allergic pharyngitis, avoid spicy oily and junk food altogether for a few days. Yes dust can be one reason why your nose/throat might be creating a lot of phelgm, sometimes even dust at home(as in when u vaccum or mop the floor or look into old stuff having dust ) can lead to such issues. Besides, even the slightest of acidity can be one hidden cause. In allergic pharyngitis you won't have many tel a tale signs except of mucus irritating your throat. Advice 1.Have simple food with least spices 2.Avoid dust at all costs, wear an n95 mask, cuz that's the only thing effective against dust 3. Consider salt water gargles (one glass of boiled warm water with 2 tsps of salt, dissolve and gargle 4. Keep sipping on warm water 5. Long term use of levocetrizine is not recommended 6. Start an antireflux treatment with tab pantaprazole 40 MG once a day in the morning 25mins before bfast." + }, + { + "id": 13814, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24418, + "tgt": "Does coughing up blood mean cancer?", + "src": "Patient: Hello doctor, I was a smoker for four and half years. Six months back, I got my chest X-ray, and my reports were normal. Then I was an intermittent smoker, and I caught a cough. It was dry. I did not care and did not take medications for it, but within a week, it increased. So when I took medication, it was gone but not totally. Since then I have been coughing once or twice a day. But I have not been taking proper medication and rest. I am always on tour. I ate curd and caught a cold yesterday. When I cleared my nose, blood came in so I coughed on purpose to see if it is from my lungs but no blood from there and today also the same thing happened. That is I cleared my nose and blood came. What is it? Is it cancer? I am scared. Doctor: Hello. Blood is coming out while blowing nose is quite common and does not mean cancer always. During weather change and dry seasons, it is quite possible that the nasal mucosa gets dries and abraded and bleeds once a while till it heals completely. Smoking is very serious and is associated with increased aerodigestive tract cancer. We would like to know how many cigarettes you used to smoke. The number of cigarettes per day before six months and then whenever you smoked. Did you take alcohol as well? What is your age, profession? Do you practice reverse smoking? Do you use cigarette or beedi? For the current problem, I suggest you start on saline nasal spray and nasal douching. You may use Solspre (Sodium chloride) nasal spray and Nasowash (Sodium chloride) nasal douching. For phlegm in a cough, you may take some mucolytics medicines. Do revert back to us after four days and let us know how you feel. Refrain from smoking till then. For more information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist" + }, + { + "id": 22099, + "tgt": "Why is my 1-year-old daughter having high absolute lymphocyte count?", + "src": "Patient: Hello doctor,My 1-year-old daughter has a WBC count of 20.3, absolute lymphocyte 10.8, and neutrophil 28. We have been asked to consult a hematologist. We are worried as in what type of issue is she having. She does not have a fever, is acting well and eating well. Doctor: Hello. In children, there is usually a presence of high lymphocytes. But in your child, absolute lymphocytosis is present. Hence, your child should be referred to a hematologist for examination, especially, lymph nodes palpation, liver, and spleen palpation. (If needed, USG scan can be done for that). Tuberculosis, measles, chickenpox, hepatitis, infectious mononucleosis, brucellosis, etc., are some of the infective causes but specific symptoms regarding that are not present as per history. Autoimmune disorder and leukemia also are some of the causes. These are different causes to provide you information regarding lymphocytosis cause. Your latest smear report shows high atypical lymphocytes (attachment removed to protect patient identity), mostly it can be some form of viral infection. But we do not want to take the risk and consult to a Hematologist for examination and investigate with USG abdomen scan also. If needed, then flow cytometry like higher investigation can be planned. Hope this provided information will be beneficial to you while you consult a nearby hematologist for examination. Take care. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 23232, + "tgt": "Can immunotherapy be started for lung cancer PD-L1?", + "src": "Patient: Hello doctor, My wife has lung cancer PD-L1. I need your advice regarding the continuation of this therapy. Docetaxel and Nintedanib are suggested. I think it is too heavy. I would prefer immunotherapy, if possible. Doctor: Hi, Welcome to icliniq.com. I would suggest going with Abraxane or Avastin plus Nivolumab combination for the following reasons: For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 9800, + "tgt": "Kindly check the blood test reports of my friend and provide consultation", + "src": "Patient: Hello doctor, I am attaching the blood tests of my friend. Please check and provide the required consultation. Doctor: Hello. I have gone through your query and reports, and she has a very low hemoglobin count. Please take iron injections and iron supplements, iron-rich diet and plenty of fruits and vegetables. However, if you have a doubt, then get back to me." + }, + { + "id": 29068, + "tgt": "I sprained my ankle while playing soccer. Please help", + "src": "Patient: Hi, I sprained my ankle while playing soccer. The ball hit the outside of my foot, causing my ankle to turn inward, and it popped few times. I also landed on it sideways in the same position. They took me to the hospital, where they told it was a moderate sprain. At first, it hurt to walk, but it did not hurt the following days. The doctor put me on crutches and a splint, which I only used for a day. It has been a week since I sprained it, there is still the pain in the top part of the ankle. The swelling went from none, to swollen to little swelling. I can play on it, but sometimes I feel pain. I have gone to my chiropractor twice, and it is still very tender around the top part of the ankle and the side of the leg, where those ligaments go upward. There is still slight pain while pointing my foot and turning it outward. My main concern is when I am sitting with my legs on the\u00a0table, and when I try turning my ankle inward, I feel as though something in my ankle is shifting (like something is dislocated). My chiropractor tried adjusting the ankle, and it popped, but it did not affect the dislocated feeling. I have asked other people who I know have sprained their ankle, but they said they have never felt that. Should I be concerned? I am currently taking Advil. Doctor: Hello. So I think, it is not the matter to worry. 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": 13777, + "tgt": "What can be done to treat hooded eyelids?", + "src": "Patient: Hello doctor,My eyelids have become more hooded. Doctor: Hello. There can be a number of causes which could give rise to an appearance of a hooded eyelid. The most common of which are: 1. Eyelid bags (for which you may be using lid taping), although a reaction to the tape is possible, it is a rare occurrence. 2. Dermatochalasis which is caused by eyelid skin sagging down, this is benign and needs surgery like blepharoplasty. 3. Blepharochalasis is a reactionary swelling and needs a detailed evaluation to get to the cause of the problem and treatment with eyedrops and tablets. 4. Epiblepharon which is an extra fold of skin since childhood. This also may need surgery. If you could attach a photo of your eyelids while closed and send me, I could probably be able to help you regarding the cause and treatment." + }, + { + "id": 26570, + "tgt": "I have irregular menses. How can they be treated?", + "src": "Patient: Hello doctor, I have discussed\u00a0a lot with you about this issue before.\u00a0Since I last asked for advice, my periods have still been messed up. They seem to come every six weeks and yet nothing really on the pad. I only see blood when I go to the toilet and urinate. The flow of my period must be very bad as I need to urinate for it to come out. Why are my periods still every six weeks and still nothing really on the\u00a0pad? I have not been pregnant so far. Hopefully, I am not. Now, I have a new concern. A few days ago, I was masturbating, rubbing my\u00a0clitoris\u00a0and vagina and I noticed a bit of blood on my finger. I did not feel any pain, but I saw the blood. Two days in a row, I masturbated and saw blood on my finger. I am not sure where exactly the blood is from. This is the first time I have seen blood while masturbating. I have masturbated so many times and never noticed any blood. I thought it might be the\u00a0start of a period, but I have not seen any blood in the toilet for it to be a period. My last period started five weeks ago. My period is due to come anytime, but it tends to keep coming every six weeks and is always messed up. It has been like this for maybe a year now, and I do not know why. I have been sexually active too, but with a\u00a0condom. Why is there bleeding? Why has it come up the last two times I have masturbated? I did not look inside to see where exactly it was coming from. I just saw blood on my finger the last two times I rubbed my vagina and the clitoris. It has made me worried. I hope it has nothing to do with being pregnant. Does the bleeding when masturbating mean you are pregnant? Does this happen to pregnant women? I always freak out about being pregnant. Also, why is my period still messed up in terms of not good flow at all? As mentioned earlier, it only comes in the\u00a0toilet and nothing on the\u00a0pad, and it comes every six weeks. Also, for many times, I get big clots in the toilet, so I guess that my\u00a0blood flow is thick. What do lots of clots mean and why is my period still messed up? I have been stressed for ages, but that should have gone by now. Maybe my hormone levels are low. The blood when I masturbated the last two times is of concern to me. Please, can you explain why my periods are still messed up? Why are there clots? Why was there blood when I masturbated the last two times as I have not\u00a0had any blood before.\u00a0Hope you can give me a detailed answer. Doctor: Hello. Regards. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 19784, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25644, + "tgt": "I am suffering from premature ejaculation. Please help", + "src": "Patient: Hello doctor, I am a 25 year old male. I am not yet married. I am suffering from premature ejaculation. Erection occurs within seconds and soon after that I ejaculate. Please help. Doctor: Hi. Revert back to a sexologist online after 4 weeks for review --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 19365, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12894, + "tgt": "I am having tinnitus after hearing a loud noise. Please help", + "src": "Patient: Hi doctor, Recently, I had an event that impacted my hearing. I threw a heavy chain into the metal bucket of a backhoe. The clank was quite loud and gave me instant ringing in my ears. I then had to use the backhoe, which is also loud, but not deafeningly so, for about 20 minutes. Now my ears feel blocked up as if from a cold or elevation changes, reducing the volume of the sounds I hear. Even tiny clanks, like from a fork on a plate, give my ears a slight spasm. The tinnitus has continued, diminishingly for about five days or so. My question is about the permanence of damage done, and the relationship between my current symptoms and damage. I should mention that I am quite sensitive to sound and can get tinnitus from noises other people find tolerable. The ear blockage phenomenon occurred one other time for me, after a music show, and lasted several months before returning to normal. Doctor: Hello. It is very common that people feel certain blockage of the ears after getting exposed to loud sounds. It is called fatigue to ear. The hair cells get fatigued due to loud sounds. It also indicates sensitivity towards hearing loss. It is recommended to avoid a noisy situation as it can lead to hearing loss sooner in your case as you are taking days to recover. Generally, a few hours are enough to recover. Use ear protective devices or ear-plugs in the future whenever you know that you are going to a place with loud noises. Currently, wait for a few more days. If you are not feeling better consult an audiologist. Try to blow your cheeks with your nose pinched and see if it helps to relieve the blocked feeling." + }, + { + "id": 23184, + "tgt": "I have developed itchy anus. Can this be because of worms?", + "src": "Patient: Hi doctor,I am just recovering from loose motion (lasted for 3 to 4 days). I am better now. I have developed itchy anus. Not exactly the anus however in the surroundings. Can this be of worms? Please advice any medicine and any cream if needed. Please suggest brand name and composition as well. No other discomfort as of now. The stool is improving. Please mention dosage of medicine and how to apply cream. I have a question as well, can an adult (myself, 34 years old) have worms or pinworms?Currently, I am taking Brakke twice daily one after breakfast and one after dinner for five days (three more left), Cyraflora once daily after dinner for 10 days (seven more left), Pantocid DSR one in morning in empty stomach (for seven days, two more left), blood pressure medicine (Telday 40 mg) lifelong. Doctor: Hi. Yes, anyone can get worms in stomach. I would recommend in such cases to apply Smuth cream (Milk of Magnesia and Liquid Paraffin) locally in the anal area twice daily for three days. Take tablet Mebex 100 mg twice a day for three days. Let me know if your itching persists after three days. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24259, + "tgt": "Which foods are beneficial in arthritis?", + "src": "Patient: Hello doctor, My mother is suffering from arthritis. Is cow milk harmful to consume in her case (she drinks it daily)? Which foods are very beneficial for this disease or diet plan to remove it from the body as early as possible? Please reply. I need your help. Doctor: Hello. I have seen your reports (attachment removed to protect patient identity). Your RA factor is positive. So, for confirming rheumatoid arthritis, anti-CCP investigation can be done. Local part X-ray also needs to be done. Spinach, beet juice, and green leafy vegetables are beneficial in arthritis. Treatment includes NSAID (nonsteroidal anti-inflammatory drugs) group of drugs, disease-modifying drugs like Methotrexate, Sulfasalazine, Hydrochloroquine, TNF-blockers like Etanercept, etc. According to need, these drugs may be prescribed. Consult a rheumatologist for examination and discuss your case and treatment options. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 6040, + "tgt": "What are the diseases that people can get from animals?", + "src": "Patient: Hello doctor, What are the diseases that people can get from animals and which diseases can pass from animals to humans? I would like to know a few examples of these types of diseases. How they are transmitted and which animals carry them, etc? Please explain. Doctor: Hello. The disease or infection that spread from animal to human is called zoonotic disease. Here are a few examples. Rabies: it is a lethal disease if occurred, it spreads mainly from infected rabid dog to human by direct bite. Toxoplasma: the main infected animal is cat but can affect human as well through insect bite and can lead toxoplasmosis in human. Avian influenza: infection that spread from birds to human by respiratory inhalation route. HIV which spread from monkey to human by sexual relation. Although now it is being spread commonly through human to human. These are few examples of zoonotic disease." + }, + { + "id": 16662, + "tgt": "My problem is low sexual drive. Please help me overcome this", + "src": "Patient: Hello, I am a 30 year old male, got married before 2 years. My problem is low sexual drive. Previously I used to masturbate a lot. But before 2 months I had quit these activities. Also I have strong erection in the beginning of the foreplay, but before penetration I will lose my erection. Because of this I am not able to use condoms. My penis is circumcised and I do not feel any sensitivity in my glans penis. I had an online consultation with a doctor. She prescribed me bupropion hydrochloride XL 150\u00a0mg for a month.\u00a0It is an antidepressant. Is it safe for me to have this pill on a regular basis? Are there any side effects?\u00a0 Does it increase the sex drive? I have a very good relationship with my wife, but when it comes to sex, nothing seems to work out. Please help me overcome this situation. Doctor: Hi. Do get back with details to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 8844, + "tgt": "What causes tinnitus?", + "src": "Patient: Hello doctor, I have been diagnosed with tinnitus, and it is driving me crazy for the past 5.5 months. In my CTA examination, my upper cervical spine demonstrates some moderate facet arthritis primarily at c2 and c3. It also shows an incomplete fusion of the posterior arch of c1 and mild cervical spondylosis. Also, I have a deformity of the right zygomatic arch related to prior depressed fracture, and I have a small screw in the right lateral zygoma due to the previous injury. Also a mild deformity at the tip of the nasal bone from a prior injury. The paranasal sinuses demonstrate a minimal dependent mucosal thickening in the maxillary antra. This surrounds some roots of some maxillary teeth which extend into the base of the maxillary sinuses bilaterally. Also, mild swelling if the middle turbinate and moderate swelling of the inferior turbinates. Also moderate bowing of the nasal septum. With your knowledge, could any of the above be causing my tinnitus? I do not know who else to turn to or if I am missing something. I am under, 20 mg Prozac per day and 900 mg of Propafenone. Doctor: Hello. Cervical spine abnormalities can cause vertigo but not tinnitus. A zygomatic bone fracture can be a cause of tinnitus if it is impinging on the mandible. But that would be more due to chewing and movements of the lower jaw, and sinusitis can also cause tinnitus if it causes otitis media, but then the hearing is also impaired. Have you done a pure tone audiometry?" + }, + { + "id": 21707, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 3297, + "tgt": "My grade 3 hamstring injury get sore only while playing football. Is it a bad sign?", + "src": "Patient: Hello doctor, I picked up a grade 3 hamstring injury from playing football around four months ago. Stupidly, I tried to play football again three to four weeks after the initial injury which caused me to pull my hamstring again. I have then left it for around two and a half months and I have slowly tried to get back into exercise. I started by cycling which I had no problems with I have also been away skiing and I have not felt any pain whatsoever. However, since I came back from skiing I went to play football yesterday and although I was fine for the majority of the game once the game had finished I noticed my hamstring felt sore. It also is still a little bit sore this morning, is this a good thing or a bad thing? I could easily run on it now no problem but it does feel slightly sore. Is there anything I should or should not do? Doctor: Hello. I read your concern. In my opinion, you had enough time to recover from tears. However, a grade 3 hamstring injury needs a bit more concentrated management. I think you should do proper rehabilitation to completely gain strength and stability. Exercises like bridging, single-leg bridges, clamshell, swiss ball jackknife, swiss ball hamstring curls, step-ups, and goblet squats will help you gain stability and strength. Slowly you should start running. If everything goes well then you should start gradual progressive running sessions. These exercises to be done for three weeks and then progress with the next level of rehabilitation. After progressing to full strength and stability and once you are confident then slowly you should return to play. I hope this helps." + }, + { + "id": 7339, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 14189, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5679, + "tgt": "When will one get black papule that itches along with hair loss?", + "src": "Patient: Hi doctor, I am a 30 year old doctor. I have a black papule on my forehead since 1.5 years and that is associated with itching. It got subsided four to six months after using Mometasone and multivitamins, but has reappeared then. It first appeared just below hairline and spread to contiguous areas below and above hairline with loss of hair in the affected area. The lesion is black, hard and itches frequently. There is no scaling, bleeding or any pus discharge associated with it. Please observe the sun tan surrounding the lesion in the images attached. Thank you. Doctor: Hi. I have reviewed the attached photographs (attachments removed to protect patient identity). Revert back after the tests to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 20182, + "tgt": "A pimple appeared on genitals which hurts when touched. Is it serious?", + "src": "Patient: Hello doctor,A pimple appeared on the genitals. It hurts when I touch and white on the top. And I think it is not small in size. Could you advise me if it is serious or just a random pimple? Doctor: Hi Welcome to icliniq.com. I have gone through your query, I need a few more details. From the picture that you have sent, it does appear to be a hair follicle infection, but I would suggest you get yourself examined once by your local urologist or dermatologist for confirmation. You may require some oral antibiotics if there is significant local inflammation. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 16643, + "tgt": "Why is my 1-month-old baby constantly crying and not sleeping?", + "src": "Patient: Hi doctor, I am having a 1-month-old baby and been facing several issues. He is crying a lot even after feeding him properly, burping him, checking his diaper, making him comfortable and ruling out other health issues and having a hard time in consoling him. We have tried pacifiers for him but avoiding it as I was told they are not good for the baby as they take in more air through pacifiers. White noise is working well but I am afraid he may become dependent on it for sleeping and will not sleep if I do not keep white noise. I am having poor sleep because of this and depending on coffee to control sleep. I am having several queries. How to console him so that he can sleep properly? Is it fine to use white noise to calm him? Is it fine to breastfeed him while I am having a fever? I am expressing milk sometimes and feeding him through a bottle. Can I express milk and store for future usage? If so how long can I store and use it? I am having one or two cups of coffee each day does this effect the baby through milk? Also, my milk production is less and depending more on formula milk. Please advise me. Doctor: Hi. From your history, it seems you are taking excellent care of the child. Good. Now for your queries. Children below the age of 6 months sleep in the day and stay awake at night. It is normal. There is no medicine for the same. As regards to consoling a baby, you can use white noise (no dependency or harm) or whisper songs in the babies ear, give the baby pacifier (no issue of taking in the air or anything like that. The child is anyways going to pass gas like a big person. It is normal). Swing the baby in a light to and fro motion, swaddle the baby in some cloth wrapping. Important point: Another reason for the child to keep crying continuously may be poor feeding. As you have mentioned, the milk production is less, it is expected since you are under stress. So do not worry. Also, you can try giving breastfeeding first followed by top feeds. If the child is still hungry the child will consume the top feeds. Let the child consume as much as it wants. Advisable to avoid breastfeeding while having a fever as you may transmit the organism by close contact with the baby. In such cases, you can give expressed milk or top feeds. Use a mask when coughing if you are feeding the baby. Yes, you can theoretically store milk at room temperature up to three hours, fridge up to 12 hours and deep freezer up to 24 to 48 hours minimum. However, I personally do not advise to do this because there are chances the milk may get contaminated by the various organisms in the surroundings of the house. There is no effect of coffee on the milk taken by the baby. Golden rule: Sleep when the baby sleeps and stay awake when the baby is awake for at least the first few months if you want to have peace of mind." + }, + { + "id": 14286, + "tgt": "I do not get erection problem during masturbation, but why during actual sex?", + "src": "Patient: Hello doctor, I am a 32 year old male. I started masturbating ten years back. CurrentlyI masturbate daily morning and night. Sometimes, I achieve erection very quick, and sometimes it takes time. I masturbate seeing porn videos. The problem is, when I entered marriage life, I could not get a proper erection to penetrate my partner. I could get partial erection, but that goes down soon. I also get less excitation when I actually touch or feel the body than seeing porn. Due to this, my marriage life was affected leading to divorce. I do not get erection problem during masturbation, but why during actual sex? How to cure this? I would be married again soon in a month. Kindly help. Doctor: Hi. I read your query and understand your concerns. It is your thought, which is creating the problem. For a man of 32 years with regular masturbation for the last 9 years, it is easy to understand that there is no problem with erection. It is the guilty feeling associated with masturbation that is creating the problem. In other words, it can be said that the problem is a psychological one. This is common in men who think masturbation is wrong. At this stage, I would like to advise you a few things:" + }, + { + "id": 26705, + "tgt": "Can I use Metformin for diabetes prevention and weight loss?", + "src": "Patient: Hello doctor, I read over the\u00a0internet that tablet Metformin helps decrease the weight and prevents the\u00a0onset of diabetes. Both my parents are diabetics and I weigh 70 kg. Hence, I want to use Metformin for diabetes prevention and weight loss. Yesterday, I took 500 mg and I do not feel any problems or side effects. I want to take it for another six months. Please guide me well in this. Doctor: Hello. Hope this information was helpful. For further queries consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23541, + "tgt": "What should I do for pain in groin and activity restriction?", + "src": "Patient: Hi doctor, I have had mild right side groin pain for about two years now, which has made it very difficult to run. One morning, I woke up with the inability to use my right leg because of the severity of pain. I was very active at that time, so I assumed it was a sprain in or around the groin. The pain got better about a week later, but felt pain whenever I tried to run. Recently, I suffered with some kind of undiagnosed burning during urination, right side testicle pain and groin pain, even though my blood work and urine test came back fine. The burning and testicle pain has subsided, but the groin pain has stayed and intensified compared to prior infection. I was sent in for an ultrasound and my doctor said everything was fine. I told him that I am sure my groin lymph nodes are mildly swollen. He touched the area and said I was fine. I am not a thin guy and have a bit of fat in that area, so I think he had a trouble in feeling them. I still feel mildly swollen lymph nodes in my right side groin and I still have pain when I attempt to run. I believe my lymph nodes have been the root of all my pain, but I cannot seem to get the doctor to believe me. I looked at a diagram of groin lymph nodes and that is where I feel the pain and the mild swelling. What should I do? I am lost. Please guide me. Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5652, + "tgt": "My 3. 5 year old baby has thalassemia major with 3000 ng/ml ferritin. Please suggest food advise", + "src": "Patient: Hello doctor, My baby girl is 3.5 years old. She has thalassemia major and her ferritin level is 3000 ng/ml. What food is good for her? Doctor: Hello. Based on your query, my opinion is as follows: Iron intake should be reduced. Vegetarian diet will be better as iron content is low. The diet that can be followed include: 1. Importantly avoid vitamin C or citrus food up to four hours after food as it helps in improving iron absorption. 2. Reduce nonvegetarian diet, try to maintain the intake of iron from the overall diet to less than 18 mg per day. 3. Cereals like wheat bran, maize, oats, rice, and soya are helpful. Not sure if she takes, but tea and coffee or even milk during meals will reduce iron absorption. 4. Dairy products like milk, cheese and yogurt which reduce iron absorption, particularly with meals. Make sure, all are non-iron fortified. 5. For the diet, I would recommend cereals, particularly rice, oats or maize along with tea (2 cups). You can vary the diet based on taste. 6. If difficult multivitamin supplementation without an iron will be very helpful with cereals based diet including soy protein. 7. Hemoglobin at all times above 10g% and formation of donor pool is necessary. Regular chelation therapy to avoid iron overload is necessary. Very high iron sources are found in the following foods; they should be avoided or eliminated from the diet: like - Proteins that should be avoided or eliminated from the diet: oysters, liver, pork, beans, beef, peanut butter, tofu. The grains that should be avoided or eliminated from the diet: flour tortillas, infant cereal, cream of wheat, Malt-O-Meal, and cereals, such as Most, Product 19, Total, Kix, All Bran, Life, Raisin Bran, Special K, 100% Bran, Rice Chex, Rice Krispies, Cornflakes, Wheaties, etc. The fruits and vegetables that should be avoided or eliminated from the diet are prune juice, prunes, watermelon, spinach, leafy green vegetables, dates, raisins, broccoli, peas, fava beans, etc. Managing a child with thalassemia is an ongoing job. Try to maintain a good body mass index and hemoglobin should be always above 10g%. Most importantly, try to form a donor pool for regular blood donation from a group of friends or non-related relatives with the same blood group to reduce the risk of antibody formation and also infections. If not sure, contact a transfusion medicine consultant, he will be able to help you more. Ferritin is too high and iron chelation is necessary. Do discuss with your doctor. I hope this helps." + }, + { + "id": 20234, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17219, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17571, + "tgt": "Having dandruff and hairfall. Suggest an Ayurvedic procedure or medicine", + "src": "Patient: Dear Doctor, I have dandruff problem and it is causing massive hair fall. Kindly suggest me any Ayurvedic procedure or medicine for a cure. Doctor: Hi. There are many reasons for dandruff. Close examination can help diagnose the exact reason for dandruff. I am sharing some steps which usually help cure dandruff. If dandruff still persist, consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 31040, + "tgt": "Does cornea become strong with age?", + "src": "Patient: Hi doctor,I am 36 years old. I had LASIK before 13 years and I started getting cylindrical number after five years of LASIK. Now, my number is left eye -2.75 at 140 axis and right eye -5.5 at 40 axis.\u00a0My left eye number has been stable for the last 5 years and my right eye number is stable for the last 2.5 years.\u00a0Will it remain stable hereafter? 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": 3300, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 1524, + "tgt": "Why do my teenage duaughter gets frequent leg pain?", + "src": "Patient: Hi doctor, I have a 16-year-old daughter who gets leg pains on a regular basis but not so frequent. It occurs let us say every three months. This started from childhood and she still gets it. She told me she cannot sleep at night when she gets these leg pains. Do you have any advice on home remedies and medication to help her get rid of the pain? Doctor: Hi. Growing pain are a common cause of leg pain in children. These pains are muscle aches that can occur in thighs, behind the knees, or the calves. Other possible causes of leg pain that may be more serious can include juvenile idiopathic arthritis (JIA), lupus, Lyme's disease, and leukemia. If the pain is prolonged, fever, severe pain, rashes, sluggish or inactive then it is to worry about. But not in your daughter's case. Here some tips which surely will help to treat the pain. Treatment of growing pains depends on how much pain your child has. The following things may ease discomfort and help your child feel better. 1. Massaging the legs. 2. Streching the leg muscles, though it is difficult for younger kids, need to do it slowly. 3. Placing a warm cloth or heating pad on the sore leg. Be careful not to burn the skin and do not use it during sleep. The pain should be reduced in two to three weeks, if it still continues and she get fever and the above-mentioned symptoms, then you can take her to the children's specialist so that any Ibrufen or other medicines can be given by diagnosing it." + }, + { + "id": 12454, + "tgt": "Is it normal to bleed after intercourse during pregnancy?", + "src": "Patient: Hello doctor, I am 13 weeks pregnant, and after having intercourse I passed a blood clot about the size of a quarter. I have a subchronic bleed behind my placenta. Are these two related? Doctor: Hello. Yes, they are related. Intercourse should ideally be avoided till the 18th week of gestation to avoid such episodes of threatened miscarriage. Any bleeding during pregnancy is threatened miscarriage unless proven otherwise and you have a sub-chorionic bleed which confirms it. You require Progesterone support and absolute bed rest for a week and review USG to follow up the sub-chorionic bleed." + }, + { + "id": 25406, + "tgt": "I feel a dry spot on the inside of my cheek. Does it suggest oral cancer?", + "src": "Patient: Hello doctor, I am a 31 year old male. For about three weeks, I have felt a dry spot inside of my cheek. It has a metallic taste. When I run my finger over it, it feels a little rough, and there are some skin peeling and bleeding. It looks like I can see a tiny little zit. It does not hurt. Doctor: Hello. I have viewed the images (attachment removed to protect patient identity) and can see two areas of redness that is probably inflammation and a white line that is linea alba and is harmless. There is nothing else significant seen in the pictures. However, I can see that the area where your wisdom tooth could be has whitish gum. It can be due to Infection causing metallic taste and some bleeding. So, can you please tell me if you have got your wisdom teeth removed or has it not yet erupted? Also, is the metallic taste present all the time? Revert with more information to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 27450, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8072, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 5515, + "tgt": "What causes ringing noise in ear after a cold episode?", + "src": "Patient: Hello doctor, I started having a cold almost three weeks ago which developed from sneezing into a bad cough and now has subsequently cleared up. I also had a blocked ear for almost three weeks but it is now much improved. However, I often hear a ringing noise from it. I saw the doctor a couple of days ago who inspected my ear and said that everything appeared clear now and there was no longer any blockage. Why am I still receiving a ringing noise from my ear and how long does it take to clear up please? Doctor: Hello. Most likely there might be some fluid accumulation inside the said ear without showing any signs in an otoscopic examination which the ENT would have performed. Such minimal fluids can cause ringing sensation without any hearing loss. Do you have any fullness now? Is the ringing always there? Is there any gurgling sound or feeling of bubbles inside the ear? How old are you? Do you smoke or drink? Do you suffer from diabetes or blood pressure problem? Do you take any medicine for any chronic illness? In a diabetic and some persons with chronic illnesses the fluid inside the ear does not resolve easily and takes a long time to drain out. Do you still have any nasal symptom whatsoever? Have you taken any antibiotic during the course of cold that you suffered three weeks ago? Please provide us with all details so that we can guide you." + }, + { + "id": 21211, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 24624, + "tgt": "How can I get rid of severe depression with anxiety?", + "src": "Patient: Hello doctor, I have severe depression alternating with severe anxiety. I have tried many medicines. Currently, I am taking 40 gm Prozac in the morning and 30 mg of Remeron at bedtime. But during the day, I am a nervous basket case. No doctors will give me any Benzodiazepine for some reason. I have difficulty functioning enough to be productive and unable to enjoy anything in life. I need more help. I do not want to continue living this way. Earlier, I was on Buspar, Vistaril, Trazodone, Paxil, and Doxepin. Doxepin was the most helpful but does no good when I am awake. The laboratory tests performed were blood tests. Only triglycerides were elevated. Doctor: Hello. In my opinion, you can discuss with treating psychiatrist regarding the following options: Practicing a relaxation technique like breath relaxation excercises daily shall help. For more information consult a psychiatrist onlilne --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 6034, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 14981, + "tgt": "Why is there a skin tag in my testicles?", + "src": "Patient: Hello doctor, I am hoping you can answer this question for me. I am submitting a photo of what I am hoping is a skin tag. I have had this for years but never asked about it. It is on my testicles. Doctor: Hello. Yes, it seems like a tag (acrochordon). Another possibility is that of a wart. Is it soft and swishy when you squeeze it? Or is it firm? A skin tag either has to be removed with a cautery machine or it can be fulgurated." + }, + { + "id": 10079, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 29345, + "tgt": "Please suggest some medicine to cope with my stomach pain and diarrhea", + "src": "Patient: Hi doctor, I am a 20 year old female. My height is 5'8\" and weight is approximately 140 lbs. The only medication I am on right now is birth control pill.\u00a0I woke up three days ago with diarrhea and terrible stomach pains. I felt nauseous, but I have never thrown up. The diarrhea has been persistent, but stops when I take Imodium.\u00a0It is day 3 and I am still having the same symptoms. I have thought about taking Ibuprofen to deal with the pain, but it is known to aggravate a stomach ache. Is there anything I can do to cope with the pain and diarrhea? I am a student and have big tests coming up tomorrow, and would like to be able to site through them comfortably.\u00a0The stomach pain is on and off as if they are period cramps, but I just got my period a week ago. Thank you for any help you offer. Doctor: Hi. For further information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 843, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 29714, + "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": 21655, + "tgt": "Why am I having stomach inflammation with back pain and chest pain?", + "src": "Patient: Hello doctor, I am 24 years old male who is seriously suffering from stomach inflammation, back pain with inflammation and chest pain with inflammation. Please help what can be done. Doctor: Hello. The stomach inflammation and pain can be because of gastritis or ulcer like condition. It can lead to referred back pain and chest pain as well. For that, antacid can be prescribed. I suggest you investigate with chest X-ray if the pain is not burning type. You should consult a physician for the examination. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 4941, + "tgt": "How to get rid of swelling and itching of eyelids?", + "src": "Patient: Hello doctor, I have an eye infection for six months. Initially, it started with the left side under eye and now it is with both the eyes. Currently, my right eyelid and both under eyes has swelled. Whenever I touch or rub my eyes, also I get itching sensation. I have stopped using all eye cosmetics since then. Every doctor I have consulted says it is dust allergy and gives different eye drops, tablets and ointments and says to use it until one month continuously. I have used precisely as each doctor suggested till date but still could not get rid of my eye infection. Even now my eyelids and under eyes are swollen. Please explain to me why is this happening for the past six months and please help me to get rid of this suffering. Doctor: Hello. Unfortunately, allergy is not a disease as much as it is a reaction to some factors. The purpose of any eye drop that we use as ophthalmologists can recommend is merely to suppress that reaction. The main treatment would be to detect the factor that is causing this condition and escape it. In order to do so, you will have to go in your memory six months back and find out what new factor has been introduced into your life. Another option would be to undergo an allergy test and find out what are the main factors you have an allergy to. It would of course help me more to visualize the changes that you currently have in the eyes. You can upload several good quality photos of your eyelids and invert them so that I can see the conjunctiva (the inner layer of the eyelids). It is very important to inform me whether you have any other symptoms such as sneezing, dry cough or any other symptoms that started at the same time with the changes in your eyes." + }, + { + "id": 16117, + "tgt": "Can deviated nasal septum cause difficulty in breathing?", + "src": "Patient: Hello doctor, I have a deviated nasal septum on the right side of my nose. I also have difficulty in breathing although I have deviated right side septum but still, I face breathing problems in the left side. I also sometimes feel pain on my face but my major problem is that if I use nasal sprays, I get well for 1 or 2 hours but then again I have breathing problems. I am also unable to understand if I have a right side deviated septum. So, why do I have difficulty in breathing from the left side and also if my left nose gets open my right side closes and if right opens left closes? Kindly help me, please. Doctor: Hello. Having read through your query, I can understand your concern. Patients with DNS can have nasal obstruction on both sides. First, because the septum can deviate in an S-shape giving rise to obstruction on both sides. Second, on the side opposite to DNS, there may be enlargement of another structure called Inferior turbinate secondary to DNS. This is called paradoxical obstruction. Third, excessive use of sprays can lead to mucosal atrophy or thinning and a subjective feeling of an obstruction. You may share your CT to guide me further. You should go for surgery. It is a minor procedure that can be done even under local anesthesia." + }, + { + "id": 6165, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 18520, + "tgt": "Is deaf and dumb problem hereditary?", + "src": "Patient: Hi doctor, I got a marriage proposal where the girl's father and his brother are mute and deaf. But, surprisingly the children are at good health without any issues. Can I go ahead to marry her? Are deaf and dumb hereditary? Kindly advice. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 11044, + "tgt": "I have bumps present above my tonsils in the throat. What could it be?", + "src": "Patient: Hello doctor, I have a problem with my throat. Can you check the bumps present above my tonsils in the throat? I have attached my complete blood count report. I also have lymph node raised in the neck on the right and left side shoulder, so my body is fighting with something. Current symptoms are sore, redness, inflamed throat, and tight feeling when I swallow. Is left tonsil lower than right? Also, I feel dry throat all the time. These strange bumps circled in the picture along with red throat are my concern. Doctor: Hello. From the picture, I can see a slightly congested posterior pharyngeal wall along with tonsillar region (attachment removed to protect patient identity). The bumps you are referring to are small tonsillar cysts which do not carry any significance. They are benign and are not a cause to worry. The tonsils are only slightly enlarged and hence do not need any removal." + }, + { + "id": 10163, + "tgt": "Will a 2 year old baby with Duchenne Muscular Dystrophy walk?", + "src": "Patient: Hello doctor,My youngest son is 2 and a half years old. Currently, he is crawling, and he is a delay in walking. I bought him for the child development clinic at the hospital. They have sent his blood sample to another country, and the result says that he has Duchenne Muscular Dystrophy. Kindly advise what should I do. My son can stand at the sofa, but he refrains from standing at the floor. He can lift his body. Is he able to walk? Doctor: Hello. It is a genetic disorder. I am sorry to say this, as this disease has a poor prognosis. You need to visit a medical genetic specialist. Physical therapy, braces, etc. are common management. Along with that if you want to go for alternative treatment, then try Ayurvedic panchkarma therapy where Ayurvedic massage can be given to your son. It had good results in muscular dystrophy disorders. You need to visit a nearby Ayurveda physician or a panchkarma center. It can help you up to some extent. I hope you understand my point. For more queries, you can consult me." + }, + { + "id": 27760, + "tgt": "My son has diarrhea whenever he eats. How to improve his digestion?", + "src": "Patient: Hello doctor, My son is 1 year 9 months old. He had severe diarrhea when he was 6 months old. After that, his stomach became very sensitive with chronic indigestion and poor weight gain. He is around 10 kg. His birth weight was 2.7 kg. His diet is very restricted and limited.\u00a0I give baby formula, rice khichdi, raw banana, and boil potatoes. He cannot tolerate fatty, protein-rich food like ghee and oil. I am very worried about his situation as I belong to a small town, and there are no proper medical facilities here. His celiac test is normal. What\u00a0other tests should I do? He passes motion immediately\u00a0after food. Whenever he takes medicines and\u00a0probiotics, he is better, but once that is stopped, his stomach is upset again. In a month, his stomach gets upset about two to three times. I now give\u00a0him Bacigyl N, Ecobion\u00a0Bc, Zinc syrup and Longifene DS. Please suggest me a syrup, that would improve his digestion and appetite. Doctor: Hello. Revert with more information to a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 15942, + "tgt": "Is it advisable to put cast for green-stick fracture in a 6-month-old?", + "src": "Patient: Hello doctor, My daughter fell from a 50 cm high bed on a carpeted floor. Three days later, her mother and I noticed that her right leg was not as active as the left one. Although she was not complaining from pain, it was very clear that she tried to avoid moving her right leg. She is 6.5 months old. We took her to the hospital and the doctor's first impression was that she is fine, but just in case she will do her an X-ray. The X-ray showed she has got a greenstick fracture in the femur bone, right above the knee. The orthopedic specialist in the hospital advised that a cast around both of her legs and her stomach to ensure maximum immobilization, and a general anesthesia must be done to her in order to do the cast. Kindly advise me according to the X-ray whether it is a must to put a full cast or a splint could be an option and is there a way to avoid the general anesthesia as she is only 6.5 months old or is it also a must to do a general anesthesia before doing the cast? Doctor: Hi. Your daughter has greenstick fracture of the distal femur. The cast which your doctor is asking to apply is hip spica. First of all, ideally hip spica should be applied under anesthesia to facilitate reduction of bone fragments but in this case, since no reduction is required, so no need to apply it under anesthesia. Secondly, since the fracture is around the knee, that is in the distal part of the femur bone, so a high above knee good cast will also do. No need to extend it to other leg and abdomen." + }, + { + "id": 22369, + "tgt": "What option do I have for infected tooth other than root canal and extraction?", + "src": "Patient: Hello doctor, I am an 82-year-old senior. I went to my dentist to have my teeth cleaned and he did an exam first and the X-ray showed an infected tooth (#30). He has recommended that I go to an oral surgeon and have the tooth pulled. I do not want or cannot afford a root canal. Considering my age, what do you think about my starting to rinse my mouth with 3 % Hydrogen peroxide and delay the tooth pulling and see if the infection clears up? Doctor: Hello. Well, as per your age, the root canal is the best option. But, as you cannot afford treatment then removing tooth is the only treatment left. Infection in the tooth cannot vanish permanently but you can keep using mouthwash for few weeks and gather money or take dental insurance to get root canal treatment done, if possible. Else, I suggest you go for treatment as soon as possible because the more you delay, more the infection will spread from one tooth to another. Also, inform your dentist about your medical health like blood pressure, diabetes, breathing problems if you have any, before removing the tooth. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 11124, + "tgt": "I have taken Invega and it caused erectile dysfunction. When will my body return to previous state?", + "src": "Patient: Hello doctor, I took Invega for one week. It changed my nervous system and caused erectile dysfunction. My question is, will my body return to their previous state? My movement is not as fluid, and I still have mild erectile dysfunction. Has Paliperidone caused permanent damage to my nervous system? Doctor: Hello. I agree with you on the fact that this drug can lead to erectile dysfunction as a known adverse effect. On the other hand, this adverse effect is not permanent, and it is reversible after stopping the drug. So, I do not think that it has lead to any permanent damage. It is just a matter of time, and your situation will improve spontaneously. In the meantime, I would recommend trying Cialis (Tadalafil) or Viagra (Sildenafil) to improve your situation. I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need." + }, + { + "id": 20912, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 28320, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25373, + "tgt": "Is the doctor correct in taking biopsy from only one area of lymph node?", + "src": "Patient: Hello doctor, I am a 31 year old male. I have a neck swelling (lump in my neck) in the posterior triangle area for a few weeks. X-ray chest and USG whole abdomen are clear. I went to the doctor and done FNAC which showed reactive lymphoid hyperplasia and started Augmentin antibiotic and later Ceftum antibiotic but no resolution. Finally, excision biopsy was suggested and done. The report showed tubercular lymphadenitis and started the treatment and currently on Akurit four tablets for three days. Now, my question is, I had neck swelling in two areas of my neck as shown in the picture sent to you pointing out with my fingers. The upper one was large hard and lower one was small movable. ENT oncosurgeon said he will bring out lymph nodes from upper area and not from the lower side as it belongs to the same area. Accordingly, excision was done and four lymph nodes from the upper area were sent to histopathology. In the meantime, while waiting for results my lower node grew in size a bit and also I felt lump just below my incision site. I mean lump type. And two days later, the report came and it was TB. Now, my question is: Is the doctor correct in bringing out upper lymph nodes and not the lower area node? Could it be like lymph node swelling in the upper area was due to TB and lower area swelling for some other reason? Like lymphoma, etc.? What do you think? Your expert suggestion is needed. Does lymph TB involve single node or can be multiple in different adjacent areas? Doctor: Hello. Tuberculosis can present with single or multiple enlarged neck nodes. It is unlikely that one lymph node will be due to lymphoma and another due to tuberculosis. Your doctor did the right thing by taking a biopsy from one area of lymph node only. No need to take from all neck nodes. Your X-ray chest and ultrasound are normal. While in lymphoma, there may be associated abdominal, axillary, and mediastinal lymph nodes (central chest nodes) plus sometimes enlarged spleen and high LDH blood test, your ultrasound, and X-ray chest are normal. In TB, usually ESR (blood test) is raised and skin test (Mantoux test) may be positive. Your neck lymph node FNAC/biopsy is clearly showing tubercular lymphadenitis. Nothing to worry about and continue anti TB treatment and take balanced diet. All your lymph nodes will start disappearing in two to three months. Follow up regularly with your primary physician. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 24629, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20891, + "tgt": "There are multiple painful cracks on palm. What could this be?", + "src": "Patient: Hi doctor, There are multiple cracks in the palm with pain. If I touch anything, I get a wound. I can see that the wound surface is hard and blackish. What is this? Doctor: Hi. From the description provided, it seems that you could be having eczema or psoriasis. Right now, just use a good emollient like Cetaphil Dam over hands multiple times a day and apply Cosvate G cream (combination of Clobetasol propionate and Gentamicin sulfate) two to three times over hands. Further management would depend upon the response and exact underlying cause of the disease. Also, use a mild soap like Cetaphil to wash hands. Avoid exposure to detergents, hard soaps, chemicals, etc. Visit a dermatologist in person for physical evaluation and further management. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16360, + "tgt": "Can caffeine cause heart palpitations?", + "src": "Patient: Hello doctor, How is it possible that I got heart palpitations from caffeine use (5.8 mg/kg a day)? Could it be that I also used Wellbutrin? Doctor: Hello. Yes, both these caffeine and Wellbutrin commonly causes palpitations. Even a lower dose of caffeine can cause palpitations and there is no as such dose relationship with respect to palpitations. It may lead to all your symptoms. Also, anxiety or stress is usually an additional factor which may cause or worsen the palpitations. Usually, palpitations like these are usually benign and non-life-threatening although they may be troublesome. Considering your comorbidities, it is better to evaluate these, not just due to palpitations but also as screening cardiac test, and to rule out the possibility of cardiac arrhythmia. So, you should have a baseline ECG especially during palpitations and may need 24 hours Holter monitoring if not able to get ECG during palpitations. Also, you may alternatively use mobile-based rhythm monitors like Alivecor Kardia or other monitors. Also, you should get one echo done to look for the status of heart and its valve. So, try to reduce caffeine consumption as much as possible and see the response." + }, + { + "id": 30612, + "tgt": "What is your opinion regarding the tiny specks in vision?", + "src": "Patient: Hi doctor, Is it normal to see tiny specks in vision when looking at plain wall or plain surface or when in darkness. My retina check is fine. Is it something to worry about? Doctor: Hello. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 24732, + "tgt": "Should I go for treponemal test three years after sexual contact?", + "src": "Patient: Hi doctor, I have an STD question and hope to have an STD specialist doctor to assist me. I had a sexual contact three years ago and only last month I went for (VDRL nontreponemal test) and is negative. I have read online that after several years or after sometime usually, the result can be negative even if a person had syphilis before. I am afraid it might be a false negative since it was a few years ago. May I know should I test for Treponemal test such as TPPA or FTA-ABS to rule out the false negative by VDRL after three years test, I worry it might false negative by VDRL? The negative VDRL test was one month ago and possible exposure was three years ago. Does this mean the person does not have active syphilis infection? Does this also mean it would not proceed to latent or tertiary syphilis that will damage the body such as paralysis, numbness, gradual blindness and dementia? Doctor: Hello. Yes, sometimes many years after an infection with Treponema pallidum, VDRL may turn negative. TPHA (Treponema pallidum hemagglutination) or FTA ABS (fluorescent treponemal antibody absorption test) would be confirmatory in that case. You may take this test. Syphilis may slowly progress to the tertiary stage with neurological involvement. CSF VDRL is more diagnostic rather than serum VDRL in case of neurological involvement. Was the sexual act three years ago, protected or unprotected? You did not mention that. Regards. For more information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 25469, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27014, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24080, + "tgt": "Ear block and discharge remain even after antibiotic. Kindly provide suggestions", + "src": "Patient: Hello doctor,I have got an ear itching five days before and went to a doctor. The doctor has told me that my ear got affected with fungus and prescribed Otinex ear drops. I continued that for three days. Initially, I got pain and liquid discharge from ears. Now, pain has gone but slight liquid discharge and ear block is still there. Kindly provide suggestions. Doctor: Hello. Did your doctor look into the ear using an otoscope or endoscope? If so, and then he diagnosed as fungus then it is fine. In that case, continue the drops for a week and wait. Do not let water enter the ear while taking bath or swimming. In my set up, I give Ciplox (Ciprofloxacin) and Candid (Clotrimazole and Lidocaine) ear drops for fungus. We avoid combination drops. If not, then it is advisable to not put any drops unless we know for sure there is no eardrum perforation. Do write back to us if you need any further support. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 2486, + "tgt": "I have headache and increased heart rate with increased GGT and ALT. What is my problem?", + "src": "Patient: Hi doctor, I am a 36-year-old male. I had my checkup and GGT was 51 and ALT was 67 all others were within limits. Now I have a problem of headache, fast heartbeat only when trying to sleep, also feel like my left chest has a lot of gas. Why I am especially worried is I vomited and I highly suspect blood in it and also feels shortness of breath. I am taking 2.5 mg Cilazapril. Doctor: Hi, Welcome to icliniq.com. As per the liver function test (LFT) of your blood, you have a mild increase in GGT (gamma-glutamyl transferase) and ALT (alanine aminotransferase). GGT suggests there is a possibility of mild damage to the liver and biliary system especially due to alcohol. We need to have full liver function reports so we can compare your AST (aspartate aminotransferase) and ALT ratio. Blood or dark brown colored vomitus is always abnormal you need to find the cause. If you are taking alcohol drinks please try to minimize. Pain in the chest with blood in the vomitus can be of a reason for stomach or esophageal pathology also. So please get checked and followup with reports. Please do CBC (complete blood count), LFT, coagulation profile and bleeding time." + }, + { + "id": 11771, + "tgt": "I am using Minoxidil but not satisfied with the outcome. What is wrong here?", + "src": "Patient: Hello doctor,I am using Minoxidil for nine months now for the bald patches on my head. A little progress was seen between 3 to 4 months but no progress recorded afterwards. Can you suggest me what is wrong or if I should change my prescription? Doctor: Hello. 1. You can use Minoxidil for androgenetic alopecia and it takes times in a few people to gain full results. Sometimes there can be shedding of hair in between but you will recover from it if you keep using it. So stick to it. 2. You can also add tablet Finasteride 1 mg daily which is the only approved oral medications for androgenetic alopecia." + }, + { + "id": 6963, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 21604, + "tgt": "Why am I having upset stomach with pain?", + "src": "Patient: Hello doctor, I am having pain in my stomach and upset stomach with pain just started today. I am healthy otherwise. Doctor: Hi. Nothing to worry. If the pain had started only today and no other symptoms along with it, I would suggest you take the following tablet Buscopan (Butylscopolamine 10 mg) before food two times a day (morning and night) for two days. Advice for you is to avoid spicy food and take plenty of warm water. Ideally, your pain should subside and you should be recovering in a day or two. But in case if it continues (which will not), we shall review the treatment after two days. Wish you faster recovery and good health. For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25188, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11266, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 9825, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 11572, + "tgt": "Being a PCOS patient can I take I-pill effective after sexual intercourse?", + "src": "Patient: Hello doctor, I am a-25-year-old female. I am a PCOS patient and had sex two days ago (that was after five days since my periods ended). My periods are usually irregular but it occurs sooner or later and I usually have a long cycle more than 30 days. So while sex, my condom broke and I took an I-pill immediately and also in the next day morning. I want to know if the I-pill will work irrespective of having PCOS and what are the chances of getting pregnant? Doctor: Hello. Since you have a longer than usual cycle as expected of PCOS, less likely that you are fertile on the day you had sex. It would be an even added protection that you took the I-pill. The I-pill will work whether you have PCOS or not. Comparing to a non-PCOS patient, you have lower chance of getting pregnant after taking the I-pill. If you took the first pill within 24 hours after sex, it is said to be 95 % effective." + }, + { + "id": 19499, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 786, + "tgt": "I have bowel pain with negative calprotectin and lactoferrin tests. Why?", + "src": "Patient: Hello doctor, I have pain in my bowel. I have had an MRI and the doctor noted that I have bowel wall thickening in my distal colon. Before that, I did a stool test that was negative in Calprotectin and I had a CDSA it showed no inflammation negative for Lactoferrin. No bacterial infection. I also had a colonoscopy and it showed clear. Why there are pain and bowel wall thickening? Doctor: Hello. I can understand you must be very upset about your ill health. So the comprehensive stool analysis is well within normal limits-particularly calprotectin and lactoferrin which are inflammatory markers. Their absence theoretically excludes any inflammation within the bowel, hence a good finding. The MRE examination and its reporting is a subjective findings means it is interpreted by a radiologist and may sometime have an error in reporting because of differential enhancement pattern within bowel and bowel movements at the time of scan, plus given your colonoscopy report afterward also showed no pathology, suggest it was possibly an error in interpretation. The colonoscopy is however, the best modality to explain the MRE (magnetic resonance electrography) reported findings. Given normal colonoscopy suggest that the possibility of inflammation is unlikely. Now coming to your symptoms and use of medication that you believe helped for some time. From your history, I understand you have been given Mesalamine for the duration of seven months after a colonoscopy that showed colitis and biopsy showed non-specific inflammation. So first of all, Mesalamine is an anti-inflammatory drug which is commonly being given among patient suffering from inflammatory bowel disease (IBD). The IBD is further classified into ulcerative colitis (UC) which is a superficial inflammation usually of large bowel starting down from rectum and goes above to involve large bowel. The other one is Crohn's disease (CD) which is somewhat deeper inflammation of the gut wall having a tendency to involve almost every part of the gut starting from the mouth toward the anus. Given your symptoms of mucus or pus discharge and presence of pancolitis on one of your colonoscopy make me think that there is a possibility of ulcerative colitis. Plus the response you observed to Mesalamine is also favoring this diagnosis. Your second colonoscopy did not show any inflammation, possibly because of the remission of the disease. The UC tend to have an intermittent course with flares and intervening remissions. Possibly at the time of second colonoscopy, the disease was in remission. Given your recent stool test and recent normal colonoscopy, make me think that you do not have active disease at the moment. Your disease seems to be controlled with Budesonide or previous Mesalamine you took. The mucus/pus discharge suggests that there may be some other problem such as anal fissure, anal fistula, or anal sinus which may accompany the ulcerative colitis in its course. For this, I want you to examine your perianal (bottom) area and see from where exactly the mucus is coming. The abdominal pain may be just because of stress and anxiety accompanying the current situation and not necessarily the active disease. For such pain SSRI (selective serotonin reuptake inhibitors) are helpful. For treatment, I need to have the biopsy report of your colon (both the previous one and recent one), as I can see there is ongoing microscopic inflammation. Budesonide is an expensive drug and it is recommended in UC where the inflammation does not go beyond the left side of the colon. You had pan colitis (inflammation involving the whole colon) and that is why oral steroids such as tablet Prednisolone is more effective than Budesonide. The physician prescribes Budesonide over oral Prednisolone if the patient is unable to tolerate the systemic side effects which accompany oral Prednisolone, or patient has diabetes and bone mineral deficiency. Your physician probably kept this thing in mind. So to summarize: 1. You likely have ulcerative colitis because I did not see biopsy of your bowel, and as you said it was nonspecific. 2. The UC is in remission 3. The pus and mucus have to be closely examined by you or by a physician by doing a digital rectal examination. 4. The UC can frequently accompany depression and anxiety and that should be taken care of abdominal pain possibly related to stress and you consider taking SSRI at minimum dose like tablet Escitalopram 10 mg daily 5. Discuss with your primary gastroenterologist regarding oral Prednisolone if he is convinced enough. You may share your biopsy reports, I can advise you on this as well. One more thing, since you do not have any sign suggestive of active disease, the steroid are not required at the moment. You need to be given some immunosuppressive medications to control and prevent relapse/flare. The one more reason for your doctor prescribed Budesonide is he might have considered microscopic colitis which is entirely a different diagnosis and requires entirely a different management approach. You share me the biopsy and colonoscopy reports that will make me in a good position to tell you what to do now. And sorry for such a huge description and lengthy message. But I am sure this will really help you to understand your condition. I hope this helps. Ulcerative colitis in remission. Done already. Need biopsy reports of both colonoscopies also images of both colonoscopies. Crohn's colitis Ulcerative colitis. Follow up with biopsy report." + }, + { + "id": 26622, + "tgt": "Celexa is not working now for my 12 year old girl with GAD. Why?", + "src": "Patient: Hi doctor, My 12 year old\u00a0girl has been on Celexa from the age of seven years for GAD. She has been on 20 mg for the past three years. It has worked well for the anxiety and mood regulation. She has been irritable and angry with some depression for the past six months. Would you think we should look at changing the medications? Should we go for an add-on medication or increase the dosage of the current one? She is also taking Synthroid, Singulair, and Benadryl. Thanks. Doctor: Hi. Thanks for the question. Generalized anxiety disorder is a simple anxiety disorder which is very easy to treat with medicines if it is combined with psychotherapy and progressive counseling. Medicines alone cannot cure it. Celexa (Citalopram) used to help her in anxiety and mood swings is not working because she is 12 years now. There are many aspects to be looked into including the puberty onset and psychological changes that take place during the onset of adolescence. Attention deficit hyperactivity disorder , ADHD also should be suspected. I suggest not to worry much and consult your psychiatrist. The change of medicine is not needed for GAD but, should be assessed for ADHD or stress disorder. I also suggest regular cognitive behavior therapy and progressive counseling through online medium. Take care. For further queries consult a psychologist counsellor online --> https://icliniq.com./ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 22486, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 11182, + "tgt": "Can Dexona and Practin be used to gain weight?", + "src": "Patient: Hello doctor,One of my friends wants to use Dexona and Practin to gain weight. Can she use it for 10 days? Doctor: Hello. Using Dexona (Dexamethasone) and Practin is not a correct drug for weight gain. Dexona is a corticosteroid hormone (glucocorticoid) used for arthritis, blood, hormone, immune system disorders, allergic reactions, specific skin and eye conditions, breathing problems, certain bowel disorders, and certain cancers. Practin (Cyproheptadine) is an antihistamine used to relieve allergy symptoms such as watery eyes, runny nose, itching eyes and nose, sneezing, hives, and itching. So these are not for weight gain." + }, + { + "id": 27356, + "tgt": "My HBsAg is positive. Will I transmit hepatitis B to my partner?", + "src": "Patient: Hi doctor, I am a 24 year old male, and I want to ask few questions regarding my condition. I am a dental student. When I was in the ninth standard, I was diagnosed with hepatitis B. The doctor performed many tests, like PCR (negative), HBsAg (positive), HBeAg (negative), and ALT (normal). I have heard that there is no vertical transmission of hepatitis B in my case according to my tests results. Is that true? Will I transmit it to my partner? Kindly guide me. What precautions should I take? I am going to get married soon. These questions have made me so worried. Please help. 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": 22360, + "tgt": "I had four I-pills in a span of two weeks and my periods are delayed. Any advice?", + "src": "Patient: Hello doctor, My husband is away from the past one and half years due to his work. I visited him for 15 days. I had my normal periods there on the 31st of last month. Since I got a bit anxious about getting pregnant, I had four I-pills in these two weeks for protection. I then returned back on the 15th of this month. I had very scanty periods between the 24th to the 28th. And that is it. I had no periods after that until today. I have checked for pregnancy four times and it always showed negative. I do not have any pregnancy symptoms as well. I am leading a normal life. At times, I feel some cramps in the lower part of my stomach. I have already visited my doctor. She suggested I take Regestrone 5 mg, two tablets a day for five days. But, I still did not get my periods. Kindly advice me for the same. Doctor: Hello. After you have finished taking tablet Regestrone (Norethisterone), you will have to wait for 15 days to get your periods. If you do not get it in 15 days, you have to repeat the urine pregnancy test and visit your gynecologist. Please do not take emergency contraceptive pills so casually. It is not to be used as a regular method of contraception and it is not to be used more than once a month. Have patience. Everything is gonna be alright. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15872, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 9460, + "tgt": "What if HIV RNA is detected below, within and above linear range of assay?", + "src": "Patient: Hello doctor, I have done RNA PCR test. The report showed that the target was not detected in the collected serum. HIV RNA was detected below, within and above the linear range of the assay. Can we conclude that the virus has entered into the body? After one week, I got western blot test also done. That is showing negative. Please suggest what my next step should be? Doctor: Hi. Kindly mention the kind of exposure you had, whether it was protected, the duration since the exposure and the timing of the test you have undergone with respect to the exposure. Are you experiencing any symptoms since the exposure? Western blot is a second line test and can be considered accurate beyond four weeks of exposure. For more information consult a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 9579, + "tgt": "I am suffering from pain shooting down from my neck down to my fingers. Why does it occur?", + "src": "Patient: Hello doctor, I am having pain shooting down from my neck (just behind my right ear) down into my fingers. Also, on my right side near my breast with a slight headache as well. What it could be? Doctor: Hello. It is likely a cervical pain, due to compression of nerves between the spine. Does this pain increases on neck movement, is it associated with tingling, numbness in the arm or any neck trauma, if yes then it supports the diagnosis. You will need an X-ray of cervical spine AP/lateral view, and further may need MRI. Till that time he can have Tablet Neurobion forte once a day which is a nerve vitamin. Also, You will need Pregabalin after diagnosis is confirmed. I hope this helps you and get back if you have any doubts." + }, + { + "id": 3024, + "tgt": "My HIV DNA PCR and tridot test are negative. Do I need further tests?", + "src": "Patient: Hi doctor, My last exposure was protected but I am not sure about whether the vaginal fluid touched or not since I was drunk that time. After that, I went to an HIV specialist and he suggested me HIV DNA PCR test at 66 days period. The result is HIV 1 not detected. Then at 83 days, tridot rapid test is negative. 88-day tridot rapid test negative. 93-day tridot non-reactive. 99-day tridot (immuno filtration) antibodies 1 and 2 nonreactive. Then I took HbsAg, HCV, VRD total all are non-reactive. Is it enough for HIV testing? Is DNA PCR at 66 days (in window ) period useful? Is tridot test useful or not? In the window period time, I used fever tablets, antibiotics, and Levocetirizine many days. Will it affect my window period? Please give me brief information. I have a family and a child. Can I have sex with my wife without protection? Next test needed or not? Doctor: Hi, Welcome\u200b to icliniq.com. It is great that you have been found negative for HIV and other STIs (sexually transmitted infection). All the tests which you had taken for HIV were highly sensitive and specific and gives accurate results. It is unlikely for antibiotics and other medications which you had taken for fever could affect the result. Window period is the time taken for antibodies to develop after infection and then get detected by a particular test. The length of the window period varies between individuals. There are recommendations and I also suggest my patients to repeat the test at six months of last exposure. Testing at three and six months of possible exposure can detect almost all HIV infections. You can take precautions (consistently and correctively using a condom) with your wife until the time you are undergoing tests. I hope this helps." + }, + { + "id": 15472, + "tgt": "Baby tooth was removed to expose impacted tooth. Is there a chance for cyst if we delay braces?", + "src": "Patient: Hi doctor, I am a 30-year-old male. I had a baby tooth in the left lower jaw. Beneath it, there is an impacted first permanent premolar tooth. OPG and CBCT were taken. The baby tooth was extracted before a month, and the impacted tooth was exposed. As I had some misalignment in both the jaws, I consulted an orthodontist, and I was advised to wait for two months for braces treatment. Now the exposed area of the impacted tooth has got healed and covered completely. Should I need to wait for an eruption? Can I have a cyst formation under the impacted tooth? Can I start my braces treatment now? I am attaching my OPG, CBCT reports and photos. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). You do not have a cyst formation associated with the impacted tooth according to the images. In some cases, by orthodontic treatment, the tooth can be exposed, and they are brought to a normal position. In some cases, after extraction of the retained baby tooth, the impacted tooth can come into favorable position. So the orthodontist can place braces on it to bring it into position. So the doctor advises you to wait for two months. A mucosal layer always covers the tooth, and it can be exposed. After two months, if it is not coming to a favorable position, it can also be extracted." + }, + { + "id": 3486, + "tgt": "How to control atopic red rashes due to dust allergy?", + "src": "Patient: Hello doctor, I am writing to you in connection with my partner\u2019s allergic reaction which happens when we are together. Basically she is already allergic to dust and has atopy on her right hand since she was a child (now she is 23 and I am 27), which is sometimes stronger, sometimes weaker but always there. As she is a Japanese girl living in Japan, we have met three times in various places, but her symptoms have appeared every time. Small red rashes appear on the hands and later on the legs too. Her face gets itchy and breaks out in pimples too. These always start days after meeting again and get better some days after we leave each other. We also tried sleeping apart and that helped a bit on the symptoms (no sexual intercourse yet). So I am afraid I might have something that makes her produce such reactions. She also blames my dreadlocks which indeed catch not few dust (but I will cut it before we meet soon so that possibility will be crossed out). Because of her dust allergy, they live in a very clean environment so I also suspect that staying longer at an inherently dustier place (like my flat) might get her reactions acting up. Also, she had a lot of stress because of traveling to meet me, which also does not help such skin diseases. In some places, we slept in hotels, so we always suspected the local washing powders to cause these effects but in my work place I deliberately bought a new linen bed to avoid such a problem (although I washed it before using it). Dishes were different in the three countries so I cannot see that there would be a common ground for an allergic reaction. I will buy new clothes and will wash them myself according to her hygienic discipline and we will see how it goes. I do not regularly use deodorant, nor aftershave and I had different shower gels all the time. What else could we change to stop her reactions or to find out what caused them? How could we soothe them? Maybe after being together for a long time she would get used to my flora and she would eventually stop her reactions in an environment with less stress? Of course, I sent her to a specialist as well to get checked (to see whether I can be the cause). Doctor: Hello. You have described your partner's problem very nicely. She is suffering from chronic urticaria. Urticaria is an allergic reaction that takes the form of itchy red bumps on the skin as shown in your pictures. (attachment removed to protect patient identity). Name anything that can cause an allergy, and it can also cause hives including pollen, dust, dander, dust mites, shellfish, and other foods. First thing, in the management is to find out the trigger. To avoid hives, you need to figure out what causes them. If you do not know, start keeping a daily diary. The most probable suspects are things that you eat, drink, or swallow, drink, supplements, and medications. But even if you do not see any obvious connections, continue keeping your diary, noting other factors like weather, stress levels, clothing, or the amount of time that you spend in the sun. With careful tracking, you may link a specific lifestyle factor with the eruption of those red, itchy welts. Foods most likely to trigger hives include shellfish, nuts, chocolate, fish, tomatoes, eggs, fresh berries, and milk. Some people react to preservatives in certain foods and wine, such as sulfites. Once you have identified a food trigger, eliminate it from your diet and see whether you have fewer outbreaks. Common drug triggers include antibiotics and non\u00adsteroidal anti-inflammatory drugs (NSAIDs) such as Aspirin and Ibuprofen. But doctors have heard about many other triggers, including sedatives, tranquilizers, diuretics, diet supplements, antacids, arthritis medications, vitamins, eye drops, eardrops, laxatives, and douches. Seek emergency medical treatment if you develop hives around your eyes or in your mouth or experience difficulty breathing, wheezing, light-headedness, or dizziness. You may have a life-threatening condition called anaphylaxis, and the internal tissue swelling can block breathing passages. So better you get done her blood allergy test. That will give you a clue about your trigger so that you can avoid it. Tablet Levocetirizine or Desloratidine are helpful when you have a rash. Calamine lotion or astringents help shrink blood vessels, so they do not leak so much of histamine or mix one teaspoon of any kind of vinegar with one tablespoon of lukewarm water and apply the mixture to your hives with a cotton ball or tissue to soothe the itching. Take Fish oil in capsule form three times a day. The primary treatment is to increase the immunity of the body. An excellent remedy is to take one teaspoon of turmeric powder (Haridra khand) with a glass of milk or water two to three times a day. Massage the skin with mustard oil for 15 minutes, followed by a bath with lukewarm water. Make a paste of two cups of oatmeal and three teaspoons of cornstarch and water. Apply this paste on the affected areas until the itching is reduced. Stress can cause hives or make them worse. So avoid it in any form. Try meditation or yoga to boost your immunity. So after allergy test avoid that specific trigger. I hope this helps." + }, + { + "id": 22532, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 8968, + "tgt": "My fiance is very afraid about pregnancy and has the habit of washing her hands often. Why?", + "src": "Patient: Hello doctor,My fiance is so obsessed with getting pregnant, she is 17 years old, and she does not want me to touch her in any way. She does not want to touch herself, and she washes her hands a lot. She is scared of everything like she thinks she can get pregnant somehow. Pleases help. Doctor: Hello. Maybe your fiance is suffering from obsessive-compulsive disorder. There is an obsessive fear of getting pregnant, which is arising out of this illness. Repeated handwashing is also a type of compulsive act results from obsession. It would be in her best interest if you can contact a local psychiatrist get her evaluated to confirm the diagnosis and start the treatment. Any delay in diagnosing and starting the medication would make an illness resistant. If you have any other questions and queries, you can always contact me." + }, + { + "id": 30480, + "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": 18316, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 17047, + "tgt": "What can happen to a person having 14 Crocin 650 mg tablets at once?", + "src": "Patient: Hi doctor, My friend has taken 14 tablets of Crocin 650 mg at a time? What can we do now? Is there any ayurveda treatment for that? Doctor: Hello. For further information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 25123, + "tgt": "My daughter goes for potty once in three days. Should I worry?", + "src": "Patient: Hi doctor,My daughter is 22 months old. She weighs about 16 kg and she goes for potty with a gap of three days. Is there anything to worry? Moreover, her potty is very very hard to come, I can feel the pain during her potty. Please suggest. Doctor: Hello. I assume your daughter's age is 22 months. May I suggest. The child is getting less fiber. Water intake may be less. Not to worry, but her food and dietary habits need to change. Give her more of a homemade diet, like vegetables, and soups more option. Water intake should be at least two liters a day. Laxative/ suppository is too early for her to use. That should be avoided. Increase her fruit/ juice intake. I am sure these options will surely help her. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 16250, + "tgt": "Are antibiotics necessary to cure wisdom tooth infection?", + "src": "Patient: Hello doctor, My wisdom tooth may be infected, the side of my face is numb and swollen. Are antibiotics necessary for its cure? 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 acute pericoronitis. You need to take antibiotics like tablet Nigox OZ (Ofloxacin and Ornidazole) twice a day for five days. Tablet Lyser D (Diclofenac 50 mg plus Serratiopeptidase 10 mg) twice daily. Before taking medication, if you can write to me about your medical or drug history. So that it can be safe." + }, + { + "id": 17003, + "tgt": "For chest pain, is it necessary to get an ECG or can I manage with medicine?", + "src": "Patient: Hi doctor,I am feeling a slight pain in the left side of my chest while taking a deep breath. Can you help me with the medicine to cure this pain? Doctor: Hello, Welcome back to icliniq.com. I had gone through all the data posted.\u00a0We need more details of the 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": 25977, + "tgt": "I have severe period pain. Is it because of endometriosis? What is the treatment?", + "src": "Patient: Hi doctor, My girlfriend has severe period pains that are certainly endometriosis. Her recent scan showed endometrium was 16 mm thick. She has crippling pains, and she is completely immobile during her period, and sometimes in between. It is getting worse month by month. She is infertile. It is painful going to the toilet when on her period. She often has migraines.\u00a0She has huge agonizing pain, that does not feel better with Ibuprofen or Paracetamol. The pain starts two days before her period and majority of it ending 1 to 2 days after she starts bleeding. She describes the pain as an extremely heavy weight pushing down on her abdomen, vagina, and bottom. This is happening from the past 6 to 7 years, but it is getting worse over the past 6 to 7 months.\u00a0A local doctor prescribed Clotrimazole and Tinidazole. I personally think a Progesterone cream is the best course of action, yet it interferes with the Clotrimazole, so I do not know what course of action to take. We did try the Minidril pill, but it messed up her hormones pretty bad, and she started feeling suicidal, so we stopped. The pain has started happening midway through her cycle now and is getting worse and worse. She becomes completely immobile, not even able to get herself to the toilet, and I have to carry her. I will attach the ultrasound scans so you can see for yourself. Unfortunately, the imagery is the best we have. Please let me know what you think the best course of treatment we should try without having to see a gynecologist. Doctor: Hello. I did go through the ultrasound report (attachment removed to protect patient identity). Although it reads normal, endometriosis is a laparosocpic or operative finding. The symptoms she has correlates with the condition. She may be helped with hormonal medicines. However, in cases which do not respond, surgery is needed. A laparoscopy-guided surgery, which includes removal of the endometriotic nodule and breakage of adhesions may help followed by oral contraception pills for few months. Regards. For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18796, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 15605, + "tgt": "A bit of molar tooth fell out from my mouth while taking food. What can I do now?", + "src": "Patient: Hi doctor, I ate my dinner yesterday, and a bit of my molar tooth fell out from my mouth. I do not know whether it is a filling or an actual tooth. Around the area, I also had a lot of solid white bumps sticking out of the tooth. It looked like plaques. I am scared of dentists. I do not know what to do. Please help me. Doctor: Hi. It can be a fractured crown of the tooth due to a cavity. You should get an X-ray done to know whether it needs root canal treatment or it needs a simple filling. Please send a picture of it to guide you further and to make a diagnosis. It is better to get it filled as soon as possible. Do not be afraid of dentists." + }, + { + "id": 7621, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 10001, + "tgt": "I had a surgery which ended up with some failures. What can I do to fix it?", + "src": "Patient: Hello doctor,I had an emergency surgery six months ago punched through a window right arm cut both arteries cut radial nerve with ulnar damage and cut bicep tendon nerves back now almost full thumbs up the only issue is bicep. My question is there something I can do to fix it like lengthening surgery, or am I stuck? I am a boxer supposed to go Olympics this year. My surgeon focused on the nerve and did not care help. PS pronator is still little and has not fully recovered. Doctor: Hello. If you are saying it is already six months since the surgery and if you are doing regular physiotherapy, still has not gained much of the actions, then it is not worth waiting anymore. There are many muscle transfer surgeries which can give you the desired movements and help you in day today activities. But you have to remember that post such operations you will require time to train the brain and get the full use of such movements. That will take time. Do not want to demotivate you, but tremendous training and hard work might be required to reach the pre trauma stage of your boxing." + }, + { + "id": 29935, + "tgt": "What may be the cause for my father's chest pain and blurred vision?", + "src": "Patient: Hello doctor, My father had PTMC twice. He had also undergone an MVR before 10 years. Unfortunately, his heart rate always seems to rise to 150 or 160. Two years back, he had a cardioversion\u00a0and was fine with the drugs Renozex and Sotalex. After the MVR, he was on Warfarin and his INR was fine. This year, his heart rate was again raised up to 230 for a few minutes and\u00a0then remained at 130 to 140. Yesterday, he was discharged with a\u00a0heart rate of 110. The current medications include Sotalex 80 twice a day, Renozex 500 twice a day, Flecainide 150 twice a day and Ivabradine 5 twice a day. But, since yesterday, he is having little chest pain and blurred vision. Kindly advice. Doctor: Hi. I have\u00a0noted all your details. Revert back with the reports to a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 5005, + "tgt": "Please suggest some way to reduce pain during sex", + "src": "Patient: Hi doctor, I am a 26 year old virgin female. I am experiencing pain during penetration. As a result of which I have not been able to have intercourse. Please suggest some ways in which I can reduce the pain or make it easier. Doctor: Hi. I have read and understood your problem. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24573, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12080, + "tgt": "Kindly advise the treatment for central serous chorioretinopathy", + "src": "Patient: Hi doctor, I have been diagnosed with central serous chorioretinopathy. What can I do to improve or cure or prevent reoccurrence? In terms of food, medicines, habits, etc. Doctor: Hello. Central serous retinopathy is a multifactorial disease. A few modifiable causes of CSR are: 1. Type A personality- a rolling stone, always on the move and stressed out person. 2. Steroid use- can be anything from prescription drugs to herbal medication know to reduce asthma. 3. Hypertension and heart disease. 4. Other medication such as stimulators and adrenergic drugs. So, please try to relax more (although easier said than, try your best). Stop any steroid medication, if you are using prescription steroid then ask your doctors to change the drugs. Get hypertension and heart problems examined and treated. In case you have any more specific questions or if you need any further information, please send me a scanned copy of your doctors reports and tests (OCT macula), I will do my best to help you." + }, + { + "id": 30004, + "tgt": "I have itchy rash on both feet. What is that?", + "src": "Patient: Hello doctor, I developed a rash on my foot yesterday afternoon. I have not changed soap and I do not wear new clothing. While taking a shower this morning, I washed the area well and applied a steroid (Mometasone). It is still bothering me.\u00a0I am healthy except for folliculitis under my arms and a branch duct IPMN in the pancreas, for which the doctors are following. 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": 19943, + "tgt": "Can you help interpret my dad's liver function test results?", + "src": "Patient: Hello doctor, My father is 57 and he had an LFT. I wanted help in interpreting his results. Doctor: Hello. Revert with more information consult a general practitioner online --> https://icliniq.com./ask-a-doctor-online/general-practitioner" + }, + { + "id": 7534, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 18540, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14548, + "tgt": "I found mucous and blood in my stools. Is this normal? What should I do?", + "src": "Patient: Hello doctor, I am a 22 year old female. My height is 5 feet and 6 inches, and I weigh 60 kg. A few days back, after dinner, I passed stools and while flushing, I found the stool to have mucous and blood. When I attempted to clean the anal region after defecating, I found all three tips of my fingers covered with blood. I cleaned it and checked again, and at that time, there was no blood. A few years back, I had the same complaints, but then it subsided without any treatment. I usually pass stools immediately after eating. Is this normal? What should I do? Please help. Doctor: Hi. Following are the possibilities according to your complaints: You need to consult a doctor for physical examination. You will need proctoscopy (medical examination of the anal cavity with a thin tube). If the doctor finds any piles, we will have to treat them. If he feels that there are any chance of Inflammatory Bowel Disease, he will plan a colonoscopy (examination of the inside of the colon)." + }, + { + "id": 16077, + "tgt": "I have a wavering mind and over imagination. Why?", + "src": "Patient: Hello doctor, My problem is I have a wavering mind and am overimagining everything. If I am watching some negative scenes in movies or shows, I am imagining as if it is happening to me in my real life and am scared that it will surely happen in my life also. I am imagining myself as a bad girl and am crying and convincing myself that am not. For two days, I will behave like this. Then, I will self-motivate myself. Then once again, I will start imagining. I want my old me. I am not myself nowadays. I feel like committing suicide. I want to come out of this problem. I want to be happy with my boyfriend, my family and I want to be successful. I am a good girl but scared to come out of my home. I am very much scared tat I will go wrong. I do not have self-confidence and I do not believe me at all. Please help me to solve this problem. Doctor: Hello. You have intrusive thoughts and these are resulting in distress. The intrusive thoughts are unwanted dominating thoughts which result in significant distress. The thoughts on seeing some negative scene that you are bad or imagining yourself in such situations are part of anxiety. If these are resulting in distress and you are not able to function properly then please visit a psychiatrist for help. Please do not delay the treatment because this might complicate into anxiety or obsessive-compulsive thoughts. Take care." + }, + { + "id": 6311, + "tgt": "Can milk or lactose intolerance cause acid reflux?", + "src": "Patient: Hello doctor, I drink two pints milk a day with a protein shake but since then I have got acid reflux and cannot swallow without food getting stuck in my throat. Endoscopy was done last year which was normal. Is it intolerance to milk or lactose that is causing this? Also, is it safe to take Ranitidine twice a day with Lanzoprazole? Doctor: Hi. To answer your first question regarding lactose intolerance, lactose intolerance will cause predominantly bloating and loose stools. Both Ranitidine and Lansoprazole have a different mechanism of action, taking one class of drugs for reducing your dyspeptic symptoms are recommended. Any history of fingers turning white on cold, joint pain, or fever? I would suggest you undergo rapid urease breath test for Helicobacter Pylori, motility studies. If you think protein shake is the culprit for your dyspeptic symptoms, stop for a while. Avoid other gastric irritants like coffee, tea, alcohol, citrus, smoking, other spicy diets. I would suggest you take neutralizing foods like banana, tender coconut, yogurt, and curd." + }, + { + "id": 9528, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 19463, + "tgt": "Can lower abdominal pain occur after unprotected sex?", + "src": "Patient: Hello doctor, My query is regarding sexually transmitted infection.\u00a0I had unprotected sex 51 days back. I had mild fever with a very mild burning sensation on my penis\u00a0for three days after that encounter.\u00a0I consulted a doctor and she gave five shots of Ceftriaxone for five days. The mild burning sensation continued, but there were no warts or sores on the penis. I was negative for chlamydia and gonorrhea. The girl had colonies of candida albicans in her VDRL report. A month ago, there was a small sore on the foreskin of my penis and the very mild burning sensation was still there. I had to shift from the place because of my work and consulted a new doctor. The new doctor suspected it as herpes and gave me antivirals. That worked well for the mild feverish feeling which I used to have sometimes. I also used the cream Fucidin for the infection. However, the mild burning sensation still prevailed. I did tests for HIV, herpes, VDRL and urine routine last month, all of which were negative and normal. I consulted the previous doctor again over phone and she advised me a dose of Doxycycline for 14 days and Azithromycin for six days. I took the course and surprisingly the mild burning sensation was off. However, I started feeling a pain in my abdomen and lower abdomen. After four to five days of finishing the course, I still feel a pain in my lower abdomen (which I can feel in backside of the abdomen also). However, the infection on the penis seems to have subsided. Currently, I am taking one tablet of Azee for six days, Metrogyl three tablets a day for three days and Zocon 150 only once. I have no rashes or any other sores or warts on my penis or my body. The foreskin was a little tight after I stopped the Doxycycline on 14th day, but nothing is there on the penis head. It was only the foreskin which troubled me and the mild burning sensation and now it seems to be fine. It is only the pain on the abdomen and lower back\u00a0troubling me now.\u00a0What could be the reason for the pain? Doctor: Hello. Revert back after the investigations to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23894, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13031, + "tgt": "What can cause constant fatigue and sporadic body pain?", + "src": "Patient: Hi doctor, I feel fatigue despite good sleep of about 7 to 8 hours. I have sporadic pain in the body. I feel cold and freeze rapidly especially on air conditioning. Otherwise, constant palm sweat is present. I am getting discomfort with lights. I have a sense of fullness in the head as if I were on a plane. I am getting fear of the future, especially of disease and death. I could not identify the source of these symptoms. If these are psychological, then what is the solution? 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 can well understand your genuine health concerns. Such an issue happens due to either of the following causes. Thyroid disease, diabetes mellitus, hepatic disease, heart disease as endocarditis, hypertension and autoimmune disease where body's immune system gets against the body's own tissues. Situation like this may also have a psychological part of the disease. Can you please tell me how much time elapsed for such symptoms? Is this a continuous one or on and off? Do you or anyone else at your home know that you snore while sleeping? What are your blood pressure, pulse rate, and respiratory rate today? Respiratory rate is when you sit quiet and count for one minute that how many times you inhale and exhale, a complete respiratory cycle. Pulse rate, you may count by keeping the finger on wrist and counting the feeling of pulse in one minute. Do you have fever? How active are you? Can you please upload the tests you went for? Diagnosis is the key to proper treatment. We can rule out certain causes from diagnostic tests. If not available, no problem I have written all the necessary tests. You must get it done as soon as possible so that we may proceed further. Get the following investigations done and upload the report: 1. CBC (complete blood count) with ESR (erythrocyte sedimentation rate) and differentials. 2. Fasting blood sugar levels. 3. Fasting lipid profile. 4. Thyroid profile. 5. EKG (electrocardiogram). 6. Total CPK (creatine phosphokinase) levels. 7. HBSAg (hepatitis B surface antigen) and Anti-HCV (anti-hepatitis C virus) levels. It will be decided on follow up details. Do not worry, it can be managed." + }, + { + "id": 22016, + "tgt": "Why am I having bleeding even after two weeks of using Unwanted kit?", + "src": "Patient: Hi doctor,I used unwanted kit two weeks back and still, light bleeding is going on and blood color has changed. There is a bad smell. Next, what should I do? Please suggest me. Doctor: Hello. The emergency pill contains a high dose of Progesterone and so you can still have bleeding because of intake of the pill. You can be prescribed Tranexamic acid tablet to reduce bleeding. If bleeding does not stop in three to five days then I suggest you consult a gynecologist for a pelvic examination. If needed, then USG pelvis scan can be done for further work up. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 18364, + "tgt": "Can hip labral tear and sports hernia both be addressed in the same surgery?", + "src": "Patient: Hello doctor, I have a right side hip labral tear and a probable sports hernia on the same side. Can both these issues be addressed in the same surgery, or do they have to be addressed in separate surgeries? Doctor: Hi. It can be tackled in the same anesthesia and surgery. Hip labral repairs or excision is done arthroscopically and after that, the surgery for sports hernia can be done either open or endoscopically. So, it can be done in the same sitting of anesthesia. Before the surgery, the clinician should confirm the diagnosis of sports hernia. Has the MRI scan been 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://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 4535, + "tgt": "Can increased hematocrit values indicate polycythemia?", + "src": "Patient: Hello doctor, I am 40 and Male, do not smoke. Four years back, hemoglobin was 18.1, RBC normal, hematocrit 50 % normal. Now, hemoglobin was 18.4 (value was up to 17.7) RBC normal 5.78 value up to 6, and hematocrit at 50 %. Platelets were 226. The doctor thinks I just run high but nervous. Would the counts be much higher? All other values are normal. Should I worry about anything like polycythemia? Doctor: Hello. Your hemoglobin level and red blood cells count are slight high (attachment removed to protect patient identity). The hematocrit level is within limit. So you can have secondary polycythemia case. Drink lots of water at least 2-3 liter per day. I suggest you investigate with serum EPO estimation, EKG and chest X-ray investigation for further work up. Your physical examination also should be done. If all reports and physical evaluation is within limit then you may need not worry about that." + }, + { + "id": 15602, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 23998, + "tgt": "I have a new mole with a small hair growth. Does it look concerning?", + "src": "Patient: Hello doctor, I have a history of melanoma and now I have a mole. I am not aware how long this mole has been here on my arm. But it just really stands out and makes me nervous. Does this mole look concerning? It has a small hair that is growing in it. Previously, melanoma was removed from my left hand three months back. Doctor: Hi. I saw your pictures (attachment removed to protect patient identity). Your concern may be acquired compound nevus or melanocytic nevi with dysplastic changes since there is no clear margin. It is advisable to have a histopathological examination of the mole for confirmation. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16277, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 16790, + "tgt": "How to diagnose alcoholic cardiomyopathy?", + "src": "Patient: Hi doctor, I am a heavy drinker. I have been getting heart pain and fast heart rate. How to get\u00a0diagnosed with alcoholic cardiomyopathy when the echo test result is normal, and 24-hour ECG test shows tachycardia? Doctor: Hi. Alcohol effects on left ventricular function can be reversible. A number of small studies have demonstrated that if it is started before fibrosis, abstinence from alcohol can result in significant improvement in left ventricular function. A short duration of symptoms of heart failure and abstinence from alcohol are the two factors associated with favourable outcomes. The prognosis of patients with alcohol-induced cardiomyopathy is poor with the continuous use of alcohol. The reported mortality rates are as high as 42% in three years. Light microscopic altered structure and function of myocardial fibers can detect alcohol cardiomyopathy, where echo failed to reveal any abnormality in early stages. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 4246, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 29688, + "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": 30553, + "tgt": "I have developed a small white dot. Is this a sign of leucoderma?", + "src": "Patient: Hi doctor, I have developed a small white dot on my thigh a few months back. Now, the size has increased. Is this any sign of leucoderma? Doctor: Hi. Has this hypopigmented patch occurred after any injury or scab formation (attachment removed to protect patient identity)? If not, then it can be a sign of vitiligo or leucoderma. But, it cannot be confirmed at this stage. Does anyone in your family have such illness? If yes, then it points towards vitiligo. Do not worry as vitiligo can be treated with medicines. Also, search for other patches in the scalp and show to a dermatologist for treatment. 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": 3050, + "tgt": "Will CMV cause symptoms like numbness, tremors in hands and eye floaters?", + "src": "Patient: Hello doctor, I have occasional needle pin in hands and numbness. Mild itchy rash on nose and both upper shoulders (still there and barely visible). I also have slight hand tremors, increased permanent floaters in both eyes. I have CMV IgG 55 (recent infection). All STD, HIV, hepatitis, EBV, and HSV 1 and 2 are negative. Could CMV cause all these in an immunocompetent person? Ophthalmologist said that my eyes are perfect after an examination. Neurologist did a nerve conductivity test and said all reports normal. Infection specialist did western blot for HIV 1 and 2 at 16 weeks after symptoms started and said it is negative. HIV combo antibody and antigen also negative. If it is CMV, what is the treatment? Doctor: Hi, Welcome to icliniq.com. Answer to your queries are: CMV IgG positivity indicates past infection. The exposure to CMV (cytomegalovirus) might have been there some weeks to years earlier. CMV is common in general infection and up to 60% are IgG positive. Sero- positivity percentage increases with age. Treatment for CMV is not given based on CMV IgG positivity. I suggest you to get following to rule out active CMV infection: 1. pp65 antigen. 2. ELISA CMV IgM. 3. CMV quantitative test. 4. Repeat your CMV IgG titers at least after six weeks of the above tests. I suggest you to do thyroid profile, serum vitamin B12, and D3 tests. You can send pictures of your rashes for further assessment. I hope this helps." + }, + { + "id": 21114, + "tgt": "How long will it take to get my raised liver enzyme levels back to normal?", + "src": "Patient: Hello doctor, I am 31 years old and recently went for life insurance and they did a blood test on me. My results were normal except liver enzymes. AST 203, ALT 206, and GGT 281. Bilirubin 0.8 (apparently normal). I have been drinking heavily for a couple years, but quit about three weeks ago (the week prior to the blood test). How long would it reasonably take to get my enzyme levels back to normal ranges, and allow the liver to repair itself? Obviously, abstaining from alcohol is in my new life plan, and also eating well and trying to exercise more regularly. Should I currently be worried and seek additional help or medication or should the life changes above allow for my liver to get back to normal? Doctor: Hi. Yes, this is alcoholic fatty liver disease and hepatitis. You need to worry. Once you stop alcohol, the levels should come down to normal in 6 to 8 weeks of complete abstinence. You should discuss with your doctor to prescribe you tablet Udiliv that contains Ursodeoxycholic acid for three months. I would recommend you an ultrasound and a check-up for hepatitis B and C via blood tests. Moreover, you should exercise and avoid fat in the diet." + }, + { + "id": 28051, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 12173, + "tgt": "How can erectile dysfunction and premature ejaculation be treated?", + "src": "Patient: Hello doctor, I am 47 years old. I am experiencing ED and PE. Five years back I had a seizure attack once because of high BP for which I have used Eptoin 100 mg daily for three years. Currently, I am on medication for BP using Telma 80 mg and Minipress XL 5 mg (for five years) and taking Insulin 12 units daily (one year). Please advice me on the treatment to get rid of ED and PE. Doctor: Hi. B-blocker like Minipress Excell is causing premature ejaculation and ED with the effect of Eptoin (attachment removed to protect patient identity). plus diabetes also a risk-factor of causing erectile dysfunction. Kindly tell us how is your diabetes and hypertension control. then I will tell how to manage this condition." + }, + { + "id": 23613, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10099, + "tgt": "How to reduce the anger of my son?", + "src": "Patient: Hi doctor,My son is very aggressive, sensitive, short temper, get panic, hyper and angry quickly. He could not listen to any good suggestions or guidance. He does not have a mental resistance. However, he is very sincere about his studies. He has got 83% marks in his studies. Now, he is preparing for the board exam. He tries a lot to study but gets pressure. He was suffered from brain fever at the age of 2.5 years. I have tried to give him ayurveda brain tonics like Shankhapushpi, anjeer,\u00a0etc. But after taking those, he became more violent. There is no problem about sleeping. He plays cricket very well. He has good knowledge about computer, mobile, etc. How to reduce anger and increase the mind resistance of my son? I request you to guide me properly and suggest any medicine to solve his problem. Thank you. Doctor: Hi. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 20424, + "tgt": "I have got a fever with chill and decreased platelet count. Please help", + "src": "Patient: Hello doctor, I got a fever with a chill. So, got my CBC done in which hemoglobin is 14.5. TIC is 6800,neutrophil is 65, lymphocyte is 29, monocyte is 0, RBC count is 4.67, hematocrit is 46.8, MCV is 100.2, MCH is 31.0, MCHC is 31.9, and platelets count are 113.0. Malaria test is negative. Two years before, I already had a dengue and my platelets are usually 140,000 in number. What to do? Fever is 99.5. No vomiting and loose motions. Earlier i used to drink and also smoke five years back. Now, I have minimized a lot. I am a little worried. Kindly guide. Doctor: Hello. CBC seems to be good except for a mild decrease in platelet count. You need to do a dengue serology again but as of now there is nothing to worry about. Please let me know since when you are having the fever." + }, + { + "id": 23842, + "tgt": "How to avoid pregnancy?", + "src": "Patient: Hi doctor, I had unprotected sex and took I-pill the next morning within 10 hours. After three days, I bled and it lasted for three days. Also, I had my periods the next month, which lasted for seven days. I am a bit worried whether there is still any chance to get pregnant. Please let me know. 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": 6515, + "tgt": "My son has a fistula. Is Rasagandhi Mezhugu advisable?", + "src": "Patient: Hello doctor, My son, aged 27 years, had multiple fistulas last year, and we took Siddha medicine and applied Mathan oil. Now he has a fistula on one side, and now the doctor advised to take Rasagandhi Mezhugu two tablets twice daily for five days. My friends told me not to take this medicine as it contains metals which affect the kidney and liver. Is it true? Is it advisable to take two tablets? He is currently on Triphala, Sangu Rasagandhi, and Mathan oil. MRI scan was taken last month. Please reply. Doctor: Hello. Rasagandhi mezhugu is the best drug for fistula. It should be taken twice daily after food, along with a cup of buttermilk. For the first few days, we need to check the compatibility of the patient. If suitable, it should be continued for many weeks. Many studies have proven the safety of this drug, so no need to worry about it. Many cancer and AIDS patients are taking this drug for life long. You can do a blood test (liver function test and renal function test) before starting this therapy. Again, repeat the same test after two months to check whether the liver and kidneys are normal. This is the best way to ensure safety." + }, + { + "id": 17086, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 24564, + "tgt": "What is the significance of a fluctuating blood pressure?", + "src": "Patient: Hello doctor, My father has been suffering from hypertension for more than 12 years and has been taking medication. For the past six to seven months, his blood pressure has been very much under control with Ayurvedic treatment. So, he very gradually decreased and stopped taking the medicines. Around four to five weeks back, his blood pressure started rising again. So, he re-started some medications after consultation with the doctor. Now, we are seeing fluctuations in his daily blood pressure varying from (systolic readings) 115 - 170 during a day (his systolic blood pressure reading even dropped to 95 after taking one of the tablets - Prazopress, after which doctor asked to take that specific tablet - Prazopress on requirement basis). We have had all the relevant tests, which look fine as per our doctor, except for high cholesterol and Vitamin-D deficiency. He is currently taking Nebicard, Clopitorva, Olmax and sometimes Prazopress when his blood pressure shoots over 170. He also takes appropriate precautions with food and goes for morning and evening walks each for 30 minutes. What is the significance of this fluctuating blood pressure? Are there any risks involved? Do we need to change the medication? Doctor: Hi. I have read your query, and I have seen the reports (attachment removed to protect patient identity). Firstly, I think that the Atorvastatin dose you are getting may be too low. A dose of 20 mg may be needed at the least, and Clopitorva (Atorvastatin plus Clopidogrel) has only 10 mg. So, I think you need to change it. Secondly, I think I would suggest the vitamin D replacement. A Calcerol (Cholecalciferol) sachet of 60000 units once in a week with a glass of milk should help. Take this for six weeks. Then repeat Vitamin D for seven weeks. Take it on the same day every week. I think Olmesartan that you are getting is a good choice. But the dose may not be sufficient. Since you have not mentioned the dose in the query, I cannot comment on it. Also, considering the fluctuations, I would recommend two doses of Telmisartan instead. This may help keep the blood pressure uniformly stable. Also, he is on too many anti-hypertensives. I usually recommend giving any one and then step up slowly. Personally, I do not understand the query why Clopivas is being given. A blood thinner is usually given in a patient of heart disease or stroke. So, this point you may discuss with the good doctor who initiated the medicine. This is same for Nebicard. I would suggest testing kidney function. I hope this information helps. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3665, + "tgt": "What is the success rate of keratoconus operation?", + "src": "Patient: Hello doctor, I wanted to know about my wife's eye condition. Two doctors have said that she has keratoconus and another doctor says no it is not that. Doctor: Hello. It is very difficult to comment without examining you. Kindly send me your topography reports so that I may study them and guide you." + }, + { + "id": 17741, + "tgt": "I received oral sex for only two minutes. Am I at risk of HIV?", + "src": "Patient: Hello doctor, I am a 26 year old male. I only received unprotected oral sex for roughly two minutes around 46 days ago from a commercial sex worker. I did not have any intercourse. I do not know her HIV status. I had an episode of diarrhea immediately after within the next five days and it resolved after taking Levofloxacin and Lomotil (which I guess was food poisoning as it occurred the very next day). I tested for all STI\u2019s (chlamydia, gonorrhea, hepatitis, and HIV) in 14 days after exposure and all came back as negative. It is an early test for HIV. I traveled abroad for vacation in the meantime and I took Azithromycin 500 g for three days as I had throat ache and mild fever in 20 days after my potential low-risk exposure. I developed a sore on my upper gum and it has been there for 16 days. It is painless now. Also applied Orasore ointment. Recently after 40 days after exposure, I developed small red bumps only in my hand and behind the ear with a sore throat and mild fever. The doctor has prescribed me Amoxicillin antibiotic for five days and Vizylac once for five days. My throat is feeling better now. My questions are: Am I at risk of HIV? Are these recurring mild fever and sore throat acute HIV symptoms? Is the sore in my mouth a concern? As I have had an eye transplant and my immune system is weak would I have contracted HIV from my exposure? Doctor: Hello. I have noted your concern. Unprotected insertive oral sex with an HIV positive woman has a negligible/non-existent risk of transmission of HIV for the male partner unless she had oral sores or blood mixed saliva or bleeding gums which might increase the risk. You have had two episodes of a sore throat after this sexual encounter which can be because of seasonal flu and change in weather. I have a few questions. The sore on your gum could be more of a dental problem rather than an STD. I suggest you take oral Metronidazole 400 mg, thrice daily in addition to the Amoxicillin that you are already taking. Also apply Metrogyl DG gel (Metronidazole), twice daily. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 29007, + "tgt": "I am doing good with anti-anxiety medicines, except sleepiness. What to do?", + "src": "Patient: Hi doctor, I am a 47 year old male suffering from anxiety disorder and being treated for OCD specifically. A year ago, I was prescribed Zoloft 100 mg (Sertraline).\u00a0But after three months I have transferred to Prozac 40 mg (Fluoxetine) together with Risperdal 0.5 mg (Risperidone).\u00a0This has been going for the last nine months. I also take Micardis 80 mg (Telmisartan) and Lipitor 10 mg (Atorvastatin).\u00a0I am less anxious, but I lately started sleeping too much and losing concentration and focus. It is affecting my studies a lot. I came back to university after 20 years. When I am awake, I will come up with any excuse to procrastinate my studies, and usually, end up spending hours on my OCD-related day dreaming and rituals. A friend, who is a health professional, recommended Adderall to help me concentrate and fight the obsessive thoughts.\u00a0I halved my Prozac dose to sleep less than my regular 9 to 10 hours hopefully. I took an appointment with my psychiatrist two weeks from now, but I have midterms next week.My GP trusts my judgment. I could probably see her sooner than my psychiatrist. Should I ask her about Adderall? Doctor: Hi. Since your Obsessive-compulsive disorder or OCD symptoms are under control using a combination of Risperidone and Fluoxetine, it is not an excellent choice to change it. Fluoxetine usually causes insomnia rather than sleepiness, and it is often taken as a morning or afternoon dosage to prevent insomnia. Risperidone can cause sedation, but you are using only a small dosage, and it is in the night I believe. Here, using Amphetamine to counteract sleepiness is not recommended instead you can try using a drug called as Modafinil, which is available at a dose of 100 mg. Try it in the morning to prevent sleepiness and to concentrate better. If you are experiencing worsening of OCD symptoms after reducing Fluoxetine to half, then it is advisable to bring it to therapeutic dosage range in OCD, which is 60 to 80 mg. Consult your treating doctor, discuss my opinion with him or her and take treatment with consent. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 6470, + "tgt": "I have weight loss, increased hunger, thirst and frequent urination. What can it be?", + "src": "Patient: Hello\u00a0doctor, I am a 19 year old female. My height is 5 feet and 6 inches, and my weight is 160. For the past month, I have been experiencing weight loss, increased hunger, increased thirst, and frequently need to go to the bathroom to pee out large amounts. My skin has become dry. I have also lost quite a bit of weight. I experience moodiness and I am often tired despite a good night's sleep. I brought these up with my doctor but she dismissed my concerns. What could be causing these symptoms? Doctor: Hello doctor. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 25300, + "tgt": "I skipped my periods. Is it due to PCOD or pregnancy?", + "src": "Patient: Hi doctor,I am a 27 year old female. I have skipped my periods which was due on 4th. I have PCOD issue. Now I have morning sickness, cannot eat something sweet, fatigue and mild crampings on right and sometimes throughout with upper backache and lower backache. Did my urine test at home yesterday, it was negative. So, kindly help me out with this. Thank you. Doctor: Hello. The period may be late due to many reasons including anxiety and stress. In your case, it may be due to PCOD or thyroid problem. The chance of pregnancy depends on when you had unprotected sex. If it was in the middle of the cycle, then repeat urine pregnancy test after five days. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14387, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 9323, + "tgt": "How to correct a scar that is present between the eyebrows?", + "src": "Patient: Hi doctor, I have a new horizontal scar between my eyebrows, and this has caused a crease when I frown. The scar is not vertical, and it goes through 45% angulation.\u00a0Can this be fixed? Doctor: Hi. For further information consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon" + }, + { + "id": 2912, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 6603, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 7856, + "tgt": "Are small bumps on my face, chest, and back due to acne?", + "src": "Patient: Hello doctor, There are lots of small bumps on my face, chest, and back. I am not sure they are acne or not but could you look at it and tell me a solution? 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 you are having a condition called acne vulgaris. Acne can present as papules, comedones, pustules, cyst, scars. In your case, it seems that you are having grade 1-2 acne. In such cases, I prefer to advise oral antibiotics like Doxycycline, Minocycline, Azithromycin to my patients. You may apply Clindamycin gel in the morning and Benzoyl peroxide alternatively with topical Retinoids in the night time. In non-responsive cases, consideration is given to start oral Retinoids. Avoid oily food and hair oil application. Visit your doctor so that he can examine you and give you a prescription. You can share my opinion with him. I hope it helps. Take care." + }, + { + "id": 26653, + "tgt": "What does sinus arrhythmia indicate?", + "src": "Patient: Hi doctor, I am a 35 year\u00a0old\u00a0male. I\u00a0had\u00a0an ECG done early in the morning immediately after waking up from sleep. It was 60 bpm. Later, on the same day, I took another ECG in the hospital and it was 83 bpm. It was mentioned on as a normal sinus rhythm with sinus arrhythmia. What does it mean? Doctor: Hi. Be assured. All the best. For further queries consult a cardiologist online --> https://icliniq.com./ask-a-doctor-online/cardiologist" + }, + { + "id": 24036, + "tgt": "Is there any herb or supplement to manage premature ejaculation?", + "src": "Patient: Hi doctor, I am 25 years old male with an average body (height 5'7\", weigh 84 kg). I exercise regularly (running, weightlifting). However, I feel like my metabolism is low. I do not eat heavily, nor drink or smoke. Even being this way I can observe that I do not lose weight and most of the times I can see an increase in my body weight. Lately, I started to observe that I have premature ejaculation and at times weak erection. I do not even see the morning erection anymore. I researched a bit about a solution for ED and premature ejaculation and found that consuming L-Arginine could benefit me. But at the same time, I am confused with the side effects. Is there any better herb or supplements that can help prevent my situation. Doctor: Hello. There are a few things you should know about this condition. First of all, if the ejaculations happen before two minutes during sex, we call it as premature ejaculation. There are two types. One is the primary type that is from the beginning of sex life, usually kind of a genetic condition. Secondary type is usually due to some risk factors like performance anxiety, overweight, stress or thyroid disorder. Vitamin D deficiency also can contribute. Around 20 percent males have this condition. Treatment wise there are natural methods including pelvic strengthening exercises, certain diet changes, and Ayurvedic supplements. Natural methods will help and the effect is long-standing but it may take time to show its effect, till then medicines may be necessary so a combination of both medicines and natural will be required. Just taking medicines will solve the issue as long as you are on medicines but for a long-lasting cure, start the natural methods too so that once you stop medicines, the effect persists. I will suggest both. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13491, + "tgt": "How can I treat allergic reaction to Doxycycline?", + "src": "Patient: Hello doctor, I had an allergic reaction to Doxycycline and broke out with hives and skin rashes. What can I do to clear it up? Doctor: Hi. The presented photograph is not hives (attachment removed to protect patient identity). It is chronic dermatitis. It has nothing to do with Doxycycline. You need a medium potency Corticosteroid cream like Betamethasone valerate 1 % twice daily for two weeks with an anti-allergic tablet like Loratidine 10 mg once daily for 10 days. Hives are different. They appear reddish and appear and disappear. In that case, you need same anti-allergic tablet mentioned above plus Calamine lotion. If it is severe, you need to see a GP. It requires injectable medications." + }, + { + "id": 18690, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21963, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25919, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2739, + "tgt": "I have a slight fever and tired with normal EKG. Should I be concerned?", + "src": "Patient: Hello doctor, I am a 50-year-old female, overall healthy but recently having issues with tiring easily when biking and doing stairs. EKG was fine. CBC showed low WBC, low anion gap, and vitamin D deficiency. I had a low (99.4\u00b0) temperature earlier today. In light of Covid-19, and being that I work in public, should I be concerned? I currently on Focalin and Triamcinolone acetonide. Doctor: Hi, Welcome to icliniq.com. I have gone through your detailed history and studied the lab results. (attachment removed to protect patient identity). As per your history, you feel feverish and tired. Your TLC (total leukocyte cont) is low. Record of temperature is 98 degrees. So firstly you have a viral fever, but there is no cough or difficulty in breathing so Corona is not the main diagnosis, but do keep in mind. If you have not been with any corona case, take rest, take tablet Tylenol 1 bd if you are not allergic to it. Keep isolated from a crowd. Then your symptoms are due to a bit of vitamin D3 deficiency. For this take Drise 60 k two times a week and you will be fine. Keep me informed. Viral infection. Corona to be a remote possibility. Bed rest, Tylenol 1 bd. Take rest, avoid public gatherings. Tell me in three to five days of any fresh symptoms." + }, + { + "id": 12607, + "tgt": "Is it normal for a newborn to have frequent urination with slow increase of body weight?", + "src": "Patient: Hello doctor, My baby is 5 weeks old. He is frequently urinating but slow weight gain. Is my breastfeeding enough for him or not? Doctor: Hi. Frequent urination is because of more of foremilk feeding. Poor weight gain due to hindmilk deficiency. Hindmilk is rich in fat which helps in baby's weight gain. Foremilk contains more of water which makes the baby pass urine frequently. Your feeding has to be assessed. You should feed for at least 15 to 20 minutes. You should put her on next breast only if the first breast completely empties. Follow this advice and recheck weight after one week." + }, + { + "id": 24430, + "tgt": "Patient has excreting problem. Is it a fissure and does it need surgery?", + "src": "Patient: Hello doctor, My brother is 38 years old and he is obese. His weight is more than 150 kg. He has been found with liver cirrhosis few years back and he has taken medicine for that and all went normally. Later, he found with balanitis but after medicine he was normal. At present, he used to drink but now he is facing an issue. He has an issue with excreting out due to a fissure. He said that a few days back when he was in the washroom, he felt some piece of flesh came out through his excretory part and he used to have tight stools and feels some pricking type in his anus. His tummy also feels like some balloon on his left side of tummy. He is asking that whether he is facing fissure issue and should get this thing operated or not. Sir, I want to know what should we do. He is a hypertensive too. Doctor: Hi. I could find three issues with your brother. They are obesity, cirrhosis, and fissure. All these are related. He needs to lose weight. He has to be motivated with regular physical activity, modified diet and restrict fluid to 2 liters a day. Regarding cirrhosis, he needs to be on regular follow up. We need to check how bad his liver is. We need to check his : Being cirrhotic he needs to have two to three times of bowel movements daily that too soft stools. When stools become hard, his fissures (cracks) in the anal region become worse and painful. So, the first step is to avoid constipation and constipating foods. Take syrup Looz (Lactulose) 30 ml at night or twice or thrice daily to achieve adequate soft stools. You can use these two creams alternately every four hours for acute pain, Cremagel (Diltiazem) and Smuth (Lidocaine, Dobisilate, and Hydrocortisone) cream. Better to try without surgery as he is cirrhotic. If pain does not settle with these measures you can go ahead with surgery. Definitely, he has to be abstinent from all liver-damaging substances. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 28355, + "tgt": "I took only two active tablets of the combined OCP, and I had unprotected sex. Can I be pregnant?", + "src": "Patient: Hello doctor, I had unprotected sex, but my husband did not ejaculate inside me. I am on the combined contraceptive pill,\u00a0but I have taken only two tablets of the active pills. What are my chances of getting pregnant? Doctor: Hi. How are you doing? Unprotected sex definitely has a chance of pregnancy. Even if he did not ejaculate inside you, even the pre-seminal fluid or precum, that is, the clear fluid that comes out of the penis before the semen, which is rich in young healthy sperm, comes in contact with the genitals or the thighs, sperms can swim up into the vagina and reach the egg. So, then there is a chance of pregnancy. If you started taking combined pills two days ago, then there is no hormonal suppression and there is a chance of pregnancy. Mechanism of action of these pills is the same as estrogen and progesterone hormone produced in your body. They are given in high dose, so the body hormones are suppressed, so there will be no ovulation, so no pregnancy. But for such a suppression to occur, you should have been on the pills for at least two months and should have been taking the pills regularly without fail. If during such regular intake with good suppression of hormones, if you have sex during the period of the inactive pill, there is no problem. I had to explain as your history was quite incomplete and missing many details. Hope I have clarified your doubt, 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": 29764, + "tgt": "Should anything be done to pull out the excess iron level in blood?", + "src": "Patient: Hello doctor, I am a 61 year old male. For many years, I was treated for hemochromatosis. Then, about 12 years ago, I had a genetic test. The results prompted the hematologist to abruptly stop the recurring phlebotomies.\u00a0I do not recall the test result and apparently, it cannot be located. But, I remember it was something about the homozygotic versus heterozygotic situation.\u00a0My current iron level is high at 216 mcg/dL,\u00a0IBC is normal at 259 and iron saturation is high at 83%. The ferritin is also high at 1042 mg/dL.\u00a0All blood count factors are in the normal range. Should anything be done to pull out some of the iron? Currently, I am taking Losartan, Hydrochlorothiazide and Relpax. Doctor: Hi. I understand your concern. Revert back with the details to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20126, + "tgt": "I have a fungal infection on the face that recurs when I stop the cream. Please help", + "src": "Patient: Hi doctor, I am 24 years old. I have been diagnosed to have a fungal infection on my face and was suggested to use candid B cream when I was in primary school. I had relief, but I have been now developing the same kind of lesions since five years and I have been using candid B every night. If I stop using this cream, I develop itching and red rashes within a period of four to five days. I consulted a dermatologist regarding this issue and he suggested me to use Miczo F cream for two weeks and then stop. But I have the same trouble after discontinuing the cream. Will you please help me to withdraw the cream safely? Doctor: Hello. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). I can see some dryness, flakiness, and small red patches on the side of the chin, jaw, and side of upper lip. It is not exactly a fungal infection. It is actually seborrheic dermatitis of the face. It is a condition similar to dandruff on the scalp. Seborrheic dermatitis too has a fungal etiology. The overgrowth of yeast Malassezia furfur is supposed to play a role in seborrheic dermatitis of scalp and face. The creams you have been using contain an antifungal and steroid component. Though the steroid component brings rapid control in seborrheic dermatitis but as soon as the cream is stopped the rash comes back, as in your case. I suggest you try a non-steroid cream like Pimecrolimus 1 % cream (Picon cream or Elidel cream), twice daily. You may use it for three to four weeks and then taper it off gradually. You may or may not get it to recur when you stop the cream but Pimecrolimus is at least much safer than steroid creams even if they have to be used long term. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 5227, + "tgt": "How can weakness due to masturbation be cured?", + "src": "Patient: Hello doctor, I am 29 years old. I had practised masturbation for the past 12 years. Initially for 4 to 5 years, I was masturbating for 2 to 3 times a week. For the last 3 years I am a bit in control (used to masturbate 1-2 times a week ). For the past 2 to 3 years I am feeling general weakness all over the body. I am having back pain and mild neck pain for the past four years. I am underweight (55 kg, height 178 cm) and have some digestive issues too (my digestive fire is less). I am about to do marriage in five months. I want to be physically prepared for the marriage and want to regain my lost health due to excessive masturbation. I request you to kindly suggest siddha medicines for improving my sexual health and digestive health. Doctor: Hi. Continuous involvement in masturbation leads to some loss of protein (weight loss) as well as general weakness. The body undergoes excess pitham (excess heat at eyes and also on internal organs). We need to correct these two things through the following Siddha drugs. Capsule Rathina purush- one capsule at night after food. Nannari legium - 3 grams (one spoon) morning and one spoon at night before food. Diets : Eat more drug grapes, cashew nuts, banana, fruits, pumpkin juice, pumpkin halwa, buttermilk daily. Oil bath - apply dil oil (nalla ennai) or kumari thailam or karisaalai madakku thailam or santhanaathi thailam 30 minutes before bath. After 30 mintues, take bath. Practice this daily." + }, + { + "id": 18036, + "tgt": "How can cherry angiomas be treated?", + "src": "Patient: Hello doctor, I have cherry angiomas all over my stomach. Is there a natural way to get rid of them? I am on Lisinopril. I am currently working as a contractor and cannot see a dermatologist. Do you have any suggestions or recommendations? Doctor: Hello. For more information consult a\u00a0dermatologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 19381, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 21009, + "tgt": "Is it normal to have brown discharge with terrible smell close to my past period?", + "src": "Patient: Hello doctor, I started my period 15 days back. And it ended a week later. Today (five days after it ended), I had some brown discharge (this was about 11 hours ago). And this is gonna sound really weird but when I was in the shower (11 hours later) I stuck my finger up there and when I pulled my finger out there was a lot of blood and discharge and it smells terrible. Is this normal to have this much discharge so close to my past period? Doctor: Hello. The presence of smell and bleeding with discharge after your menses have stopped, indicates a possibility of cervicitis with bacterial vaginosis (infection). If you are sexually active then the chances of contracting infection are higher. You shall require a per speculum examination by your gynecologist to rule out cervical erosions." + }, + { + "id": 15844, + "tgt": "What is the reason for blood in urine?", + "src": "Patient: Hi doctor, My friend has seen just a pinch of blood while urinating. He immediately went to the doctor and they asked him to take some tests. I am attaching the reports. Please tell me if anything is serious. He does heavy gyming and running as well. Doctor: Hi. I have seen your urine report. First of all do not panic This is occasionally hematuria from the external urethral tract, not from kidney due to heavy exercise, mild trauma or ureteric stone. In the urine report, no blood is detected, it is completely normal. If he has any pain during urination or recurring blood in urine, go for USG KUB." + }, + { + "id": 12613, + "tgt": "What are my chances of having CLL based on the blood reports?", + "src": "Patient: Hello doctor, Should I think about going to a hematologist? The last few years of my CBC shows WBC 8.4, 9.6, 13.9, 11.3, 11.3, 10.5, 8.3, 12.3, lymph (abs) 3.2, 4.4, 3.9, 4.0, 3.8, 3.6, 3.9, platelets 331, 400, 380, 453, 428, 407, 459, 389, neutrophils (abs) 5.8, 8.5, 6.3, 6.4, 5.8, 3.9, 7.6, eosinophils (abs) have all been .1 or .2. I am an active 50-year-old female, 156 lbs, with hypothyroidism 175 (since past nine years, Levothyroxine MCG), Genetic high cholesterol (since I was 18 years old), cholesterol total 257, tri 273, HDL 80, LDL 135. Just started on Atorvastatin 20 mg. I am starting to get concerned that I am in the early stages of CLL. Should I request to be sent to a hematologist? Doctor: Hello. I do not find any significant abnormality in the report. At one stage your lymphocytes were high that is 4.4. But it fluctuates as per reports and not raised to more than 4.5 at any time (attachment removed to protect patient identity). If absolute lymphocytes remain persistent high greater than 4.5, then CLL can be ruled out by flow cytometry investigation. You can consult a hematologist for your detailed physical examination." + }, + { + "id": 17010, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15540, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17142, + "tgt": "I have pain in my neck and upper arm, with numbness and tingling in both arms. Please help", + "src": "Patient: Hi doctor, I have mucosal thickening with aerated secretions in the sphenoid sinuses with surrounding hyperostosis. The mucosal thickening in left maxillary sinus is greater than right maxillary sinus, with trace aerated secretions. Also, opacification of right mastoid air cells and right middle ear cavity is present. The right scutum is not eroded.\u00a0There is a large, 2.1 cm hypoattenuating inferior left thyroid lobe mass.\u00a0 C2-3, small disc bulge with uncovertebral hypertrophy and mild bilateral facet arthrosis. Mild spinal canal narrowing with contact of the ventral cord surface. The neural foramina are patent.\u00a0C3-4, bilateral uncovertebral hypertrophy, and mild bilateral facet arthrosis. Small disc bulge and mild ventral thecal sac effacement with possible cord contact, but no high-grade spinal canal narrowing. Moderate bilateral neural foraminal stenosis. C4-5, uncovertebral hypertrophy with disc bulge and calcified central disc protrusion. Mild bilateral facet arthrosis and mild ventral thecal sac effacement with ventral cord contact. Mild right, moderate left neural foraminal stenosis.\u00a0C5-6, mild circumferential disc bulge, and uncovertebral hypertrophy. Mild bilateral facet arthrosis. Small central disc protrusion. The spinal canal is patent and mild bilateral neural foraminal stenosis.\u00a0C6-7, disc height loss with mild circumferential disc bulge. Moderate bilateral facet arthrosis and the spinal canal is patent. Mild bilateral neural foraminal stenosis.\u00a0C7-T1, disc height loss. Moderate to severe bilateral facet arthrosis and small central disc protrusion. Spinal canal and neural foramina are patent. Impression, mild multilevel cervical spondylosis. Mild spinal canal narrowing with contact of the ventral cord surface is noted at C2-C3, C4-C5, and possibly at C3-C4. Moderate bilateral neural foraminal stenoses at C3-C4, secondary to degenerative disc and facet disease. Mild right and moderate left neural foraminal stenosis at C4-C5, and mild bilateral neural foraminal stenoses at C5-C6 and C6-C7. There are findings of right otomastoiditis. Inflammatory paranasal sinus disease with findings suggestive of acute and chronic sinusitis. Doctor: Hello. Revert with more information to a spine health specialist online --> https://www.icliniq.com/ask-a-doctor-online/spine-health-specialist" + }, + { + "id": 932, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 3009, + "tgt": "Please estimate my blood test report and comment on the abnormal values", + "src": "Patient: Hello doctor, I found in my test report with high mentioned below. Bilirubin total 1.4 H mg/dl Triglycerides 251 H mg/dl 0.0-150.0 LDL cholesterol 108 H mg/dl < 100 VLDL cholesterol 50.2 H mg/dl < 40 Cholesterol /HDL ratio 5.28 H - 0.0-5.0 Fasting blood sugar (Hexokinase) 126 H mg/dl 70.0-100.0 MCHC (Mean corpuscular hemoglobin concentration) 34.8 H g/L 31.5 - 34.5 Monocytes 1.5 L % 0.2-1.0 thousand/\u00b5L [2-10%] Please let me know is there any problem. Doctor: Hello. Abnormal reports are one is lipid profile, you are having hyperlipidemia and secondly, blood sugars which are just in a diabetic range. Bold figures are not necessarily abnormal and slight variation is acceptable. Get one ECG (electrocardiography) done as well. You should have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. Have a low salt diet and monitor blood pressure regularly and should not be persistently more than 140/90 mmHg. Take lots of green leafy vegetables, fruits, fish once or twice a week, and avoid meat. Avoid smoking and alcohol if any. There should not abdominal fat deposition or obesity. Also, you should be started on lipid medicine like tablet Rosuvastatin 10 mg at bedtime, repeat the lipid profile after eight weeks. For sugars, I think we should try vigorous lifestyle changes which includes strict avoidance of sweets, regular exercises like brisk walking, jogging according to your capacity at least 30 minutes a day and five days a week, and above mentioned changes. Repeat fasting and postprandial blood sugar after two weeks and also get HbA1c (glycated hemoglobin) done. If they are still in the diabetic range then you need to take medicine like Metformin. I hope this helps." + }, + { + "id": 16207, + "tgt": "How can I change my teeth color to white permanently?", + "src": "Patient: Hello doctor, My teeth color is yellowish. How can I change my teeth color to white permanently? Doctor: Hello. The teeth color is a result of genetics, nutrition and other habits such as smoking. If your teeth are healthy overall and caries free and you brush twice per day, teeth whitening can be performed but it lasts for about six months to two years. Permanent teeth whitening can be accomplished by putting on veneers (resin or porcelain) or crowns on your six front teeth. This can be done in a dentist's office. If you pick veneers, your dentist will prepare your front six teeth by removing a small number of yellowish teeth and then he will replace it with resin or porcelain. The same will happen if you choose putting crown on but the amount of the tooth substance removed will be around the double. So, the solution I propose for permanent teeth whitening is veneers. Nutrition, genetics, bad habits. Putting on veneers or crowns. Avoiding smoking, excessive red wine and coffee drinking, brushing twice a day thoroughly." + }, + { + "id": 8108, + "tgt": "What is the time interval for a diabetic patient to check blood glucose level?", + "src": "Patient: Hello doctor, After how many days a diabetic patient needs to check their blood glucose level? Is the BMR is too low for a whole day diet plan like 1000? Such low calories are sufficient for any patient for the entire day, or do we need to improve something? Also, guide us by giving factors to be considered while providing a proper diet plan. Doctor: Hello. For a person with diabetes on medicines, with stable blood glucose levels, they need to do their BSL fasting and Pp once in six months and HbA1C test every three months. For people with diabetes on insulin, they need to follow the same, but additionally they need to check their BSL on the glucometer before every meal, and accordingly, they need to take the insulin dose. Mainly in people with diabetes, the body is unable to control the high rise in blood glucose after eating a meal. Hence, high carbohydrate (too much of rice, potatoes, sweets) meals should be avoided. Any food product that finally breaks down into glucose. They should eat more fruits, vegetables, proteins. They should drink plenty of water. I hope you find this helpful." + }, + { + "id": 10167, + "tgt": "My Hb is 8 to 9 with normal MCV and spleen enlargement. Please advice", + "src": "Patient: Hello doctor, My Hb is 8 to 9 always, and MCV is on the normal range, on CBC. I have enlarged spleen (moderate to severe) since childhood and chronic since then. I have a history of blood transfusions but had transfused only 6 to 7 times. My brother has the same problem with the same symptoms also. He is 31, and I am 34 years old. My mother is anemic with Hb 7.5 to 9.0 always, with normal MCV on CBC. She is 51 years old. Father has normal HB 14 always. Doctor: Hello, Welcome to the icliniq.com. You have to rule out iron deficiency anemia and hemolytic anemia in your case. You need to investigate further as follow. You can revert with reports once done.If you have hemolytic anemia than hemoglobin level usually remains in the borderline range.If your above reports suggest towards iron deficiency anemia than iron tablet will recover your anemia completely. So revert with reports once done. Meanwhile, you can be prescribed ferrous ascorbate tablet for your anemia.I hope I have answered your question. Let me know if I can assist you further." + }, + { + "id": 14764, + "tgt": "Had dialysis, but there is no improvement in the kidney function of a liver cirrhosis patient. Why?", + "src": "Patient: Hi doctor, My father is suffering from liver cirrhosis as reported by the doctors. His kidneys are also damaged and due to constipation brain is also getting affected. Urine is not passing. He is unconscious. We tried dialysis twice but there are no signs of improvement as per the doctors here. I just wanted to have another opinion regarding his survival. Any experienced doctor's advice would help a lot in this situation. He is an alcoholic since last 20 years. Doctor: Hello. As described in the case summary, the patient's condition is critical (attachment removed to protect patient identity). Decompensated cirrhosis is an irreversible disease, and it seems the patient has all the complications of the disease. The optimum medical management is already being provided as per the summary. Liver transplant is the only curative option but with the current situation, at least some partial recovery would be perhaps needed before the transplant can be taken up particularly for kidneys. Logistics and donor from family are needed for transplant to proceed as LDLT is an option. The patient is too sick to wait for a cadaveric donor. It seems it would be prudent to continue treatment as of now. The chances of survival will depend on the recovery signs best judged by the treating doctor." + }, + { + "id": 8253, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 9903, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 21983, + "tgt": "Chest pain immediately after sex in a patient with two stents. Kindly advice", + "src": "Patient: Hello doctor, My husband is 55 years old and had two stents put in seven months ago for a major blockage. Thankfully it was caught due to symptoms prior to having a heart attack. He is on blood thinners and a few other medications. He is pretty active and we have a healthy sex life (two to three times a week). He has experienced a little lightheadedness after climaxing and on occasion some chest discomfort. The last two times we have had sex he has had pretty severe chest pains immediately afterward and feels crappy for the rest of the day. He is stubborn and does not want to talk to his doctor about it. During his last appointment, he told the doctor that he was experiencing some discomfort after exertion and he said it was normal. But this is more than discomfort it seems. I am worried of course but he is not convinced. I am trying to find out what it possibly could be so I can convince him to go back to the doctor or if I should not worry to give me some peace of mind. Doctor: Hello, It is not a normal thing to have severe pain after exerting. Sexual activity involves heavy exertion and in general heavy exertion is not recommended for heart patients. Anyway, if sex is must then medicines needs to be optimized. Firstly, I guess he must be having some minor blockages other than major which are stented and these are the one which must be creating problems now. Let me know if he has any more blockages mentioned in angiography report. Also, you should inform the doctor regarding the sex, there is nothing to feel shy in that. It is very common, patients discussing sex with doctors and we do not feel anything odd about it. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 11101, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 13742, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 17759, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4853, + "tgt": "What causes swelling of tonsils?", + "src": "Patient: Hello doctor, I have been having off and on ear pressure in my right ear and have some cold symptoms the last 1.5 weeks (chillish), runny nose, body aches, etc. My kids have battled the cold as I have my office. I noticed my right submandinbular lymph node was slightly swollen. I went to my GP and he prescribed antibiotics which has not helped. I have had sinus issues in the past. I noticed that my right tonsil is bigger than the other, which is the side of the pressure and lymph node. Can a viral illness cause one-sided swelling? Could this be tonsil cancer? I go to the dentist every six months whom I assume checks out my tonsils. I am concerned it is one sided. My throat has not really been that sore. Doctor: Hello. I went through the pictures (attachment removed to protect patient identity). It seems you have inflamed tonsils. One side does appear to be larger and more red than the other. It does not mean you got tonsil cancer. It is a routine infection that needs strong antibiotics. The symptoms with regards ear, swollen node, etc., all signify infection. How many days Amoxicillin course has been completed? What dosage did you take? Did you take any gargles along with the antibiotics? Any nasal or oral decongestants? Any nasal sprays? Did the GP check the insides of the ear using an otoscope? Usually, when one has tonsillitis or pharyngitis the pain gets radiated to the ear and sometimes the infection also passes into the ear through the eustachian tube causing fullness and swelling inside the ear. The nearest nodes also get swollen when the infection is severe. I would suggest you take a course of Clarithromycin appropriate for your weight for 5 days and take Betadine or Benzydamine gargles. Take Otrivin nasal spray for five days and steam inhalation. If the infection is not subsiding and the nodes are increasing in size you may need some blood tests and possibly intravenous antibiotics. Do you smoke or drink? What sort of a diet do you consume? Is there any fever or weakness alongside?" + }, + { + "id": 30560, + "tgt": "Why am I getting recurrent miscarriage?", + "src": "Patient: Hi doctor, At first, I ended up with miscarriage in 8 months. It was a natural one when the baby movement got less and I was unable to determine. Then, after eight months I conceived. That also ended with a miscarriage in a month's time. I have\u00a0gone through D and C. Now, I have been trying to conceive for the past three months after D and C, but I am unable to get pregnant. I have hyperthyroidism and taking medicine Thyronorm 100 mcg for 2 years after my first case. Please explain why is it happening so. What I need to do to conceive again? My age is 30. I had all other tests like rubella and other virus tests and all reports are normal. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10515, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 29249, + "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": 9916, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 28687, + "tgt": "Which is better for a 15 months old baby, simultaneous or sequential cochlear implant?", + "src": "Patient: Hello doctor, My niece is 15 months old, and we found that she was not reacting to sound. So, we consulted a doctor, who confirmed in the report that she has profound hearing loss in both ears. The doctor suggested cochlear implant, and we decided that we will go for the cochlear implant. But, the problem is that the doctor is telling us to go for a bilateral implant, and we want to go for a single implant. We are worried about the pain the baby will go through after the implant. The other thing is, there will be a scar behind the ear, but I have read that there will be no gnarly scar. The clinic that we used to visit has not given anyone two cochlear implants, all the patients had sequential cochlear implantation. Everyone suggests that there is no need to go for bilateral, as a single implant gives better results. Apart from all this, my niece weighs only 6.7 kg, which is very less according to the\u00a0pediatrician. Will she be able to recover after the bilateral implant? Her hemoglobin is 10.7 g/dL. Which is better, simultaneous or sequential cochlear implantation? Doctor: Hi. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29023, + "tgt": "I am getting nightmares. How can you help me?", + "src": "Patient: Hi doctor, I have nightmares in the night. How can you help me not have them? Doctor: Hello. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 16060, + "tgt": "Can ear pricking cause ear pain and hearing loss?", + "src": "Patient: Hello doctor, I am suffering from severe ear pain in my left ear. Today is the third day and I cannot hear properly. It resulted due to pricking my ear. Doctor: Hi. After reading what your complaints are, I think two possibilities are there which can lead to the symptoms you are perceiving. It could be that you already had an underlying infection of the middle ear which can lead to an earache and pricking was incidental or that fiddling with ear may have lead to infection of the external ear canal which could lead to symptoms. I would like to know if you had a common cold and running nose or pharyngitis before an earache and decreased hearing appeared. Is there any discharge from the ear? Does moving your pinna cause any pain? In either cases, you need an antibiotic and analgesics. If you had any history of cold, you need decongestants as well. URTI (upper respiratory tract infection). 1. AOM (acute otitis media). 2. Otitis externa." + }, + { + "id": 9974, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 25268, + "tgt": "I kissed my partner before he had a cold sore. What is my risk of outbreak?", + "src": "Patient: Hello doctor,My partner has a cold sore. I kissed him before it actually looked like one. I already carry HSV1, but I have never had a cold sore. Did I put myself at risk? Doctor: Hello. Herpes simplex virus (HSV) if once acquired stays lifelong. When it is dormant it does not produce cold sores. When there are risk factors like stress in any form, physical stress, mental/emotional stress, recent illness, surgeries, prolonged sun exposure can trigger cold sores. When there are active sores with blisters and fluid in it, the person who does not have HSV can contract the virus and produce cold sores. Since you already carry HSV, you can have a cold sore with above-mentioned risk factors and it may not increase the chance of getting a cold sore as there were no blisters at the time of contact (kiss). Hope this answers your query. For more information consult a venereologist online --> https://www.icliniq.com/ask-a-doctor-online/venereologist" + }, + { + "id": 19619, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13695, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30353, + "tgt": "What medical test should I take for tiredness?", + "src": "Patient: Hi doctor, I am a 28 year old female. I am single. I feel drowsy all the day while working. Sometime, I feel less energetic when compared to other colleagues. Also, I have gotten pain in the knee joint. Can you please suggest the probable medical test or medication I should take? Thank you. \u200b 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": 1108, + "tgt": "I have run out of Seroflo 250 inhaler that I use for asthma. Can I use Maxiflo 250 inhaler instead?", + "src": "Patient: Hi, firstly i would like to thank for this wonderful and a very helpful service of online consultation. My query is, i have been using inhaler Cipla serflo 250 from almost 6 years as i am an asthama patient as its a hereditary thing that i have, but as i am in a foreign country at the moment and my inhaler is about to get over and due to this pandemic time i cannot get it imported to my place. But i have a friend who has given me Maxiflow 250 from Cipla as well so i wanted to know if i can use that as an alternative inhaler as i do not have my serflow 250 Inhaler in stock. Your assistance would be highly appreciated and much obliged. Thank you Doctor:" + }, + { + "id": 11077, + "tgt": "Root canal treatment is advised in milk teeth. Please advise", + "src": "Patient: Hi doctor, My son is 4 years old. He was only on milk diet till three years. His eight teeth got brown color, when we went to the doctor he suggested for cleaning and filling for six teeth but for two teeth, he suggeested for RCT. My son never complained about pain or swelling. Do we really need to go for RCT? Doctor: Hello. Yes, it is called pulpectomy procedure, not proper root canal treatment as done in adults. Those milk molars have to stay till 10 years of age at least. So, if you want to prevent breakdown of teeth and pain in near future, it is necessary." + }, + { + "id": 28010, + "tgt": "I have a constant headache after a head injury. What to do?", + "src": "Patient: Hello doctor, I had a\u00a0head injury last week. I started doing normal activities after five days, but now I have a\u00a0constant headache. I have an exam later this month. What should I do? Doctor: Hi. I read your query and understand your concerns. Thanks and regards. Revert with more information to a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 16327, + "tgt": "Suffering from diarrhea after having spicy food. What to do?", + "src": "Patient: Hi doctor, Three days back, I had food for dinner. The food was spicy. Next day, in the morning, I vomited it completely. I suffer from diarrhea for the past two days, and I feel tired. Please suggest me. Doctor: Hi. You are suffering from acute gastroenteritis. As you are feeling tired, you must take ORS (oral rehydration solution) after passing of each stool. Otherwise, you would become dehydrated. Take plenty of water and ORS. Avoid taking spicy foods. Avoid eating foods from outside. Take a healthy homemade meal. For vomiting, you must take antiemetics. You can take tablet Emistat 8 mg (Ondansetron) one tablet in the morning, afternoon and evening before having a meal for three days. Please say whether you have abdominal pain. You should not take medication on your own without consulting a doctor. Follow these instructions. If there is no improvement, then you can take an antibiotic." + }, + { + "id": 27924, + "tgt": "I had a ear drum repair surgery four years ago. And now it is infected again. Please guide me", + "src": "Patient: Hello doctor, I had myringoplasty done four years ago on my left ear. The surgeon, at the time, has advised me, the procedure will be done through the ear canal to repair the perforated eardrum. Three weeks after the surgery, I returned to my ENT specialist to get it checked, and upon inspection, he told me that the eardrum has repaired well. I was so happy to hear the news.I thought everything went well because when I push in my finger through the ear canal, I can feel it wobbling just like my healthy ear, but before the surgery, there were no vibrations at all. So two months went by and I felt relieved to have a\u00a0shower without any earplugs. But three months later, my left ear became infected again. However, this time it was not as severe as before when I had a perforated eardrum. Still, it was slowly becoming wet and smelly and there would be a little discharge when sleeping.A year after the surgery, I had a chronic ear infection with smelly discharge just like prior to the surgery. The initial symptoms after getting water in my ears were ear ache then ear discharge. I got worried. So, I made an appointment with a different ENT specialist to treat the ear infection, as well as to get evaluated on why I was getting the\u00a0middle ear infection when the eardrum was intact.After micro suctioning my left ear, the doctor discovered no hole but told me that the graft looked like a gauze mat, through which water could still seep in, causing me ear infections. I got prescribed antibiotic ear drops for a week, which treated my ear infection. But, I have never heard of this complication before, nor have I come across any medical websites saying that it is a possibility. Please advise if you have ever come across what I am facing right now and if it is a common issue. I am so confused, because I thought when grafts fail, it leaves a hole and not what seems like a gauze mat. Doctor: Hello. I understand your concern. For more information consult an otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 11775, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1779, + "tgt": "Got crossbite following ortho treatment, what to do?", + "src": "Patient: Hi doctor, I have had braces before two years. During that time, I had a jaw expander for my upper teeth as they were too crowded. I was wondering if my dentist is giving me false information because she is scared as she will ruin my teeth. From my picture\u00a0the lip piercing side is my left side and the front of my teeth, the tooth that is on the right of my bunny tooth is a few mm behind the rest of my teeth. I recently consulted a specialist because the bunny tooth next to that tooth was losing the root and was hurting. They said we needed to stop my brace pressure as soon as possible. So, I asked my dentist if she could fix the tooth that is slightly behind the bunny tooth and the one beside it. After being persistent, she tweaked it a little to help it. Now the real issue I am having is, in image 2100 which is the image on the side showing my lip piercing, it shows that my teeth are good. However the image 2101, which is the side image without my lip piercing, my upper teeth and lower teeth are touching tip to tip. I also noticed that these particular teeth are slanted inwards towards my tongue rather than being straight like the rest of my teeth. The dentist told me that my teeth have worn from all the grinding that I do. However, when I check face front you can clearly see that the upper teeth are slanting inwards and I do remember when doing elastics, it was pulling them down from a lot of pressure. I believe this is a cross bite. The dentist would not admit it and saying there is nothing to be fixed. I have checked past photos before I had braces and from close inspection the cross bite area was never like that, in fact the upper teeth overlapped the bottom teeth and was fine in that area. I am wondering whether my dentist is correct that my teeth are fine and that it cannot be fixed? I am pretty sure if she put a button behind the tooth and then I did elastics, it not be fixed and brought forward and overlap the bottom teeth. My current medication is Doxycycline. Please help me. Doctor: Hi. For further information consult an\u00a0orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist" + }, + { + "id": 14863, + "tgt": "Can I take antihistamines (an OTC drug) when pregnant?", + "src": "Patient: Hello doctor, Can I take antihistamines (an OTC drug) when pregnant? Doctor: Hi. Antihistamines are used to treat allergy symptoms. We have two generations of antihistamines: First generation antihistamines like Chlorpheniramine, Dimenhydrinate, Diphenhydramine, Doxylamine are considered safe to use during pregnancy. These medications have a sedative effect (cause sleepiness). The newer non-sedating antihistamines like Cetirizine, Desloratadine, Fexofenadine, and Loratadine are best avoided in pregnancy as we have no strong evidence confirming its safety in pregnancy. Hope this helps. Consult a general medicine physician online for further queries --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 15553, + "tgt": "Why do cough and runny nose occur more often in 2-year-old?", + "src": "Patient: Hi doctor, My two-year-old son is coughing all the time and has a runny nose for the past three days. I am worried more because of the prevalence of swine flu. His immunity is not good. He gets a cough and runny nose every couple of months, and he does not eat properly. He does not eat food even if he feels hungry. I have a fear that whether he has a deficiency of nutrients. He looks healthy and plays well. But he gets frequent cold and cough. Please advice. Doctor: Hi. I have gone through your problem. He may have allergic rhinitis. Please use the below medications. Use syrup Allegra 3.5 ml (Fexofenadine) two times a day for five days and after five days, give him 5 ml daily at night for another ten days. Also, give tablet Montair 4 mg (Montelukast) chewable tablet at night every day for ten days. Revert me after a week. Regarding diet, give him two types of fruits and vegetables daily. Do not give milk in the morning. Give him breakfast daily. Include pulses, green leafy vegetables, and dry fruits in his diet. It helps to improve immunity. Do not expose him to dust, agarbathi, mosquito repellents, and perfumes. Keep him away from pets and fur toys. Do not give flavored drinks to him." + }, + { + "id": 7692, + "tgt": "How can I get rid of my yellowish teeth and bad breath?", + "src": "Patient: Hello doctor, My issue is concerned with my oral health. My teeth have been yellowish for the past five years, and also I have problems of bad breath. Now I am 19, and it feels really painful as I even cannot smile in front of others. I am afraid to laugh and to talk. I need a cure for this. It is now affecting my mental health too as I get depressed at times thinking of this. Please help. Doctor: Hello. Why did you never visit a dentist for your problem? Your problem is calculus formed on the teeth and gums which contains millions of bacteria, that is why you have bad breath, and you have yellowish teeth. Go to a dentist immediately and get your teeth cleaned. Otherwise, the calculus may eat your gums, and your teeth will become loose. Do not delay, do it quickly, and message me after you get your teeth cleaned. I will tell you some remedies to keep your oral health in good condition." + }, + { + "id": 23433, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2883, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 10795, + "tgt": "How can pain on the left side of stomach be alleviated?", + "src": "Patient: Hello doctor, There is a pain on the left side of stomach and lower back and the skin feels sore. There is also burping a lot these days now. Please help. Doctor: Hello. From your symptoms, it seems you are suffering from diverticulitis. The differential diagnosis is urinary tract infection. This can occur in elderly frequently in people who do not eat enough fibers in their diet. Also with age, our digestive system tends to get slow. You need prescription antibiotics to treat this condition. Also, if you develop other symptoms like rectal bleeding or fever or unexplained weight loss, burning pain during urination, you need to see your healthcare provider immediately to rule out other conditions. Normally, diverticulitis subsides within a few days with medication. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 25719, + "tgt": "Can derangement in my liver enzymes be due to binge drinking?", + "src": "Patient: Hello doctor, I just had blood work done. The tests for my liver came back deranged and I have to have another test next week. My LFTs have always been normal. The night before I had the test I drank a lot and got tipsy. There was a hangover the next day. Could this be the reason for my deranged levels? I am assuming deranged means not normal or really bad results. Can you clarify the meaning of deranged? I am currently taking Vyvanse, Strattera, and Spironolactone. Please help. Doctor: Hello. Yes, deranged in medical terms means abnormal and likely in your case there must be elevated liver enzymes like SGOT (serum glutamic oxaloacetic transaminase) and SGPT (serum glutamic-pyruvic transaminase). Likely, the cause is alcohol only. It directly affects one's liver. In short term, such damage recovers within a week period but the chronic high consumption may lead to permanent damage. So you should repeat LFTs (liver function tests) after a week. Also, get an ultrasound of the liver done to look for chronic damage. Have you consumed any other drugs the day prior? Alcohol is the far most common cause. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 724, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 19331, + "tgt": "For thalassemia major, when would my son require his first blood transfusion?", + "src": "Patient: Hello doctor, My son is 15 months old and has been diagnosed with thalassemia major. My only question is when he would require his first blood transfusion? Because typically people feel strong symptoms of anemia and need medical help when Hb goes below 6. But, my child has Hb of 3.7 probably for over a month and two weeks have passed till the\u00a0last testing, and he looks normal. I want to know how he is surviving at this low Hb. He plays well, sleeps well and walks in a\u00a0walker and from today, he started taking a few steps on his own.\u00a0Is this because of HbF, which is 96%? If so, then till what age HbF will be produced in his body? I have read about treatments for thalassemia people in which medicines are given to increase HbF production and by this many people do not have to go for BT. Is this a viable option or should I go for BT for my child? Doctor: Hi. I can understand your concerns. For further information consult an internal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 22355, + "tgt": "My blood report shows ESR count 34 and Hb 10. 9. Is there any problem?", + "src": "Patient: Hi doctor,Two months back blood report shows ESR count is 34. And Hb 10.9. I also have fever fluctuating and have lost weight drastically around 4 kg in a few months. Can you please help and tell me what is the problem? Doctor: Hello. For low hemoglobin further workup needed in form of peripheral smear examination, serum ferritin estimation, and serum TIBC (total iron binding capacity) estimation to classify your anemia. ESR (erythrocyte sedimentation rate) can be high because of any non-specific inflammation or infection like condition. It indicates some pathology is there but do not give an exact diagnosis. You are losing weight hence history should be taken regarding a cough and chest X-ray done to look for any respiratory pathology of present especially tuberculosis. Second, if suspected then rule out HIV by ELISA fourth generation. Sometimes, over-exertion and less nutrition or prolonged fasting also can lead to weight loss. But as you are having on and off fever I will advise you to consult a physician for your physical examination including liver, spleen and lymph nodes palpation. If a specific cause is found, then treated accordingly. For more information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist" + }, + { + "id": 10456, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 19380, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22085, + "tgt": "I have my total bilirubin and direct bilirubin ranges high. Is it fine?", + "src": "Patient: Hi doctor, I have a total bilirubin level of 27.20 mmol/L and direct bilirubin of 12.20 mmol/L. Is it fine for my profession? Doctor: Hi. I have reviewed your query and your bilirubin level is high. You need to get your bilirubin level within the normal range. Sugar cane juice and apple juice can be taken more. Avoid heavy strenuous activities until your bilirubin level comes under control. For more information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist" + }, + { + "id": 29630, + "tgt": "How soon can we start trying for a baby after a cesarean?", + "src": "Patient: Hello doctor, I am 33 years old. I delivered a baby girl through cesarean around four months back, but unfortunately, she survived just for a day. Now we want to have a baby as soon as possible. How soon can we start trying for a\u00a0baby?\u00a0Please advise. Doctor: Hi. As you delivered the baby by caesarean, the wound takes some more time to heal. If you become pregnant before two years, then there is a chance of weak scar due to early stretching over the scar. Ideally, you should wait for three years. But you can start trying for pregnancy after a year. It is not advisable to conceive before one a year as it has its risk to pregnancy as well as baby due to weak scar. So it is better to plan after a year. Till then wait and build your health. I wanted a few information so as to give you the most relevant opinion and suggestions. I suggest you start taking Folic acid 5 mg once daily, two to three months before planning for next the pregnancy. This is recommended by WHO. The Folic acid will help in decreasing some problems in the baby. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3749, + "tgt": "Can staphlococcus infection delay period?", + "src": "Patient: Hello doctor, I was diagnosed with a candida albicans. I used emergency contraceptives as and then but I treated it with Ciprofloxacin antibiotic. I also started using cotton pants, took care of my vagina too. Then last month, I went to the clinic and retook the test hoping it would come out clean. Then they said I have a staphylococcus infection. It was moderate and I took the same antibiotics they prescribed. I did not have any symptoms but I treated it anyway. Then, earlier this month, I had catarrh which I also treated with an antibiotic. Now, I am four days late from seeing my period. I am very scared, I do not think I am pregnant because I check with a strip two days ago and it tested negative. I am just very scared because I feel it was the infection that is delaying my period and it is messing with my system inside. How dangerous are staphylococcus infections, and why have I not seen my period? Doctor: Hi, Welcom to ciliiq.com. You do not need to be scared. Vaginal infection should be taken care of, but these infections are not uncommon in sexually active females. So do not worry. If there are no symptoms, taking antibiotics every time may not be the right thing to do. Just maintain hygiene. Staphylococcus infection is also not an uncommon vaginal infection, sometimes even contamination from the surrounding areas while taking swab may show such a picture. Period delay due to this seems unlikely. Wait another week and recheck in the urine. If still negative, see a gynecologist who can examine you and find out the reason for it. It could be hormonal imbalance or a uterine or ovarian pathology. I hope this helps." + }, + { + "id": 26441, + "tgt": "What is the treatment for slipped capital femoral epiphysis?", + "src": "Patient: Hello doctor, Avascular necrosis was caused by a slipped capital femoral epiphysis of the left hip in a 12-year-old girl. What is the treatment apart from hip replacement? I need help. My daughter is in the middle of a bridge. 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 an orthopaedician and traumatologist online --> https://icliniq.com./ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 17096, + "tgt": "I am suffering from ED. How to correct it?", + "src": "Patient: Hello doctor, I am suffering from ED and PE, low libido for the past six years. Most of the medication that helps with erection including UpHold, Caverta, Pengra with and without the combination of depressant like Prodep 10 or 20 mg (without any sign of depression) have not helped me. I have even consulted psychologists and have not received any result. There is no obvious concern found during the physical test of the penis. My current medications are L-arginine, Horny goat weed, L-theanine. My blood report indicates: FSH, LH, Serotonin, and Estradiol below normal. Testosterone and Dopamine within range. Prolactin on the higher side of the range. My pituitary MRI is absolutely normal. FSH 3.03 mIU/ml (Range: 1.5 to 12.4 mIU/ml). LH 2.80 mIU/ml (Range: 1.7 to 8.6 mIU/ml). Testosterone total: 458 ng/dl (Range: 249 to 836 ng/dl). Prolactin: 10.57 mg.ml (Range 2.64 to 13.13 mg.ml). Serotonin: 250 ng/ml (Range: 70 to 270 ng/ml). Dopamine: 29.6 pg/mL (Range: 0 to 30 pg/mL). Doctor: Hello. All the tests done seems to be fine except vitamin D deficiency. It seems that you are now diabetic and diabetes is so closely associated with erectile dysfunction. The treatment depends on the cause of erectile dysfunction. Some of the common causes are, In this regard, I would like to advise you to get the following tests done and revert back with reports. Fasting and postprandial blood sugars, HbA1c, fasting thyroid profile, fasting lipid profile, serum vitamin D, and B12 levels. Once the cause is corrected, erectile dysfunction will resolve automatically. Also, it is important that there are no psychological factors affecting your sexual health. Make sure that you and your partner are completely ready for the sexual intercourse. You should also consult a sex therapist in person. For more information consult a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist" + }, + { + "id": 26241, + "tgt": "What care do we need while having sex during pregnancy?", + "src": "Patient: Hi doctor, My wife is entering her fourth month of pregnancy. Is it safe to have intercourse now? Is there anything that needs to take care of? We have not had intercourse in the last three months as we were not together. Kindly advise. Doctor: Hi. After the 12 weeks of pregnancy, the placenta has formed, and the bond between mother and baby is strong enough to prevent any problem to the baby. The only issue is the infection in semen. It is valid throughout pregnancy. Semen is a body secretion and will have some bacteria. When you have penetrative sex, sperm can reach up to the cervical canal. It may make the uterus slightly irritable. So, there is a risk of mild bleeding from the uterus and also a risk of abortion. The physical movements and jerky effects on the body and uterus are fine, even the presence of penis inside the vagina is fine, but semen can cause problems sometimes. But, many years ago, having sex during pregnancy was used as a method to induce labor pains. You can have sex using condoms; it is safe. After sex, advise your wife to pass urine and wash well, just to avoid any infection in bladder and vagina. She has to be well hydrated, so let her have a lot of water. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29957, + "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": 30975, + "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": 28540, + "tgt": "Does the absence of the white half moon on nails indicate a thyroid problem?", + "src": "Patient: Hello doctor, I do not have a white half moon on my nails. Is there any thyroid issue? If yes, please suggest some treatment. Doctor: Hello. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 15369, + "tgt": "I have 2. 9 cm of cervix length at 16 weeks. Do I need cerclage or bed rest now?", + "src": "Patient: Hi doctor, I am 28 years old. I am 16 weeks pregnant now. My cervix is closed measuring 2.9 cm. I have heard that the length is short for me. What should be the average length of the cervix at 16 weeks? My doctor prescribed me Progesterone suppository. She has not advised me for bed rest or cerclage. But I know people who have done cerclage at 24 weeks with 3.2 cm of cervix length. I have a history of preterm delivery and a miscarriage before eight months back. Please advice. Doctor: Hi. Cervical length should be around 3.5 cm to 4 cm at 16 weeks. But some women do not have problems in pregnancy throughout the weeks even at 2.5 cm length. On ultrasound, we need to have a full bladder (means control of urination) to measure the exact length of the cervix. I presume that you were on a full bladder during the scan and also in the light of your preterm history, you must be having a shorter cervix. But there are other USG findings such as ballooning of lower segment of a uterus and open OS to take an emergency procedure of cerclage. Now cerclage is not practiced widely, and it is a thing of past. You need a bed rest till about seven months of gestation. Progesterone is a perfect one to be taken now and follow your gynecologist advice." + }, + { + "id": 21698, + "tgt": "What is the difference between insulin resistance and diabetes?", + "src": "Patient: Hello doctor,I have high sugar level in mornings around 140 plus and at night it is normal around 100. I am overweight rather obese and trying to lose weight. Now, I want to know whether I have insulin resistance or diabetes? I mean what is the difference? Can I get insulin test also? Doctor: Hello. Insulin resistance is a pre-condition towards diabetes. According to American heart association, there are criteria to decide pre-diabetic or diabetic. I would advise you to see a physician and get tested. It is a well-appreciated thought of losing weight, hope you stick with it and also control diet. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 23383, + "tgt": "Can I conceive with help of Staminogro after losing one fallopian tube?", + "src": "Patient: Hi doctor,I am 33 years old. Two years back, I had an ectopic pregnancy so I lost my right fallopian tube. The doctor who did the operation told me that I would not be able to have children anymore due to the lost tube and the other tube is damaged. Can you please give me an answer? Will I still be able to conceive with the help of Staminogro and sperm-aid tablets or how is my chance to conceive naturally? Is there any help for a damaged tube? Doctor: Hi. Your tubes are damaged and ideally, if there was a possibility to repair, the doctor would have done it at that time. Your chances of conception are bright with ICSI (intracytoplasmic sperm injection); (test tube baby). Please do an AMH (anti-mullerian hormone), TSH (thyroid stimulating hormone) to find your ovarian reserve and a baseline thyroid function. Semen analysis of your husband. A transvaginal ultrasound will help and then move forward. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18979, + "tgt": "What do these vision screening numbers mean?", + "src": "Patient: Hello doctor, What does this vision screening mean? OD +0.75 +1.75 -200 @ 156 degrees. OS +2.75 +3.50 -100 @ 4 degrees. Doctor: Hello. For more information consult an eye care ophthalmologist online --> https://icliniq.com./ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 14194, + "tgt": "Is it advisable to take Spironolactone in a patient with history of pulmonary embolism?", + "src": "Patient: Hello doctor, I had a pulmonary embolism as a teenager 10 years ago after taking Yasmin for acne. I was wondering if Spironolactone would be safe to use or could it cause me another embolism? I have a mild form of PCOS. Accutane did not work and acne creams do not work. Currently, I am using Minocycline. Doctor: Hello. Spironolactone does not increase the risk of thrombosis. You can take it but you need to monitor your potassium levels. Spironolactone increase your potassium levels. Avoid eating food items that are rich in potassium while taking the medication to prevent a sudden increase in potassium levels which can be fatal. Start with a low dose and take the medication regularly. You need to take the medication for at least six months to see a noticeable difference. Do not stop the medicine suddenly. The dose needs to be gradually decreased. Drink lots of water to prevent dehydration since it is a diuretic." + }, + { + "id": 30932, + "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": 12888, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26345, + "tgt": "I have missed my periods for two months. What treatment can be had?", + "src": "Patient: Hello doctor,I am missing on my periods for two months now. I am unable to understand the reason. I have felt the pain on the expected date but there was no period. I am sure there is no chance of pregnancy. Although I did not do anything unusual, I have started to\u00a0exercise for almost an hour on a daily basis. Since then, I have not gotten my periods. Please provide your opinion. Doctor: Hello,\u00a0 Welcome to icliniq.com. For more information consult an\u00a0obstetrician and gynaecologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4440, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 18554, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27626, + "tgt": "My vagina is always itchy after a period. What should I do?", + "src": "Patient: Hello doctor, I usually have a slight on and off vaginal itching after my periods, for which I consulted a doctor. She advised me to take two tablets of Candiforce 200 and it stopped. However, these days I still have light vaginal itching on and off. My period date is on the 28th. Kindly help as I am worried. Doctor: Hello. Follow up with the report. For more information consult an\u00a0obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4040, + "tgt": "The muscle of my penis is weak when I get erection. Please help", + "src": "Patient: Hello doctor, I have some issue with my penis. I cannot get it strong enough when I am fully erected. The muscle of my penis is weak even when I am very horny and have erection. I have done some blood analysis and the results are fine and normal. Some doctors say that it is a phachological issue. I also stopped masturbating for a month and I have not seen any improvement. Please advise me if there is anything I can do to get it stronger. Doctor: Hi. I read your query and understand your concerns. I request you to provide following information point wise so the diagnosis can be made and suitable remedy can be offered. 1. How long the problem is there? Have you experienced similar issues in the past? 2. How the problem started? It was built up slowly or abruptly? 3. What could be the factor according to you for onset of problem? 4. Frequency of the problem in last one month? What number of sexual intercourse/masturbation failed in last one month? 5. What are the factors that increase the problem? 6. Factors that relieve the problem- you can describe them in detail if any? 7. Do you get early morning erection? 8. If yes how frequent and how intense? Please answer this necessarily. 9. Details of past medical illnesses, like duration, any complications, treatment received till date. 10. Do you take any substance of abuse like alcohol or tobacco and others? 11. Investigations done till date and reports - please attach them. 12. Do you have any psychiatric illness? 13.Any other problem you like to report I must assure you that once we know the cause I can you guide you better in regard to treatment." + }, + { + "id": 30462, + "tgt": "Can ultrasound detect my uterus abnormality?", + "src": "Patient: Hi doctor, I am a 41 year old woman.\u00a0I am suffering from cramping pain and bleeding after sex.\u00a0I get an intermediate white or yellow discharge from breasts.\u00a0I\u00a0have an oily skin, facial hair\u00a0growth\u00a0and acne.\u00a0I had prolactin test done and it was found to be normal. Before\u00a010 years,\u00a0I also had a prolactinoma and that has been resolved by taking Dostinex.\u00a0I had an ablation\u00a0done eight years ago. Before four years, my periods completely stopped and I noticed that I was not ovulating. Before two\u00a0years, I consulted an\u00a0endocrinologist, as my\u00a0oily skin and acne were horrid. I also had weight gain and cramping. The blood test was done as I did not know my cycle and was found to be normal. The doctor suggested it as perimenopause and advised to use birth control. I started it and using it for the past two years. My current medications are Spiractin and Diane.\u00a0This week I went to the GP and she had suggested an ultrasound. My previous endocrinologist never suggested an ultrasound, but diagnosed only with blood test results. Can the abnormalities get detected through ultrasound? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24846, + "tgt": "Do I need to take contraceptive pill two days after protected intercourse?", + "src": "Patient: Hi doctor, I am 19 years old. I had sex with my partner two days ago. We were protected. He told me that he even pulled out on time. But, it was our first time, and hence we were clumsy and all. And now I am kind of paranoid about getting pregnant. I have looked up other options which suggest taking a birth control pill, but since it has other side effects too, I am not actually in favor of taking it. My period is in two weeks, and since the symptoms of pregnancy and PMS are almost the same, I am worried. Maybe it is just because it was the first time but still, should I take a pill? Or should I just leave the situation as it is? Doctor: Hi. Since there was no ejaculation, there is no chance of pregnancy. But, 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 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": 16405, + "tgt": "My brother's illness bothers me a lot. I am deprived of sleep. Please help", + "src": "Patient: Hi doctor, I have a brother who is sick since a month. I am feeling very helpless without him and I am deprived of sleep. I keep thinking about him the whole day. How can I overcome this situation? Doctor: Hi. The pain of near ones makes you feel helpless. This weakens your strength somehow. Symptoms like lack of sleep, disturbance, and tension occur when you feel stressed for any reason. But you have to be strong for your brother. If you feel low, he will become worse and lose his willpower to fight the illness. Follow these to be mentally strong: Unless you make yourself equipped with strength, it will not be beneficial for your loved ones. For a psychological counselling, consult a psychiatrist online --> https://www.icliniq.com/online-psychiatrist-psychotherapy-counseling" + }, + { + "id": 20032, + "tgt": "What can be the reason for my jaw pain?", + "src": "Patient: Hi doctor, I have jaw\u00a0pain while clenching my jaw together and opening my mouth wide. It has pained\u00a0only on the left side where my two jaw bones meet in the back of the mouth or jaw. I took Advil and the pain has reduced. May I know the reason for this? Please explain. Doctor: Hi. Stressful times may lead to bruxism. Palpation of tender muscles, x-ray of that region and physical evaluation by a dentist to check for any swelling or click with opening or closing or any associated malocclusion. 1. Wisdom tooth eruption. 2. Caries tooth with or without abscess. Myofascial pain dysfunction syndrome. 1. Take soft food for four weeks. 2. A mild muscle relaxant with an analgesic as suggested by your dentist. 3. Give warm compression to the affected joint area using a hot towel or water bag. 4. Can opt for physiotherapy exercises, if pain does not subside in the next 15 days. 5. If stress is the cause, then consult a psychotherapist for stress reduction by pharmacological or therapeutic measures. 1. Eliminate stress by following yoga or meditation. 2. Ask family members to check if you are grinding your teeth during the night and then consult your dentist to get a night guard to prevent harmful effects of grinding. For further information consult a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 22594, + "tgt": "What should I do for proportionate growth?", + "src": "Patient: Hi doctor, I am 23 years old. My diet is normal, but my body is not growing proportionately. Only my stomach is growing. My BMI is 28.14. What should I do for it? Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3187, + "tgt": "I get panic attack with shortness of breathe and emotional breakdown. Please help", + "src": "Patient: Hello doctor, I have been getting panic attacks very frequently. It comes with shortness of breath, my chest feels tight and painful, and an emotional breakdown. I often feel dizzy, light head and like I have no control over my body. This has been happening for four days now and yesterday I had three panic attacks. Today, I had three again. My chest feels tight all the time and I have a hard time breathing for hours. The panic attacks come in very randomly and are unexpected. I always overthink about the smallest things and I cannot put my mind to rest. It is all hard to manage. Every day I feel lethargic, restless, and exhausted. My sleep schedule is horrible and I cannot sleep at night. Lately, I have been staying up until 5 AM. I have talked to my mother and found out she had also been experiencing panic attacks around my age. Doctor: Hello. Many times, anxiety and depression coexist and it leads to the symptoms you have been experiencing. Moreover, the body heals in sleep and that is also disturbed for you, so that is not allowing you to recover. This basically happens due to a deficiency of a neurotransmitter in the brain called serotonin which reduced the stress handling capacity of the brain. Apart from stress, there are genetic factors also, and that is another reason you are having this problem. Please consult a local psychiatrist who can examine you and start you on SSRI (selective serotonin reuptake inhibitors) type of medicines which are the first line of treatment and are highly effective. It is normally given for two to four months and then tapered off slowly. The medicines take about a week or 10 days to start taking effect and until then usually, low dose Benzodiazepines are given for immediate effect. In addition to the medicines, please do deep breathing exercises daily, yoga, meditation, progressive muscle relaxation, etc., which will help calm your nervous system." + }, + { + "id": 2946, + "tgt": "Is it normal to have black discharge after Depo-Provera injection?", + "src": "Patient: Hi doctor, I had an abortion four months ago, I never went back to get checked out and it was a D and E. I am also on Depo-Provera, second dose. I am experiencing dark brown and black discharge with clots. I feel bloated and I have bits of pain. Is this normal? Doctor: Hello. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29283, + "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": 29092, + "tgt": "Why do my wife and I have itchy white spots on our private parts?", + "src": "Patient: Hello doctor, I am having itchy white spots on my penis from last two days. When I rub the spots, it seems the skin is peeling off. It started after having sexual intercourse with my wife, and she also has some white itchy spots on her vagina. Both of us got the same problem a couple of times in the past. We have not used anything for it, and it just disappeared in a week. What is it and how to prevent it from coming again? Doctor: Hello. Revert with more information to a cosmetologist online --> https://www.icliniq.com/ask-a-doctor-online/cosmetologist" + }, + { + "id": 16766, + "tgt": "I got a UTI two years back. Do I need to check my kidney function every 15 days?", + "src": "Patient: Hello doctor, I have a question about kidney function. I had a urinary tract infection about two years ago. From that period, I am doing blood tests to evaluate the kidney function every 15 days. My urine test is always within normal range, and no protein or glucose has been found. My blood creatinine and urea are also within the normal range. Creatinine goes from 70 to 88, and urea is always steady at 4 to 5. The eGFR last time was 130 using creatinine and cystatin from the\u00a0blood.\u00a0My question is, can kidney function degrade so fast? Do I need to check it so often? The doctor that suggested to do checks on a\u00a0regular basis is not a\u00a0specialist in urology. He just told me that kidney diseases do not show symptoms until it is too late.\u00a0I am not diabetic, my blood pressure is normal, and no one in my family has any issues with kidneys. How often should I check my kidney function?\u00a0Thank you very much. Doctor: Hi. For further queries consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 16677, + "tgt": "Please help me understand the outcome of my brain tumor surgery", + "src": "Patient: Hi doctor, Three months back, I had CyberKnife surgery for a brain tumor. Today, I had my MRI again. I want to know the report. Please explain. Doctor: Hi. Revert back with the detailed reports to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10975, + "tgt": "Can delay in periods even after taking emergency contraceptive pill mean pregnancy?", + "src": "Patient: Hi doctor, My fiancee and I had an unprotected sex two months back, and after 3 to 4 hours, she took an emergency contraceptive. Her last period started three months back, and she took the pill (Unwanted 72) on the sam day after sex in 3 to 4 hours. I did ejaculated outside. After 7 to 8 days of taking the pill, she had cramps and bleeding like periods, and after 10 to 12 days, again cramps and bleeding like periods happened and today, her period has not come. Is that a sign of pregnancy? Is there any possibility of delay in periods? Please help. Doctor: Hi. Since you have taken 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. There is nothing to worry about. However, if you have a doubt, then get back to me. Take care." + }, + { + "id": 15248, + "tgt": "Should I get sinus lift surgery before implant placement?", + "src": "Patient: Hello doctor, I had a tooth pulled about six months ago and continued to have slight pain at the site. I was told today that it is because my sinuses are so low and they suggested I get a sinus lift, bone graft, and implant. I have terrible dental anxiety (my blood pressure goes up just thinking of going to the dentist) that I really do not want to go through all this if I do not have to. I did some research and it sounds much more involved than I think I can handle, not to mention the cost involved. I am 51 and not really worried about having an implant put in because of the cost as well. What I want to know is what would happen if I do not get the sinus lift? Will it eventually calm down or will it get worse? Before I agree to this procedure, I really want to know all my options. I understand that dentists believe that implants are the best but this is an involved procedure that costs a lot of money and downtime that I really cannot afford. Doctor: Hi. Well, if the sinus is low, then sinus lift procedure is a must to place an implant. Without sinus lift, an implant cannot be placed. It is a surgical procedure that can be very effectively done by an oral surgeon or a trained implantologist, so you need not be so worried about it. Can you please tell what do you have just irritation in the extraction area or there are associated symptoms like pain on the cheek around the nose or nasal congestion, etc.? Also, upload the X-ray so that I can advise you more precisely. Please revert back with answers." + }, + { + "id": 25860, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5833, + "tgt": "I am on DHEA and had spotting on cd19 with negative LH surge. Is it due to ovulation or DHEA?", + "src": "Patient: Hello doctor, I am 41 years old and trying to conceive for 13 months. My AMH is 4.3 and FSH is 8.2. Thyroid and uterus are all normal. I was put on IVF short protocol before six months and managed to get only one egg and IUI failed. I fell pregnant naturally after three months but had a miscarriage at 6.5 weeks. Period came normally after 28 days of D and C. I then started DHEA on the next cd1 and continued with Cd10 and pregnacare. On cd10 I started Inositol and folate supplement. I have been testing for LH surge since this cd7 and no positive yet. I have on and off right side dull ache similar to ovulation time. I am now cd19 with no surge but spotted yesterday and now have some red bleeding. I am confused if this is my period or ovulatory connected and or related to DHEA. I know I should have tested my DHEA level prior. I will keep testing for surge but I suspect this is a very early period. I am taking supplements to improve my egg quality prior to IVF next year. Please advise. Doctor: Hello. If there has been no LH (luteinizing hormone) surge positivity in the kit and you have spotted, it simply means that this is irregular shedding where the endometrium has grown till mid-cycle and is unsupported in the absence of progesterone which is released post ovulation by corpus luteum. So ovulation is pending naturally and this is endometrium breaking and bleeding in the absence of progesterone which marks the start of the secretory phase of menstrual cycle." + }, + { + "id": 4929, + "tgt": "How can mania be treated?", + "src": "Patient: Hello doctor, What is the treatment of mania? Doctor: Hi. The treatment option for mania is many including antipsychotic such as Arpizole and other antipsychotic, and mood stabilizing drug such as Sodium valproate or Lithium and/or Carbamazepine. The choice of drug depends upon the patients choice and side-effects profile of drug. So, please let me know exactly what you want." + }, + { + "id": 18505, + "tgt": "How to solve my daughter's behavioral issues?", + "src": "Patient: Hi doctor, My 7 year old daughter started behaving strangely for the last two months. \u00a0She started feeling something that stuck in her throat and she cannot swallow. Then, she said that all foods are junk and would ask whether a particular food can be taken after another food, etc. For example, Can I have milk after chocolate or rice after fruits? She feels that her hand is dirty and does not use hands to have food. Always, mother or grandmother has to feed her. She does not like taking bath or brushing teeth while going to school. At that time, she got angry, uses abusive words and causes physical harm. When she gets angry with anyone, especially relatives and parents, she uses abusive words and causes physical harm by pinching and kicking. She spits at the person or on the floor. Her spitting occurs frequently without provocation. She touches each object she comes in contact and then places her fingers over her forehead repeatedly. She her mouth full of saliva during class hours. She is calm at other times, but gets irritated very fast. She feels guilty after causing physical harm and says sorry to mother only. We feel that she cannot control her anger. Kindly help us with the diagnosis. What is her condition? How to solve this? Can this be treated with counseling? Doctor: Hi. MRI brain and electroencephalogram (EEG). Revert back with the reports to a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 16664, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29907, + "tgt": "What is the possible cause for increased heart rate?", + "src": "Patient: Hello doctor, I am a 24 year old male. Even though I am healthy, I am always having a heart rate of 100 and above. What may be the possible cause for this? I had previously performed an ECG. Doctor: Hi. For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 15750, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18363, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22823, + "tgt": "What is the best treatment for molluscum contagiosum?", + "src": "Patient: Hello doctor, I am having molluscum contagiosum on my skin. It is just above my penis and on the skin of the right side ball. I can send pictures if you want. I tried ZymaDerm on it but it is not going away. It is increasing. What can I do? Doctor: Hello. I have viewed the images (attachment removed to protect patient identity). How long since you have been using this cream? Are you willing for a removal? If yes, For molluscum, I suggest either freezing with liquid nitrogen or chemical cauterization with Trichloroacetic acid. A dermatologist would do it for you. Or, do you want to try out a medical treatment? If yes, Imiquimod is an option. Regards. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 30735, + "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": 1619, + "tgt": "I am diagnosed with IBS with alternative bowel habits and bloating. Please help", + "src": "Patient: Hello doctor, I have been suffering from digestive problems for the past 10 years. I have alternative bowel habits diarrhea (loose stools) or constipation, gas, and bloating. Some days I have to go for even three times a day and it always feels like the food is not properly digested. I was at first misdiagnosed for having intestinal TB and given strong antibiotics but at last it ended up with the diagnosis of IBS (10 years before). I was stressed and stopped taking prescribed medicines and have been seeking natural treatments like Siddha and Ayurveda now and then and I found it to be somewhat helpful. I need a complete treatment for this now as it affects my day to day lifestyle. Please suggest. Doctor: Hello, Welcome to icliniq.com. I understand that you know very well about your disorder as of now. The basic problem with the IBS-D (irritable bowel syndrome with diarrhea) is the spastic contraction of bowel and increased secretion of various gut hormones leading to abdominal pain and diarrhea. Since you have tried many medications so far, I see there is still a role of low dose antidepressant medication which help normalize the gut hormones in balance. But unfortunately, these drugs have some side effects, not necessarily mental wise but some physical adverse effects such as dry mouth, dry eyes, and can sometimes lead to constipation and also could cause increased sleep. But since we recommend the patient to start with a low dose and then gradually step up if tolerated well. You can take tablet Amitryptline 5 to 10 mg once daily at night time. And your mind will take sometime before actual improvement. Like it can give you relief in two to four weeks time. Try it for four weeks and come back to me to discuss if we need to increase the dose or add some add on medication. Uncontrollable IBS D. Follow up after 4 weeks." + }, + { + "id": 17442, + "tgt": "How to get rid of a small bulge of extra skin on my thumb?", + "src": "Patient: Hello doctor, My thumb got burned two years back, it used to peel off and I used to keep biting and peeling it further. Now it has formed a\u00a0small bulge of extra skin. Can I get rid of it? Doctor: Hi. I have read your concern. Revert with more information to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 24270, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 1415, + "tgt": "What are the risks in pregnancy following two C-sections?", + "src": "Patient: Hi doctor, A couple of days before I found out that I am pregnant. According to the first day of last menstrual period, I am about four and a half weeks pregnant. This is my fourth pregnancy. I had an ectopic pregnancy before four years. Then gave a birth after a year through emergency cesarean and delivered another baby through Cesarean after 15 months. \u00a0After my second baby, my doctor advised me not to get pregnant for a minimum of 18 months to 2 years. She said that my uterine wall was very thin. It has been almost 18 months since my last cesarean. I am in a confused state now whether to continue with the pregnancy or not. I spoke to my GP and she said it is all up to me, but there is a risk. What should I do now? Doctor: Hi. I think your GP has guided you correctly. Abortion can be associated with complications, some of which may be major. Your gynecologist informed you about your weak uterine scar. So, continuation of pregnancy can be risky as well. In my opinion you should consult your gynecologist who had done your cesarean section. Then, after understanding every advantage and disadvantage, you yourself take the decision. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 790, + "tgt": "My diabetic father gets threatening hiccups while eating and drinking water. Please suggest a solution", + "src": "Patient: Hello doctor, My father is 68 years old. He takes Novorapid 3 times, 8-8-12 and Lantus at night 18 unit, above that taking Olmesor 40, Rozucor ASP 10, Cilacar 10. For the past 8-9 months new problem of hiccups arises while taking food and drinking water and about to stop his breath. If he takes Nukast 10 then it is fine. Allergy test for IgE is 229 and full panel are also done. What is the solution for this? Doctor: Hello. I understand from your query that your father, who is diabetic and hypertensive, suffers from hiccups problem since eight months. He has hiccups while taking food or water. Can I get more details? Does he have hiccups or cough? Both are different. Is his sugar and pressure in control? Does he eat very spicy? Is there any lump sensation in the throat? Did he smoke or drink? When he takes Nukast 10, does his hiccups completely disappear? Does he have any other symptoms of allergy like runny nose, headache, nose block, or scratchy throat? Please revert back to me with these details." + }, + { + "id": 9464, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11416, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 4442, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 5792, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 28035, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17940, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5172, + "tgt": "What is the secretion on my navel that appears wool like?", + "src": "Patient: Hi doctor, I have secretion from navel for the past nine months. Secretion appears like white cotton or wool like. It is not very smelly, no pain or itch or sore in the navel area. Please help. Doctor: Hello. Review after five days to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8075, + "tgt": "The ESR rate is 85 with other normal blood reports. Is there any medication for it?", + "src": "Patient: Hello doctor, My wife is 30-years-old has ESR 85, and other blood reports CBC, lipid, thyroid, SGPT, SGOP, urine routine are normal. Does any other test is required? Any medicine? Doctor: Hello. Your wife ESR (erythrocyte sedimentation rate) is high, and other blood reports are within normal limits. ESR is a non-specific test, and it only indicates that a person has some infection or inflammation in the body. If you provide some clinical symptoms, then I can help you better, if she has no complaint, then this will typically resolve once the inflammation and infection in the body have subsided. Advice to check for uric acid, vitamin D, calcium, and RA factor if the history of join pain. There is no specific medication to bring the ESR down unless we find what is causing raised ESR." + }, + { + "id": 27202, + "tgt": "Can you verify if my child is receiving the correct treatment for monkey bite?", + "src": "Patient: Hello doctor, A child, 2 years and six months\u00a0old, was given the first two doses of Rabipur (anti-rabies vaccine) on the scheduled date, that is the zero and third day of the monkey bite. However, due to lack of knowledge, both the times, it was given in the gluteal region. The third dose was given on the deltoid area, and the fourth dose is due in three days. Kindly advice what is to be done further. Doctor: Hello doctor, 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": 26279, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14577, + "tgt": "How to calculate my ovulation period as I have irregular periods and trying to conceive?", + "src": "Patient: Hello doctor, I had periods on 30th of last month. I do not really know when my ovulation is because I have irregular menses and I am trying to conceive. Doctor: Hi. It is a really short description of your query. In an irregular cycle, it seems around 30 to 35 days better to have sex on alternate days on expected days of ovulation. It is better to have combined oral contraceptive pills for three months to regulate your cycle and then try. Have a balanced diet and BMI with exercise daily. Lots of fruits and vegetables and try to have complete check and treatment of any health issue you and husband have. Have recreational activities and avoid recreational drugs you and husband both. If the cycle is of regular 28 days, then the fertile period is from day 9 to day 13 to have a continuous sex but in an irregular prolonged cycle, have sex on alternate days on suspected ovulatory days like from day 9 to day 20 of your cycle roughly on alternate nights. Have Folic acid. Cocp for three months if can wait otherwise have sex on alternate nights as advised. Normal weight and BMI, Folic acid, exercise daily, diet." + }, + { + "id": 13731, + "tgt": "Creatinine level 2. 7 with controlled BP. Kindly advise the food to be taken", + "src": "Patient: Hello doctor, My wife's creatinine is 2.7. Now BP is brought to normal. What food should I give and what to do? Doctor: Hello. First, you should get regular follow-ups with her doctor (nephrologist, cardiologist or even internal medicine specialist). Foods to avoid are salt, dark-colored colas, canned foods, orange, and orange juice, red rice, etc. Foods to eat are water the best you can drink, cranberries as whole or juice, apples, mushrooms, oatmeal, kale, cauliflower, etc." + }, + { + "id": 47, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23153, + "tgt": "How can these acne scars be removed completely?", + "src": "Patient: Hello doctor, I have a problem with my skin for a long time where my acne is mild but It gets worse really often and makes things worse. I have a natural redness which does not seem to reduce. I have dry skin that can be sensitive to a lot of things. Currently, I am using Dr Organic Manuka Honey Cleanser, Olay moisturizer and to take my makeup off I use coconut oil. I recently came off a contraceptive pill about two months ago where my skin cleared up on one cheek but over the weekend my skin just went terribly bad. In the past to try and reduce my redness, I have used aloe vera, vitamin A, and some over-the-counter creams. For my acne, I have practically tried everything like over-the-counter creams, acne-clearing products, and organic stuff. Nothing has worked. This is taking a toll on my mental health and I want to sort everything out. Doctor: Hello. You are still in your teenage and acne is a common problem in this age group with frequent exacerbations due to any sort of mental or physical stress. Sometimes even periods exacerbate this and stress like exam or job tension. Moreover, you have been using various topical agents and you might have got contact dermatitis with all of these. You need to understand the nature of your problem first and try to relax first. My advice is to avoid cosmetics as much as you can. Use Brevoxyl (Benzoyl Peroxide Topical) Cream only at the time only on lesions in very little amount. Do not spread on the whole face. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16608, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19494, + "tgt": "Can hernia cause chest pain and lethargy in a young chap?", + "src": "Patient: Hi doctor, I am a 30 year old male working in a national insurance company. My height is 5 feet 11 inches and weight is 85 kg. I do not drink and I do not have any other habits. I eat mixed diet. I am married and have one baby girl (two years of age). I am leading a stressless life both at home and office.\u00a0I am a very calm and smooth going person. My only concern is my health. I feel some pricking pain in the upper back side of the shoulder and left side of the chest. I feel very uncomfortable. I feel drowsy and unsteady throughout the day. When I am walking or sitting or sleeping I feel that I am pulling down to the ground and I feel extreme tiredness and pain in legs. At\u00a0the same time, I feel air hunger and not able to breath comfortably. With all these pains and drowsiness I am doing my routine work. Also I feel pain in left side of head next to eye and I feel dull. Two years back I underwent MRI cervical spine, CT chest and one year back I underwent CT coronary angiogram.\u00a0I was diagnosed with sliding hiatus hernia last month. I underwent appendicitis operation one year back. I am attaching my recent reports for your reference. As I am young, I am much worried about my present health condition. As I do not have the habit of regular exercise I keep gaining weight. I am not sure whether my diet is healthy and balanced. Please advice. Doctor: Hello. I have reviewed all your reports (attachment removed to protect patient identity). You seem to be having GERD (Gastroesophageal Reflux Disease) due to hiatus hernia. The GERD might cause the chest and back pain. Get an ECG done to rule out any cardiac event. Stay healthy. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 1733, + "tgt": "I have digestive issues ever since I took antibiotics a year and a half ago. Please help", + "src": "Patient: I took an antibiotic a year and a half ago and I\u2019ve had digestive issues ever cents I crave sugar often and mostly eat carbohydrates like bread and chocolate. I recently started to have a green smoothies that had two big handfuls of spinach in them with protein powder every morning for four or five days plus eating regular meals some being salads and some being more protein-based.It\u2019s been about a week since I started this and I feel like I have not fully gone to the bathroom since I feel somewhat of a pain in my stomach and I wake up feeling like I have a fever and I\u2019m just afraid somethings not right and that I\u2019m very constipated. Constipation was one of my main issues this past year and a half and I\u2019m here is if Make an appointment with my gastroenterologist and if I need to get this removed. Thank you Doctor: Hi there thnx for the query.i can understand ur concern. according to ur statement u had digestive problem and u took antibiotics for one and half year that antibiotic's name isn't mentioned here. now u have been suffering from constipation for one and half year and for the seven dayser it has become very severe.firstly exact causes should be found out and then treat the causes the causes of constipation vary such as dehydration or eating foods with too little fibres. again more serious cases, it can be result of stress,hormonal changes,spinal injuries,muscle problems,carcinoma and other structural problems affecting the digestive tract. u should try the following quick treatment to make ur moves- take fibre supplements like Calcium polycarvophil(Fibercon),Psyllium(Metamucil, konsyl),Methylcellulose etc. eat a serving of high fibre food like oats,whole grain bread or cereal,fibrous veggiess and fruits,rice and beans etc. proper dehydration- typically at least eight(8) ounce glasses of clear liquid per day is necessary for normal bowel movement. take a laxative stimulants r designed to force a bowel movement by squeezing the intestines like Bisacodyl(Dulcolax,Ducodyl),Senna-sennosides(Senokot) etc. take an osmotic laxative is designed to help move fluids through the colon like Magnesium hydroxide(Phillips Milk of Magnesia), Polyethylene glycol(Miralax), Lactulose(Kristalose) etc. try a lubricant laxative such as mineral oil add a slick coat to ur intestine's walls,allowing stool to move through ur colon and out of ur body more easily. Use a stool softener such as Docusate sodium(Colace) or Ducosate calcium (Surfak), can moisten the stool by pulling water from intestine. try an enema include Sodium phosphate (Fleet),Soapsuds,Tape water enemas etc. Rectal suppossitories like Glycerin,bisacodyl etc help encourage bowel movements by softening stool. try to perform light exercise regularly. try colonic massage. u should undergo USG of W/A,MRI of spine, Thyroid test(t3,t4,tsh),CBC etc to find out the causes responsible for ur chronic constipation. please inform me after taking above mentioned measures and undergoing investigations,then i will be able to treat u further." + }, + { + "id": 5406, + "tgt": "I have pain in the middle and the left back and it affects the left ribcage. Please help", + "src": "Patient: Hello doctor, I have bad pain in the middle and left part of my back which is also affecting my lower left ribcage. Please help. Doctor: Hello. You have mentioned persistent upper back pains with radiation to the rib cage which could be due to a lot of reasons including disc-related issues. If you have localized back pain with no other symptoms like numbness, weakness, paresthesias, etc. then you can start with the following recommendations for an initial period of two to three weeks. Maintain a proper posture of your back while working and sleeping. If pain is more then, you can take a short course of anti-inflammatory medication like Ibuprofen or Paracetamol or one which suits you. You can also take tablet Gabapentin or Pregabalin in basic dosages especially if radiating pain in ribs is bothering you. Physical therapy initially under the supervision of a trained physiotherapist and then to continue at home. Adequate calcium and vitamin D intake if levels are low in the body. Ice packs can be applied to the back region if your pain is acute, then hot fomentation can be done at home. Analgesic spray for the local applications can be used and is easily available. Avoid lifting heavyweight and acute forward bending in the mornings. 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 a dynamic x-ray of lower back and few blood tests for evaluation. I hope this helps." + }, + { + "id": 11734, + "tgt": "I consumed I-pill after unprotected sex. Will it delay my periods?", + "src": "Patient: Hello doctor, I have 27 days cycle. Last month 23rd was the first day of my periods. I had unprotected sex. There was no ejaculation, but it just touched my vagina. For safety measure, I took I-pill in two hours, so my periods continued for almost eight days. Today is my date of periods, but still, I did not get. I am a little nervous because I got my PMS also. Kindly help. Doctor: Hello. I have read your concern. It is a common side effect of I-pill to have prolonged menstruation and a delayed time for the next cycle. The emergency pill contains a high amount of hormone progesterone which prevents ovulation and at the same time hinders the usual period. If you want a regular cycle and not worry about getting pregnant, it is either you get birth control pills or have a copper IUD inserted. For now, you have to wait for your period. By the way, you will not get pregnant if it just touched the vagina." + }, + { + "id": 15056, + "tgt": "Why do I have increased pain and pressure in the tooth after undergoing root canal treatment?", + "src": "Patient: Hi doctor, I did a root canal on the upper first molar tooth before three weeks. I had sensitivity towards cold and sweets for years. The tooth was slightly loose. So I did a root canal on it. The second sitting was done before a week. I started to have pressure on the tooth after two days. I consulted the dentist, and he told me that the seal has got broken. The doctor said to me that the tooth should be pain-free for a weekend to have a fixing over it. But, I had more pain than before doing a root canal. The pain was terrible. Now, I have pain, pressure and it hurts even for a light pressure on the tooth. I do not have sensitivity. Now, it has been two days, and still, I have pain over the tooth. Please help. Doctor: Hi. You have an infection still lingering in your tooth undergoing root canal treatment. It causes pain. Your dentist should place a calcium hydroxide dressing in the tooth, and it disinfects the canals. A course of antibiotics should be given. Also, the tooth should be trimmed to avoid contact with opposite jaw tooth. If the pain does not get better, get an X-ray done and upload it to me. So that, I can advise you appropriately." + }, + { + "id": 28203, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28901, + "tgt": "My son has cephalohematoma after forceps delivery. Will it ever go?", + "src": "Patient: Hi doctor, My son's birth was traumatic and rotational forceps were used. He developed two bumps on either side of his head. We were told that this was normal after a forceps birth.\u00a0He is now nearly 5 years old, and the bumps are still there. I have read up as much as I can and believe them to be cephalohematomas. But, I cannot find anything about them lasting this long. Will they ever go, and should we be worried about them?\u00a0Thank you. Doctor: Hello. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 28589, + "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": 16715, + "tgt": "In my 18th week of pregnancy, clubfoot was diagnosed. Should I undergo amniocentesis?", + "src": "Patient: Hi doctor, I am in my 18th week of pregnancy. The fetus has been diagnosed with clubfoot when I went for an anomaly scan on the 16th week. There is no other anomaly diagnosed so far. Please let me know if I have to undergo amniocentesis to rule out other associated anomalies. If I am not wrong, I have to undergo the amniocentesis procedure before my 20th week. Thanks in advance. Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16084, + "tgt": "Kindly tell me the treatment for pimples", + "src": "Patient: Hello doctor, I have developed many pimple marks on my face. My face mostly remains oily. Pimples still appear on my face at the age of 22. Doctor: Hi. Can you please upload a few pictures if possible to advice proper treatment?" + }, + { + "id": 6837, + "tgt": "I am bleeding while pooping. Is this due to ulcer?", + "src": "Patient: Hello doctor,I skipped breakfast and slept five hours for one month. And now, one day, I got bleeding while pooping. Is it an ulcer or something serious? Doctor: Hello. 1) Bleeding during pooping can be associated with many diseases of the anal canal or lower part of the large intestine. 2) Does bleeding was on the surface of the stool or comod? Or it was mixed with stool? How much was the quantity? What was the color of stool and bleeding? What is your bowel habit? 3) Generally, a small amount of fresh-red colored bleeding on the surface of stool is associated with anal fissure. 4) Brownish bleeding mixed with stool is associated with diseases in the large intestine, and this warrants colonoscopy to confirm it. This finding is not associated with your breakfast habits. Constipation. Digital rectal examination, proctoscopy, colonoscopy (if required). Hemorrhoids. To avoid constipation." + }, + { + "id": 23929, + "tgt": "What can I do to manage anxiety attacks?", + "src": "Patient: Hi doctor, I get a type of anxiety and fear of going out somewhere. Six years ago, when I was in high school some guy gave me something to smoke. I did not know what it was. That day, I went home and I was high. The next morning I woke up fine and went to school. After some time, I started to feel like as if I need to smoke again. I started panicking and was sweating. I did not know what was going on with me. I felt so horrible though I was going crazy. I went to the emergency room and they gave me medicine. Also, I had some therapy and to be honest, I do not remember how it went away. Since then, I never felt that again. I do not know whether it is something that got stuck in my head. But, my life went on and I was good. Before three years, I went for vacation and I met my husband. I stayed over there for about eight months. I am married and I am 23 years old. We had so many problems. Our main thing was jealous. We used to fight for even little things. Two months ago, when I was at work, I started getting a panic attack like the one which I had almost six years ago. I think I got it because of all the problems I have in my marriage and my profession. I left for the hospital and I started crying. It has been such a horrible experience in my life ever since. I just wanted to be at home since I knew I was not fine. Twice my fight with him ended up in the hospital. He started to get anxiety. I will cry and could not control myself so he had to get away from me. He left me and I went into depression. I was sad for the fact he left me and also because I just did not want to go out my house. It has been such a hard issue dealing with this. I have been taking medication. First, they gave me Lorazepam. I took it for a month or two, but it was bad and addicted. So, my doctor prescribed me Alprazolam. I have almost been taking it for six months. Sometimes, I take two to keep myself calm. I could not stop taking it and so I want your help. I want to be myself again. I want to know what can I do to slowly get rid of all this anxiety and depression. My husband has come back and living with me. It was so hard without him. I did not get anymore attacks. I just feel down for the reason I cannot go out because I am afraid to get anxiety attack or I just feel weird being out in the street like I do not belong. It is so hard to explain. I am here at home and I entertain myself on the internet. Please help me. Doctor: Hi. I went through all your details. No panic attack itself is a positive development. This also shows that you are able to manage your anxiety disorder. There are many aspects to your issue. The first substance abuse and resultant anxiety, relationship problems with your husband, your negative obsession with your life's little hassles, etc. But, I am not blaming you because these are quite common and nobody would foresee what could develop. Being understood your basic problem, I would not like to give it a name or classify it. Let us call it just anxiety disorder, because you are having anxiety symptoms. Panic attacks are always due to underlying anxiety disorder and therefore, we need to treat the anxiety disorder first. I suggest you stop worrying about this because, according to me, it is 100% curable. We use medicines, psychotherapy methods, exercise, lifestyle changes and relaxation therapy. You are already having medicines. That is enough. For the second part, as initial steps to the treatment, I suggest you to start physical exercise daily for one hour. On this aspect, you should start motivate yourself. Just continue with the exercise and believe your problem could be cured. I also suggest you to contact me after a week. Please understand cure through therapy takes time. Be patient. With medicines, cure may not happen at all. Revert back after a week to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 2897, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 14853, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17810, + "tgt": "Is jerky septum a normal finding on the echocardiogram?", + "src": "Patient: Hello doctor, I am 50 years old. My echo is normal with LVEF of 50% and dobutamine stress test negative for ischemia (LVEF of 58%). But, it shows a jerky septum? Is jerky septum a normal finding? Doctor: Hello. There are a few causes of jerky septum like bundle branch block, increased pressure in the right side of the heart, and disease in the pericardium. As your echo is normal, because of increased pressure on the right side of the heart, disease in pericardium is less likely. As you have not provided ECG (echocardiogram), I am unable to comment on bundle branch block. Still, a jerky septum in isolation is less likely to be pathological. For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 11152, + "tgt": "Noticed redness, swelling and pain in the arm after popping a blister in a Meth addict. What to do?", + "src": "Patient: Hello doctor, My husband is 36 years old. He is fit and healthy, rarely gets sick. But he is a Meth addict. He missed the vein when injecting in top part of his wrist. The injection site looks like a small ant bite. It formed a water blister that he popped and put Neosporin on. But his hand is red, swollen, throbbing and warm. He is in agony. He refuses to go to the ER. Is he in danger of dying? What should I do? How can I treat this? Doctor: Hello. This looks like a cellulitis (attachment removed to protect patient identity), it is an infection of subcutaneous tissue. He needs antibiotics and blood test. Convince him for visit. He will need a hemogram test, and blood culture to look for the extent of infection. In treatment, he will need antibiotics like Amoxicillin Clavulanate combination 625 mg three times a day along with some antacid like Pantoprazole 40 mg once a day. For pain and swelling, you can continue Ibuprofen, you can use Magsulf ointment for local application for swelling. He will need higher antibiotics as it appears severe cellulitis. So my advice is to visit ER soon." + }, + { + "id": 22851, + "tgt": "What is the time period to detect HIV in blood by using available test methods?", + "src": "Patient: Hello doctor, What is the time period that HIV virus will be detected in blood by using available test methods? Please give minimum and maximum time period details. Doctor: Hi. HIV can be detected as early as four days of exposure by some tests. If negative conclusive results to suggest HIV negative is after three months of exposure. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 1251, + "tgt": "I get excruciating pain while walking due to an injury. Please help", + "src": "Patient: Hello doctor, I hurt myself two days ago and it seemed to be getting better. But today it is worse than when it started. Most of the pain is in the right side area. Today, I cannot walk due to excruciating pain. The only relief is laying flat on my back or standing at the foot of the bed and bent over with my face on the mattress. As said, I was doing better the past two days but yesterday I laid flat down on the bed while my husband rubs my legs and I was propped up on my forearms and I am wondering if that did not make things worse. I felt pretty good when getting out of the bed and during the shower and then the pain started to come back and quickly accelerated to not being able to even sit in a chair due to excruciating pain. Again, as long as I am lying flat I do not feel it at all but if I try to move side to side I feel excruciating pain. Doctor: Hi. I can understand the pain you are suffering from. It is nothing but low back pain radiated to the leg. Due to constant stress and improper posture you get this. Taking rest and doing simple exercises will help reduce pain and also you can take Advil (Ibuprofen) for quick relief. An MRI (magnetic resonance imaging) of LS (lumbar spine) would help to know better what exactly the problem is. Here are some exercises you need to do slowly without any pressure. 1. Low back stretch. 2. Straight leg raising. 3. Piriformis stretch. 4. Bridge. 5. Leg sliding. 5. Waist lifting. 6. Deep abdominal strengthening. These exercises will not only reduce pain but also gives strength to the muscles. Apply heat pad thrice a day. Follow up with MRI reports. Stress, improper posture. MRI lumbar spine. Exercises. Advil tablet. With MRI reports." + }, + { + "id": 17740, + "tgt": "I noticed a hole in my new crown. What should I do?", + "src": "Patient: Hello doctor, After an RCT, a crown was fitted today. In the evening I saw a\u00a0hole in the crown. What should I do? Will it remain as it is or can it be filled? There is no pain at all. Doctor: Hello. Hope this helps you. Regards. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 21055, + "tgt": "How to treat a deep cavitated tooth with pain?", + "src": "Patient: Hi doctor, My back tooth has developed a deep cavity within a few months. Now I have a pain in that tooth which got worse this morning. My cheek and throat have a sore, and they are swollen. It became a deep cavity when my filling fell out. Doctor: Hi. I can understand your concern. As per your history and symptoms, it seems to be acute apical periodontitis, that means that you have an infection in that tooth and the associated area. For immediate management and recovery take the following medications. Take tablet Augmentin 625 mg (Amoxycillin with Clavulanic acid) twice daily for five days and tablet Lyser D (Diclofenac with Serratiopeptidase) twice daily for three days. In case, if you are taking any medication for some other reason, and if you are allergic to these drugs too, avoid this medication." + }, + { + "id": 28662, + "tgt": "Testicular ultrasound showed multiple lesions. Do I need testicular biopsy to confirm cancer?", + "src": "Patient: Hi doctor, I have had an ultrasound on my testicles and found multiple solid nodules or lumps and lesions in both testicles. He strongly suspects germ cell tumors. I have had blood tests done, and tumor markers and everything else is normal. I will be seeing a urologist in about two weeks. Do I have cancer? Can my testicles be biopsied without losing them? Doctor: Hi. For further information consult a surgical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-oncologist" + }, + { + "id": 6743, + "tgt": "I am suffering from burning sensation in stomach inspite of having drugs. What could it be?", + "src": "Patient: Hello doctor, I have hyper burning in the stomach to chest area left side only, empty stomach burning much after taken food, cold water, fruits some relief but not full relief. Some belching also comes from the last two months, this issue from the previous 1.5 years. At present, I cannot eat hot foods, hot water, warm milk, and cannot eat spicy foods too. Anything hot tastes or drink immediate feels like heating in the stomach. Comfort zone when drink cold water, milk, cold juices, and very few times after dense food, some pain feels in the exact stomach area. The pain feels like a slow-digesting process after some time, and the pain was gone. Last few months, I have taken the Deltone capsule for two months, then Rekool-L then Nexpro Rd now this month given me Neopride total capsules. But after skip capsules burning again start. Along with Clistar Rt tablet, two times are given, and Nutrilite multi-minerals capsules in the night. Now I do not understand only name change brand change, but every time gastro doctor gives me pills like Dexlansaproazle, Esomeprazole, and Rabeprazole. Now I do not understand what issue I have? Doctor: Hello. I have gone through your query and can understand your health concerns. As your symptoms have started long back, you need proper evaluation. There are many causes of burning in the stomach and belching like gastroesophageal reflux disease, gastritis, peptic ulcer in stomach or duodenum, gall bladder stones, infection of the gall bladder, esophagitis, etc. In my opinion, you need an ultrasound of the abdomen and endoscopy to find out what is the cause of your symptoms. Sometimes inappropriate dietary habits like not taking meals at the proper time, eating a lot of junk food, oily, spicy, fatty food, excessive tea or coffee intake, less water intake can cause acidity and burning. Some infections of the stomach like H.pylori infections or hookworm infestations can also cause such symptoms. I suggest you go for an ultrasound of the abdomen and endoscopy to know the root cause of your symptoms so that proper treatment can be done. Drink a lot of water. Avoid tea, coffee, soft drinks, spicy, and oily food. Include more fibers in your diet, like salads and green leafy vegetables." + }, + { + "id": 10106, + "tgt": "When should I dispose the gauze after a tooth have been pulled?", + "src": "Patient: Hello doctor, How long should I keep gauze in after a tooth is pulled? Doctor: Hello. After a tooth is extracted, it is advisable to keep the gauze in the site for 30 minutes, in the same position. After 30 minutes, do not spit, take the gauze through your hand and discard. This is to arrest bleeding and help in clot formation by pressure method, and spitting will lead to dislodgement of the clot. So, be careful with splitting (do not do it forcefully) for at least one day. I hope you have got the other instructions from your dentist." + }, + { + "id": 23157, + "tgt": "Had alcohol last night and vomiting since morning. What to do?", + "src": "Patient: Hi doctor, I drank alcohol last night. Since morning, I am vomiting everything that I\u00a0am eating or drinking, including water. I had Ondem, but still, I have vomiting sensation. Please help. Doctor: Hi. If Ondem (Ondansetron) also not helping, then it is suggested to get a saline infusion. You may try mouth dissolving preparation of Ondansetron and Pantoprazole. Heavy and sudden alcohol may cause pancreatitis. Take it seriously as no water intake will make it worse. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 12233, + "tgt": "How can I cure acne scars with redness on cheeks?", + "src": "Patient: Hello doctor, I am having pus, acne on my cheeks from a long time but I used to squeeze them off and they will not even leave a single scar, but from the past two months, I am having severe pus, acne, and even I do not touch or squeeze them. They leave a scar and the redness has increased a lot. I am using Clindamycin gel at night time but I cannot see the results. Please help. Doctor: Hello, Welcome to iclinq.com. 1. Your acne seems quite inflammatory that is they are very red and with pus formation. 2. You will need oral antibiotics along with topical gels applications. 3. Do not squeeze them, they can leave bigger scars. Check the prescription below and follow it. Acne vulgaris. 1. Capsule Doxycycline 100 mg once a day. 2. Minoz-BPO gel 0.1 %. Apply tiny amount once at night on acne. 3. Benzoyl Peroxide face wash. 1. Avoid too much sun exposure. 2. Avoid full cream milk, chocolates. 3. No hair oil. 4. Do not squeeze the acne." + }, + { + "id": 1412, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 18701, + "tgt": "Took I-pill after one hour of unprotected sex. Will periods be regular?", + "src": "Patient: Hi doctor, We had unprotected sex yesterday and scared about pregnancy.\u00a0She took I-pill after one hour.\u00a0Please suggest what else we need to do to avoid pregnancy.\u00a0Her last period was 12 days back and her next period is after 20 days. So, will her periods be regular or not?\u00a0If there is any possibility to occur some unwanted change then please convey us with treatment or checkup. Doctor: Hi. Your partner has taken the I-pill after one hour of sex. This rules out the chance of pregnancy in all respect. So, please relax. You have nothing to worry for now. But, you should ask her to start regular pills like Femilon (Ethinyl estradiol and Desogestrel) or Novelon from first day of her next cycle. This should be continued for 21 days and new pack to be restarted after a gap of seven days. This is an excellent form of contraception. Now, she may have some form of bleeding within two to three days. Do not panic. This is normal as a reaction of the I-pill. Her next cycle will be delayed also. This is also normal. Just ask her to start the pill from then. Meanwhile, you use condom for protection as you cannot repeat I-pill so often. Contraceptive guidelines. For further information consult an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 6708, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 19893, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 981, + "tgt": "Is eating jamun in any way related to breathing problem?", + "src": "Patient: Hi doctor, I have been experiencing breathing problem for the past one week. Whenever I am trying to take long breathe, I am not able to push air completely inside through nose or mouth. After consecutive try, full breathe happens. There is no sign of a cough or pneumonia. Also, I do not have a cold. Is it due to stress or anything wrong with my heart or lungs? Does it require any health checkup or consultation with doctor? A few days back, I ate jamun. Does it have any relation with this breathing problem? Earlier, I was obese and I have reduced 10 to 12 kg weight now. I faced some breathing problem earlier. After reducing weight, I was absolutely fine. What could be the reason for my breathlessness? Doctor: Hi. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 5090, + "tgt": "What is the chance for pregnancy after tubular ligation?", + "src": "Patient: Hello doctor, I am 29 years old. I had my tubes tied nearly four years ago but have been displaying symptoms of pregnancy for two months including weight gain in my stomach, nausea, sore breasts fluttering abnormal feelings in my stomach. It is believed I had a miscarriage nearly four months ago due to the sudden onset of my period and the extreme pain that was contributed to it. My cycles usually came to between one and two set days and last for four to five days with a heavier flow. Recently they have been sporadic in their comings lasting anywhere from two to seven days with a lighter flow and a change in color with no clotting as used to be normal. I went to my gynecologist after the first incident and as per him, my cervix was soft and sensitive causing me discomfort when applying pressure. My stomach now is still the same with a harder to touch feel with pain in my lower right hip side that radiates up towards the bottom of my ribs lasting seconds to minutes and recurring frequently. I have taken an OTC test that has came back negative and my blood pressure has been very low ranging around 83/67 mmHg. Can you please help me to figure out what is going on? Doctor: Hello. With the description you have given, I understand that with the tubal ligation done four years ago and the urine pregnancy test negative and you are having your menses each month (bleeding lasting between 2-7 days), with heaviness and pain over the right iliac region and off and on extending towards the ribs indicate an ovarian cause. It could be possibly a developing ovarian cyst which is duly enlarging in size. Oligo and hypomenorrhea are a feature in such cases. This is definitely not pregnancy. Ovarian cysts are known to produce estrogenic symptoms like sore tender breasts, nausea and bloating sensation as well. The softness of the cervix could be attributed to the same. My advice would be to undergo a pelvic ultrasound at the earliest to rule out right-sided ovarian cyst formation or probably an endometrioma accompanied. The size would further decide the course of treatment. you may contact me for further opinion." + }, + { + "id": 5027, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 11003, + "tgt": "Foreskin is swollen like a balloon after frenuloplasty. Is this normal?", + "src": "Patient: Hi doctor,Yesterday I had to have a frenuloplasty. I had to have a general anaesthetic. I woke up and never got any advice off the urologist because I never saw him after the procedure. The nurse who discharged me told me to take off the dressing in the morning and wash the wound and the foreskin twice daily. My concern is today I noticed my foreskin has become swollen and looks similar to a balloon. The stitches are preventing me from pulling my foreskin back over the glans. So, it has been retracted all this time. Is the swelling normal and due to the incision or is it not normal? Also, am I suppose to keep it pulled back or do I try to push it back over the glans? My glans is very sensitive. So, it feels like an electric shock every time I move. Doctor: Hello. You have very likely developed a paraphimosis. It would be more clear if you share a picture of the penis. You are supposed to keep the skin in front of glans. If it is painful to roll the skin over the glans, I suggest using Lignocaine gel and pull it front. After that, the swelling will slowly subside. If red discoloration also is present, then it can be a hematoma. Please share a picture. Revert with more information to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 79, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 18075, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23804, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2397, + "tgt": "Why do I get occasional liver and spleen enlargement?", + "src": "Patient: Hello doctor, I have been dealing with some health issues for three years. I had an ultrasound before showing my spleen was mildly enlarged to 12.8 cm. Since then I have had on and off spleen enlargements. Last week I had an ultrasound with again a mild spleen enlargement at 12.8 cm. Sometimes the spleen returns to a normal size of 11.8cm. I have also noticed in my ultrasound that my liver was enlarged to 16.8 cm when my liver was previously normal at 15.5 cm. I have also done a bunch of blood work and my bilirubin levels went to 27 when they should be below 20 and my conjugated bilirubin was 9 when it should be below 7. I have had my ALT and AST testing and all is fine there. I have had my CBC and differential and all is good with this too. I am very concerned about what this could be and what is happening to my body. My doctor is sending me to a hematologist, please help me to understand what is happening. If this is cancer or something serious. Please help. Doctor: Hi. I hope you are safe. I reviewed your doctor's report. (attachment removed to protect patient identity). While I can understand your concern, but as of there is no one pick and choose a reason for your case. To be frank, I am not bothered by your spleen size or liver size. Yes, they are close to the above normal range. I do not know if you have some component of fatty liver, your USG (ultrasound) may tell you that. If you drink alcohol? Do you think it is worth trying to see what happens to the size? Sometimes we take a few medicines which tend to increase the bilirubin, etc. Examples are OCPs (oral contraceptive pills), birth pills. There are many more. Just get your medicine list reviewed by your PCP. Easy bruisability over the skin, do you have gum bleeds as well? But your platelet count is well above the normal range as well. Do you have any family history of bleeding and do you have excessive menstrual bleeding?" + }, + { + "id": 8054, + "tgt": "I am facing depression and anxiety attacks after break up with my best friend. How to manage it?", + "src": "Patient: Hello doctor, I recently had a bad break up with someone who was formally my best friend, and she feels like now we cannot even go back to where we were before as good friends. But we still talked for a while after it, but now we have not been talking, and I have been feeling depressed and having constant anxiety attacks after the past couple of weeks. Doctor: Hello. You are undergoing some adjustment problems. When we had a bad experience or event, then our body and mind take time to adjust to the new situation. It is common to have some emotional outburst and anxiety during this time. But if your friend does not want this relationship to continue, then it is best to break it rather than and being in talking terms. Communicating with her will increase your expectations, and you will have a desire to get her back in your life someday that will increase your confusion and trauma in the long run. So rather than confusing yourself, it is better to have a clear one-sided answer. Being friends with her will be more painful for you than her so move on." + }, + { + "id": 27641, + "tgt": "Can I use steroid creams for phimosis?", + "src": "Patient: Hi doctor, I think I have phimosis. In a\u00a0flaccid condition, I can retract my foreskin to a certain level. But when erect, the foreskin goes down only a few centimeters, and only one fourth of the glans is visible. Is it possible to enjoy painless sex without any treatment? Doctor: Hello. For more information consult a urologist online --> https://icliniq.com./ask-a-doctor-online/urologist" + }, + { + "id": 27597, + "tgt": "My spouse's BP has shot up after being advised surgery. Please help", + "src": "Patient: Hello\u00a0doctor, My spouse aged 47 years has been advised hysterectomy as there is a fibroid of 80 by 70 mm. Since hearing about an impending surgery, my spouse's blood pressure raised to 170/100. Now, she has been prescribed one tablet of Telmikind 40 per day and Tolol XR 50 twice a day from the last two weeks.\u00a0However, the BP has reduced to only 150/90. How long will she need to take the tablets for, to achieve a normal BP. The surgery is getting delayed due to the high BP. So, is it necessary to change the medicines or raise the dose of medicines? Doctor: Hello. For more information consult a family physician online --> https://icliniq.com./ask-a-doctor-online/family-physician" + }, + { + "id": 1189, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 14722, + "tgt": "Apart from thyroid problem, what can cause fatigue, body pain, weight gain and hair loss?", + "src": "Patient: Hi doctor, My wife is 27 years old. She is feeling the following problems frequently. Short of breath, fatigue, body pain, gained some weight around 2 to 3 kg in the last two to three months, anxiety, hair loss, and dizziness. Can you please guide us? How to overcome it? Doctor: Hi. Please get her a thyroid hormonal profile test including T3, T4 and TSH (thyroid-stimulating hormone)." + }, + { + "id": 19420, + "tgt": "I have eye pain, cluster headache, and allergy to light. Please help", + "src": "Patient: Hello doctor, I am having burning eye pain with a cluster headache which usually increases in the afternoon and keep increasing until bedtime. Tightly tying a cloth around my head and eyes covered gives relief. There is a severe allergy to light. Darkness is preferred during the attack. Please help. Doctor: Hello. You are most likely suffering from a migraine headache. Eye pain is part of the migraine complex. If you have these episodes you are advised a detailed consultation online or offline with a neurologist. Some initial steps that may help are: For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 7682, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 28627, + "tgt": "Can fibroadenoma of the breast recur?", + "src": "Patient: Hello doctor, I had a fibroadenoma in my breast, which was removed two years back. But now, I feel a small cluster on my breast.\u00a0Can fibroadenoma recur? Someone said that I am infected with a sexual disease. I have regular periods, do I have any sexually transmitted disease? I am not sexually active. Doctor: Hello. Firstly, I would like to tell you that fibroadenoma is a non-cancerous breast problem which occurs in young women. These are usually hormone related and frequently regress after menopause. It is always recommended to increase vegetables and fruit intake, and exercise regularly. Get regular breast examination to make sure that the size is not increasing. Also, fibroadenomas are affected by hormones and tend to fluctuate in size during menstrual cycle or if using oral contraceptives, and these may even shrink after menopause. Local reoccurrence of fibroadenoma is common. Sexually transmitted diseases (STD) are due to organisms that hide in vaginal secretions, semen, blood, and sometimes saliva. Many of these are spread through contact with infected body fluids or semen. Having unprotected (without condom) vaginal, anal, or oral sex with someone who has STD is the usual mode through which it can be acquired. It is difficult to tell if someone has STD, as there can be no symptoms or signs. Genital touching can also transmit some of these diseases like syphilis or herpes. For more information consult an HIV-AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 18543, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29910, + "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": 17957, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 4956, + "tgt": "Is there any temporary remedy for shortness of breath in postural orthostatic tachycardia?", + "src": "Patient: Hello doctor, I have been recently diagnosed with postural orthostatic tachycardia by my family doctor. I have been experiencing lightheadedness, fainted a few times after standing. My BP is really high 186/102 mmHg on average with a normal pulse while lying down, then as soon as I sit or stand up my BP drops quite low 104/75 mmHg on average. I have also been experiencing severe fatigue, my whole body just aches all the time and I constantly feel short of breath and get chest tightness and on and off pains. I have reoccurring tremors in my left arm and fingertip numbness. I become very foggy minded usually at night and I get words mixed and my speech gets slurred and stuttered. The worst most uncomfortable feelings I have is shortness of breath and have difficulty trying to breathe. I cannot sleep feeling like this. I have a 3-month-old baby to take care of, but I need some advice on getting at least some temporary relief with my breathing and chest pains until I see the cardiologist. Please help. I am currently taking Celexa 40 mg at night for depression. Doctor: Hi, Welcome to icliniq.com. It is postural orthostatic hypotension, i.e. a significant drop of blood pressure which is causing fainting and giddy kind of symptoms. To prevent this avoid sudden movements like while getting up from the bed, sit with the legs hanging on the side for a while then get up. While feeling faint just lie down on the floor, do not try to control and stand, surely you will fall. Second thing, your resting BP (blood pressure) is high it needs to be controlled as early as possible. It looks like gestational hypertension (after pregnancy). Chest tightness and breathing difficulty are due to resting high BP. Take tablet Amlodipine 5 mg once daily until you see any cardiologist and avoid sudden movements." + }, + { + "id": 2539, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 4683, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 3728, + "tgt": "I do not have dandruff but still losing hair. Why?", + "src": "Patient: Hi doctor, I am a 38 year old woman and have been losing my hair for about six years. All tests came back negative. My GP prescribed a shampoo as she thought I had dandruff, but I have never had dandruff. I am taking Fexofenadine for urticaria and Naproxen for costochondritis. Also, I have a Mirena coil due to very heavy periods. I do have thyroid, diabetes and vitamin D issue. Any help would be great. Thank you. Doctor: Hello. With your descriptions it seems that you are suffering from female pattern hair loss. If you can send picture of your scalp it will be better to diagnose. You did not comment on test reports. Are you a diabetic? Are you suffering from hypothyroidism? Since you are having heavy periods you should go for serum ferritin level and hemoglobin level. If you have diffuse hair loss you can start 2% Minoxidil 1 mL local application daily and tablet Biotin (vitamin H or vitamin B7 supplement) once daily. To see visible response it will take two to three months. Female pattern hair loss. Chronic telogen effluvium. Female pattern hair loss. Follow up monthly to a dermatologist online.--->https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3315, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 6927, + "tgt": "Is it normal to feel stressful when we stop taking antidepressant?", + "src": "Patient: Hello doctor, I have been on depression medication since last year, I have previously had therapy for two and a half years. I stopped seeing the therapist before four months as I had been on my medicines for a few months. I felt content, and my therapist and I were leaving that school (she was an in-school clinician psychotherapist). I am a freshman this year, I have been very stressed and busy with schoolwork lately kind of feeling down. So my question is before I see my doctor, is it common to get used to dose and need to go up, or maybe start talking to someone again, or both. Doctor: Hello. It is common to feel stressed during the freshman year and will take some months to get used to the new routine. Because of the history of clinical depression, it is advisable to consult by your doctor to review your mental state and emotional wellbeing. You can talk to the school and college counselor if available in your campus, and they will be familiar in supporting young people during freshman years. Regarding your medication, Lexapro (escitalopram) is a perfect and effective antidepressant. You are already on a good enough dose of 10 mg once daily. If despite supportive measures, depressive features are persistent, your doctor may consider slightly increasing the dose further. Keep yourself active. Regular walking and exercise will help. Try talking to a loving family and friends regularly." + }, + { + "id": 18674, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28799, + "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": 25662, + "tgt": "Is surgery the only remedy for neck bone fracture?", + "src": "Patient: Hello doctor, The patient is a 17-year-old male. He has got injuries and fractures of the head and neck in an accident some days ago. There is a pain in the head and neck. He can move his hands and legs. He is conscious and can talk. He is getting irritated due to a tight collar in the neck. I have attached all the reports. Please check. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). The patient has second neck bone fracture along with head injury with small hemorrhages (areas of bleeding) in the brain. He requires surgery for neck bone fracture which can be done only after brain injury is settled. Until the surgery is done, he needs to wear the hard collar on the neck. That is a must. Only after the neck surgery, he can remove the collar. For more information consult a neurosurgeon online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon" + }, + { + "id": 389, + "tgt": "My period delayed for 4 days this month with a history OCP before 3 months. What is the chance of pregnancy?", + "src": "Patient: Hello doctor, I had unprotected sex last March but took emergency contraceptive afterward. Six days after, I had the bleeding associated with the emergency contraceptive. Two weeks after that, in the first week of April, I had my period for six days (my usual period lasts five to seven days). In May, I had five days of the period although the last two days were only very light bleeding. Now I was due for my period four days ago, but I still have not got it. What are the chances that I am pregnant and if not should I be worried about my late period? Doctor: Hello. Firstly, as you had three episodes of menstrual bleed including the withdrawal bleed post-emergency contraceptive after you had intercourse in March, so it is unlikely that you would be pregnant due to your sexual encounter in March. As you have missed your menses now by four days and if you have been sexually active during this cycle as well, then you must rule out pregnancy first with a home urine pregnancy test kit. If negative, then the delay is most likely stress-induced and you should wait for at least five days to allow menses to start naturally. If not, then you would need an ultrasound pelvis to check for endometrial thickness which if more than 8 mm. You can be offered a withdrawal bleed with progesterones to resume your menses." + }, + { + "id": 30378, + "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": 15386, + "tgt": "My triglyceride level is quite high. How to manage it?", + "src": "Patient: Hi doctor, I am 28 years old male. I tested my blood triglyceride and cholesterol. I have a triglyceride of 3.07 mmol/L and cholesterol of 4.33 mmol/L. I am worried about my high triglyceride level. Currently, I am taking Atenolol 25 mg in the morning. Please help. Doctor: Hi. I understand your concern. Your triglyceride level is at a higher level than the upper normal value. Several causes increase the blood triglyceride levels. Foods rich in fats such as dairy products, and meat can increase triglyceride. Other exogenous substances may also affect the level. Beta blockers such as Atenolol can also raise the blood lipid profile (triglycerides). An increase in blood triglyceride level is approached appropriately by modifying the diet profile by reducing fatty-rich components and increasing the intake of plenty of fibers, such as vegetables, and fruits. Having a physically active lifestyle every day and avoiding risk factors like close smoking contacts and excessive alcohol consumption are very helpful. If there is no improvement, then medications can help. Take Ciprofibrate 100 mg in capsules, one capsule daily. You should consult your doctor soon." + }, + { + "id": 16178, + "tgt": "Please see my ultrasound pelvis images and explain the abnormalities present", + "src": "Patient: Hi doctor, I am a 27-year-old female. My weight is 124 kilograms, and my height is 159 cm. I am trying to have a child. I have an absence of periods for the past three years. I get my periods only after taking a birth control pill (Yasmin). I have done my ultrasound scan. I have all the symptoms of PCOS. Please see my pelvic ultrasound images and say about the abnormalities seen. Please help me. Doctor: Hi. I have gone through the images (attachment removed to protect patient identity). Your ultrasound scan shows a bilateral polycystic ovarian morphology. However, the antral follicle count is not so good (less than four). Having a good antral follicle count of 11 to 30 in ovaries with less number of follicles allows you to try naturally. Try to have assisted techniques that support to have a natural conception. It results in a better outcome. Your uterus and endometrium look fine with no abnormalities. There are no signs of infection in the pelvis." + }, + { + "id": 16457, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 2950, + "tgt": "Will beta thalassemia minor affect the relationship DNA test?", + "src": "Patient: Hi doctor, I am beta thalassemia minor. If I go for a relationship DNA test with my son, will the DNA report be false due to this? 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": 5642, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 14595, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7240, + "tgt": "Is Xanax a correct medicine for ADHD?", + "src": "Patient: Hi doctor, My son, who is 26 years old, now has been diagnosed with ADHD when he was 5 years old. He went to various psychiatrist to make sure that he is actually ADHD. Six doctors confirmed that he has ADHD and two doctors said he has bipolar disorder. He says that he was given Xanax as a treatment for the anxiety caused by ADHD and bipolar. He takes 10 tablets of 1 mg Xanax a day and sometimes, 11 to 12 tablets a day. Occasionally, when he takes less tablets, he smokes weed. He says that the combination of 5 to 8 tablets of Xanax with weed is equal to 10 tablets of 1 mg Xanax a day. He also takes tablet 300 mg Seroquel at night to help him sleep.\u00a0My questions are is Xanax considered a medication for ADHD or bipolar? Is it advised to take 10 to 12 tablets of 1 mg Xanax a day? Is\u00a0it fine to mix Xanax with weed?\u00a0What is the appropriate medication for ADHD and bipolar? If xanax is appropriate for ADHD and bipolar, then how much is the appropriate dosage?\u00a0Does he need to go to rehabilitation to clean his body of the high amount of Xanax and weed? Is it compulsory to continue a low dose of Xanax lifelong? Doctor: Hi. Attention deficit hyperactivity disorder also called as ADHD is a problem with hyperactivity and decrease attention. Bipolar disorder is the disorder in which increase talk, tall claims, decrease need for sleep and high energy are the most common symptoms. Xanax (Alprazolam) is a benzodiazepine. Xanax is not a suitable drug for ADHD. It can be given in low dose for the acute phase of bipolar. Also, it is not advisable to take around 10 tablets a day. Both, weed abuse and Xanax abuse are very bad for health. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 24122, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 15946, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 26673, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23080, + "tgt": "I am having my period for the second time this month. Is it normal?", + "src": "Patient: Hi doctor, I am having my monthly period for the second time this month, as well as feeling lightheaded with headaches and am in a lot of pain. Doctor: Hello. Having periods more than once in a month can sometimes happen due to stress or other factors. But if it happens repeatedly, you may have to get yourself checked by a gynecologist. Meanwhile, if you are having heavy bleeding, you can take tablet Tranexamic acid 500 mg twice daily till the bleeding stops. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 9141, + "tgt": "Is there an ayurvedic remedy for permanent removal of unwanted body hair?", + "src": "Patient: Hello doctor, I have got unwanted hair all over my body. I have tried laser treatment on my face. After like 14 treatments, the intensity though has reduced, but it is not as expected. There is only a 50 % reduction. What should I do? Should I continue getting laser treatments or is there another ayurvedic way out? Doctor: Hello. I just read your query. The condition in which excessive hair grows all over the body is called hirsutism. It is usually a harmless condition but often makes a person feel embarrassed and unconfident sometimes. There might be many causes behind this condition like the production of excessive androgens (male hormones) in a female, PCOS (polycystic ovarian syndrome), genetic problem or sometimes medication. The first two are one of the common reasons affecting a majority of females. Some other rare conditions include a tumour of the adrenal gland, tumor of ovaries, Cushing's syndrome and hyperthecosis (where ovaries produce excessive male hormone), but these are very rare conditions. Sometimes there might not be any proper cause for the condition. If you have performed all the lab tests including hormonal tests (prolactin, FSH, LH, testosterone) and these are normal then do perform an ultrasound to rule out PCOS because, in this condition, the ovaries produce excessive male hormones which may cause excessive hair growth. In PCOS along with hair growth, some other symptoms also occur like an irregular menstrual cycle, weight gain, etc. But sometimes these symptoms might not be present. If PCOS is present then you have to take treatment for that too for some time and do not worry because you can control your problem of PCOS with treatment. Now coming to your present problem of excessive hair growth, as you have been taking laser treatment, and it has shown a 50 % reduction and you wish to continue for some more sessions then you can go for it according to advise of your dermatologist. Sometimes, laser treatment completely cures the problem and sometimes there are chances of hair growing back. You can try these ayurvedic remedies for hair growth problem: One of the most common reasons behind the hair growth problem is an excessive level of testosterone (male hormone). Start taking one cup of Spearmint tea daily in the morning. This tea helps in reducing excessive male hormone. Take it regularly, it will help you a lot. You will find this tea easily in any nearby ayurvedic store or you can order it online. For removal of hairs naturally, you can try this: After removing excessive hair from the body, take pure Thanaka powder, which is obtained from Thanaka tree also called elephant tree. This powder you can take from any ayurvedic medicine shop. Mix this powder with pure kusumba oil (safflower oil). Make a paste of these two. Massage this paste on the area in a circular motion till it gets absorbed. Do not wash it or wipe it for three to four hours or preferably apply it in the night before sleeping. Repeat this process every day for 100 days and you will see an immensely positive result and decreased hair growth. Along with a reduction in hair growth, this combination is also helpful in making skin more lustrous. If you feel irritated or rashes occur over skin then you can remove it. But usually, this mixture does not have any side effects. Mild buring sensation might be present but if it goes within few seconds then do not worry. You can apply this mixture to the face as well as over the body. You can consult your dermatologist before applying it if you want to, but it usually does nothave any side effect. So, go for it. Do perform the ultrasound and any hormonal test, if not performed earlier, and if PCOS, do take treatment for that too. Try both these regularly and you will soon feel positive results. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 17549, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9990, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 3657, + "tgt": "Kindly interpret my MRI report and prescribe diagnosis and treatment", + "src": "Patient: Hello doctor, This is a request to analyze my MRI report. I would expect detailed guidance with what kind of treatment we have to proceed? What is the prescription for the condition and how long to use the prescribed medication? Please reply with the prescription as soon as possible. Please let me know the cautions and care we have to take. Doctor: Hi. I can understand your concern. I have gone through the report you have attached. (attachment removed to protect patient identity). You need urgent immobilization of knee by cast or slab along with painkiller, and anti-inflammatory drugs. The next step is an arthroscopic correction (surgery) for ACL (anterior cruciate ligament) repair. I hope this helps." + }, + { + "id": 6309, + "tgt": "I noticed an odd stain in my bra. Should I be worried?", + "src": "Patient: Hello doctor, I am a 33 year old\u00a0female. After my workout today, I saw a nipple stain on my bra. But, when I squeezed it, there was no discharge. Is it any thing to worry about? I am not pregnant. Doctor: Hello. Revert with more information to an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29584, + "tgt": "Do you think I have WPW syndrome?", + "src": "Patient: Hello doctor, I am a 36 year old female. I am overweight. I have BP problem since a year. I was initially taking Cilacar\u00a05 mg. Later the dose of the medicine was increased to 10 mg. I\u00a0experienced dizziness and vague pain in left hand and severe burpings. Previously,\u00a0during my root canal treatment when local anesthesia was given, I\u00a0experienced dizziness and some discomfort in my chest. An\u00a0angiogram was done, and it was normal. Another cardiologist after seeing my ECGs suggested that I\u00a0may have WPW (Wolff-Parkinson-White)\u00a0syndrome.\u00a0\u00a0I\u00a0have had anxiety attacks two or three times. What is your opinion? I am hereby attaching my reports. Doctor: Hi. I have carefully reviewed your health query and can well establish how worrisome this situation has been for you. It is always troublesome for patients when it comes to the heart's health. 1. Fasting lipid profile. 2. Serum electrolytes. 3. Echocardiogram. Revert back with the reports to a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 28925, + "tgt": "My son's ferritin is low, and he is an athlete. Should he take iron supplements?", + "src": "Patient: Hello doctor, I have a 16 year\u00a0old son,\u00a0he\u00a0runs at the varsity level, for his high school, cross country, and track team. He is a distance runner. He recently had some blood tests done. His hemoglobin was 14.8 g/dL, hematocrit was 44.5 %, and ferritin was 23 ng/mL. I have been told by the team doctor that his ferritin is too low for an endurance athlete\u00a0and that he should take iron supplements. My son's pediatrician says that he does not need the supplements. Can you offer some advice?\u00a0Should\u00a0he take the supplements? If yes, then how much? Doctor: Hello. For further queries consult a fitness expert online --> https://www.icliniq.com/ask-a-doctor-online/fitness-expert" + }, + { + "id": 28380, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 732, + "tgt": "What to do for severe hip pain during pregnancy?", + "src": "Patient: Hi doctor,My wife is 14 weeks pregnant.\u00a0Since yesterday night, she has been suffering with severe left hip pain. She is unable to stand, sit and walk comfortably. It started with mild pain before a month. The pain seems to be unbearable. I have applied the pain reliever cream and spray, but it did not work.\u00a0Kindly suggest me what I have to do. Doctor: Hello. For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 20827, + "tgt": "How can I regrow beard and hair on scalp?", + "src": "Patient: Hello doctor, It started four years back that a patch of hair (round with about 3 cm diameter) suddenly disappeared from my lower right part of beard area (neck). I ignored this at first, but then when the hair never came back even after about six months. A doctor told me to use Tacrolimus 0.03 % for some time. I used it for two months regularly with not much success. Again, I ignored my condition, considering it to be a minor issue. A month back, I moved to a new place for work and on the very second day, I lost a patch of scalp hair (left center of my head). This seems to be a very serious issue. I started applying Tacroz 0.03 % for last three weeks and am also taking Dexamethasone 5 mcg once a day. I want the hair to regrow on my beard and also on my scalp. Also, I do not want this situation or issue to re-occur. Doctor: Hello. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). You seem to have alopecia areata. I suggest you take oral corticosteroids for a few weeks if it is progressing. Tacrolimus is not a treatment of choice for alopecia areata." + }, + { + "id": 17600, + "tgt": "My sister's palm is getting black and hard. Why?", + "src": "Patient: Hi doctor, My sister's right hand and wrist are aching continuously since the past few weeks. The pain has become much greater now. She says that under her little finger, the pain is comparatively greater than in the rest of her hand. Her palm has turned black and hard a little. Doctor: Hello. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3406, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 24248, + "tgt": "During intercourse, I tend to ejaculate quickly. Please suggest a medicine", + "src": "Patient: Hello doctor,I am a 44 year old male. I take Feliz S plus 5 for high palpitation and high BP. This tablet controls my stress and BP effectively and I am taking this for more than seven years. I have a sexual problem. I ejaculate quickly during intercourse within a few seconds. This was not happening earlier and I see this problem for the last three to six months. I am afraid of taking any tablets on my own as I am having these problems. Please suggest. Doctor: Hello. Firstly, I would like to make it clear to you that this medicine Feliz S Plus 5 is not a medicine for high BP and palpitation. You have not given any information regarding your symptoms. Have you monitored your BP regularly? What is your usual BP? Feliz S plus a combination of Escitalopram 5 mg and Clonazepam, is an antidepressant used to treat depression and anxiety. Please elaborate further on these. For your current problem, I would like to tell you following tips: If the above does not work for you, then you can go for a very short-acting medication like Dapoxetine 30 mg, one to one and a half hours before intercourse. This will increase the duration. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 18334, + "tgt": "Is my LFT report normal?", + "src": "Patient: Hi doctor,I sometimes get shoulder pain. I consume alcohol once a week. I am attaching my LFT report, please advice. My bilirubin direct is 0.10 mg/dL, bilirubin indirect is 0.5 mg/dL,\u00a0SGOT is 35 U/L,\u00a0SGPT is 79 U/L, and ALP is 68 U/L. Doctor: Hi. Your reports (attachment removed to protect patient identity) are normal. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 24740, + "tgt": "I have ulceration on my penis years after a risky exposure. Please advice", + "src": "Patient: Hello doctor,In my teenage, I used a condom that was already used by someone, laying on the street. I have done the same thrice or so. After that, I got wound, sores and also ulceration on my penis. The same was recurrent occasionally and after that its occurrence was rare. Now, I am 34 and right now there are no ulcerations nor wound, but after that incident my body became weak and my overall growth also stopped. I am experiencing severe body pain, I feel more weak, chest tightness, burning sensation under my feet. I fear that I am infected with some STD. However, occasionally I have screened myself for VDRL, HIV, TB and the same was negative. Please advice on any other STDs or VDs screening to be done. Doctor: Hello. I have gone through your problem and understand your concern. These below mentioned are the common cause of STDs (sexually transmitted diseases): You have a negative test for HIV and syphilis. So, get tested for hepatitis virus and for other mentioned STD if currently having ulcer or pain in the genitourinary area. The symptoms mentioned by you could be due to other medical conditions not related to STDs, like hypertension, diabetes, and thyroid related disorder or vitamin B complex deficiency. So, also get a simple investigation such as blood pressure monitoring, blood sugar fasting, and thyroid function test. So, I recommend that (before you proceed for investigation) you consult a doctor in person, and after a physical examination, he might ask you for some relevant investigations alone instead of going for multiple investigations. Hope this helps you. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 11142, + "tgt": "I have kidney stones. Is it dangerous to have creatinine level of 1. 6?", + "src": "Patient: Hello doctor, One week before three kidney stones came out, and I have a burning sensation while urinating after that. I went to the doctor he took some test and told that my creatinine level was 1.6. Is it dangerous? I have hypertension and my value is 150/100. Doctor: Hello. Based on your history you might be having a urinary tract infection. Urine infection is a known complication in patients with urine stones. Do you have other complaints in addition to burning sensation like fever with or without chills, abdomen pain, vomitings, and blood in urine? The rise in creatinine in your case can be due to a pre-existing renal disease due to hypertension, or the current urinary tract infection may also cause this. I advise you to get, 1) Complete urine examination for any urinary tract infection. 2) Urine culture and sensitivity to identify the specific organism causing infection and antibiotic sensitivity. 3) Ultrasound abdomen to look for any urine stones still present. 4) Complete renal function test. 5) Complete blood count. You are welcome back to me with any further queries." + }, + { + "id": 26869, + "tgt": "I have low mental exhaustion threshold. I am unable to concentrate. Please help", + "src": "Patient: Hi doctor, My brain is getting exhausted after reading books or journals or watching movies or TV\u00a0continuously for few hours.\u00a0My mental exhaustion threshold is 80 to 85 % less than that of the normal person. It lasts for two to five days or more depending on the intensity. During that\u00a0time my mind is not allowing me to go through the same activity and reacts very slowly. I am unable to concentrate, and many times I am involuntarily closing my eyes, that is, going to sleep. I have mental and muscular fatigue even for a small study or work. Due to this, I am sad and depressed.\u00a0Hence, I stopped studying and felt better.\u00a0My remote memory is also less. I am unable to recollect 10 % of what I read before five days. Please help me to fix my memory and early mental exhaustion. There is no history of a headache, insomnia, loss of appetite, or weight loss. My sexual desires are fluctuating.\u00a0I was operated for bilateral cataract at the age of 18 years. I was under tablet Venlafaxine 150 mg, for two years. I had done the sleep study, MRI brain, thyroid, CBC, 2D echo, treadmill, etc., which were normal.\u00a0Since\u00a0many medicines are available in\u00a0homeopathy, help me to choose the right one as I need to prepare for the entrance exam, where I need to read for 15 hours a day. Doctor: Hi. For further queries consult a homeopathic physician online --> https://icliniq.com./ask-a-doctor-online/homeopathic-physician" + }, + { + "id": 21321, + "tgt": "Why is the platelet count decreasing even after platelet transfusion?", + "src": "Patient: Hello doctor,My mom's platelet count was 6,000 and they did platelet transfusion for six pints and it came about 1,00,000 and after that, today again it became 13,000. What will be the disease condition and what is the treatment to be followed? Doctor: Hello. You have not mentioned at what time she got her platelet transfusion and now after how many days the platelet count has been decreased. Dengue, immune thrombocytopenia purpura, uremia, malaria, blood septicemia, drugs, platelet functional disorder, consumptive coagulopathy, liver disease, etc., are some of the causes. As your platelet count drops down to a severe level, if no other cause found, then bone marrow aspiration study might be needed to exclude immune thrombocytopenic purpura. Take care. For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 26721, + "tgt": "My hernia is back within six months. Should I get it operated again?", + "src": "Patient: Hello doctor, I have undergone a hernia operation six months back. But then, I got a similar pain and I was scanned. A small hernia was detected again. Should I get it operated or wait for some time? Please give me a suggestion. Doctor: Hello. I went through your records (attachment removed to protect patient identity). Do not get worried. Relax and choose a plan. Hope your doubts are cleared. If not, please feel free to consult as needed. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 24693, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16779, + "tgt": "What is the treatment for head injury with a blood clot?", + "src": "Patient: Hello doctor, My cousin suffered a massive blow to his head, which resulted in a terrible injury above his ears which extends to the back of his head. He is not responding, but he can breathe on his own, and his body is responding to commands. The doctors said that there is a blood clot in the injury. How can this be treated? Doctor: Hello. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 13782, + "tgt": "Is the swelling with toothache an abscess?", + "src": "Patient: Hello doctor, For a few days, I have had a bad toothache. I noticed swelling and begun taking antibiotics. I woke up today and the pain is gone but it is even more swollen. I have been using cold and heat compresses, as well as salt water rinse. I am worried I may have developed an abscess but I do not have the money to seek out a dentist. Doctor: Hi. Understanding your situation, I am prescribing you a proper antibiotic regime that will help in diminishing abscess and infection. Take Augmentin 625 mg twice a day, tablet Metronidazole 400 mg twice a day, tablet Brufen 400 mg twice a day. Take all these medicines for three days. It will work hopefully and will dry up the infection, but again you know it is a temporary solution. The permanent solution is the extraction of the culprit tooth. You may look for low-cost dental visits and ask in your locality when will it happen. Keep doing saline water mouthrinses at least 3 to 5 times a day. Give me follow up after three days. Stay happy and blessed. Take care." + }, + { + "id": 12017, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 16441, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 3288, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 17139, + "tgt": "My platelets count is decreasing. And I am having fever from last 6 days with continuous headache", + "src": "Patient: Hi Doctor, I am having fever since last 6 days with continuous headache. I am taking Paracetamol on regular intervals, but my fever temperature is not decreasing from 100 degree, sometimes it reaches to 103 degree as well. Because of the fever my appetite is also reducing day by day. I got it checked from doctor and she suggested me to get some blood tests done. On 8th October my Leucocytes count was 4200 (Normal Range- 4000-11000 cu.mm) and my Platelets count was 1.85 (Normal Range - 1.5-4.5 Lakh/cu.mm) but on 11th October my Leucocytes count decreased to 388 from 4200 and platelet count 1.42 from 1.85. Then I had the other readings as follows: Dengue Antibody IGM - Not Detected. Dengue Antibody lgG- Not Detected. Dengue NS1 Antigen - Negative. Malaria Parasite/Blood Parasite Identification - No MP seen in smears examined. Then I had Complete Blood Count (CBC) Test. The report says: RBC Count is showing low - Current is 4.24 (Normal - 4.50-5.50). MCH is showing High - 33.70 (Normal - 27.00-32.00). MCHC is showing high - 35.80 (Normal - 32.00-35.00). Red Cell Distribution Width is high- 15.20 (Normal - 11.50-14.50). Differential Leukocyte Count (DLC): Eosinophils is showing NIL-0.00 (Normal 1.00-6.00). Absolute Leukocyte count: Eosinophils is showing NIL - 0.00 (Normal 0.02-0.50). It has been 6 days now and I am still having the fever. Kindly suggest what could be the reason and please help me know if I have dengue? Why is my platelets count decreasing? Doctor: Hi. If you have further questions, feel free to ask a doctor online -->\u00a0https://www.icliniq.com/ask-a-doctor-online" + }, + { + "id": 3552, + "tgt": "What does the prostate biopsy suggest?", + "src": "Patient: Hi doctor, Here are the results of a prostate biopsy. What do you think of the results? Do you recommend surgery or chemotherapy for a 71 year old? Doctor: Hello. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 14631, + "tgt": "I am having numbness in legs and arms after taking Nortriptyline. Why?", + "src": "Patient: Hello doctor,I had a head injury, asthma and been on Amitriptyline for five weeks started at 10 mg and worked up to 50 mg. Headaches did not go away. Switched to Nortriptyline 50 mg for less than a week and started to experience numbness in legs and arms and tingly or pins and needles in same limbs. Numbness started to affect the skin on my back, face, chest. The doctor advised to stop Nortriptyline but did not express concern over the reaction. What happened? Doctor: Hello. I read carefully your question and would explain that the complaints that you describe, are not common adverse effects related to Amitriptyline or Nortriptyline. I do not find anything really concerning in your symptoms, besides the fact that these drugs do not seem to be effective in controlling your headaches. Coming to this point, I would first recommend performing a brain CT scan or MRI in order to be sure that it is a primary headache. Some blood laboratory tests are also necessary. Considering the numbness in your limbs, get complete blood count for anemia, thyroid hormone levels for thyroid dysfunction, PCR, ESR for inflammation, blood electrolytes for possible imbalances. You should discuss with your doctor on the above tests, before switching to another drug. In the meantime, it is fine to gradually stop Nortriptyline." + }, + { + "id": 24007, + "tgt": "How can I manage the parotid gland swelling?", + "src": "Patient: Hello doctor, I was sick for two weeks with flu and now I have parotid gland infection (swelling) on the right side of my face which is getting bigger on the second day of antibiotics. Kindly tell me what has to be done. The ultrasound and complete blood count were checked. Doctor: Hello. I have seen your symptom details and reports (attachment removed to protect patient identity). Your reports show enlarged parotid gland with a cyst in the gland. This is due to parotitis. Usually, this kind of swelling will reduce in size with medication only. You need to take proper antibiotic coverage and anti-inflammatory drugs as per the advice of ENT doctor. This may take four to six weeks of treatment. If the swelling is not reducing in size even after four weeks, it may require aspiration of the cyst. Your swelling size is probabling increasing because of incomplete treatment. There could be another possibility of stone formation in the parotid gland. You need to undergo X-ray to rule out the stone in the parotid duct or parotid gland. For more information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 30724, + "tgt": "For how many cycles can I take Clomid 50 mg?", + "src": "Patient: Hi doctor, I am 26 years old. I have been trying to conceive for the past seven months. I have regular 28 day cycle. Recently, I got a hormone test for FSH, LH and prolactin, uterus scan and my husband's semen analysis. Everything was normal. My doctor prescribed me Clomid 50 mg on day 4 to day 9 and Duphaston 10 mg tablet to be taken after ovulation for 10 days. We tried every other day in my fertile time for two months, but I got my periods. Should I continue Clomid for third cycle and try every day for six to seven days during my fertile period? Should I increase my Clomid dose to 100 mg for this cycle? Please advise. I used to have\u00a0tender breast post ovulation, which last till periods. But, after taking Clomid and Duphaston, in the last two cycles, I did not have tender breasts post ovulation. Is it because of vitamin and Folic acid intake? Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27238, + "tgt": "I have a sharp pain on the left side of my face. Please help", + "src": "Patient: Hello doctor,I am a 27 year old male in good physical shape, doing workouts every day. My weight is 90 kg and my height is 170 cm. About four months ago, I started to feel a\u00a0sharp pain on the left side of my face, above my left eye when I\u00a0swallow liquids. The pain is not intense, but rather I feel like there is an irritated nerve. It lasts only a second, while I am swallowing the liquid and then there is no pain at all. After a while,\u00a0I noticed that the pain activates when I kiss someone (creating a\u00a0vacuum with my mouth). Last night, I\u00a0triggered the nerve pain while I was cleaning my left ear with a\u00a0cotton bud. The pain has neither gotten worse nor better in these four months. I consulted a neurologist and he did all the tests, like neuro test, 64-slice computer scan. There was nothing wrong with them. Then, I was at the otorhinolaryngologist and he checked my ears, nose, and throat. There was nothing wrong with them too. My neurologist wrote me Lyrica, but after three days, my head was spinning, and I felt bad. So, I cut it off. I am without any medications for two months now. The pain was still there while I was taking Lyrica. Doctor: Hello. I read your query and understand your concerns. I hope this answers your query. Feel free to contact me if you have more questions. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 11080, + "tgt": "Why am I very protective over clothing, food and friends?", + "src": "Patient: Hi doctor, I have found that I am very protective over my clothing, food, and friends. I grew up in a household where the food we bought was either on sale or a big deal, despite having money now, when someone eats food I was looking forward to the fact that I get inexplicably angry. My step sister steals my clothing and it makes me have nightmares about hurting her. Something else concerning is when my best friend ignores me for other people it hurts me a lot as I place so much value in everything. I have seen a psychiatrist regularly but this is a question I have never had answered. Is there a way to trace this behavior to my upbringing or prevent it from affecting my life? I am currently prescribed Zoloft and Adderall. Doctor: Hello. When someone eats food and you get angry, this could be due to part of anxiety. A lot of individuals with anxiety have such kind of symptoms. This is not a thing to get worried. You are on Zoloft which is an anti-anxiety drug and this should help you with time. When someone steals your clothes and you get angry then this is not an abnormal behaviour. I do not see any abnormality in this. Most of individuals have such kind of behaviour. Getting hurt on behaviour of your friend also has nothing related to your upbringing. Sometimes when we expect from an individual to whom we are close and when he or she ignores us, then it is normal to get hurt. But, if this is prolonged and you feel depressed because of this, then this might be due to some personality issue. You are 19 and at this age, such kind of behaviour is normal. With time you will see improvement in yourself." + }, + { + "id": 29954, + "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": 3835, + "tgt": "My penis is hard even while flaccid. Is this stress related?", + "src": "Patient: Hello doctor, I am having a problem with my penis. It feels hard like a hard rubber tube even while flaccid. The veins have also become very prominent. Sex is now painful and my penis becomes sore and red after intercourse. I had all the tests done. All STD tests came out negative. The problem has been for six months and none of the urologists that I have been to are able to tell me what it is. I am getting erection, but I am unable to maintain it. I have also noticed that since this problem began I have started to sweat profusely during stressful situation in my daily life. Is this a stress or pelvic floor related issue? Please help me out as this is affecting the sexual health of my marital life. Doctor: Hi. I have read and understood your problem. Revert back with the reports to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 13309, + "tgt": "Can a tooth with vertical fracture be saved?", + "src": "Patient: Hello doctor, I believe I have broken my right side molar in half vertically. The left side is very loose and I cannot bare any pressure without significant pain. What is the best course of action without insurance and can the tooth be saved? Doctor: Hi. If the broken part is not causing much pain, try to eat something sticky like wet dates or eclairs type candy or chocolate so the broken part gets removed through it and then follow this antibiotic regime for three days. Tablet Augmentin 625 mg twice a day, tablet Metronidazole 400 mg twice a day, tablet Brufen 400 mg twice a day or eight hourly if the pain is severe. Hopefully, the tooth will get okay if this is a slight fracture but if it is hurting you badly there is no option other than extraction of the whole tooth. You should get it extracted as soon as possible otherwise you cannot eat from this side. Give me followup after three days about your condition. Stay happy and blessed. Take care." + }, + { + "id": 24294, + "tgt": "Do children lose all of their teeth or do some remain?", + "src": "Patient: Hello doctor,Do children lose all of their teeth? I have a dentist who says there are permanent teeth children do not lose and that this cavity that seems to be forming should be taken care of because that tooth will not fall out. This is the tooth all the way in the back of a 6-year-old's mouth that has not fallen out yet. So, do children lose all their teeth and is there any teeth that remain from the first like a growing 6-year-old? Doctor: Hi. How are you doing? Children have 20 milk teeth (10 each in upper and lower jaws) which shed till the age of maximum 10 to 12 years. The permanent teeth erupt in their places and the three permanent molars erupt behind the primary teeth. According to the age, I think you are talking about the permanent first molar that erupts at 6 years of age and hence, it is advisable to go for filling as it will not shed. The permanent molars do not have any milk tooth predecessors and hence you may get confused with the milk teeth. It is better to get any cavity in the tooth filled in the initial stages itself unless it is very mobile (pre-shedding mobility). You can send me a picture of the tooth to guide you further. Take care. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 4130, + "tgt": "Is there any Ayurvedic medicine to cure heavy bleeding and urinary frequency due to fibroids?", + "src": "Patient: Hello doctor, I am 46 years old. I am suffering from heavy bleeding and very frequent urination issues for the last seven months. My sister-in-law, who is a gynecologist asked me to take a scan. My scan report revealed that I have uterine fibroids. She prescribed Trapic 650 tablet for excessive bleeding. I have been taking this tablet during my periods for the last seven months. She suggested going for hysterectomy as there is no other effective cure in allopathy. But I am not interested in undergoing surgery. While searching for an alternative, I stumbled upon a study conducted by an ayurvedic doctor, which claims that uterine fibroids got cured or reduced in size by taking certain ayurvedic medicines. I got excited and contacted the doctor through email and she prescribed certain medicines (the details are at the end of this mail). I took those medicines religiously. The doctor also told me to take two more scans in the subsequent months. I am attaching all the three scan reports, but there was no improvement in my heavy bleeding condition and urination issue. In the meantime, the doctor got transferred to another ayurvedic hospital and now I am unable to reach her. Right now, I am not under any medical treatment except taking Trapic 650 tablet during the periods to arrest the excess bleeding. After seeing your advice to a woman patient with a similar condition, my hope has got rekindled. I would like to ask you the following questions: Are uterine fibroids completely curable under Siddha? I will be consulting only you as I do not want to mix different streams of medicines. I would appreciate it if, after seeing my reports, you could let me know how long it would take to get relief from excessive bleeding and to get completely cured of fibroids? Apart from this chat, is it also possible to talk to you over the phone? Details of Ayurvedic medicines taken: Amycordial Syrup\t5 ml for two months, Varanadi Kashaya\t5 ml one and a half months, Shigru Guggulu for two months, Kanchanara Gugulu tablet for 20 days, Nityananda Rasa tablet for 20 days, Hingvashtaka churna one teaspoon for 20 days, Haridra Khand two teaspoons for 15 days. Doctor: Hi, Welcome to icliniq.com. I have treated many fibroid uterus cases. Most of them became asymptomatic with a reduction in the size of the fibroid, and surgery idea was withdrawn. Smaller the size faster and complete disappearance of the fibroids. Medium to large sizes have reduced in size, but they would become asymptomatic within one month period. They need six months of therapy. In your case, it is the medium size one. Please take the following medicines: Capsule Rasaganthi mezhugu one in the morning one and one at night with buttermilk after food, tablet Chitthira moola kuligai one in the morning and one at night after food, Van kumari legium (buy 200 gm) take 5 gm (one spoon) in the morning and evening before food. These drugs are available in South Indian states. M2 tone tablet two in the morning and two at night after food. Apart from these drugs, a few home remedies to be done: 1) Vaazhai poo (banana flower) to be fried or any other dishes daily two times. 2) Uthiya mara pattai and naval mara pattai buy these barks one kg. Take 25 grams of each, then add eight tumblers of water. Boil it to reduce to four tumblers. This is the kashayam. Then drink one tumbler kashayam in the morning, one in the afternoon and one at night in an empty stomach. If not possible in afternoon (due to office work), then take that dose in evening. Please buy these drugs and herbals and try them for one month. If you do not feel any improvement, then continue it for the next three months. You may require three to six months of treatment. If you do not find any improvement in one month, then I advise surgery." + }, + { + "id": 1876, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 13505, + "tgt": "When can I expect the red rash near penis to cure completely?", + "src": "Patient: Hi doctor, I got a red rash near the tip of the penis. The doctor told me to use Mupirocin T-bact, I started applying once a day and it has been 10 days. I want to know how much time it can take for a complete cure? Doctor: Hi. Mupirocin is a topical antibiotic. It has to be used twice a day for two weeks for infectious conditions like impetigo. Also, it depends on the extent of involvement and severity. Since I have not seen the rash, I cannot really tell you how much time it can take to heal the rash. Please attach your clinical picture so that I can see and make a diagnosis that helps me to comment further." + }, + { + "id": 16780, + "tgt": "How will herpes labialis spread?", + "src": "Patient: Hi doctor, Before a month, someone who has labial herpes kissed me on my cheek. After that, my lips were burning, but I did not apply any lotion on the lips till now.\u00a0I am a little bit hypochondriac. Before two days I met my boyfriend and I kissed him on the cheeks. The next day, I feel pain on my chin and after that I had something like acne there and then I had two aphthous ulcers at an interval of two to three days. One under my tongue and another inside the cheek or lip. Now, my boyfriend has headache and throat pain. He thinks it is the beginning of an upper respiratory tract infection. Could it be his primary infection? Did I pass herpes to him? Can we do a viral culture of his throat to know whether HSV-1 is present or not? Is am I HSV positive? Please help. Doctor: Hi. As I understand you are conscious about you and your friend's health. But, no need to worry. First, I would like to tell you that herpes infection are transmitted by direct contact like kissing and manifest with multiple painful vesicle, which may develop to ulceration associated with pharyngitis or ulcer over oral mucosa. So, if you had a kiss by a confirm case of Herpes labialis, you may get such infection. But, it is not always an infection to convert into a disease as body's immune system protects us from such kind of pathogen. I do not think to go for viral culture as it will not help in deciding treatment plan. Viral infection usually gets cured itself within 10 to 14 days. We need to do symptomatic treatment and maintain good nutrition and hydration. You may be having a herpes infection, but do not worry. For further information consult a microbiologist online --> https://www.icliniq.com/ask-a-doctor-online/microbiologist" + }, + { + "id": 12312, + "tgt": "My back is not in proportion. How to correct it?", + "src": "Patient: Hi doctor, When I started my workout today, I noticed that my back is not in proportion and not developed properly. I am wondering, why is it so? Do I have to see a chiropractor? Or do I need to adjust my workout forum? Kindly guide. Doctor: Hi. Are you right-handed? Is your left arm weaker? Or vice-versa? Normally, we all tend to use one side of our body more frequently and comfortably than the other, making us left or right-handed. We spend most of our life performing endless daily tasks with one side of our body at a much higher frequency than the other side. Hence, more developed and stronger muscles on that side. But, it is more visible in some individuals than others. You can spend more time building muscles on the weaker side and forcing yourself to use your uncomfortable side. You will strengthen and develop those muscles at least close enough so that you cannot tell visually that you are uneven. I advise you to do more of dumbbell exercises like bent over lateral raises, one arm dumbbell row and pushing your weaker side, left as per picture (attachment removed to protect patient identity), to take more weight." + }, + { + "id": 27463, + "tgt": "I am unsure if this bump is a wart or a razor bump. Please help", + "src": "Patient: Hello doctor,I am a 26 year old male. On Monday night, I trimmed my pubic hair and while doing so, I felt a nick while trimming the bottom left side of my penis. After that, I shaved with a razor. On Tuesday morning, I noticed a bump and thought it might have been from the nick, but now I am starting to think it might be a\u00a0wart. I need an expert's opinion as soon as possible. Doctor: Hello. I have read your query. For further queries consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 28600, + "tgt": "My BP is high. Should I get checked for secondary hypertension?", + "src": "Patient: Hi doctor, I was diagnosed with essential hypertension taking medicine for that. My BP is 146/92 mmHg. I do not have any symptoms. Should I get investigated to rule out secondary hypertension? Doctor: Hello. Yes certainly, you being a young hypertensive first need an evaluation to know the cause of blood pressure. You should undergo a few tests like kidney function test, renal artery Doppler, serum cortisol and 24-hour urinary metanephrines. Also get lipid profile and sugars tested. 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 and then once or twice a week. If BP is persistently more than 140/90 mmHg, then you should be on medicines for it. High blood pressure is a silent killer. It rarely causes symptoms, but keep on damaging your organs. Do regular exercises like brisk walking, jogging according your capacity for 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 abdominal fat deposition or obesity. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 20647, + "tgt": "I feel unbearable pain when I chew on filled tooth. Kindly guide me", + "src": "Patient: Hello doctor, I have a filling in my tooth of some metal (14 years have passed). I had flu and sore throat a few days back. So, I used Augmentin and another tablet of Actifit-P replacement. After three to four days, my toothache started and now if I chew anything, my teeth feel painful. That filled tooth pain has become unbearable. Kindly guide me. Doctor: Hi. First of all, I would like to tell you that consult your nearby endodontist to rule out the reason for pain clinically and radiographically. If the pain would be due to secondary decay below the restoration and deep to the pulp, then you will have to undergo a root canal treatment and if not so deep, then the pain will be overcome by newer restoration. Such kind of decay is very common and treated easily. So no need to worry. Till the time you can take Combiflam (Ibuprofen and Paracetamol) to relieve your pain." + }, + { + "id": 23543, + "tgt": "Having pain in my scrotum after having sex or cycling for long. Can you suggest any treatments?", + "src": "Patient: Hello doctor, I am a 33 year old married man, and I was hit by a cricket ball on my scrotum\u00a0while playing cricket two years ago. I consulted a doctor, and he told me that there is nothing to worry after seeing no swelling. The sensitive pain lasted for 10 days, after which it vanished. But after few months, I experienced pain after cycling for 10 km. I experienced the same kind of pain again a few times after cycling. So, I went to the doctor again, who suspected it to be a varicocele. He asked me to get a scrotum scan. After seeing the results, he said that there is nothing to worry. I have attached\u00a0the report. I have pain after having sex for the second or third time during a day, which started after the scrotum injury. Please help.\u00a0Thank you. Doctor: Hello. I have seen the attached report (attachment removed to protect patient identity). Thanks. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 15203, + "tgt": "Kindly tell me if there is any alternative to bronchoscopy to get tissue for testing cancer", + "src": "Patient: Hello doctor, I have a family friend that recently was admitted to hospital for shortness of breath. She was advised that after several examinations that she has a form of cancer. The information that we were provided with was that they were unable to ascertain where or how severe the cancer was. Some confusion over whether it was thyroid or lung cancer and also its placement. The advice given was for her to undertake a bronchoscopy in order to do a biopsy of the lung. She had complications as a result of the bronchoscopy and was put in ICU for observation. That was last week, we have now been told that she will not recover and is too weak to breathe for herself and fight cancer. They have given her 48 hours. I really would like a second opinion because I feel we have not been told the full story. Would you recommend this procedure despite knowing that a patient was under stress with her breathing? Was there another way they could have gone about retrieving what they needed through a different procedure? I just want to quiet the nagging thoughts I have because I feel like this should have been a simple day proceedure. Doctor: Hi. Confirmation of any form of cancer is by biopsy only when the malignant cells are visualized under a microscope and reported to be positive. Rest of the radiological test like HRCT and MRI are highly sensitive but not specific. I am assuming that the cancer was either diagnosed by cytology or radiology in her case and they did a bronchoscopy to get the tissue they suspected of being malignant. Usually, broncoscopy is done under anesthesia and does not cause any complication. Probably the cancer had been more advanced in this case or the patient's physical condition was poor but anyhow there is no other way than broncocopic tissue examination to confirm the diagnosis." + }, + { + "id": 13983, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2700, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 6277, + "tgt": "I did not get periods from eight months and I am always fatigued. Is my blood disorder the cause?", + "src": "Patient: Hello doctor, I am a 19-year-old female. I am always fatigued. I have not got my periods for around eight months now. I went to my gynecologist and done a lot of blood tests. She also gave me Provera to trigger my period but still, I did not get it. Several blood test results were abnormal. I have a history of blood clots in the family (DVT, PE, Death). The blood tests showed I have multiple Thrombophilias (AT III deficiency, antiphospholipid AB+, low protein S, and lupus anticoagulant). My lab numbers were either extremely low or high. Is it normal for someone to have four blood disorders? What is the treatment for this? Should I be concerned? Also, would this cause me not to have periods? Would it cause extreme fatigue? Doctor: Hello, Welcome to icliniq.com. I have seen your reports. (attachment removed to protect patient identity). You are not having four different blood disorders as shown in your reports but they come under thrombochek panel where there is a defect in coagulation of blood. It is an autoimmune disorder in which there are various infarcts in the system and you have a strong family history as well. You need to be thoroughly investigated for this and treated and I think your doctor is right after this and getting all the tests done. Usually, it affects pregnancy and a major cause of recurrent miscarriages if not treated in time. The reason for extreme fatigue and not having periods may be due to anemia only. However, you should also get thyroid profile done and rule out PCOD (polycystic ovary disease) which is very common in teens. Also, get a hormone profile done. If no periods with progesterones alone then, there is a risk of giving estrogens to you. This is a matter of concern and needs evaluation." + }, + { + "id": 28378, + "tgt": "There is a lesion on my penis. Is that a tumor or is it due to scratching?", + "src": "Patient: Hi doctor,I have dermatitis on my scrotum area. I generally scratch my groin and scrotum a lot due to itching, especially at night. Today all of a sudden I saw some lesion in my inner part of the penis. The picture is attached. Is that due to constant scratching? Or is that any tumor or something related to cancer? Please let me know. Thank you. Doctor: Hi. After reviewing the information shared and your pictures (attachment removed to protect patient identity), a few things come to mind. For further information consult a surgical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/surgical-oncologist" + }, + { + "id": 2434, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 12922, + "tgt": "Is root canal treatment advisable to cure badly decayed front teeth in a child?", + "src": "Patient: Hello doctor, My 3.5 years old daughter's upper front four teeth have decayed very badly and our dentist has advised on either root canal treatment or taking them out. Which treatment is best suited overall for my daughter? Doctor: Hi. Go for antibiotic coverage and meanwhile get the culprit teeth extracted if it is definitely amongst the first four. These are milk teeth which will come at age of 6. Do not get them extracted together. The one or two causing severe infection should be extracted out. Another option is to cover infection through medicines only. Give your daughter syrup Augmentin three times a day, syrup Metronidazole three times a day and syrup Brufen three times a day for seven days. If the swelling goes away with it, everything is back to normal, leave it as it is. If pain and swelling recur once medicines are stopped, try getting chamber opened or root canal of the culprit tooth if the infection is minor, if it is major then get it extracted. I would still recommend having root canal attempted on posterior milk teeth rather than the front because front permanent teeth come at around age 6 while back milk teeth fall at age of 9 and 10 and are definitely needed till this age so do not need to be extracted soon. Take care." + }, + { + "id": 12089, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12303, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22692, + "tgt": "I am having hip pain due to playing squash. Please advice", + "src": "Patient: Hello doctor,I used to have a long-term groin injury from playing badminton which caused jarring pain which ended up me having to stop for a while. I have not played badminton for four years so the groin injury subsided by whenever my groin is stretched it is always tender and has a lot less range of motion compared to the other side. I took up squash a year ago and have been playing at quite a good or intense level five times a week. In the last week, I have had quite a bad hip pain on the same side as my old groin injury. The groin injury has not come back (i.e. jarring, pain, etc.) since starting squash but it has still remained a bit tender when stretched with less range of motion than the other side. The hip pain has started getting bad at night three days ago and affecting my sleep so I have therefore stopped playing. I have been doing resistance band exercises I found online for adductors, abductors, etc., with stretching groin, hamstrings, etc., but has not got better (although it has only been three days). It is a dull ache for most of the day which only goes if I take Ibuprofen and does seem worse at night. The hip pain is fairly central but more on the outside. Doctor: Hello. I have understood your concern about groin pain. See you need to give sufficiently enough time for healing of adductor muscles tendons, which is getting worsened by repeatedly stretching. No doubt that you need more range of motion, but the first choice is to promote healing and decrease the pain, so for that, you need to take physiotherapy treatment, like ultrasound with ice and laser therapy, which helps in healing. then gradually after 20 days, you may start with exercises. For more information consult a physiotherapist online --> https://www.icliniq.com/ask-a-doctor-online/physiotherapist" + }, + { + "id": 14501, + "tgt": "What is the reason for continually leaking saliva with a bubble in lower lip?", + "src": "Patient: Hi doctor, My age is 20 years and weight is around 40 kg. I have a problem in my mouth for the past 3 to 4 years. In my mouth, there is continually leaking saliva. Below my tongue, I see a lot of wanes and some skin parts taken out like a shark fin. Now I can see my roots of teeth. Skin that is inside my mouth feels a little bit bloated and teeth shape was like printed on it. On the lower lip, I can feel some bubble inside the lip. Doctor: Hi. I have seen your pictures (attachment removed to protect patient identity). You have malfunctioning of the salivary gland that is causing blisters at the lower side of your tongue and most probably on the lip as well. Put an oral gel Chlorhexidine gluconate with or without Metronidazole on the lower lip ulcer. This may help in healing temporarily. Visit an oral and maxillofacial surgeon in your area. Then he will do some tests and radiographs and will treat this disease accordingly. This is not the case to be treated by a general dentist. That is why visiting oral and maxillofacial surgeon is recommended. Take care. Stay happy and blessed. Give me the followup after visiting the surgeon." + }, + { + "id": 26025, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 27053, + "tgt": "My mom looks pale and does not eat at all. What could she be suffering from?", + "src": "Patient: Hello doctor, My\u00a040 year old mother is suffering from an unknown disease from the last three months. It may be chronic because she is not feeling well at all. She feels exhausted, dizzy and her digestion is poor. She looks very pale. Her USG report is attached herewith for your reference. Please suggest the diagnosis and treatment plan. Doctor: Hello. I have reviewed your attached report (attachment removed to protect patient identity). The report is suggestive of very bad news. I suggest you sit down somewhere before you read the following. Follow up with the test reports if you need any more information. For more information consult a surgical oncologist online --> https://icliniq.com./ask-a-doctor-online/surgical-oncologist" + }, + { + "id": 2763, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 5769, + "tgt": "Why is my sister having pain in head?", + "src": "Patient: Hello doctor, Kindly go through the MRI report of my sister. She is experiencing pain in head. Thank you. Doctor: Hi. The MRI scan report (attachment removed to protect patient identity) is of the cervical spine. Follow the guidelines given below: Revert back after five days to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 1546, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25207, + "tgt": "I have bad cough and chest pain from a month. What could it be?", + "src": "Patient: Hello doctor,I am a 23 year old female. I have had a really bad cough and chest pains for about a month, also I have had diarrhea. I have been coughing up green and yellow phlegm. However I went to A and E just gone was give 500 mg of Amoxicillin. But since I started taking them I do not feel any better. I only have one day left on them. I have lost weight over this month and do not have any appetite. Doctor: Hello. From what you have mentioned, most probably you have a chest infection. A chest X-ray is required. Culture and sensitivity test of the phlegm is required to guide our antibiotic therapy. The diarrhea is most probably due to Amoxicillin. Do you have any problems in breathing? Do you have a high-sustained fever? 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": 19624, + "tgt": "Can gaining weight in six months lead to increase in fasting glucose?", + "src": "Patient: Hello doctor, I am concerned about the fasting glucose level. I just received the results from blood tests taken a week back and I am a bit concerned about my fasting glucose level. On this most recent test, my fasting glucose was 103 mg/dL. I had a full physical eight months back. At that time my fasting glucose was only 86 mg/dL. This rapid rise is of great concern to me as my mother has type 2 diabetes. The doctor did not request an HbA1c test. But, my cholesterol levels were good. Total cholesterol was 185. Triglycerides were 115, which was higher than the previous test. Then they were 73. Also, I am 6 feet tall. My current weight is 200 pounds. My weight earlier was 190. Current waist circumference at widest point is 38 inches. I am very physically active, exercising for an hour at least five days each week. I thought my diet was generally good. I do drink alcohol but rarely more than 2 or 3 beers once or twice each week. Here are my questions. How concerned should I be about the rise of my fasting glucose level? Could this result be in error due to anxiety or drinking alcohol a few nights prior? Could gaining 10 pounds in six months have led to this increase in fasting glucose? What should my next step be? I do not want to develop diabetes like my mother. Doctor: Hello. Firstly, we do not rely so much on a single report. Because, there are multiple factors which may affect the fasting readings like as you mentioned stress level, alcohol, diet on the previous day, etc. So you need to check it again after an interval of two weeks. Also, weight gain of pounds can also raise your level to some extent by increasing insulin resistance, so there must be a component of true elevation as well. Your triglyceride level is also increased which goes in hand with your weight so need to have a control over diet. So this elevation is also subjected to various factors like whether fasting or not, previous date meals, etc., to some extent, but there must be true elevation as well as your weight has also increased. So, the fasting is elevated a bit but within normal range only (less than 110). So you need to take all precautions to prevent further rise. So important is diet and exercises. You should try to achieve some weight loss at least. Diet low in calories, fatty and oily component, an excess of green leafy vegetables, and fibers will help in controlling both levels. Also, less of refined carbohydrates and soft drinks. Try to keep alcohol consumption at the lowest level. No smoking, if you do." + }, + { + "id": 29133, + "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": 23014, + "tgt": "Every six months I get bad throat, cold and severe cough. Please suggest a remedy", + "src": "Patient: Hello doctor, I am 51. I frequently (once in six months or so) go through a cycle of a bad throat, and cold followed by a severe cough (really severe and aggravates further when I am in areas like closed AC) which lasts for a minimum of two weeks. Even if I consult a doctor and take prescribed medicines, the cough will continue after the course is finished. It is so severe I cannot speak, eat or do any other office work. If I am taking cough chewing tablets, the effect will last a maximum of 10 minutes. Please suggest a remedy. Doctor: Hello. These are usually seasonal viral infections like influenza. What happens is during infection, the virus causes damage to the cells of the throat and your windpipe. Healing of which will take around three weeks. So, even if your symptoms of fever or sore throat are gone, cough or irritation in throat might persist. Plus pollution and smoking further delays recovery. What I usually suggest is cough suppressant with steam inhalation. Benz pearls (Benzonatate) or non-codeine syrup like Levodropropizine will also help. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. I would also recommend yearly influenza vaccination if you have comorbidities like heart or kidney disease or diabetes. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 10288, + "tgt": "Why am I having small, round and itchy growth on 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 can attach an picture. Doctor: Hi. I see that the growth over the shaft of your penis has been disconcerting to you. It has a scabies look, which is caused by a small mite. For confirming the diagnosis, I need to know how long are you having this? Do you have itching over any other area in your body? Do any other people in your home have any recent itchy lesions over their body? Are you sexually active, and if so, does your partner have any genital lesions like white discharge, etc.? Please get back with the details, so that I can zero in on a diagnosis and prescribe the appropriate medicine for you." + }, + { + "id": 438, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 22027, + "tgt": "Why is there a difference between axis given by doctor and autorefractometer?", + "src": "Patient: Hi doctor, My cylindrical power in the right eye is -0.5 D and the axis of the power is coming 30 in the auto refractometer. But, my doctor prescribed me the axis of the power 180, and I could see even the smallest letters in the Snellen's chart with that glass. So, I want to know why there is a huge difference between the axis given by the auto refractometer and the axis given by my doctor? Doctor: Hi. You see, ten by ten or six by six mean the glasses are good and suitable. For the difference, actually, the difference is 30 and not 150 and I will explain it to you. The cylinder and its axis is a piece of the rod without base and head, both ends are same. Now imagine that you put this rod at axis 180, it is totally horizontal and it is at 0, for this the difference is 30. Why this differs from auto is because the autorefractor guides us, then there is an exam and we are trying lenses many times and sometimes it takes more than 10 minutes to have the prescription depending on the medical and physical rules. All of this auto and exam with trying gives us the last result. Otherwise, if the auto is better, you can do auto and give its result to the optician for glasses and often it will not be correct. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 29863, + "tgt": "Please recommend medicine for dry patches around the mouth", + "src": "Patient: Hi doctor,I am suffering from dark colored dry patches around the mouth, which are swollen and very painful. I am only on some cream for acne. Please recommend some medicine for dry patches. Doctor: Hi. 1. Perioral dermatitis. 2. Gram negative folliculitis. 3. Perioral acne. 1. Capsule Doxycycline 100 mg twice daily after food for two weeks. 2. Peroduo gel (combination of Adapalene and Benzoyl peroxide) to be applied in a peanut volume, daily in the evening for 3 to 4 hours duration all over the face. In case of dryness or irritation, use it alternate days. 3. Use sunscreen in the morning. Kindly revert back with the details to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 27667, + "tgt": "I have a chest pain on deep breathing. Why?", + "src": "Patient: Hello doctor, I am a 44 year old female. From the last four days, I have a pain when I breathe in. It is felt just above my left breast, not exacerbated by lifting, but when I stand up from a lying or sitting position, it gets worse. I also have a slight ache in the left shoulder and on the top of my\u00a0left arm. I am not taking medication. The pain is not relieved by anti inflammatories or codeine. I cannot recall injuring myself at all. Doctor: Hello. I went through your query. Let me tell you few important things about chest pain. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30295, + "tgt": "I am bleeding during pregnancy. Could it be due to sexual intercourse?", + "src": "Patient: Hi doctor, I am a 27 year old woman. I am 5 weeks 2 days pregnant as per USG report. Four days ago, I have had a little bleeding with pain. It was mucus type blood and dark brown colored. I went to a local gynecologist for seeking medical treatment. He advised me to take Duphaston 10 mg tablet twice a day. I was also taking Pregsafe 200 mg capsule at night. I have done USG a week ago. It was observed that gestational sac is regular at present and fetal node is not visualized. He advised me to do USG test again after 15 days and take complete rest. I am worried in this situation and would not want to lose my baby. I have also PSVT (sudden abnormal heart rate) and vaginal yeast infection. Yeast infection is not currently present, but it is recurrent. Please help me doctor. Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15878, + "tgt": "Please suggest a diet to take care of diabetes and creatinine level", + "src": "Patient: Hello doctor, I am 60 years female, diabetic for past 10 years. I am taking medication for diabetes, hypertension, cholesterol, and Ecosprin 75 daily. Last week after a bout of fever and cough, I have been tested for high creatinine (2). I am still very weak and suffering from loss of appetite, nausea, biliousness. Please suggest a diet to take care of diabetes and creatinine level. I am vegetarian. Currently, I am taking Flexiglim 0.5 1-0-1, Aztor 10 0-0-1, and Ecosprin 75 0-1-0, Cilacar 10 mg 1-0-0, and Starpress XL 25 0-0-1. Doctor: Hi doctor. Need not worry. Due to fever and medication changes have happened. You need to meet your endocrinologist and monitor your medication and ask any fluid restriction follow-up till creatinine settel down, usually, they will recommend a good amount of fluids. Get KFT (kidney function test) done wherein we can monitor sodium and potassium levels. Till then you need to follow a strict diabetic diet. It is important to have a very good control of diabetes. Since you ate losing protein in urine you have tierdness. Have a small frequent meal, avoid excess greens, take moderate protein in diet fluids as per consultant. Take a supplement to manage protein loss. For more information consult a dietician online --> https://www.icliniq.com/ask-a-doctor-online/dietician" + }, + { + "id": 29532, + "tgt": "I am getting chest pain and I fear that it would be a heart attack. Please help", + "src": "Patient: Hi doctor, I have chest pain for quite a few days and have discomfort on jaws and back. I also have neck pain and arm pain. I have gone through lipid test, ECG twice, echo and TMT. All are normal. My BP remains 115/75 mmHg, my cholesterol is 163, HDL 47 and LDL 98. In TMT, I achieved 13.8 METs\u00a0maximum; bpm was 181 with BP of 170/100 mmHg on TMT. I have a fear that I may still get a heart attack. I showed to my doctor, and he said that I\u00a0would not have a\u00a0heart attack for the next 15years. But, I am not able to get in my.mind. I use to smoke and now have quit smoking. Please help me. Doctor: Hi. I have noted all your details. Tablet Ultracet (Acetaminophen and Tramadol) twice daily for three days. X-ray AP (anteroposterior) and lateral cervical spine to rule out spondylosis. For further information consult a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 22859, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26157, + "tgt": "I have abnormal heartbeat and breathing difficulties. Please suggest course of action", + "src": "Patient: Hello, I am a 27 year old female. I am feeling my heartbeat, breath, and pulse rate to be really abnormal since the past three weeks. It feels like my heart is pounding so bad. And then, I feel a difficulty to breathe, like I have run or jogged more than my capacity, even if I am sitting or lying. Sometimes, I feel a lot of pain in my lower abdomen area and on the left side of my belly. Please suggest me some remedy. Doctor: Hello. I went through your post. Your predominant complaints are palpitations and lower abdomen pain. Any person who notices a change in their heartbeats should go for ECG (electrocardiogram) to rule out arrhythmia. The most common causes of a one-sided pain in the lower abdomen are kidney stone or urinary tract infection. These are only the most common causes. However, there are more than 10 causes of the same. A USG (ultrasonogram) of the abdomen with a urine examination will help you come to a conclusion. Consult a physician with above investigations so he can help you. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1762, + "tgt": "I get headache and dizziness for the past 5 days. Could this be migraine?", + "src": "Patient: Hello doctor, I have a headache/migraine for almost five days now and I am feeling dizzy from time to time. I am taking Paracetamol and Mefenamic acid for toothache. I am a 22-year-old, female. My height is 5'5\" and weigh around 80 kg. Doctor: Hello. Since you have mentioned migraine, does it come in episodes? How severe is it? Is it limited to a specific region? Is it associated with nausea? Is there any intolerance of light? Is there any neck pain? Do you have a fever? Is there any blurring of vision? How is your balance?" + }, + { + "id": 2067, + "tgt": "I experience streaks of light with dark and gray shadow in peripheral vision. What it is?", + "src": "Patient: Hello doctor, I began to see streaks of light across my vision in the dark and realized I have a gray shadow in the left peripheral vision of my right eye since yesterday evening. I have been spending time on my laptop or phone for more than 10 hours a day and sometimes, I watch the screens in the dark. I slept for 12 hours and still seem to have the shadow area. It disappears if I look directly at it. Please tell me what to do. Doctor: Hello. Using a computer for a long time causes dry eye syndrome due to decreased blink rate. Take frequent breaks and look at far objects as the eyes are strained looking at close object for a long time. Keep the brightness of the system to minimal. Use tear drops twice a day along with antiglare glasses. About the peripheral shadows, there is a jelly-like substance in the eye called vitreous 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 once the lockdown is over." + }, + { + "id": 10074, + "tgt": "Can sound from a loudspeaker cause any effect on my eardrum?", + "src": "Patient: Hi doctor, I went to a chant few days back. There the loudspeaker was very loud. The very next day I noticed that there is ringing in my left ear. Now, it has been four days, but it has not gone. Can you help me? I am very scared. Has it caused any effect on my eardrum? Please see to it. Thank you. Doctor: Hello. From your history of noise exposure and symptoms, it is suggestive of acoustic trauma. It occurs after a single exposure to very intense sound which cause damage to the organ of corti or damage the hair cells. Symptoms include ringing sensation in ear known as tinnitus and hearing loss. Treatment depends on severity of symptoms. If only tinnitus is present, protect the ear from further damage and also take some neuroprotective drugs. But, first you need to do a pure tone audiometry (PTA) to assess the severity. 1. PTA. 2. Tympanometry. Acoustic trauma. 1. Capsule Zincosule-4G (Multivitamin) once daily. 2. Tablet Defcort (Deflazacort) 12 mg once daily for seven days. Avoid loud sounds." + }, + { + "id": 12759, + "tgt": "I am not getting morning erection. Please help", + "src": "Patient: Hello doctor, I am getting no erection in the morning. Rarely it occurs. Is it good or bad not getting an erection during the morning. And I have masturbated over four years. Whether due to that reason I am diseased. Also, I had a same-gender sex. Doctor: Hello. You might have erectile dysfunction problem as erection is poor as per history. Usually, during sleep time in the morning due to sympathetic stimulation, penis erection should occur for at least 30 minutes to 1 hour at such a young age. You need to rule out hypertension and diabetes problem by blood pressure measurement and random blood sugar estimation. It is advisable to check your serum testosterone level as well. I suggest you consult nearby psychiatrist or sexologist for detailed evaluation. Masturbation is safe and pleasure giving procedure which usually does not lead to erectile dysfunction." + }, + { + "id": 7373, + "tgt": "I am pregnant and noticed a dark line on my finger nail. Should I worry about that?", + "src": "Patient: Hi doctor,I am a 26 year old female. I am 18 weeks pregnant. Recently, I have noticed a dark line on one of my finger nails going down from the skin edge to the tip. Is this anything to worry about? Doctor: Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27893, + "tgt": "My 2 months old son is not gaining weight properly. What to do?", + "src": "Patient: Hi doctor,My son is 2 months and 25 days old. His birth weight was 3.7 kg. Within 10 days, he reduced to 3.2 kg. From then, he is gaining weight very slowly. Now his weight is 4.2 kg. I am exclusively breastfeeding him. He is very active, his hand and leg movements are very quick. He hardly sleeps 8 to 10 hours in 24 hours. He responds very well by making cooing sounds. He balances his head well. In a day, he wets 10 to 12 cloth napkins and 2 to 3 dirty napkins.\u00a0I visited a pediatrician 10 days back, he prescribed me Lactaways, three times a day. I am attaching his\u00a0weight growth report. I am very worried about his weight. Doctor: Hi. For further queries consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist" + }, + { + "id": 5678, + "tgt": "After a fall, nose started bleeding. Is it dangerous?", + "src": "Patient: Hi doctor, Two days ago my father fell on the road facing down. He is 71 years old. He got injured on knee, wrist and his nose started bleeding due to injury. I took him to a local doctor who prescribed a few medicines and gave him tetanus injection. I am attaching the prescription along with this for your reference. Now, he has got few red clots one inch below both his eyes under the skin which seems like blood clot. Should I be worried about it? Do I need to consult someone for it? I am attaching a picture of his face too. Kindly check them and guide me. He is taking medicines for asthma and diabetes. Doctor: Hi. I have checked the pictures (attachments removed to protect patient identity). Revert back with the reports to a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 26223, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22159, + "tgt": "I am having flu symptoms 20 days after sex. Am I at high risk of HIV?", + "src": "Patient: Hi doctor,I had sex before 20 days and the condom broke. This last week I have had mild flu-like symptoms such as a sore throat and today I have a mouth ulcer. Flu symptoms and mouth ulcers are symptoms of HIV at early stages. This is what I have understood from what I have read on the internet. I read that 80 % of people after 2 to 4 weeks have my symptoms. Please help me. Am I at high risk? Doctor: Hello. A possibility is there, not denied, but flu may be seasonal. The ulcer may be due to folic acid deficiency. Take tablet Azee (Azithromycin) 500 mg once per day for three to five days, tablet Montek (Montelukast) 10 mg once at night for five days. For ulcer, locally apply Emjela or Stomela (Choline salicylate) any gel three times before food, tablet Ultrafolcin (Folic acid and Niacinamide) two times a day for seven to ten days. Capsule A to Z, one at night for ten to fifteen days. Take plenty of liquids. You can go for ELISA on the seventh to tenth day, RNA PCR on 15th day, fourth generation CMIA KIT test on the 28th day. Anyone you can take. The last one is very accurate. If the test comes negative, means no HIV infection. For more information consult a HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 16512, + "tgt": "Do sperms die when they come in contact with air?", + "src": "Patient: Hello doctor, I was trying to put a condom on but I was doing it upside down then I flipped it and wore it. I am worried that while trying to put it in the wrong way, some semen might have got on to the condom. Is it possible to make her pregnant or the sperm dies in just a few seconds when they come in contact of the open air? I already had ejaculated once in my pants before. So it was not a precum that might have contacted the condom. Doctor: Hi. The sperm does not die as soon as they expose to open air. If the condom contains the sperm on the outer side, then it can cause pregnancy. As you mentioned that it was not just precum, but it was semen. So, if it was semen or sperm on the condom then they can cause pregnancy. If your partner was in her fertile period when you had sex, then there are chances of pregnancy. If she was not in the fertile period, then the pregnancy is unlikely. So, verify her fertile period. Also, the emergency contraceptive pill can be used within 72 hours of sex, to avoid pregnancy. Ask her to check it, and you can also check for pregnancy when her period is due or almost after two weeks, that she is pregnant or not. If her pregnancy test return to be positive even then there is an option to terminate it, after consulting with your doctor." + }, + { + "id": 28199, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29847, + "tgt": "Why am I gaining weight with bipolar disorder treatment?", + "src": "Patient: Hi doctor, I was on Prozac for a few months. I loved it, but I experienced hypomania once. So, my psychiatrist switched me to Lamictal for bipolar disorder. I have gained weight and gotten depressed. Why am I gaining weight with this medicine? Doctor: Hi. For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 8829, + "tgt": "Why do my gums turned purple with a white patch after tooth removal?", + "src": "Patient: Hi doctor, I pulled my tooth recently. Now, I have noticed a white patch on my gums, and the gums present on the bottom of my mouth has turned purplish. What could it be? Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your extraction socket has not healed correctly. There can be a left root stump. It makes the healing process delayed. You must visit the dentist to resolve the problem. If you have burning pain and foul smell after the second day of an infection, then you might have a dry socket. It is treated with a dressing in the socket. The white patch is a stress-related ulcer, and it is self-limiting. It will heal on its own within four to five days." + }, + { + "id": 12765, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 4026, + "tgt": "I experience contraction in throat, nasal passage and airways while inhaling. Why?", + "src": "Patient: Hello doctor, I have problems with exhaling and inhaling. My exhale is extremely quick with a pause. My inhale is really difficult. I can feel my throat, nasal passage, airways, and throat contract when I breathe in. Also, all throughout my back I feel pressure from my backsides and lower back when I relax to try and let my body take over breathing. But if I just end up rolling my back, my tongue slides back and maybe the uvula clogges the airway as well and breathing becomes laborious and takes all my energy and thinking. Sometimes I can take two breaths before it hurts and becomes laborious. I order to breathe alright I have to hold my lower jaw in a position, move my tongue out of the way and hold it there, try to flex my chest downward and relax my belly. It is a lot of work to breathe. It is causing stress and anxiety. I cannot sleep, I have a pounding frontal and temporal lobe headache all the time and I have weird acid reflux unless I breathe a specific way. If I stop manually breathing, inhaling becomes near impossible and my throat feels like it caves in on itself. Also causing racing thoughts since when I relax it feels like my jaw and tongue are being stressed out and they twitch around too. Doctor: Hi, Welcome to icliniq.com. I am sorry you seem to be experiencing some trouble with your breathing pattern. First of all, breathing is an involuntary response, meaning even if you try to hold your breath your brain will override this command and make you breathe. Breathing is an automatic response controlled by the respiratory control center of the brain within the medulla oblongata and pons. The muscles of the tongue are controlled by the hypoglossal nerve. The jaw thrust maneuver you are describing when you lay on your back is designed to open your airway. Have you ever had any trauma or head injuries? Have you ever sought care for this before? You mentioned that this had been occurring for several years, so I assume you have had it looked at by a medical professional. Did your doctor do any tests, MRI, or CT scan? It sounds like you have a lot going on. While I believe everyone can benefit from chiropractic care, it is my professional opinion, based on what you are describing that you are not a chiropractic candidate and that you should be evaluated neurologically, at the very least by your primary care physician. I believe he will want to refer you to an ENT or neurologist. Be evaluated by your primary care physician. I believe that he/she will want to refer you to an ENT or neurologist. In the event of an emergency, go to the ER. Respiratory issues can be life threatening and require immediate medical attention." + }, + { + "id": 12363, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14066, + "tgt": "There is blood in stools and it hurts while wiping. Please help", + "src": "Patient: Hello doctor, My fiance is having blood in his stool. It is bright red also. He said it hurts while wiping a little. He has had it more than twice a month. His stool is solid and very dark brown. Also, said the blood in the toilet was very noticeable and that when he wiped the toilet paper looked like when you get a bloody nose. Has been having a few stomach aches also. Doctor: Hi. I have gone through your case and can well understand your genuine health concern. Presence of blood in the stool and dark-colored stools indicate that some active bleeding is going on in the proximal part of the gastrointestinal tract. The blood gets digested in the intestine and comes out through the rectum in the form of dark colored stools. I suggest you consult a gastroenterologist as early as possible. He may need endoscopy and colonoscopy to find out the source of bleeding. If he is taking alcohol, tell him to stop it. Bleeding in the upper G.I. bleed. Endoscopy and colonoscopy." + }, + { + "id": 24550, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 10651, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 13580, + "tgt": "I have dry scalp with white flaky layers on the front and sides. Please help", + "src": "Patient: Hello doctor,I have a very dry scalp. There is a white flaky layer on the front and on the sides of the scalp. I have tried different shampoos but no help. Hair is getting thin day by day. I shampoo my hair twice weekly and before shampoo only I apply oil. Please help. Doctor: Hello. You can start Sulfur 30 five pills in morning noon and night, Arsenic alb 200 five pills in morning and evening, Psorinum 1M five pills in morning empty stomach. (One dose only). Your complaints seem like scaly dandruff. Along with medicines have food rich in protein because protein is best for hairs. Mix coconut oil, castor oil, sesame oil and add 10 drops of Arnica Montana mother tincture. Massage your scalp with this mixture twice in a week. Do not change often oil and shampoo. Have black Sesame in whatever form you like (laddu or raw, etc.). Sesame is good as the hair tonic. You can also have Fenugreek seeds laddu. Fenugreek is also hair tonic. Have these medicines but I need a follow up with such details. Hair fall, smell from the head, itching of scalp, bleeding after itching of scalp, hairs stick together, any other complaints? Since how long you had this? Any illness before starting this complaint? These all details will help to decide further medication and duration of treatment. 1.Dandruff. 2.Psoriasis." + }, + { + "id": 3754, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7522, + "tgt": "Is it possible to get pregnant while on Krimson 35 for PCOD?", + "src": "Patient: Hello doctor, I have one question. My girlfriend is already on krimson 35 due to PCOD. After we made love, she missed her periods. Now, she is also complaining of morning sickness and pain in lower back. All symptoms are same as she reported five months back when she was pregnant and doctor advised pills for three days for chemical abortion. We feel that she is pregnant again. What we shall do as we are not ready to have child right now? Shall we take that same abortion pill again? Will there be any health complication? Please guide. Doctor: Hello. One information I should share with you at first is Krimson 35 (Ethinyl estradiol) is not only an anti-PCOS (polycystic ovarian syndrome) tablet; it is a birth control pill also. So, if your girlfriend is regularly having these pills, you need not be concerned about pregnancy. But, there exists risk regarding pregnancy only if she is an irregular user. PCOS. 1. Urine pregnancy test. 2. Serum LH (luteinizing hormone), FSH (follicle stimulating hormone), TSH (thyroid stimulating hormone) and prolactin estimation. Revert back after the tests to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26006, + "tgt": "After I-pill, I had slight bleeding that lasted for a day, but no periods. What to do?", + "src": "Patient: Hi doctor,I got my last periods between 20th to 25th of last month. I had unprotected sex on the 28th and 1st. I took an I-pill immediately the next morning after both the times. I had a slight bleeding on the 19th that lasted only a day. I did a pregnancy test on the 26th, which was negative. Until now, I have not got my periods. Doctor: Hello. Since you have taken an emergency contraceptive pill within 72 hours of intercourse, there is no chance of pregnancy. The bleeding you noticed could be withdrawal bleeding. You will definitely get your periods. If you have a doubt then repeat your urine pregnancy test after a week. I am very sure that there is no chance of pregnancy and the bleeding was just a withdrawal bleeding because of hormonal changes due to the pill you have taken. 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": 30675, + "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": 25668, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7465, + "tgt": "What are the first signs of oral cancer?", + "src": "Patient: Hi doctor, I have been very worried about my health lately. I would like to preface this by saying that I have been experiencing anxiety off late and I have a suspicion that some of these symptoms could be related to that. I am currently weaning off of Prednisone, which I have been taking for an allergic reaction. I have noticed slight depression and a lot of fatigue as a result. I also quit using smokeless tobacco about 10 days ago, after about nine years of use. I am currently using nicotine patches but, they are very low dose compared to what I was used to. The patches are about 10 mg of nicotine per day. Also, one last thing, about three months ago, my doctor put me on Zantac 150 for acid reflux. I also had an EKG, chest x-rays, and blood tests and everything came back normal. I am not sure if all of this matters but, I just want to be thorough. Now, over to my main concern. I randomly had an allergic reaction to Advil about a month ago. I had swollen lips and hives. So, my doctor put me on 50 mg Prednisone for five days. This, along with my recent acid reflux diagnosis, had really started to give me anxiety about my health. A few days after I finished the Prednisone, I had a very strange experience in which both of my lips went completely numb. I immediately went to an urgent care center for treatment. The doctor thought that it could be related to the previous allergic reaction and put me back on Prednisone, but this time on a taper such as 60 mg for three days, 40 mg for three days, and 20 mg for three days. The lip numbness faded and only lasted for an hour or two. At this point, I had become very stressed and started wondering if the lip numbness could be related to oral cancer due to my smokeless tobacco use. So the next day, I went to the dentist to get a checkup and an exam. He checked my lymph nodes in the neck area and inspected the insides of my mouth. There were no white patches or lesions or sores or any visual sign of oral cancer. Through all of this, I had still been experiencing the tingling in the lips which kept me worried. It only happens occasionally and never lasts, which made me think that it could be anxiety. Then, about three days ago I noticed that I would randomly get a feeling of a lump in my throat, which I know can be caused by many things including acid reflux but, oral cancer is also one of them and this made me even more worried. This only lasts for a few hours each time and goes away. In fact I have only noticed it twice. I tend to take a Zantac 150 when I feel it. What is currently causing me worry is a constant tingling under my chin, in the area in the front of my neck. It is not painful but it is rather uncomfortable. It feels like someone is constantly lightly rubbing a feather against my neck. I am constantly checking my lymph nodes as I am paranoid at this point but, there is no visual sign of swelling. Can this be caused by stress or anxiety? I will say that my mind has been absolutely consumed by the thought of oral cancer over the last couple of weeks. I feel like I may be over-thinking things and causing myself a tremendous amount of stress and anxiety. I have a history of panic attacks and anxiety, although I have never been on medication for it. I do not have any pain in my tooth, mouth, or jaw otherwise. I also recently sent an image of the floor of my mouth to an oral surgeon here because I was paranoid and thought it was whiter than usual, but she said that it was absolutely fine. Sorry for the long question. I guess I just really want to know if these symptoms I am feeling are something real or just anxiety. As I said, I have been healthy my whole life and these recent problems have been very stressful for me. I would hate to keep bothering my doctors for something that is not even there. Thank you for reading. 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": 25658, + "tgt": "How can running nose be effectively treated?", + "src": "Patient: Hello doctor, I have been suffering from a running nose for the last one week and sometimes it is very difficult to breathe especially after taking food, it is becoming worse. I had taken two Coldact tablets for only one day, but no luck and also have been using the Otrivin (Xylometazoline) nasal spray for temporary relief. Please help. Doctor: Hello. This is upper respiratory tract infection, You need to take the following tablets: Tablet Ibuprofen 400 mg two times a day times five days after food, tablet Deslor (Desloratadine) one a day times five days after food, tablet Rabeprazole 20 mg two times a day times five days after food, and tablet Vitamin C 500 mg two times a day x 10 days after food. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You can continue Otrivin (Xylometazoline) nasal drops for two days. Do not take any of the above medicines if you are allergic to it. Follow up immediately in case of any untoward reactions.Drink lots of water and keep yourself hydrated. But avoid drinking cold fluids. Avoid spicy foods and avoid foodstuff with a lot of oil and butter. This usually takes two to three days to get better. If symptoms do not get better then antibiotics will be required. Follow up in five days. 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 family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 17318, + "tgt": "What does glaucoma suspected patient mean?", + "src": "Patient: Hi doctor, I had eye checkup nine months back as I had light pain in right eye. The doctor advised me to get OCT and CCT. With the test reports he said that I have glaucoma. He advised me to take an eye drop named Lumigan one drop daily at night in both eyes. I am not satisfied with his opinion and so went to another doctor. He said no glaucoma and advised to take vitamin tablet daily. After a week consulted another doctor and he said that the OCT report is normal and no need to take any eye drop. After a week I went to a famous eye hospital and consulted there. Again took an OCT and reported to have glaucoma and advised to take Brimosun 0.15% drops twice daily with a gap of 12 hours. A month later went to another hospital and the doctor said he is in confused state and asked me to check my eye regularly and take OCT for every six months. Then two months later I visited a glaucoma expert and he examined my eye deeply and done another OCT. After all tests he said I am a glaucoma suspect patient and advised to take eye drop Timolast 0.5% or Timolet od every morning one drop in both eyes. My eye pressure is always between 20 and 24 in both eyes. My first and second time CCT reports are 502-503 and 533-534 respectively. My OCT reports showed 10% area in red figure and balance in green figure in the left eye and 10% area in yellow and balance in green in the right eye. Is it necessary to take glaucoma drop? If yes, which one to take from the above? Is Timolet a highly concentrated one in comparison of Brimosun 0.15%? My mother suffered with glaucoma. I am taking Thyronorm 75 daily. Please advise me in detail. Thank you. Doctor: Hi. First of all please relax. There is nothing to worry. All the doctors are correct. Now let me explain you. Glaucoma is a very slowly progressive disease. You are glaucoma suspect means you are at risk of glaucoma or have many predisposing factors for glaucoma, but there is no conclusive evidence to diagnose glaucoma. Predisposing factors present in you are as follows: All these factors make you susceptible for glaucoma, but it is not conclusive. You should not worry about glaucoma or loss of eye sight. Having said that you can use Timolast eye drop (Timolol) or Timolet eye drop twice a day, there is no harm in using this eye drop. Some doctors give Lumigan (Bimatoprost) and some give Brimosun (Brimonidine). There is no harm in using any of these eye drops, but please use only one of these. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 26719, + "tgt": "My dad has been advised temporary dialysis. Does he really require it?", + "src": "Patient: Hi doctor,My 66 year old father suddenly got a\u00a0high fever and in few days we discovered he has a urinary tract infection. He is a diabetic and on insulin. He is a very disciplined person when it comes to his health. He checked his creatinine levels early this year and it was in the normal range. After admitting him to the hospital, his fever was gone and the doctor said he would go home in two days. His creatinine is increasing every day and has reached from 1 to 4 in three days. Same is the case with urea which is 125. The doctors are asking for a temporary dialysis to be started immediately, but we are not sure. Please help. Doctor: Hello. I am sorry to hear about your father. Hope this has helped alleviate your concerns. For further queries consult a nephrologist online --> https://icliniq.com./ask-a-doctor-online/nephrologist" + }, + { + "id": 29757, + "tgt": "Can enlarged spleen and liver affect my pregnancy?", + "src": "Patient: Hi doctor, I had a miscarriage 7 months ago. I have been trying to conceive since then. I consulted the doctor and was prescribed to have several tests. My USG report says that I have an\u00a0enlarged spleen and liver. Also, my uterus is bulky. But, the doctor advised me to try to conceive and prescribed some medicine. I bleed heavily during my periods. Please help me and tell me if I can try to conceive with enlarged spleen and liver. Thank you. Doctor: Hi. The reason for enlarged liver and spleen is going to be a different one and not related to pregnancy and conceiving. But, it can affect. Consult a physician first. If he says you require treatment, then take it first and try to find the cause behind the enlargement. Do a liver function test, hemogram and other tests asked by doctor to find the cause. After that you can try for pregnancy. With bulky uterus, you will bleed more. But, probably it will come to normal after normal liver and spleen. If you are bleeding more and it is affecting your health, then you have to take medicines for that. Do consult your physician with all the reports and with examination things will get clear. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22656, + "tgt": "I am having trouble getting pregnant. What can I do other than IVF?", + "src": "Patient: Hello doctor, I am a 24 year old female who is having trouble getting pregnant. We have been trying for two years. We have been working with my gynecologist for a year now. I have tried Clomid six rounds. I have tried two IUIs and still nothing. My husband's sperm analysis was normal and we have been having sex almost everyday. This complication started after my second miscarriage. I just am at a loss. And do not know what more can we do other than IVF. Doctor: Hello. How are you doing? I understand the strain you are experiencing. Your age, normal reports, semen parameters, trying almost every day are all good prognostic factors, most positive factor is that you had a pregnancy, no matter what your result was. Use of Clomid improves your ovulation chances, IUI improves the chances of sperm meeting the egg. The only thing I find missing in your history is the tubal evaluation. The fallopian tube is a bridge between the uterus and ovaries. Here the egg waits for the sperm, here embryo is formed and gradually moves to the uterus. This tube is never seen on scan or examination. The inner diameter of the tube is 1 mm. This can be blocked. So, no matter how good the sperm or egg is, they will not meet each other. So I would advise, if I may, have a tubal evaluation with HSG (hysterosalpingography) X-ray with dye pushed into the uterus. The other method to evaluate is hysterolaparoscopy. An IUI after this test will definitely have better chances. Hope I have clarified your query, do write back if any more queries. For more information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist" + }, + { + "id": 11626, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 5859, + "tgt": "My daughter has headache and the CT shows hydrocephalus. Please give a suggestion", + "src": "Patient: Hello doctor, My daughter is 5 years old. She was complaining about headaches and I decided to take her to make a CT. She was at that time, with HMFD(hand, mouth and foot disease), and I did not know that this HMFD could influence her brain and make it inflamed. So, the CT came out and the doctor, said that probably is nothing, but it is better to check in a bigger hospital with a specialist because her brain has a little too much water and could be hydrocephalus. I will attach the CT and I would like to have a second opinion before taking further actions. She has no other symptoms besides a headache sometimes. She is way above average in learning, speaks three languages and very fast in learning, also, very healthy. So, since she has no symptoms from hydrocephalus, I do not know how to proceed. Please help. Doctor: Hello. I read your question and reviewed your uploaded CT scan images. (attachment removed to protect patient identity). I would explain that these images are not compatible with congenital hydrocephalus. But, it is true that it seems to be a little enlargement of the lateral ventricles and cisterna magna (considering her age), which indicates that something is going on. Besides the headache is usually associated with increased intracranial hypertension ( like in case of abnormal fluid accumulation in the brain). Coming to this point I would recommend performing a brain MRI (magnetic resonance imaging) in order to examine her brain better and investigate for the possible causes underlying her complaints. You should know that the brain MRI has a much higher sensitivity and specificity for such diagnosis, compared to the CT (computed tomography) scan and it has no risks of radiation. I hope this helps." + }, + { + "id": 1198, + "tgt": "I had abortion at 10 weeks with heterogeneous endometrium in transvaginal scan. Please help", + "src": "Patient: Hello doctor, I have suspected abortion at 10 weeks and 6 days with heavy bleeding yesterday. I have my TVS ultrasound today and it shows heterogeneous endometrium. Is it fine? Doctor: Hello. I have seen the report attachments. (attachment removed to protect patient identity). Based on your dates, if your gestational age is 10+6weeks, and if you had heavy bleeding, most likely it indicates an abortion wherein the product of conception have been expelled already. The heterogeneous endometrium just indicated the thickened uterine lining which develops in pregnancy to support the embryo, which will take some time to become normal. I am assuming your bleeding would have stopped by now and your gynecologist would have advised you some antibiotics to prevent any infections. If not then please consider taking them. I hope this helps. Repeat the scan after two weeks. Avoid pregnancy for the next two to three months, evaluate and then plan a pregnancy. Evaluate yourself prior to planning a pregnancy in the view of recurrent miscarriages." + }, + { + "id": 28757, + "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": 8675, + "tgt": "Are spider veins related to Ehlers-Danlos syndrome?", + "src": "Patient: Hi doctor, I am a 32 year old female, who weighs 150 lbs and 5.9 feet tall. I have been experiencing a burning, stinging, or intensely sharp pain in different areas of my body, which always seems to be coming from a vein or artery on my neck where carotid is, in the\u00a0leg, foot, arm, and temple. I have also noticed spider veins appearing in different locations. I have EDS (hypermobile type), a mildly dilated aortic root, and I am on beta blockers for arrhythmia and blood pressure. I have been experiencing occasional light-headedness and fatigue. Sometimes, I have shortness of breath, especially, when in the heat, but when I take my BP, it has been good lately. Should I be concerned? Is stinging, burning or sharp pain normal along veins, or is it possible it is just nerves that run alongside the vessels that I am feeling instead? Spider veins showing up on legs, ribcage, feet, and all over my breasts. I have multiple spider angiomas on arms and legs as well. Doctor: Hi. I hope it helps you.\u00a0Please feel comfortable to ask me, if you have any query in mind. For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 24861, + "tgt": "I feel I may have a neurodegenerative disease. How to determine it?", + "src": "Patient: Hello doctor,I feel as if I may have a neurodegenerative disease. My symptoms are as follows:More forgetful than normal.Battle to find the right words.I get very bad pains and pressure in my brain.When driving, I battle with judging my following distance.Please, could you provide any tests that I could take? If it is a neurodegenerative disease, what is the progression rate, that is, the timeline between each stage? Doctor: Hello. First, only based on these symptoms, it is difficult to say with certainty. I would like to ask if you have any medical problem as of now, and taking any medicine, or using any substance of abuse. These symptoms could be due to: So, to reach a diagnosis, you need to undergo few investigations including full blood count, blood sugar, thyroid function test, B12 and folate level, CT or MRI brain, liver and renal function test. There are psychological tests such as MMSE (mini-mental state examination), or Hamilton depression rating scale (to find the level of depression), ADAS - Cog to find the level of cognition. I recommend that you consult a psychiatrist in person for a detailed evaluation. The timeline for neurodegenerative diseases is different for each disease and also vary considerably in different people, like Alzheimer disease progresses in 5 years to a decade while prion disease progression is very rapid. Similarly, neurodegenerative diseases secondary to medical conditions are reversible or at least stagnant once appropriate treatment is taken. For more information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 15337, + "tgt": "Is it possible for a 3 mm hole in baby's heart to close by itself?", + "src": "Patient: Hi doctor, I had twins, a baby boy and girl. They were born at 34th week. The baby girl is doing fine. The baby boy has lung surfactant and he is fine now, but after echo test, the echo doctor said that 3 mm hole is there in his heart, but he says it is normal and will close naturally. Please suggest me. I am worried. Doctor: Hi. Yes, your doctor has said right (attachment removed to protect patient identity). Usually ventricular septal defects, especially if small and muscular, close on itself over time. If there are no symptoms like turning blue or black, difficulty in breathing, recurrent chest infections, there is nothing to worry. Just wait and watch. Do echo every year to see the progress. You can consult me with echocardiography report to guide you further." + }, + { + "id": 13855, + "tgt": "Is it advisable to take Duphaston for ovarian cyst?", + "src": "Patient: Hello doctor, Today, I had an appointment with a doctor. It looks like I have a small cyst in my ovary. The doctor said, nothing is special but somehow told me to get Duphaston 10 mg for 10 days. Can it cause weight gain? What can be side effects? And if I do not get it and the cyst is not dangerous, can it affect my fertility? Doctor: Hi. It would be better if you could send me your detailed gynecology, obstetrics, medical, surgical, and drug history. The cyst is a developing large size follicle. If it is less then 4 to 5 mm then it should resolve by itself in the next few months gradually. If you do not have multiple cysts, then you can avoid medication. Duphaston is Progesterone and its side-effect is weight gain if taken for a long time. If you are observing weight gain, abnormal weight gain along with irregular or scanty periods, then you need only blood tests. So observe for these as well. In the case of multiple ovarian cysts with or without the above symptoms also, you need to have a blood test. Have a balanced diet, weight, and BMI to avoid polycystic ovary. Ovarian cyst. Have exercise, yoga, and swimming or exercise to have balanced weight and BMI. More fruits, vegetables, and plenty of water and reduce salt, sugar, oil, and spice." + }, + { + "id": 23041, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 25507, + "tgt": "How can hyperthyroidism be effectively treated?", + "src": "Patient: Hello doctor, I am a 48-year-old man. I have suffered from hyperthyroidism for more than 20 years. I have been to many doctors but I have not got any long-term benefits. They gave me Methimazole, Propranolol, and Cyproheptadine for a while. I put on weight for a while but became skinny again. I need your immediate help. After years of using those pills, I did not get any result, I started to treat myself. I have not gotten any results though. I am very thin. Please help. I have attached the reports. Doctor: Hello. I have gone through the attachments (attachment removed to protect patient identity). The report only shows that your thyroid hormones are not controlled. Hyperthyroid patients should control their thyroid. You have to know the appropriate dose of Methimazole 1 mg per kg per day divided into three doses. So according to your weight, you should take 20 mg every eight hours. Propranolol 40 mg should be taken every eight hours. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Also, you have to know that there are other options like radioactive iodine and surgery. So please tell me if you have any questions about the other treatments. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 30683, + "tgt": "Is there any way to tackle my concentration problem?", + "src": "Patient: Hi doctor, I am doing my second year college. I am unable to concentrate on my studies during the exam. I am very much tensed. I am always overthinking the situations. My parents stay in abroad. I am capable of scoring good marks, but because of my fear I cannot do anything. Is there any way to come out of this problem? Please help me. Doctor: Hi. For further information consult a psychologist counsellor online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 9002, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 16866, + "tgt": "Do you think that a skin test is enough to diagnose scleroderma?", + "src": "Patient: Hi doctor, I traveled to a different country to get more in depth testing of multiple health problems. I was diagnosed with the start of scleroderma, because of my gastrointestinal symptoms, idiopathic angioedema, thickened skin, weird blood vessels (tiny red tree-like veins), family history of scleroderma, high CRP and high WBC. The skin test came back showing focal dermal sclerosis. Do you think that is enough to secure a diagnosis? He started me on Methotrexate and Prednisone every second day. I do not appear to have full Raynaud's and my ANA is usually negative. But, I have some intense symptoms and many of which do match the condition. My past medical history includes severe asthma, allergies, angioedema, had episodes of gout \u00a0and anaphylaxis. My current medications are Cetirizine 40 mg, Zantac 300 mg, Breo ellipta, Avamys, Singulair, Prednisone and Methotrexate. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8745, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 14943, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2794, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 18847, + "tgt": "Is whole body PET scan required to check the spread of tongue cancer?", + "src": "Patient: Hi doctor, My father is 65 years old and in excellent health. He is a diabetic and also has BP. But, his sugar levels and BP are very much in control. He is taking oral medication for both diabetes and BP. He is taking Telvas 20 mg for BP, Gluconorm for diabetes and taking thyroid medication for hypothyroidism (25 mg). He has been diagnosed with initial stage squamous cell carcinoma of the tongue. We first noticed symptoms around two months back, because of a blister on my father's tongue which did not heal despite of vitamin B complex medication and antibiotics. The medical oncologist we were referred to examined my father and said that it is in the very initial stage and it is highly unlikely to spread. Even if it has, at the maximum it would be in the lymph nodes near the tongue. We opted for a PET CT scan to be sure and the doctor prescribed only a head and neck scan. The scan results mentioned an SUV level of 5.3, suggesting malignancy on the tongue and an SUV level of 3.1 in level I, II and III lymph nodes, which the radiologist mentioned were non-specific. I would like to add that my father had a minor cold when the scan was done. Based on the scan results our doctor has suggested surgery to remove the cancerous portion of the tongue and the lymph nodes, though it is not clear whether they are affected or not. He also mentioned that after removal again the lymph nodes would be tested for malignancy. He underwent PET CT scan, serum creatinine, CBC and blood tests.\u00a0My question is\u00a0should we have to go for a full body scan instead of just the head and neck? With respect to the lymph nodes, is the SUV number suggestive of cancer? Or could it be higher because of the cold my father had? Thank you very much for your response in advance. Doctor: Hello. Tobacco use in the form of smoking or chewing tobacco and alcohol consumption are the most important risk factors. 1. Complete head and neck examination (mirror examination or fiberoptic examination if required after clinical examination). 2. Dental evaluation. 3. Biopsy of lesion. 4. Routine blood investigation, complete blood count, renal function test, blood sugar, liver function test and electrolyte study (Na+, K+, Cl-) should be performed. 5. Imaging chest x-ray posteroanterior view (PA view), ultrasonogram - USG abdomen and pelvis as routine investigation need to be carried out. 1. Cancer tongue. 2. Chronic inflammation condition (infection). Cancer of the tongue with secondary neck. If the disease involves anterior two-third of the tongue then it can be considered for surgery. Later treatment plan will be decided according to histopathology report. If the disease involves posterior one-third or base of the tongue then directly plan for concurrent chemoradiotherapy. 1. Stop smoking and avoid alcohol intake. 2. Maintaining oral hygiene is very important. 3. Proper diet and nutrition has to be taken. Revert back after all the investigations to a radiation oncologist online.---> https://www.icliniq.com/ask-a-doctor-online/radiation-oncologist" + }, + { + "id": 12788, + "tgt": "What can be done for dental abscess after three rounds of root canal treatment?", + "src": "Patient: Hello doctor, I had three sessions of a root canal, but I am still having a dental abscess. The treated tooth does not hurt and the root canal seems to be properly done but the abscess keeps coming back even after taking antibiotics. Why is this happening? Also, how can I know what type of abscess it is (periodontal, gingival, or periapical)? Doctor: Hi. An X-ray would be required. Mostly, such cases have to go for a treatment known as apicoectomy which is draining the abscess by making a passage through bone. Some abscesses are recurrent which cause necrosis of bone at the root level. Such conditions make root canal treatment unfavorable. In such situations, extraction and replacement of the tooth will be the best option going forward." + }, + { + "id": 11587, + "tgt": "What vegetable juice can be taken for daily routine?", + "src": "Patient: Hello doctor, I eat three fruits together in the morning that is kiwi, guava, and papaya for breakfast. I read that this combination is fine. I do not eat many vegetables, but I would love to have a vegetable juice for complete nutrition. Can you please suggest a juice which I can have as a daily routine. Doctor: Hello. In this age group, it is better to take fruits and vegetables in your daily diet. You can take the following vegetable juice in your daily routine. 1. Carrot juice, contains beta carotene and natural source of Vitamin A. It helps to improve your eye health naturally. It contains fiber which helps to evacuate bowel easily. 2. Spinach juice, is a good source of multivitamins like Vitamins A, B2, B6, C, and E, etc., and micronutrients like zinc, copper, magnesium, manganese, calcium, and iron, etc. It helps to improve your overall health, hair, and skin. 3. Cabbage juice has a high capacity to heal the peptic ulcer. It also helps to fight against cancer. It is a good detoxifier. 4. Sweet potato juice, is a good source of Vitamin C and B12. It helps to resolve arthritis and inflammatory issues. 5. Beetroot juice, is a rich source of multivitamins and minerals. It helps to improve Hb (hemoglobin) count, and subside skin disorders. Here I have mentioned some vegetable juice and their benefits. You can also select tomatoes juice, bottle gourd juice, to fight against abnormal cholesterol and hypertension. You can mention it in your daily routine as per your issues or for natural health." + }, + { + "id": 19364, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23520, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26418, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 5628, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 23987, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 12495, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 20965, + "tgt": "Is it possible to get pregnant while on hormonal contraceptive implant?", + "src": "Patient: Hello doctor, I am a 26-year-old female. I am using the Nexplanon contraceptive aid. It was inserted during my period at the time seven months ago. To date, I have had no issues with it apart from mild PMS symptoms occasionally and my periods are non-existent. A week and a half or so ago, I began to feel different. I had a lower back ache constantly and my breasts were very sore. The breast tenderness has persisted and increased as well as they seem fuller and heavier. I am not fitting into my normal bras well. The nipples, in particular, are irritated and sore and extremely sensitive at the moment plus have darkened brown around the edges too. I also am experiencing a lot of fatigue. A heightened sense of smell plus a lot of bloating constantly. Prior to these symptoms beginning, the last date I had sexual intercourse was two weeks roughly. No sex in between at all. In order to simply rule out pregnancy, I did several home pregnancy tests and received very faint but blue and visible lines within the instructions time frame given. The last four days of testing there was some progression made in terms of how dark the positive lines were and how rapidly they appeared on the test. Naturally, I assume I am pregnant though how I do not know. Worth noting that since just after my last sexual intercourse and still ongoing, I have been suffering from a urinary tract infection and am on antibiotics but have had to extend their duration as it does not seem to be resolving well nor getting worse, however. I began spotting pink blood four days ago which two days later progressed to a period red type bleeding with small clots. This is still ongoing to date but has a tendency to wax and wane. There was an awful amount accompanied by severe cramping and pain for a few hours. The cramps are much milder now and bearable. I am not filling much of a sanitary pad but it is rather when I wipe (aside from the large amount earlier). I assumed a miscarriage, but obviously, I cannot be sure. Now, I still have the same pregnancy-related symptoms. They have not subsided in the slightest since the bleeding began. I am also beginning since yesterday to feel bouts of nausea on and off. Basically, my query is really three things: 1. Is pregnancy possible? 2. If so, does it seem like an early miscarriage is occurring? 3. Could the urinary tract infection be causing the vaginal bleeding at all? Notes: I have experienced one previous confirmed miscarriage two years ago. Medications I am currently taking are Dexamphetamine 5 mg, Clonazepam 2 mg as required and antibiotic for UTI. Doctor: Hello. Welcome to icliniq.com. Since you are on Nexplanon (hormonal contraceptive implant), the chances of pregnancy are very remote. Still, it has a failure rate of 0.5 %. So, the most important thing is to rule out pregnancy. As you have mentioned that the test line was faint and you are having slight bleeding along with cramps, an ectopic pregnancy needs to be ruled out. Get a serum beta hCG levels. The test can diagnose pregnancy within three weeks of intercourse. If the level is more than 5, then it means that there is pregnancy. To know if it is an early pregnancy or an abortion we will have to repeat the levels in 48 hours. UTI (urinary tract information) does not cause vaginal bleeding. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 25180, + "tgt": "I have a tiny clear bubble in my eye. Is this of concern?", + "src": "Patient: Hello doctor,On my left eye, on the corner, nearest my nose on the sclera there is a tiny clear bubble. I have has this for years and it does not bother me. On the conjunctiva, it appears also a little puffy but I have noticed on the lacrimal caruncle there seems to be a red little spot. My eyes are always dry and I suffer from allergies. Is this of any concern or is it associated with dry eyes/allergies? Doctor: Hello. I have seen the image (attachment removed to protect patient identity). The clear bubble is kind of retention cyst which is completely harmless. Only trouble if it causes red eye or heaviness while eye movements. Which you are not having.Secondly, I have seen your spot at the nasal angle but do not worry. It can happen sometimes due to allergic reaction or dry eyes. Red spot does not seem to be connected to a cyst. So, they are not related to each other. I suggest the following medicines: WEar goggles in dust areas. Do not rub your eyes. For more information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 16032, + "tgt": "Does low G6PD level cause hemolytic anemia?", + "src": "Patient: Hi doctor, Recently, I did a series of blood tests to check my pre-existing G6PD deficiency. The results showed low G6PD levels of 0.4 units/gram of hemoglobin. I have read that anything below 10 % of the normal range can cause hemolytic anemia. Please suggest. Doctor: Hi. I have gone through the attachment (attachment removed to protect patient identity). Your G6PD (glucose-6-phosphate dehydrogenase) level is low. But clinical correlation is needed in your case. I suggest you investigate with CBC, reticulocyte count estimation, and peripheral smear examination to check whether there is a presence of hemolysis or not. If there is no hemolytic episode, then there is no need to worry. In G6PD deficiency, you have to be alert when you have typhoid and pneumonia. It can lead to oxidative damage and can result in hemolysis. Drugs like Primaquine, Sulpha drugs, Aspirin, and Vitamin K analog should be avoided. Fava beans should be restricted in your diet." + }, + { + "id": 29052, + "tgt": "Can my lower back pain be the result of a kidney problem?", + "src": "Patient: Hello, I am a 31 year old male. I have a left lower back pain for a few days. It hurts when I move, and it feels like my kidneys hurt when I walk. I do not know if this is a muscle pull or something related to my kidneys. Please advise. Doctor: Hello. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29485, + "tgt": "My daughter had seizure and half of her face is not moving. Why?", + "src": "Patient: Hi doctor, My daughter has been diagnosed with end-stage renal failure and is on dialysis. Her blood pressure was very high last week and she had seizures. Now, she\u00a0is in the hospital, but I do not think she is being cared properly. I think she has had a mini-stroke and half of her face is not moving. They are keeping her sedated as she is hysterical when she wakes and cannot remember anything. The doctor says that it\u00a0is the epilepsy medication. They cannot control her blood pressure and now she is in intensive care and they are using some drug to lower it Nimodipine. They scanned her brain and said it was because she was on the pill. They said dialysis is fine and the blood pressure is making her sick. I am afraid that she is going to die. 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": 2018, + "tgt": "I have short penis and ED with history of masturbation. Please suggest medication", + "src": "Patient: Hello doctor, I am 25 years old, unmarried. I think my penis size is small. Because of masturbation, I have a problem with ED. I would like you to suggest medicine for these two problems. Doctor: Hello. Before jumping to any treatment follow the advice as given below. You are indeed developing signs of ED (erectile dysfunction). You also seem to have exaggerated guilt of masturbation. Understand that 90% of males start masturbation by the age of 14. Rest 8-9% start after 14. So, virtually every man masturbates. It is a normal male sexual behavior if done in moderation. But excess of everything is bad. We may need reports of the following tests to rule out the physical causes of erectile dysfunction. 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 the following 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? Please respond and send me the reports to make a complete assessment." + }, + { + "id": 28432, + "tgt": "How to avoid chickenpox scar?", + "src": "Patient: Hi doctor,I am a 34 year old female. It started with two days of fever and body pain. I developed blisters and spots. My doctor diagnosed it as chickenpox. I have a few red spots and blisters on my\u00a0face. I am taking Acivir 400 DT thrice, Azithromycin once daily and Cetirizine 10. I am also applying Lactocalamine on the spots. I want to ask how to avoid chickenpox scar and how to know if a scar is forming. On looking at the pictures, do you think these will scar? I am also taking 2000 mg of vitamin C daily. Doctor: Hi. Chickenpox or varicella is a viral infection and if not treated correctly leads to complications. From your clinical image (attachment removed to protect patient identity), the diagnosis looks to be so. There are some necessary precautions that you need to take so that the lesions do not scar. You need to take a bath daily and not follow the old rules of no bathing during infection. Regular bath maintains cleanliness and prevents secondary bacterial infection. Wear clean cotton clothes for the next one week. The dose of Aciclovir you are taking is insufficient. Kindly consult your treating doctor regarding the dosage. Continue applying Calamine lotion. Once the lesions heal, that is after 10 days, I suggest you use Scarend gel (Allantoin) for the lesions over the face. I suggest the following treatment. Consult your specialist doctor, discuss with him or her and take treatment with consent. 1. Tablet Acivir 800 mg five times per day (Acyclovir) or tablet Valtoval 1 g (Valacyclovir) three times daily for a week For further information consult a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 13948, + "tgt": "Period become irregular after taking Unwanted 72. What to do?", + "src": "Patient: Hi doctor,After taking Unwanted 72, my wife got down within five days. But, her menses started again after five days though her actual time of menses not yet come. Why? Doctor: Hi. Unwanted 72 is an emergency contraceptive pill containing high amount of progesterone. These medicines have a severe side effect of heavy or irregular bleeding. Your wife had the same side effect. Please check her hemoglobin levels; she might turn anemic if she bleeds much. Continue taking iron pills. It might take one or two cycles to get her periods to get regular again. So, preferably maintain a regular regime with condoms or oral contraceptive pills like Novelon, Ovral L, etc., rather than an emergency contraceptive. They are way safer." + }, + { + "id": 2027, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 18430, + "tgt": "Does Femilon affect fertility?", + "src": "Patient: Hi doctor,I had been on Femilon for over a year now. I left taking Femilon in the last week of last month and now I wish to conceive. How much time would it take to be normal for getting pregnant? Is there any other set of medicines that I take in order to become fertile again? Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3086, + "tgt": "What are the way to assess IQ and mental development of child?", + "src": "Patient: Hello doctor, Kindly help me to understand my elder daughter's behaviour. She was born 14 years back. At her childhood, she was very energetic and hyperactive. We had put her in pre-school at 2.5 years and now she is in class 9. She is 13.5 years old now. I am finding her maturity level is far below her classmates and she hardly have any friends. She is also very poor in study. We are in such a condition that we only expect her to pass the examination. Sometimes I am feeling guilty about the fact that she is always under pressure. She nowadays does go out and keep herself busy with mobile and TV (cartoon). I have another daughter, who is 6.5 years old and the elder one cannot get along with her sister most of the time. She always tries to attract the attention by some means or other. She is only growing physically, but I am finding the mental growth is not at par. Kindly help me. Doctor: Hello. I am sorry to hear about your situation, I can understand how difficult it might be for you. What you are describing needs a physical examination as well as a mental status examination and IQ testing. You will have to consult a neurologist or a pediatrician. You can also consult a psychiatrist and they will guide you further. The doctor will require to meet your daughter and talk to her to be able to understand whether the issue is neurological or a behaviour issue. If you are mentioning that her mental growth is not at par you will have to go for IQ testing which are available with psychiatrists as well as pediatricians." + }, + { + "id": 14319, + "tgt": "What measures can be taken to relieve pain caused due to broken tooth?", + "src": "Patient: Hello doctor, I am having acute pain in gum and tooth on the left-hand side and a few days ago the left back corner tooth broke. Kindly suggest me how can I get rid of this pain and strengthen my teeth as it broke without and proper reason. Dentist advised me to take antibiotics for five days but it did not get cured. Doctor: Hi. I have gone through your case, it seems you have a cavitated carious tooth that needs to be cleaned in order to get tooth filling. Please visit your dentist near you to get rid of this carious tooth. You should not get proper work and treatment unless you visit the dentist and he is going to operate your case. Taking antibiotics for a long time without tooth operation is not helpful. I advise you about going to the dentist and getting a filling done in the tooth as soon as possible. It will be helpful if you could attach the images of your tooth broken in order to get further details of your case." + }, + { + "id": 16519, + "tgt": "How to treat a cough with wheezing?", + "src": "Patient: Hi doctor, My mother is 78 years old now. Before 12 days back, she had a cough and high fever. She had a wheezing problem along with a cough. She was given Azithromycin and Cratex expectorant. Her temperature got subsided after five days. But the coughing problem has not stopped. Her X-Ray finding suggested COPD. Her hemoglobin level is 9.2 ng/dL. She has WBC of 1980 WBC per microliter of blood. She has neutrophils of 28 % and lymphocytes of 69 %. She has ESR of 60 mm/hr. Currently, she is taking Domperidone, Etizolam, and Olmesartan. Doctor: Hi. She has a chronic obstructive pulmonary disease. Her lymphocytes are elevated. She seems to have viral bronchitis. Her total WBC count is decreased. It can occur due to bone marrow suppression by a viral infection. For wheezing, she can take Ipratropium bromide inhalation through a nebulizer for three to five days. Please mention whether it is a dry cough or a wet cough. According to the characteristics of a cough, further treatment can be guided. She needs to consult a pulmonologist for chest examination." + }, + { + "id": 30126, + "tgt": "Should I seek medical attention for discoloration in mouth?", + "src": "Patient: Hello doctor,I am a 22 year old healthy woman. I have been experiencing some discoloration in my mouth. I would like to know your input on it. Should I seek medical attention? I also have a white spot on my throat. There is no pain or discomfort at all. I noticed them about a week ago and I have been trying to figure out what they could be. Doctor: Hello. 1. Regarding tongue swelling, it is tongue blister most likely due to local irritation and very less likely, but herpes could also present like this (attachment removed to protect patient identity). 2. White patches could be due to dryness of mouth, leukoplakia, canker sore or thrush. 1. Benign tongue blister. 2. Leukoplakia. Wait and watch strategy for 10 days. You can use salt containing gargles or lukewarm water with salt for three to four times a day, but only rinse your mouth with it. Follow up with a dentist of primary care physician if you develop pain, bleeding, swelling of the gums or if the lesion fails to resolve in 10 days from now. Avoid smoking cigarettes, alcohol consumption (if you are doing so) and consuming hot and spicy foods. Revert back after 10 days to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 19690, + "tgt": "Whom should I consult for my daughter's high prolactin?", + "src": "Patient: Hi doctor, My daughter's prolactin is 238. What is the cause behind this? Whom should I consult for this? What is the further treatment? There is no headache or stress. She had some periods problem before and now she is fine with that. Please help. Doctor: Hi. I need a little more information to help you better. Revert back with the answers to the above questions to an endocrinologist online -->https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 1853, + "tgt": "My wife has small itchy pimples in between her fingers. Please suggest solution", + "src": "Patient: Hello doctor, My wife has small pimples in between her fingers on both hands and they are itchy. It subsides when she uses ice water. Even wearing gloves gives relief. When using detergents or soap it increases. Two months the back same thing happened and it got cured. This is the second time and it is there for the past seven days. Please suggest remedy. Doctor: Hello. I would like to know a few things before coming to a diagnosis. Is anyone in the family has such itching? Is itching worse at night? Does any other part of the body has red spots? Which soap and detergent you use? What all housework you do? The attached photos are blurred. (attachment removed to protect patient identity). Please send a photo of better quality." + }, + { + "id": 28644, + "tgt": "Are the opacities in my chest x-ray due to cold?", + "src": "Patient: Hi doctor, I had a chest x-ray for medical examination. The doctor asked\u00a0me to take the x-ray twice. These days, I am suffering from cold and throat pain. Will it affect my result? Earlier I had some allergy, but nowadays I did not have that problem. Is it a serious problem to consider? Please guide me Doctor: Hi. For further\u00a0information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 5673, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 8186, + "tgt": "Kindly suggest medicine for a better control of diabetes", + "src": "Patient: Hello doctor,I am diabetic from last six years and taking Pioplus 2, K-vog once in a day. My Hba1C rest is on 8.9, and random sugar is 236. Please suggest me medicine for better control. Doctor: Hello. I need some more information such as your age, weight, kidney function, fasting blood sugar, and post-meal blood sugar or bedtime blood sugar to answer your question. At least done three days per week. And I need a two-week log. That will help me choose the best medicine for you.But from current review, the following is recommended, 1. Start with diet control, and it is a must. Avoid any sugary drinks, including soda, sweets, tea, and juices. Cut back on flour and sugar. No items with concentrated sugar. Cut back on rice, potato, pasta, roti, and bread only eat small portion daily. 2. You are on the maximum amount of medicine. Your doctor may have to cut back on some pills and instead at one bedtime dose of insulin-like Lantus, or Levemir. If your blood sugar is not controlled on so many medicines, it needs a change of treatment for sure. You are more than welcome to request detail consult, and I will be able to suggest you the right plan." + }, + { + "id": 1113, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 16718, + "tgt": "Is continuous twitching worrisome?", + "src": "Patient: Hi doctor, I\u00a0had intermittent twitching all over my body for the last two months. I finally went to see my GP and he ran a plethora of blood tests and said that my vitamin B12, iron, and vitamin D were all really low. Since starting my vitamin supplements two days ago, the twitching has subsided significantly. For the last two days or so, I have just been noticing minor twitching in my left hand that will happen three to four times a day for around 10 seconds. But, there is no weakness. I have been paranoid and freaking out for the past two months over life threatening neurological diseases like ALS. I also had a creatine kinase done and my levels were well within normal range. I am just wondering if this twitching continues, then is it something to be alarmed? Doctor: Hi. I have gone through the provided details and understand your concerns. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 5645, + "tgt": "Why am I getting blood while blowing nose?", + "src": "Patient: Hi doctor, For the past five days, I have been having quite a bit of blood come up in my mucus when I blow my nose. My sinuses are sore and puffy. Today, my right cheek and right side of my nose have gone numb and tingling. Kindly help me. Doctor: Hi. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 28885, + "tgt": "When I attempted to remove food particles, the gum has become swollen. What should I do?", + "src": "Patient: Hi doctor, I tried to get food out between my teeth. I feel like I have gotten my gum stuck between my teeth as I tried to get the food out. I feel pinching, and the gum is purple, swollen and bleeding. What do I do? Doctor: Hello. Food lodgement. Caries. Chronic generalized gingivitis. Scaling and root planning. Maintain oral hygiene. Revert after three days to a dentist online.---> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 26000, + "tgt": "I have pain and swelling in the right molar area. What is the treatment for this?", + "src": "Patient: Hello doctor,Please refer the image attached which is of\u00a0the\u00a0right molar region. I am feeling a slight pain and swelling. What is\u00a0it? Is it anything serious? What is the treatment for this? I am a non-smoker and a non-drinker. Doctor: Hello. I have gone through your query and have seen the photos of your third molar region (attachment removed to protect patient identity). It is a condition called as pericoronitis, that is, inflammation of the pericoronal flap that gets raised when the third molar is erupting. There is no need to worry. Buy a bottle of Hydrogen peroxide. Put four caps full of hydrogen peroxide in a glass of water and rinse thoroughly four to five times daily it will be alright. In case it gets reinfected, then you have to go for a minor surgical procedure called as operculectomy. In that treatment, the flap which is infected will be cut under local anesthesia, and it will not be painful. In case you have an infection lasting more than five days, then take an antibiotic for three days such as tablet Amoxicillin Clavulanate 625 mg twice a day for three days. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 207, + "tgt": "Am I suffering from leukemia?", + "src": "Patient: Hi doctor, My blood test shows lymphocytes 60% where the normal range is 20% to 45%. I had immunophenotyping and the values are CD23 - 2.11%, CD19 - 0.30% and CD5 - 79.9%. What does it indicate? Am I a leukemia patient? Please advise. 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": 28491, + "tgt": "Does holding your nose closed while sneezing cause tinnitus?", + "src": "Patient: Hello doctor, I have sudden constant tinnitus that started last week. I used to hold my nose closed while sneezing from the past four years, but I have stopped doing it now. And I had vertigo a\u00a0few months back. I also use Rogaine. Doctor: Hi. Please answer the following questions. Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 24956, + "tgt": "My head feels numb after a slip and fall. What should I do?", + "src": "Patient: Hello doctor,I slipped on a wet concrete floor from the rain. I fell flat on my back and then hit the parietal bone part of my head. I now have a bump there. I went to the ER and they did a CT scan. It showed no fractures. She checked my knee reflexes. They were good. But I still have pain in the low part of my neck and now my head feels a little numb. My upper and mid-back hurt. Nothing below my mid-back hurts. I feel very stiff. But I am very worried. What is this? What should I do? Doctor: Hello. I do not think there is anything to worry about if the CT brain is normal. This might just be a simple musculoskeletal pain due to local trauma. I suggest you try tablet Emanzen D (Serratiopeptidase) SOS for pain over the head. Take it with an antacid. This will go off in a few days. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 3676, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 23734, + "tgt": "The entire surface of the fetus is fluid-filled. What does it mean?", + "src": "Patient: Hello doctor, Based on the result of the ultrasound, the entire surface of the fetus is fluid-filled from the head all the way to the body of the fetus. What does it mean? Doctor: Hello. How are you doing? Let me start by saying that this is not a good sign. I would have preferred to see the scan picture myself. What you are mentioning seems to be hydrops fetalis. Here water gets collected both inside and outside the body. Baby will have water collection in head, lungs, heart, abdomen, under the skin, in the fluid around the baby, even in the placenta. The causes are a long list. Some of the commoner causes are: Rh incompatibility (mother with negative blood group and baby with positive blood group), congenital heart diseases, lymphatic system abnormalities or parvovirus infection or musculoskeletal abnormalities or gastrointestinal abnormalities, the list is long. But, the net result is that fluid is not circulating in the blood, but outside. The pregnancy will have to be terminated (aborted) as baby cannot withstand this. This is the impression from the minimal report you have given. Only a person who has seen the scan report fully can give a final say. Hope I have cleared your query. All the best. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 15950, + "tgt": "What are the white spots on teeth during cold weather?", + "src": "Patient: Hi doctor, I get white spots on my teeth periodically in cold weather climates. I am getting married in this climate and I do not want spots on my teeth on my wedding day. What should I do? Doctor: Hello. Congratulations on your wedding. Good to hear. Sounds like a fluorosis. It happens due to fluoride deposit on tooth. And it do not appear periodic. It will be there all your life time. Need a picture of your tooth for better diagnosis. If it is cosmetic issue you can consult a cosmetologist for bleaching of your tooth. Visit your dentist for better results." + }, + { + "id": 6831, + "tgt": "My wisdom tooth area is swollen with pain and pus. What to do?", + "src": "Patient: Hello doctor, I have swelling, pus, and swollen throats. It is hurting while opening and closing the jaw and hurts more during eating, and this is all around my wisdom tooth, and it is causing a lot of pain. Please help. Doctor: Hello. I can understand your concern regarding dental health. The swelling and pain around the wisdom tooth are called pericoronitis, which is very common during the eruption of wisdom tooth and easily treatable by removal of the same tooth as there is no need for it during chewing function. So consult your nearby oral surgeon for clinical examination of the affected area and further treatment as early as possible. Till then, you can take Ibuprofen for temporary relief in pain. I hope this information will be helpful to resolve your query, and further questions are always welcome. I will like to answer them. IOPA of affected wisdom tooth." + }, + { + "id": 605, + "tgt": "Why do I have to strain too much to pass stools?", + "src": "Patient: Constipation, Small Stools or Feces, Hard To Poop. Straining but not too much. Doctor: Hi Your symptoms seem to be related to chronic constipation. Some recommendations to help relieve your constipation Drink two to four additional glasses of water a day. Maintain a strategic distance from caffeine-containing beverages and liquor, which can cause drying out. Include natural products, vegetables entire grains and other high-fiber nourishments to your eating routine. Eat less high-fat nourishments, similar to meat, eggs and cheddar. Eat prunes as well as grain oat. Keep a food journal and single out nourishments that constipate you. Get going, work out. Check how you sit on the can. Raising your feet, reclining or crouching may make having a solid discharge simpler. Include an over-the-counter supplemental fiber to your eating regimen. More details you may consult with me. Hope I have answered your query. Let me know if I can assist you further." + }, + { + "id": 1997, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 15699, + "tgt": "Kindly tell the treatment for recurrent tinea infection", + "src": "Patient: Hi doctor, I appear to have a tinea infection on my hands. I previously hand one two years ago and symptoms are the same, peeling between fingers, sore and itchy skin, some scaly patches. A doctor here advised Clotrimazole cream and 150 mg of Flucanozole every week for four weeks. That initially worked well and it was clearing up. Then I have had a sudden relapse. I have been using the cream three times a day for three weeks and the tablets for two weeks. Any ideas? I am also prone to eczema by the way. Doctor: Hi. Is there any burning? Any other area affected? Looking forward to your response in order to help you." + }, + { + "id": 23102, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 27784, + "tgt": "I felt a sharp pain in the right lower back after I bent forward. Please help", + "src": "Patient: Hi doctor, Yesterday, I bent down to pick up a grocery bag, and suddenly I felt a sharp pain in the lower right region of my back. And ever since, I have had sharp pains in that area whenever I walk, bend over\u00a0or if I place my weight over my right hip, and whenever I put pressure on my right leg whilst walking. It especially hurts when coming up those positions. When I am not moving, I have no pain. My mom thinks it is a pulled muscle, but it does not have an aching type of pain. The pain is more sharp and intense when moving. Please help. Doctor: Hello. Your predominant complaint is of pain in the right lower back, which is aggravated by bending forwards and walking.\u00a0There are two possibilities: Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 1678, + "tgt": "I have painful swollen lymph nodes in groin. Please help?", + "src": "Patient: Hello doctor, My lymph nodes in the groin region became swollen last night and I am irritated. Please help. Doctor: Hello. First of all, please do not freak out. If we have adequate information, it would be easy to figure out the cause for such groin node enlargement. It would have been a little more informative if you could mention the size of the node that you could feel, whether on single or both sides? Whether it is a single node or multiple? If multiple, whether they could be felt discreetly or they are stuck together? Also, if you had any history of fever recently? That could have given some idea about the nature of these groin nodal swelling. The most common causes for the enlargement of the groin nodes is any infection or inflammation in the sites they drain the lymph fluid, which includes the genital area (including the lower third of vagina) and legs. So, I would like to know if there is any genital infection or ulcers, or any infection or wound in your legs. Many times, in sexually active individuals, it could represent a presentation of sexually transmitted infections like chancroids, syphilis, or sometimes in herpes too. Please get back to me with details so that appropriate cause can be identified and treated appropriately." + }, + { + "id": 18716, + "tgt": "What is vaginismus?", + "src": "Patient: Hi doctor,I got married before 18 months. But, I am still a virgin. I am not able to take it inside. I do not know whether it is due to fear or what. I badly need to be out of it. Please help. Doctor: Hello. Revert back with detailed history to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9056, + "tgt": "How to get rid of depression and suicidal thoughts?", + "src": "Patient: Hello doctor,I have had depression for over a year (at least symptoms of it), and suicidal thoughts almost as long. It was caused by a high school crush and has caused me to hate myself for everything I do because I am socially awkward and tend to mess everything up. I feel like I am a mess and that I made my crush life difficult at least at first, though memories are haunting me.I cry every day, the only reason I am not dead is that I do not have access to a gun. My question is about what happened today. After school I saw my crush near who have missed the school, and she was with friends, when she saw me she came towards me and as is tradition in my country she kissed me on the cheek which was unexpected and caught me off guard, especially since we have been ignoring each other this whole school year.Whenever I have to interact with people I hate myself after it because I do not know what to say usually, and this case was not different either, but it was worse than that (because it happened in front of her). Anyway, I left kind of awkwardly, and immediately I felt this unbearable stress, I wanted to shout but contained myself in public. Still, I made screaming faces, did that thing where I manually can create pressure inside my head and turn my face red like a tomato.I also sweat a lot, and I clenched my fists (not only), with which I would hit my other hand sometimes. It was like waves, I would feel super stressed at times, and then it would let off just a little. I could not hold back my tears. When I came home, I cried hating myself, looked in the mirror, and flipped off myself, told my reflection that I hated him, and I wished him to die so badly. I have never experienced something like this, at least not as strong as this. What happened to me, and how do I prevent it from happening ever again? Because it was awful. Doctor: Hello. I can feel your emotional pain by the way you have described your symptoms. Do not worry, and you can gradually get better with appropriate support. How old are you? Have you discussed with your parents or family about your emotional difficulties? Do you have any close friends? Are they understanding and supportive? Some of your experiences are related to your crush is normal and part of growing up. However, your emotions are sometimes extreme, and you appear to get distressed by these experiences. You report low mood which can decrease your self-confidence, make you feel inappropriately guilty and questions your self-worth. It will get better with support and treatment. It is worrying that you are having suicidal thoughts and struggling on your own. I will strongly recommend discussing with your family so that they can know as well that you are struggling. Do regular physical exercises. It will help to lift your mood and lower your anxiety. Eat regularly, sleep well. Try progressive muscle relaxation exercises and deep breathing exercises to calm yourself. You can consult your family doctor to assess for depression and anxiety. You will benefit from counseling support. Sometimes medication to lift your mood may be needed" + }, + { + "id": 3196, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 25370, + "tgt": "I got my periods for the second time in ten days. Is it due to I-pill?", + "src": "Patient: Hello doctor, I got my periods today for the second time in 10 days. The last time I got it, there was less flow comparatively. On 30th, I had unprotected sex and had an I-pill immediately. Can you please tell me if there is anything harmful? Doctor: Hello. I have reviewed your query and can understand how worried you are about your health. I want to add that it seems to be due to hormonal imbalance caused by the contraceptive pill. Emotional distress also adds up to the situation. As of this time, it seems nothing wrong. You just keep up with daily routine and do not bother much about this issue. When we take pills that contain hormones, it interferes with the natural body hormones. This may sometimes cause breakthrough bleeding too. Hope it helps. Kindly be advised, if you do not want a pregnancy, use barrier contraception. It saves from STDs too. Regards. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 26992, + "tgt": "How much vitamin D should I take daily?", + "src": "Patient: Hi\u00a0doctor, How much vitamin D should I take on a daily basis? I am 50 years old. What is the most you can take? What are the normal levels of vitamin D? 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": 3088, + "tgt": "I have a lump near vaginal entrance. Can this be bartholin's cyst?", + "src": "Patient: Hello doctor, I have a lump near my vaginal entrance. I researched and it may be a bartholin cyst. It is not painful nor uncomfortable to do my daily activities. Can the lump go away on its own without treatment? What can I do to remove it? Is there anything I can do to avoid going into a gynecologist personally? I really wish I would not have to go to a doctor personally. Doctor: Hi. Thanks for the query. According to your description the lump you mentioned could be bartholin cyst as you are thinking. Usually it occurs due to the blockage of bartholin duct. Small cyst may not cause any problem but when a size increases or the cyst gets infected that can lead to formation of abscess, in that case you may experience pain and discomfort. As per as possible better to get examined by your gynecologist to find out the actual nature of the cyst. Sometimes antibiotics are sufficient to decrease the size of the cyst. If it gets infected and increases in size you may need to go for minor surgical procedures like incision and Drainage or Marsupialization. If you want relief now before going to your doctor you can take sitz bath with lukewarm water and 10 to 15 ml of Betadine solution, twice a day with 10 minutes duration. This will help in reducing the pain and size of cyst. Take care." + }, + { + "id": 4890, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 27468, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3429, + "tgt": "What is the difference of sleep disturbance caused by hormonal problem and stress?", + "src": "Patient: Hello doctor, What are the causes of sleep disturbances? What are some ways to tell if your sleep troubles are sleep anxiety and not a hormonal problem? What is the difference between sleep disturbances that are caused by hormones vs stress? How might someone address each of these different causes of sleep disturbances? Doctor: Hello. First, we should know the patient's gender. Then, if female, ask if the sleep problems are all the time or more evident prior to periods due date? Then, I would ask both female and male patients to run a thyroid function test. While female patients to also check sexual hormone levels in the blood. Stress makes it difficult to fall asleep and keep asleep and altering sleep quality. Hormonal changes will cause an increase in body heat (which becomes not stable) and adrenalin, which alter the quality of sleep, and time of sleeping. Estrogen will cause an increase in body fat in women more around the tummy. This will cause snoring and sleep apnea. We should ask patients more details about their sleep like, is it difficult to fall asleep? Why? Do you wake up during the night? How many times if yes? Why? In this way, we will find more details about the sleeping problems my patients are having. Sometimes, they can sleep but they are so anxious and feel not enough to sleep." + }, + { + "id": 20286, + "tgt": "Why is there no improvement even after taking psychiatric treatment?", + "src": "Patient: Hello doctor,My brother is undergoing psychiatric treatment form last 10 years. He is being advised a few medicines which he is taking from last so many years. I see his condition getting worse. I need help and a second opinion. Doctor: Hi. He is suffering from schizophrenia as per your history. He is taking antipsychotics. Schizophrenia is a progressive disorder which leads to cognitive impairment. I am sorry but there are medications which can only control the disease but cannot cure. You can try different antipsychotic medications if he is worsening. He can take tablet Clonazapine if he is worsening on medication or can post on ECT (electroconvulsive therapy) therapy if severe behavior problem. it is sure that he has to take medication for lifelong." + }, + { + "id": 16323, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22295, + "tgt": "I am pregnant and my urine had an orange discharge with beige solid pieces. Why?", + "src": "Patient: Hello doctor, I have a query regarding a possible miscarriage. I am five weeks pregnant and I woke up with abdominal pain and found a discharge in my urine that looks like small pieces of solids (beige color with a fluid inside) and with small pieces of what looks like tissue. There was no blood and just orange discharge. However, I am on Progesterone. So, the orange discharge may be from that. I am concerned about the solid pieces. I went to a doctor and they did an ultrasound and said my cervix is still closed and both gestational sacs (I am pregnant with twins) are still there. I also did a blood test and my beta has been doubling as it should (currently at 1734 at 5 weeks). Could this discharge be something else? Does this sound like a miscarriage if there is no bleeding and the cervix is still closed? I cannot stop worrying. Doctor: Hello. No, this is the effect of the medicine. The discharge normally increases during pregnancy. And, if you are using vaginal suppositories, it may be because of staining. If the ultrasound shows everything is normal, then do not worry as your beta hCG (human chorionic gonadotropin) is good with doubling values. Do take rest. Do not exert yourself. Avoid intercourse. Get pregnancy tests done like: For more information consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23960, + "tgt": "Does one need treatment for gap in front teeth?", + "src": "Patient: Hello doctor,I have a gap in front teeth may be it is diastema. Teeth are not fully separated apart starting from gum line like typical diastema. They have only slight gap below the gum line, may be less than an mm. I want to know:Whether this gap between the teeth require any kind of treatment other than for cosmetic purpose?In future, does this gap harm or shift adjacent teeth? I mean does this gap affect the functionality of front teeth as well as adjacent teeth?What areits causes and is there any exercise to close this gap like pressing the teeth together for 10 to 15 seconds. If I do that exercise, does it affect the functionality of teeth in a negativeway?In short, I want to ask whether one needs treatment for diastema if it is not showing any symptom or not affecting day to day life. I recently went for a regular dental checkup and the doctor told everything is fine no gum or any other disease. To the best of my knowledge, I do not have any tongue thrusting habit at present or thumb sucking habit in childhood. I am attaching the X-ray of the front teeth as well the real image of my front teeth. Doctor: Hi. The treatment is required for an esthetic purpose only. Radiographs look fine (attachment removed to protect patient identity) to me. Along the years, the gap might increase due to a shift of the two teeth leading to an increase in the gap. There is no exercise to close the gap. Please do not press the teeth to close the gap. If you are worried about your looks, then go for veneer, ceramic crown, or orthodontic braces. If you are fine with it, then you do not require any treatment. Just relax. For more information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 16118, + "tgt": "Is there any link between wisdom tooth and brain? Can I get it removed?", + "src": "Patient: Hello doctor, I have pain in my upper wisdom teeth for the past one year. I had visited a dentist for a check-up. He did X-ray of my teeth and told me that food stuck between molar teeth and wisdom teeth is causing pain. So he advised me to remove wisdom teeth and filling process. But I am scared that upper teeth have a connection with brain and eyes. So, the process of teeth removal can harm my eyes and brain. Please advise me what I can do. If I do not remove my teeth, then what will be its side effect? Doctor: Hi. I have gone through your question. I can understand your concern. This is a misconception that there is a direct connection between wisdom teeth to brain and eyes. There is no such relationship between the two. Wisdom teeth are vestigial and do not function if your other teeth are in good position. If you get it removed, there will be no problem to your eyes or brain. Let me know if there is severe pain or swelling so that I can prescribe medication for same." + }, + { + "id": 19375, + "tgt": "I have a painless red bump on my scrotum. What could be the cause?", + "src": "Patient: Hello doctor, I have a painless red bump on my\u00a0scrotum. I am uploading some pictures. Kindly let me know what this could be. Doctor: Hello. I have read your query and examined your picture (attachment removed to protect patient identity). From your description and picture, it seems like you have steatocystoma multiplex (a type of sebaceous cyst) or molluscum contagiosum. The pictures do not give me an exact idea because a sebaceous cyst is soft in consistency whereas molluscum is hard. If it is a sebaceous cyst, you should get it removed. A surgical excision by needling or radio frequency cautery is the treatment of choice. Molluscum contagiosum is caused by a virus and this lesion presents with a central umbilication, a depression similar to that of the navel. A white body is present in the bump. It is a contagious and sexually transmitted infection which can spread and form new lesions. The treatment plan will be needling to extrude the material inside and TCA cautery. You will need to rule out immunosuppression by doing certain tests like HBsAg, anti-HCV, VDRL, HIV , and blood sugar. For more information consult a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 9857, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 21496, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 26915, + "tgt": "Does my fetus have a short nasal bone?", + "src": "Patient: Hi doctor, During my TIFFA USG at 19 weeks\u00a0and\u00a01 day, the fetal nasal bone measured 0.44 mm. Will the fetal\u00a0nasal bone develop after few weeks, or\u00a0it indicates a short nasal bone? Or is it too early to conclude? The scan report showed the following: prominent bilateral pelvis, more on the right side (4.77 mm) compared to the left (3.4 mm) with mild Caldwell\u00a0dilatation on the right side, echogenic cardiac focus in the left ventricle. My previous fetus also showed the above mentioned two things, but at two different scans. I am currently taking Susten 200, iron, vitamins, calcium and Thyronorm 25 mg. Please give your opinion. Doctor: Hi. Regards. For further queries consult an obstetrician and gynaecologist online --> https://icliniq.com./ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3403, + "tgt": "What are the benefits of Kegel exercise in sexual health?", + "src": "Patient: Hi doctor, I have these questions. Can you please help me to clarify? 1) Does pausing and resuming urine while flowing, improves sexual performance in men? Please tell me the procedure of this. And does this cause any side effects to urinary system? 2) What is the kegel exercise? I read somewhere that we can do this everywhere. Like in office, home, while driving. How to do that? And how often we can do that? 3) I have only one testis, as I have undescendid testis, which was surgically removed recently. I have sexual feelings as normal. So do I need to take any extra care as I have only one testis? Or having one healthy testis also completely okay? Please answer in detail, as it is very helpful to overcome my mental fear regarding these things. Doctor: Hello. Please find following answers for your questions: 1) Pausing and resuming urine would only cause problems. This will not cause any improvement in sexual functioning. Better to avoid this completely. This could cause development of diverticula in bladder or urethra. 2) Kegel Exercise is a good option to improve the sexual performance. The exercise can be done at home or at any place without any issues. This is nothing but pelvic muscle strengthening exercise. In this one should tighten the pelvic floor muscles and hold the muscles in tightened position for around 8-10 seconds (on count to 8). After holding the muscles should be relaxed. This should be done multiple times a day. Do as if you are holding gas in your anus or as if you are lifting the anus. Try to do this and you will come to know about movement of anus. 3) One testicle does not cause any problem. No need to do any thing specific for that. Have good meals and exercise daily, you will remain healthy. Having one testis is completely okay." + }, + { + "id": 8394, + "tgt": "What causes elliptocytes and ovalocytes in blood smear?", + "src": "Patient: Hello doctor,This is for my mother who I been concerned about. Would her reports seem acceptable for a smear slide examination? Anisocytosis\t1+, ellliptocytes present, ovalocytes present. She developed memory and confusion issues within a month and has a heart valve issue with an ECG that was recorded at 36 bpm at one time. Doctor: Hello. Anisocytosis, eliptocytes all can be seen in anemia case. In iron deficiency anemia also it can be seen. So, you should check her hemoglobin level and HCT level. Do not worry about that. With the treatment of anemia, usually, it disappears." + }, + { + "id": 872, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 14485, + "tgt": "I want to stop wearing retainers. Can this change my corrected bite?", + "src": "Patient: Hello doctor, I had braces years ago due to my bite being the wrong way round. I then have had retainers to wear at night for a few years. I think the retainers are giving me ulcers. I want to stop wearing them. Will my bite go back the wrong way if I do not wear them? Doctor: Hi. Yes, your bite may go back to a previous alignment if you will not wear retainers properly. This will cause your whole treatment to relapse and it would be bad. Things you can do is you can put some oral gel at ulcer in the daytime and at least wear for 2 to 3 hours for a week so that ulcer may heal up and then come back to 14 hours of wearing from the next week. If some wire is hurting you and creating ulcer, get it fixed from your dentist and then start wearing. If you cannot go to dentist urgently chew some chewing gum and put it on the point where it is causing the ulcer and wear it. Or you may put a tiny piece of moldable wax too at that point. It will not hurt that bad then and you can wear it. But do wear it somehow. Take care. Stay happy and blessed." + }, + { + "id": 29786, + "tgt": "At what age surgery for undescended testis can be done?", + "src": "Patient: Hi doctor, My son is 1 year 1 month 11 days old. He was born prematurely at 36 weeks. After birth, his right testis was retractile. The doctor has advised to wait till 1 year. Now, an USG of the testes was done according to the doctor's advice. The report shows that both testes are seen in the inguinal canal. Right testis measure 16 x 8 mm and left testis measure 16 x 9 mm. The impression is bilateral undescended testes.\u00a0Though the report shows both testes are seen inguinal canal, we can feel his left testes inside the scrotum and sometimes right testes also. Why does the report show undescended testes? What are the treatments of undescended testes? Doctor: Hi. For further information consult a paediatric surgeon online --> https://www.icliniq.com/ask-a-doctor-online/paediatric-surgeon" + }, + { + "id": 6510, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 2143, + "tgt": "I bled twice this month due to stress. Should I worry?", + "src": "Patient: Hello doctor, I have been extremely stressed lately. I started a new job a couple of months ago, I am going through a divorce, and I have health issues pertaining to a brain surgery I had two years ago. I had a normal pap smear last year. My periods were normal until three months ago. I was late by over a week for the past two months. I got my period between 18-24 of last month. I stopped and then again bled for a week from 1st to 6th of this month. (This is the normal time I would have gotten it months ago) now again a week later I am bleeding. It started with dark brown blood that had tissue like small pieces in it and is now dark red going on day three. My periods are always very heavy, I always have ovary pain and bad cramps. I had a c-section with my daughter and was told I have scar tissue during an exam. I suffer from very painful periods. When I sneeze or move or cough or stretch during ovulation and the beginning of my period I have a feeling like my right side is ripping apart. Why am I bleeding like this? It has never happened to me before and I am scared it could be cancer. I just had bloodwork I went to the hospital for an unrelated issue this week before the bleeding started and my red and white blood cells and normal CBC workup was normal. Please help I am trying not to stress. Doctor: Hell. First of all stop worrying. We can take care of this. Stress can also play a vital role in hormonal functions. So try to calm and relax yourself first. See in general, an average length of the menstrual cycle that is considered normal is 28 plus minus 7 days, so any deviation either before or after is abnormal. Coming to your present menstrual history, you got early bleeding this time. This mostly suggests some hormonal disturbance which needs to be evaluated. It could be related to your thyroid hormone or even a lifestyle related problem called PCOS (polycystic ovarian syndrome). But however any structural causes like polyps or fibroids also need to be ruled out for which ultrasound is required along with an examination by your gynecologist. Based on the past history, it appears probably you must have had an entity called endometriosis or scar endometriosis (in your cesarean scar). This usually happens under the influence of the hormones that occurs in natural menstrual cycles when you are ovulating. Right now probably you did not ovulate either because of stress or due to the hormonal changes (we need to evaluate). I am suggesting a few tests that you need to take so that we can have a look into this. Meanwhile, try to work on your lifestyle changes, do regular exercises and take adequate dietary precautions (avoid fatty or sugary or high carb junk foods). All these measures will have beneficial effects on you. Try to meditate or do yoga for relaxation. I would also like to know if you had any recent weight gain or weight loss, any excess acne development or excess facial hair growth, or scalp hair loss. Also, if you have any headaches or visual changes. It would be good if you could share the details of your recent ultrasound reports, your scar tissue biopsy report if any done, and the details of your previous issue which I am suspecting it to be endometriosis to guide you on the present problem. The reports you shared show a good hemoglobin levels. So nothing to worry in that. Ultrasound abdomen and pelvis. Complete hemogram. Lipid profile. LFT (liver function test), RFT (renal function test), 75 g glucose tolerance test. HbA1c, serum calcium, Vitamin D & 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 or third day of next menstrual period. ? Hormonal imbalance, ? PCOS, ? Polyp /fibroids to be ruled out with ultrasound. If the flow is heavy with passage of clots you can take tablet Trapic 500 mg thrice daily after food (can avoid if the flow is normal). Yoga or medication. Maintain menstrual diary. Regular exercises at least one hour daily. Lifestyle and dietary modifications. Please revert back with the necessary details through chat preferably." + }, + { + "id": 23316, + "tgt": "I had unprotected sex and my menstruation has been missed. Am I pregnant?", + "src": "Patient: Hello doctor,I had unprotected sex a month back and after 4 to 5 hours, I used unwanted 72 and next day again I used unwanted 72. My menstruation has been missed. I tested my pregnancy through Prega news pregnancy testing kit and report was negative but my periods did not start. Then I used the unwanted kit (Mifepristone and Misoprostol) after taking this bleeding did not start again. I did the pregnancy test and the result was negative and my periods have not come till now. I am worried about my periods. Please tell me what is the problem I am having white vaginal discharge. Sometimes this is watery and sometimes it is slightly thick. Am I pregnant or not and why my periods are not starting? Doctor: Hi. You have taken emergency contraceptives twice and then abortifacient as well. Emergency pills if taken once it shows withdrawal bleed within 1 to 2 weeks. If you have taken twice that further disturbed inside hormones then again you have taken abortion-inducing tablets and pregnancy test still negative but combined effects of hormones made things irregular. For your satisfaction do have serum beta hCG (blood pregnancy test) immediately that will remove your confusion regarding pregnancy. No need to take more hormones please as it will further complex things. Wait and watch. Let the body to respond already externally induced hormones gradually it should come to normal. In case of heavy bleeding or pain, dizziness or fainting better to report to the gynecologist tertiary care center. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 8279, + "tgt": "Will you suggest any treatment for peeling lips?", + "src": "Patient: Hi doctor, I have peeling lips for past one year. It started over last winter when I applied moisturizer. Even after I stopped applying the moisturizer it is peeling still. I went to a doctor and he gave me a vitamin tablet. But, I did not get any cure with that. Then I visited a dermatologist and he gave me Tacrolimus ointment 0.1% and no improvement with that too. Now he has given me the same ointment along with tablets\u00a0Medrol,\u00a0Biotin and Celin. Now I feel it has progressed to my upper lip also. Could you please tell me how to cure this? I am so desperate for this to be over. I am under lot of stress because of this. By the way the time when it started, I was under stress. I have searched in internet and I found that many people have been having this problem for many years. Some cured with anxiety medication and some by leaving alone. What shall I do for this? Doctor: Hi. I have gone through your history and can very well understand your concern. Kindly revert back with the answers to the above questions to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 11903, + "tgt": "I am suffering from vaginal infection. What are the possiblities to get pregnant?", + "src": "Patient: Hello doctor, I am a 35-year-old female. I am suffering from a vaginal infection. I want to get pregnant. Is it safe and possible for me after treatment? Doctor: Hello. There are different kinds of vaginal infections. The most common are yeast infections and bacterial vaginosis. They are easy to treat most of the time and should not alter your ability to get pregnant. These types of infections can also occur during pregnancy and can safely be treated at that time as well. It is difficult to give more detailed information without knowing the type of infections and the treatment provided." + }, + { + "id": 13706, + "tgt": "What causes pressure and mobility in teeth with swelling?", + "src": "Patient: Hello doctor, I am 18 years old, 120 pounds, 5'7\", teeth are not good. I do not have pain but have pressure and I feel like all my teeth move a little, not much. There is a swelling on one whole tooth, no pain though. What is going on? I went to my dentist today and he gave me antibiotics for swelling. Doctor: Hi. I have gone through your question and I can understand your concern. As per your history, signs, and symptoms, it seems to me that you might have apical periodontitis in the swollen single tooth. You need to take antibiotics as directed by your dentist. Pressure is also because of that. The problem of mobility of the tooth, if you feel it in early in the morning, that is normal and it is physiological because the periodontic ligament is relaxed and there seems to mobility. You need to get your teeth cleaned (dental scaling) after the antibiotics are over. Carious tooth. IOPAR X-ray. Acute pulpitis. Acute apical periodontitis." + }, + { + "id": 24496, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 1417, + "tgt": "Could urine pregnancy test be false negative?", + "src": "Patient: Hi doctor, I had unprotected sex with my girlfriend on 5th of last month. It was the fifth day of her periods. Then, she took an I-pill within three hours. She got her periods on the 17th of the same month. May be it could be a discharge because of I-pill. After that, till now she has not gotten her periods. We have taken three pregnancy tests and all are negative. Can you please suggest the next step? 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": 14312, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 7988, + "tgt": "What is the Homeopathic treatment for dark circles?", + "src": "Patient: Hello doctor,I am 18 years old, and I have dark circles for the last two years. I tried many things, but it does not work. I want to know which Homeopathic medicine is good for my eyes like it works or helps to get rid of dark circles? Doctor: Hello. For dark circles, you can use Berberis Aquifolium mother tincture. Add 10 drops of Berberis A in the 10 spoons of water. Stir it well and apply on dark circles. You can apply this mixture all over the face as well if you want. Let that mixture remain on dark circles for 30 minutes and then wash it off with tap water. Try this for a month and then let me know how you feel. Also, try to sleep for seven to eight hours every night and avoid watching too much tv or phones." + }, + { + "id": 21755, + "tgt": "Why am I having abdominal burning, throat pain, and diarrhea after alcohol drinking?", + "src": "Patient: Hello doctor,I saw a doctor for abdominal burning and pain in the throat after one night of drinking alcohol. She said I had gastritis but I did not say I had diarrhea as well. What shall I do? Currently, I am taking Lansoprazole. Doctor: Hi. The current medicine will help in improving diarrhea as well, if associated with gastritis. Take the medicine for at least a week. Try to be on a bland soft diet for the next few days. For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 28929, + "tgt": "Had cesarean delivery. When can I resume my sex life?", + "src": "Patient: Hello doctor,I had a cesarean delivery just two months back. From when can I resume my sex life with my husband? Could you please advice on that? Doctor: Hi. We usually advise our patients to be active immediately. You can have sex from six weeks onwards, but avoid a pregnancy till 2 years. After the cesarean delivery, your superficial wounds and deep wounds heal fast. But, the healing of uterine wound will take some time. You are now breast feeding. So, have any of the contraceptives like condom or Copper-T or Cerazette (Desogestrel) tablets daily or Depo MPA (Medroxyprogesterone acetate) injections once in three months. The last two are the best as they increase milk production and no periods. When you are breast feeding, the periods may not occur at all or irregular. So, do not use these dates to calculate safe periods to have sex. The time of 2 years is needed to replace your lost iron, proteins, and energy. All the best. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29055, + "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": 13806, + "tgt": "What causes severe anxiety with nausea and panic attacks?", + "src": "Patient: Hello doctor, I have severe anxiety and struggling majorly with nausea, having multiple panic attacks a day and now stuck for leaving home. 10 years ago they tried Zoloft which worsened symptoms. Then went to Mirtazapine 45 mg and that helped for quite many years. Unfortunately, the last 12 months it has gone back to a severe level. This week a GP doctor has changed me to Valdoxan which I am swapping to this week. I have been told to cut Avanza for two days entirely and start 25 mg Valdoxan which I have but having severe panic attacks and nausea. Wondering if there are better options or what to do. I am at a wits' end with nausea. Doctor: Hi. Although Agomelatine (Valdoxan) is a good medication for treatment of anxiety and panic disorders, it is not the best option. Agomelatine is considered a weak agent and possibility of helping in severe anxiety and panic attacks are less when compare to traditional medications such as SSRI and SNRI. Since one of the SSRI was already tried a few years back with negative results (Zoloft), I feel the SNRI should be considered as the next option. Although four medications are available in this category, I feel Desvenlafaxine (Prestiq) should make a better choice. This is one of the potent anti-anxiety medications and the possibility of a positive response is comparatively better when compared to other similar medications. It is true that it may cause nausea for some days (often less than one week) but this is self-limiting and disappears on its own in a few days and rarely lasts for a week. The next option is to try another SSRI which comes with trade name Paxil. It is again one of the preferred medication in severe anxiety and yields earlier results. It is true that every medication have their own side effects and we need to give a deeper thought before starting any medication." + }, + { + "id": 11000, + "tgt": "Can right-sided facial numbness be due to a stroke on the left side of the brain?", + "src": "Patient: Hello doctor, If the stroke has occurred in the left side of the brain, we know the patient's right side of the body would be weak and numb. But when the patient's right side of the face is also numb, is this also because of the stroke on the left side of the brain? Doctor: Hello. Please let me know if you have any other questions. For more information consult a\u00a0neurologist\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 10874, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 778, + "tgt": "I am having low libido after taking medications for OCD. Kindly advise", + "src": "Patient: Hello doctor, I had a bad complaints of OCD 7 years ago, then I met with a Psychiatrist, he advised me Clonazepam 0.5 at night alongwith Escitalopram 10 mg in the morning. I felt a little comfort. But for getting more effectiveness I increased myself the dose of Clonazepam upto 2 mg for anxiety, panic attacks, etc. Now I am quite well using the above-mentioned medicines and I do not miss my dose (Escitalopam 10 and at night 2 mg Clonazepam). Now I am facing serious problems of sexual erection due to which my marriage life is disturbing because my libido is too much low. It is requested to kindly help me or advise me in the matter. Doctor: Hello. I am sorry to hear about your situation. I can imagine how hard it must be for you. I would put forward a few things you need to consider right now. First of all, Clonazepam at a dose of 2 mg if used for long duration can be addictive. This medication should be used only for initial few weeks or months to stabilize the anxiety symptoms. Escitalopram unfortunately can cause sexual side effects, what you can do is, if medication is working for you, ask your doctor to add something for sexual side effects or you can ask for changing the medication. Please do not worry as this is a common side-effect and only stays till the medication is going on and it gets normal after a few days of stopping the medication. Please do not stop medications suddenly, you need to taper them off and also take an alternative medicine otherwise your OCD symptoms can come back. You can start therapy. Cognitive behavioral therapy will help you with OCD symptoms and this will help you getting off of medications soon." + }, + { + "id": 17918, + "tgt": "My BUN and creatinine ratio is 20. Is it high?", + "src": "Patient: Hello doctor, I have got my normal KFT and LFT reports. My BUN is 18. Creatinine is 0.9. Both are in normal range but my BUN and creatinine ratio is 20 which is high. What does this mean? I started taking Metformin for the last 20 days for prediabetic control. Doctor: Hello. Normal BUN (blood urea and nitrogen) to creatinine ratio is anywhere between the range of 10:1 to 20:1. So your values are within the upper normal limits. The causes may be anything ranging from dehydration or lowered blood supply to kidneys due to any reason like heart disease. In this situation, I would recommend taking more and more fluids and go for another test to see the ratio after two weeks. We would see how it responds and if there is a need to do something else. You should also consult your local physician for the same. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 29929, + "tgt": "Are these small wounds on my eyelid due to heat?", + "src": "Patient: Hi doctor, I had Lasik in the beginning of last year. I have a dandruff issue with my hair. After a few months of surgery, occasionally I had eye itching. When I visited my doctor, he said that it is due to dandruff and asked to clean eyelid with baby shampoo. After cleaning, I used to feel relieved for some days. But today, even after cleaning, I am feeling itchy. When closely examined, I see three small wounds on my eyelid. I have shown that in white circles in the attached image. Are those due to heat? How to cure it? Doctor: Hello. For further information consult an eye care ophthalmologist online -->https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist" + }, + { + "id": 10785, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 7038, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 29593, + "tgt": "My ferritin levels are at 10. 8. Should I get a second opinion?", + "src": "Patient: Hello doctor, Recently, I got my ferritin levels checked and the results revealed that it was at 10.8. I feel very tired and also I look very pale. The doctors have not contacted me about the results. Should I get a second opinion? Doctor: Hi. For further information consult a naturopathy specialist online --> https://www.icliniq.com/ask-a-doctor-online/naturopathy-specialist" + }, + { + "id": 5377, + "tgt": "I have dark pigmentation in my forehead. Is it due to hair dye allergy?", + "src": "Patient: Hello doctor, I am a 20-year-old male. I have dark color in my forehead. I do not know why this happens to me? I use dye for my white hair, on behalf of this do my forehead look like this? Please suggest. Doctor: Hello. As you said, you have your face dark colored, it can be natural. But as you said you are in habit of coloring your hair, it can be possibly an allergic reaction to the color ingredients or the soap you are using. It can be an allergy to any cosmetic creams or powders if you are using any. You have not specified any other allergic symptoms like itching after color, or any dark colored patches anywhere over the body. Because itching anywhere on body is a sign of an allergy. So I advise you, next time when you use any colorant, always do a skin allergy test before use. Also, do an allergy test to rule out any other allergies. Avoidance of the allergen is the best treatment of allergy. So, avoid using any creams or powders as cosmetics. Even after avoiding the allergen, you still have symptoms then you should consult a dermatologist for further evaluation and treatment. I hope this helps. Any allergen. Skin allergy test. Antihistamines and steroids cream. Avoid cosmetic creams, powders and soaps." + }, + { + "id": 12779, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23775, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 802, + "tgt": "Lost weight with some muscle mass, but chest x-ray and USG are normal. Am I having cancer?", + "src": "Patient: Hello doctor, I lost a lot of weight, fat, and a bit of muscle loss with abdominal pain and bluntness. I also am stressed and anxious about it. I had blood work done with ultrasound and chest x-ray. Also, I had urine examined for blood and everything came back great. No problems in those areas. Because of the Coronavirus, colonoscopies and gastroenterology are not available. If I had colon cancer or tumor or something serious, will the blood and ultrasound show that something is not right? I am currently on Cirpaex 10 mg. Doctor: Hello, Welcome to icliniq.com. How much weight exactly did you lose? Since when you are having symptoms? If we consider there is significant weight loss, then other specific symptoms are expected with malignancies like constipation or diarrhea, malena or symptoms pertaining to other systems if we consider issues elsewhere in the body. Also, ultrasound would have shown some mass. Although ultrasound may miss the tumor in early stages, since you are having significant weight loss and long duration of symptoms, tumor would be beyond the early stage. And the probability of malignancy is less at this age group. But we are not comfortable unless we find some alternative causes like gastric issues like chronic gastritis, diet changes, frequent indigestions, or any other changes or factors which could explain weight loss if it is significant. If there is any addiction like smoking, alcohol, or drugs it should be reduced. You may have antacids like capsule Cyra D or Pan DSR (Pantoprazole) for a few days, if you have any gastric symptoms like bloating, burping, upper abdominal pain or heartburn. I guess the doctor must have examined you for lymph nodes in the neck and femoral region. I hope this helps." + }, + { + "id": 2248, + "tgt": "I get mucus in throat with bronchitis which aggravates during cold season. Why?", + "src": "Patient: Hello doctor, I am a 28-year-old male. I am having mucus collected in my throat region for almost two weeks now. As long as I remember, maybe from 10 years or so, I have been suffering from this condition which some have called bronchitis, dust allergy, etc. Any change in weather, any perception of dust, any smoke and fragrance from vehicles, agarbattis, powders or scents, exposure to cold and cold items cause this secretion of mucus in my throat area. It usually is just a mucus collection in my throat for days together. Usually, no cough or fever or throat pain or running nose. The collection is more in the morning after I wake up from sleep. The condition is more prevalent in cold weather. I was outside of my home town for a few years but did not face this issue as much as I do it when I am visiting my home town. I want a permanent solution for this. I have not undergone any major tests or anything for this problem. It is more like visiting a local doctor when symptoms occur and take medicines for infection. I am taking Montek FX (Fexofenadine and Montelukast) and Flomist nasal spray from 10 days. While the condition has improved, I am still not back to the normal and I still can feel the mucus is sitting in my throat region. Kindly help. Doctor: Hello. After going through your query, it seems you are suffering from allergic bronchitis. Usually, this condition is precipitated only if you are exposed to the particular allergens called triggers. Also, environmental pollution makes the situation more worse. As you said, it is very obvious that symptoms recur in your home town but never appeared in other places where you stayed. So it is very important to find out the particular trigger in our surroundings and avoid outside pollution as much as possible. To rule out any other pathology and possibility of asthma, it is advisable to do a chest x-ray and spirometry test. If the reports suggest the possibility of asthma then there is a need to start an anti-inflammatory inhaler called controllers. Expectorants work magically in any kind of bronchitis and help in expelling the thick mucus out. Allergen avoidance remains the main priority. You can continue tablet Montek-Fx and Flomist nasal spray. Rest of the medicines as follows. Environmental pollution and allergic triggers. Chest x-ray, spirometry test. Asthma. Allergy. Tablet Loxof 500 mg (Levofloxacin) daily once for five days, TusQ-X 10 ml 1-1-1 for seven days. Continue Montek-Fx and Flomist nasal spray. Avoid environmental pollution and known allergic triggers." + }, + { + "id": 7223, + "tgt": "My 5-year-old boy always looks tense and gets angry when someone is unhappy with him. Why?", + "src": "Patient: Hello doctor, My 5-year-old boy seems tense and thinks most of the time. He cannot accept if anyone is unhappy with him, he gets really angry, and he starts crying on things which we cannot understand. Doctor: Hello. Children do get upset because of several reasons other than hereditary. Mostly it triggers because of present stressor in the environment such as unfulfillment of basic needs (food, social, hygiene, health, etc.). Other stressors might be lack of parental love and attention. You did not mention the type of thoughts or content he is experiencing. Are there any other behavioral observations? More behavioral observations and history are required to understand the case better as follows: 1. The onset of behavior. 2. Try to note crying behavior with surroundings. 3. Anger triggers. 4. Get physical check up of your child (iron and vitamin deficiency also lead to such agitation). 5. Mother's history during pregnancy. 6. Home environment. I hope it helps." + }, + { + "id": 20741, + "tgt": "Can cleaning with bleach on paper towel transmit germs through it?", + "src": "Patient: Hello doctor,I have three questions. One is when you clean with bleach on a paper towel, can germs go through the paper towel? Second is when you clean the toilet, do you need to wash your hands in between each step and between everything that is being wiped? The third is when you have sex, should you shower before sex and will I be spreading germs throughout my house if I do not shower before or after? Doctor: Hi. I can understand your concern. Answering the questions. Bleach is a disinfectant. So it kills the germs. So germs will not usually spread. But be careful of spores. Next while cleaning the toilet, I suggest you clean your hands after completing the entire process of cleaning. Not required between each step. Thoroughly cleaning your hands will help. Before sex, shower keeps you clean and helps your partner to avoid infection as some commensals can be present in your skin and genital tract. Usually, the linen can get infected because of the secretions but not the whole house." + }, + { + "id": 17933, + "tgt": "What does intact septal defect mean?", + "src": "Patient: Hi doctor, My wife is 23 years old. She is 22 weeks pregnant. She has a previous history of complete CHB - congenital heart block diagnosed at the 20th week of her first pregnancy and it was terminated. In her present pregnancy, two weeks back that is around the 20th week cardiologist did fetal echo and told everything is fine. But, he said that there are some holes and they will close automatically after birth. I need some valuable information about my baby. What are they and how it will close automatically? What does septal defect intact mean? Is there any suggestible medication? Both cardiologist and obstetrician said that babies will have holes while in the uterus and they will close after birth. Is that true? Please advise and tell me the actual fact. I heard that some holes will not close and need surgery. Since her third month, my wife has been\u00a0taking Wysolone 5 mg one tablet in the morning and a half tablet in the evening. Also, HCQ 200 once daily at night for precaution of CHB. Recently, Wysolone 5 mg dosage was changed to daily one tablet. She is also on Sandocal daily two tablets, Livogen, Folvite, Ecosprin 75 daily one. She had Progesterone SR 200 mg daily two from her second month to 21 weeks and stopped. I am providing fetal echo report for reference. Thank you. Doctor: Hi. Thank you for sharing your wife's history, diagnosis and pertinent reports (attachment removed to protect patient identity). For further information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 29103, + "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": 307, + "tgt": "I am 44 years old and trying to get pregnant for the first time. Do I need to take Folic acid?", + "src": "Patient: Hello doctor, I have just got married and I am planning to have a child. I am 44 years old have not had a child before and have no medical problems. I wish to check if I need to take any medical tablets like Folic acid, etc or shall I just go proceed naturally. As mentioned before, I have no health issues and neither do I smoke or drink. Doctor: Hello. Congratulations on your wedding. First thing you should do is to start Folic acid and try for timed intercourse. For that, if your periods are regular you can download an application of period tracking. It will tell you the most fertile days of your cycle. Since you are 44 where ovarian reserve may be on a lower side I will not advise you to waste much time. So while you try for a month or two for natural methods of conception I want you to also get tested in the meantime so that you are ready for any medical intervention for fertility enhancing if needed after two months. So please go for LH (leutinizing hormone), FSH (follicle stimulating hormone), AMH (anti-Mullerian hormone) and TSH (thyroid-stimulating hormone) blood levels. Also get an OGTT (oral glucose tolerance test) and ultrasound pelvis. Your partner can also go for semen analysis to see if the quality of his sperm is good enough. Eat healthily, sleep well and ask your partner also to avoid smoking and alcohol." + }, + { + "id": 21340, + "tgt": "Ultrasound scan showed dilated cerebral ventricle in 37 weeks fetus. How to proceed further?", + "src": "Patient: Hi doctor, I have done four ultrasound scan of my 37 weeks baby showing the impression of the fetal left lateral cerebral ventricle is significantly dilated (approximately 27 mm) with the irregularity of the wall. Left choroid plexus is enlarged and filled with a hypoechoic central part. Corpus callosum is thin and irregular, the pericallosal artery is normal. These features are strongly suggestive of late second or early third-trimester vascular insult or hemorrhage. The doctor advised for a postnatal MRI brain evaluation and pediatric neurological consultation. Doctor: Hi. All these suggest that there is a problem on the left side of the baby's brain. To ascertain the cause and extent of the problem, MRI (magnetic resonance imaging) brain is definitely required. Based on the MRI, further investigations can be planned. At this point, it is difficult to predict the outcomes of this problem. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 1195, + "tgt": "My mom has skin infection around his face, neck and ear. Please help", + "src": "Patient: Hello doctor, My mother is 57 years old and she is a cardiac patient. She is having skin infection around his face, neck, and ear area. For the past two days she is taking the following medicines for this infection: 1. Surfaz- SN ointment (Clotrimazole, Beclomethasone Dipropionate, and Neomycin sulfate cream). 2. Zenflox- OZ (Ofloxacin and Ornidazole). 3. Allegra 120 mg. Please suggest. Doctor: Hello. I have seen the picture. (attachment removed to protect patient identity). This is herpes zoster. The following medicines are required for this condition. Tablet Valcivir 1 g thrice daily for seven days, Fusidic acid cream twice daily, and tablet Dolo 650 mg (as required for pain). Is there any hearing loss or ringing voices inside that side of ear? Any face palsy? (for this you can send front facing a picture of your face with both eyes wide open)." + }, + { + "id": 3685, + "tgt": "A mentally retarded woman has ACS. Kindly explain her ECG", + "src": "Patient: Hello doctor, I try to help a mentally limited woman of 36 with ACS complaint from which the ECG is not clear. I have a photo of her ECG. It seems inferior wall ischemia or NSTEMI. I try to get her examined but difficult to explain to her. Please can you help in reading the ECG? Doctor: Hi. I have gone through the attachment. (attachment removed to protect patient identity). Yes, definitely there are ischemic changes in the inferior wall as well as lateral wall, suggestive of ischemia, if possible do give her an antiplatelet agent like Aspirin and Clopidogrel after consulting the local physician, better still take her to a cardiologist." + }, + { + "id": 2742, + "tgt": "I am a cook. Please suggest balanced diet ideas for the elders", + "src": "Patient: Hello doctor, I am a cook with meals on wheels and I would like to get some well-balanced meal ideas for the elderly I cook for. I have people with diabetes, EBS, diverticulitis, and high blood pressure. Please suggest. Doctor: Hi. Good to know the profession you have chosen. Ideally, you can keep a dietician for more help and meal planning, as she will plan the diet according to requirements and budget and considering company development. These tips may be helpful. 1. Choose good carbs, not no carbs. Whole grains are your best bet. 2. Pay attention to the protein package. Fish, poultry, nuts, and beans are the best choices. 3. Choose foods with healthy fats, limit foods high in saturated fat, and avoid foods with trans fat. Plant oils, nuts, and fish are the healthiest sources. 4. Choose a fiber-filled diet, rich in whole grains, vegetables, and fruits. 5. Include more vegetables and fruits. Go for color and variety dark green, yellow, orange, and red. 6. Calcium is important. But milk is not the only, or even best, source includes almonds, dates, nuts and seeds. 7. Water is best to quench your thirst. Skip the sugary drinks, and go easy on the milk and juice. 8. Eating less salt is good for everyone\u2019s health. Choose more fresh foods and fewer processed foods. 9. Moderate drinking can be healthy, but not for everyone. You must weigh the benefits and risks. 10. A daily multivitamin is a great nutrition insurance policy. Some extra vitamin D may add an extra health boost. I hope this helps." + }, + { + "id": 16115, + "tgt": "Why is there a persistent hike in blood pressure?", + "src": "Patient: Hi doctor, My father is 69 years old. His blood pressure remains high for about six months. His blood pressure is between 180 by 90 mmHg and 200 by 110 mmHg. It is staying consistent for the past six months. He is a nonsmoker and takes multiple medications for blood pressure. He has blood pressure for 20 years. He is healthy. His kidneys are well. The doctor has increased his dosage. Please help us. Doctor: Hi. It occurs due to age-related hardening of vessels called as arteriosclerosis. This hardening is not reversible, and so he has a high BP. He should be taking medicine throughout his life. He should have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. He should have a low salt diet and monitor his blood pressure regularly thrice a day for one week and then once or twice a week. If the BP is persistently more than 140 by 90 mmHg, then his medicines are needed to be hiked up. Regular exercise like brisk walking can help him. He can do walking according to his capacity for at least 30 minutes a day and five days a week. Do a test for lipid profile and sugar once." + }, + { + "id": 2019, + "tgt": "I have pain in upper right abdomen with grade 1 fatty liver and vitamin B12 deficiency. Please help", + "src": "Patient: Hello doctor, I have pain in the upper right abdomen. The pain goes to the back and side especially when I sleep on the side. Sometimes the discomfort is in the middle right and lower abdomen. I have taken a CT scan of the abdomen and pelvis with iv contrast. I had an ultrasound done a few months ago which revealed grade 1 fatty liver. I feel tired all the time. I have gained 3 kg within four months. I also get frequent leg pain and weakness especially in the morning when I wake up. I had vitamin B12 deficiency and have taken 15 injections before three months. I have a lot of gastric issues with this as well. I am uploading my CT images. Please help. Doctor: Hi. I have seen the attachment. (attachment removed to protect patient identity). The CT abdomen scan is showing mild fatty changes in the liver and a left inguinal hernia. The ultrasound scan abdomen is showing fatty changes in the liver. The upper gastrointestinal endoscopy report is showing a small hiatus hernia. The blood test is showing upper limit of normal SGPT (serum glutamic pyruvate transaminase) and SGOT (serum glutamic oxaloacetic transaminase). The contrast CT scan images of the abdomen are viewed. The fatty changes in the liver are not significant. Such fatty changes are visualized in many people. However, if you are having a high-fat diet or alcohol regularly then you need to discuss with your doctors and take precautions. The hiatus hernia is a small herniation of the stomach above the diaphragm. This causes discomfort on bending down. Please avoid bending frequently, avoid lying down for two to three hours after a meal. Avoid smoking. Take meals in small amounts, if you feel discomfort when eating too much. For the left inguinal hernia, you need to consult a surgeon and take an opinion. It might need surgery and repair. Coming to the pain, it is possible that the hernia can cause pain in the lower abdomen. At the same time, other causes of weakness need to be discussed. It will help to know if you got a complete blood test done (other than given liver tests and vitamin B12 test) and if there are other areas that need attention." + }, + { + "id": 17599, + "tgt": "I have a blistering skin condition on the base of penis. What could it be?", + "src": "Patient: Hello doctor, I have a blistering skin condition on the base of my penis. One month ago, I had some ingrown hair which I pulled and it healed very slowly. Now, it appeared from nowhere. It is not itching, neither is it painful. I always use a condom. Doctor: Hello. I have seen the photos attached by you (attachment removed to protect patient identity). It is going in favor of herpes. For further queries consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 16925, + "tgt": "Why did my shoulder get dislocated for the second time? How do I treat it?", + "src": "Patient: Hello doctor, I am 30 years old.\u00a0I met with an accident some nine years ago which resulted in a chip fracture of the left shoulder acromion. After nine months, I had a\u00a0shoulder dislocation in the same shoulder which was corrected by a bone setter at home. Recently,\u00a0the same shoulder again got dislocated while sleeping which was corrected again by a bone setter at home.\u00a0Below are the conclusions from the MRI report:\u00a0Avulsion of the anterior glenoid from the glenoid margin in the\u00a0anteroinferior position suggestive of a Bankart\u00a0lesion.\u00a0Concave deformity of the\u00a0posterosuperior lateral aspect of the\u00a0humeral head with underlying marrow edema suggestive of a\u00a0Hill-Sachs\u00a0lesion.\u00a0Subchondral cyst in the greater tuberosity beneath the attachment of the supraspinatus tendon.\u00a0Please advise me on the above.\u00a0Also, please advise if any shoulder braces or supports are available in the market which can help avoid further dislocations.\u00a0Thanks a lot for the assistance. Doctor: Hello. This professional advice provided by me stands subject to the actual examination of report or image and is based entirely on inputs provided to me. It should be correlated with the clinical findings.\u00a0Regards. For more information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 10377, + "tgt": "I am a 25 year old male. My body looks feminine. Please help", + "src": "Patient: Hello doctor, I am a 25 year old male.\u00a0I am 181 cm tall and I weigh 70 kg. All the members in my family are tall, but I am not that big when compared to my father and brother.\u00a0I am mentally depressed since my childhood. It is all about my body.\u00a0I was a female looking boy with very soft body, less energy and not interested in sports.\u00a0Since that time my arms and legs are very long.\u00a0But arms are very lean as girls. My puberty was too late at around 18 years of age.\u00a0But after puberty, I have hair on face, but till now it is not much as my brother had in that age.\u00a0Facial hair is also thin and not uniform everywhere. I feel my bones are like females and not very strong, arms and fingers are not as big as males. My muscles are less too. I went for gym and built up a little muscle, but forearm and fingers are still feminine. I feel my waist is a little wide. Did I have any genetic problem or hormonal imbalance at puberty stage? I am totally exhausted. I am always worried about that. Please help me. Doctor: Hi. I totally understand your anxiety. Based on the description which you have given, there could be a possibility of Klinefelter syndrome. This condition can be seen in about one in 600 boys. A normal male will have a chromosomal pattern of XY. However, in case of Klinefelter syndrome, there would be an extra X chromosome which would have happened randomly during the formation of the egg or sperm, or after the baby boy had conceived. The extra chromosome is not inherited. So, this condition does not run in families. The adult male body may not be able to produce enough testosterone, the hormone responsible for the development of male characteristics. There may be low energy and sex drive, lack of muscle and too much body fat around the waist. Most men with this condition lead normal lives and also have normal relationships. A few boys with condition may feel shy and may have low levels of self confidence. They may grow quickly than usual and may become taller than other family members. The testicles may be smaller than normal and may not produce enough of the sex hormone testosterone. This may lead to features such as: This condition can be diagnosed by: It is advisable to get treat early in order to avoid further fertility issues. Treatment options available are: A definitive diagnosis can be made only after a complete physical examination and after performing laboratory tests. Visiting an endocrinologist at the earliest would be advisable. Consult an endocrinologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist" + }, + { + "id": 28059, + "tgt": "My mother has cervical spinal stenosis. How to move her from the bed to wheelchair?", + "src": "Patient: Hi doctor, My mother, who is 79 years old has a neurologist appointment in five days. She was recently diagnosed at the ER with spinal stenosis in the neck. However, I am very concerned that me moving her from the bed to the wheelchair is contributing to her daily decline and related symptoms. Her symptoms are muscle spasms in legs and arms, severe cold sensations in her hands and arms, and neck pain. The muscle spasms in legs and arms are increasing, and she also has loss of continuance. In 30 days, she has gone from walking with a walker with full control of her arms legs and bowels to no control at all. Should I continue to move her from the bed to a wheelchair? Or should I leave her in the bed until her appointment? All of her vitals are good, and her blood work\u00a0was\u00a0normal since getting IV iron. Please advise. Doctor: Hello. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 19315, + "tgt": "I was bitten by a chameleon. I did take Vaxirab. Now I am feeling pain in my arm and my back. Give me your advice", + "src": "Patient: Dear Doctor, I was bitten by a chameleon. I did take\u00a0Vaxirab yesterday. Now I am feeling pain in my arm and a very little pain in my back. I fear if am infected by rabies? What should I do.\u00a0Give me your advice. Doctor: Hi. Rabies will not affect too early. What you are having now, could be the side effects of Vaxirab. But if the rabies status of the chameleon is not known or if you cannot observe whether that chameleon lives for another 10 days, then you may also require Rabies Immunoglobulin. Ask your doctor for that. What you have taken is a Rabies Vaccine but you also require Rabies Immunoglobulin \u00a0for full protection. Consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 343, + "tgt": "I have heavy feeling in ankle and feet while at rest and it subsides on walking. Please help", + "src": "Patient: Hello doctor, I am a 34-year-old woman. I am healthy and never had any serious medical problems before. Last ten days I have a weird heavy feeling in my ankles and sometimes it goes to the top of both feet. It started in my calves and a couple of nights it went to my thighs and it felt like both my legs are on fire. The feeling is more like tingly, sometimes burning sensation and sometimes cold. After this, I started to have a tinging in my fingers, face and the occasional feeling of something is crawling on the body (however, this is not major symptom). The most annoying thing is the heavy feeling in my feet which is there constantly. It is more annoying when I am still but as soon as I start walking it feels like the feeling is not there. I went to my GP and they did blood tests and Lyme disease and did not find anything. Please can you explain what may be causing this? Doctor: Hello. So there are two possibilities, one is peripheral neuropathy and the second is restless leg syndrome. Now do you have access to any of those tests or atleast knows what all tests were performed? Are you having any medications for that? I guess, you do not have any hormonal issues or did not receive any medications recently? There are certain causes we need to rule out besides diabetes like anemia or iron deficiency, thyroid problem, Vitamin B12 or Folic acid deficiency and liver or kidney disease, Vitamin D deficiency, and hypocalcemia. You may have some multivitamin supplements containing vitamin B12 like ME12OD or Neurobion forte etc, which may resolve this issue as vitamin deficiencies are quite common cause for the same. Meanwhile, try to have a diet rich in green leafy vegetables, fruits, and calcium. So you should discuss with your doctor regarding tests performed and request for remaining tests. I hope this helps." + }, + { + "id": 21074, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22755, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 19829, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14041, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 31017, + "tgt": "Why do I feel tired and anxious after taking Abilify?", + "src": "Patient: Hi doctor, I am so anxious and sleeping 9 to 10 hours per day. It has begun when I start taking Abilify pills and Akineton.\u00a0Why I feel so tired every day? Doctor: Hi. Please answer me a few more questions. Revert back with the answers to the above questions to a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 19737, + "tgt": "Is it necessary to remove a tooth that is cracked inside the crown?", + "src": "Patient: Hello doctor, When a tooth is cracked inside a crown, is it necessary to remove it? The root canal is from 30 years ago. I got hit two weeks ago which caused the trauma to the tooth. Doctor: Hello. Revert with more information to a dentist online --> https://icliniq.com./ask-a-doctor-online/dentist" + }, + { + "id": 18918, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 3036, + "tgt": "I get depressive phase and normal mood alternatively. What is the possible diagnosis?", + "src": "Patient: Hi doctor, I get in a depressive phase for a while and I cannot seem to get out of it and then I feel completely fine like nothing happened. So I did not tend to take any actions. But it is recently been affecting my personal and work life. I tend to not feel like myself. Currently, I am on Lamez 25, Zapil and Zotral. My doctor just prescribed these medications when I told him about my anxiety issues and extreme mood swings. I am still unaware of the diagnosis as it is still affecting my day to day life. Doctor: Hello. What are your symptoms exactly? If they are of depression, then the treatment with SSRI (selective serotonin reuptake inhibitors) is ideally given for six months or so. The Lamez 25 (Lamotrigine) is just a mood stabilizer, if the psychiatrist is suspecting bipolar disorder. Zapiz is a benzodiazepine and I would not advise you to take it for longer periods. Basically, if you are depressed, you will feel irritable, low, feel like crying, sad, do not wish to eat, have difficulty sleep, 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 episodes of 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/hypomanic phase, then probably you might suffer from a major depressive disorder or generalized anxiety disorder." + }, + { + "id": 20428, + "tgt": "Do ear infection and constant ear pain indicate any eardrum problem?", + "src": "Patient: Hello doctor, The patient had three tympanoplasty surgeries in the past, the most recent being a decade ago. She has 10 % hearing in one ear where surgery was performed. Recently, the patient developed an ear infection. Black and white fungus detected in the air. ENT used a micro-suction device to remove the fungus which was successful, but the suction device caused some bleeding in the ear. ENT prescribed Tobrex for the ear. This caused the patient extreme pain and was discontinued after three days. The ear canal became very inflamed. A yellow discharge started coming out of the ear. The new doctor prescribed Levofloxacin antibiotics, Prednisolone, and Naproxen for pain relief. The patient still continues to suffer from extreme pain in the ear. Doctor: Hello. I need some details. Are the CT scan films those are attached (attachment removed to protect patient identity) taken after the development of the latest problem or are those taken during the tympanometry surgery in the perioperative period? Do you have the details of the surgery? Is it just a tympanoplasty or does it include mastoidectomy as well? Can you attach the hearing reports taken most recently? What medicines is the patient currently on? Is the course of Levofloxacin complete and does the patient feel any improvement? What are the complaints faced by the patient? Is the patient a diabetic and what is the age? Any medical condition for which the patient takes any medicines regularly? Otitis externa seems apparent but we need to find out the status of eardrum as well as sugar control. Kindly provide all details and we shall guide you on how to proceed further." + }, + { + "id": 15118, + "tgt": "Having extremely high triglyceride level and VLDL. Advise medicines", + "src": "Patient: Dear doctor, I am a 31 year old male. Below is my lipid profile report: Total cholesterol: 186 mm/dL. Triglycerides: 876 mm/dL. HDL: 38 mm/dL. LDL: 27 mm/dL. VLDL: 175 mm/dL. Please advise medicines if needed. Doctor: Hi. Your triglyceride level and VLDL (very low density lipoprotein) is extremely high. This can put you at the risk of heart attack, stroke, and pancreatitis. My advise is to start taking tablet Roseday-F (10/160) daily night after food. Also stop eating non-vegetarian food, especially mutton and beef. Repeat your lipid profile after three months." + }, + { + "id": 11135, + "tgt": "Kindly give me a diet plan for vegetarian paleo diet", + "src": "Patient: Hello doctor,I am a\u00a022 year old female. My height is 163 cm and weight is 60 kg.\u00a0I intend to take on paleo. Please give me your suggestions. I am a vegetarian. If I am eligible for taking paleo, then please give me a diet plan. I have\u00a0attached my reports for your kind reference. 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. I welcome you to low carbohydrate high fat lifestyle (LCHF). For further information consult a paleo diet specialist online --> https://www.icliniq.com/ask-a-doctor-online/nutritionist/paleo-diet" + }, + { + "id": 21923, + "tgt": "Can I get HIV from wiping penis on the bed?", + "src": "Patient: Hi doctor, I was traveling in an AC bus compartment, and I had nightfall. So I wiped my penis inner foreskin and urethra in the bed. Can I be at risk of HIV? There might be an HIV positive person as a bus staff on the bus, and there may be an infected fluid like blood on the same bed. My foreskin came in contact with some infectious fluid. Am I at risk from the event? Does HIV survive in the dry air like in AC compartment? I had neck tension and severe abdominal pain for the past one day. Are these are the symptoms of seroconversion? I did an HIV antibody test by chromatography at 28 days. Do I need more testing? I never had sex. I am not taking any drugs. Please help. Doctor: Hi. Regarding your first question, you are not at all at risk of getting HIV from the incident. HIV survive for 40 to 50 seconds in the outside environment and a maximum of 30 minutes in tissue samples. In your condition, there is no chance of getting HIV infection from the bedsheet. Neck pain and abdomen pain are not related to HIV, and they may occur for other reasons. This is needed to be evaluated. Get whole blood RNA PCR test to rule out HIV after 45 days of the incident. This is the final diagnostic test. For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist" + }, + { + "id": 11108, + "tgt": "My father had undergone partial penectomy. Why is there a need for another surgery?", + "src": "Patient: Hello doctor, My father had partial penectomy two weeks ago, and our doctor has suggested for another surgery. I am sending his postsurgical reports. Can you please let us know if surgery is required, and he still have cancer? Doctor: Hello. All tumor has been removed, and resection margins are free. But tumor involvement is deep inside, and so the surgeon wants further surgery so that the tumor should not come back after some time. Also, ultrasound reflects a reactive lymph node, and so your doctor might be planning for the removal of lymph nodes. Further surgery is needed to prevent the come back of cancer." + }, + { + "id": 7507, + "tgt": "Does taking hot water with honey cause any side effects?", + "src": "Patient: Hello doctor, Every morning I used to take\u00a0hot water with honey and lemon. Can it have any side effects if I keep taking it for so long? Does it help to reduce body weight? Doctor: Hello. 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": 4878, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 2444, + "tgt": "I want to lose weight healthily and build muscles. What kind of eating regimen do I implement?", + "src": "Patient: I stopped a strict 800 calorie diet with 6-7 days of HIIT and light weight lifting about 3 weeks ago. I developed extreme migraines, fatigue, body pain and energy loss as I also tried to stick to 20-25g of carbs every day. I lost about 8 kg being on this regime for two months. Being 57,5 kg and 149cm tall prior to diet I was about 49,5 after. Although I was so proud of my weight loss I became extremely unhappy, moody unsociable and felt isolated. I\u2019ve also resorted to binge eating and cannot stop consuming carbs and unhealthy foods. I still try to weight lift and it is helping me mentally and luckily a lot of the weight I put back on (4-5kg) has gone to my glutes but my belly too which makes me super insecure. I wanna lose a little bit of the weight again but in a healthy way and still build muscle the way I enjoy through weight lifting. What kind of eating regimen do I implement to do this? And to repair my relationship with food? Doctor:" + }, + { + "id": 6646, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 3138, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 22603, + "tgt": "My skin gets peeled daily. Can this happen due to vitamin deficiency?", + "src": "Patient: Hello doctor, My foot and hand skin layers are removing day by day. But, new layer is coming after that. I am having this problem for the past three weeks since the starting of winter. Does this happen due to vitamin deficiency? Should I take any medicine? Doctor: Hi. I have reviewed the attached photographs (attachment removed to protect patient identity). This condition is not due to any vitamin deficiency or any other deficiency. This is keratolysis exfoliativa which is a form of eczema. It does not cause any irritation or itching. You just need to apply moisturizing cream containing White Soft Paraffin frequently and liberally on hands and feet. Along with this avoid frequent washing of hands and feet; avoid hard soaps and use gloves while cutting and washing activities. This will definitely help you. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 720, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 15854, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9980, + "tgt": "I am constantly aware of my breathing and try to control it. Please help me", + "src": "Patient: Hello doctor,I want a permanent solution for my manual breathing problem. I am 16 years old. Recently, I had UTI, and my brother thought that I just imagined a problem where I\u00a0cannot void my bladder completely. So, he told me to pay attention to my breathing. So, I started doing that while urinating and pooping. I was all right for the next 10 days. But, I was studying once, and I had to breathe on my own manually. I get conscious about my breathing. I am fine when I am engrossed in watching the television, hanging out with my friends or busy at class. But, when I am alone studying, urinating or pooping, I am aware of my breathing, and I have to breathe on my own manually. Due to this, I cannot strain even a little while pooping as I have to take deep breaths and push. As a result, I can hardly empty my bowels. Even while urinating, the flow gets interrupted sometimes. The last bit of urine remains in my urethra as I have to breathe manually. If I stop, I will not be able to relax, and I cannot void\u00a0my\u00a0bladder then. Please help me out. And yes, I sleep fine and I wake up fresh. I was living a quality life before. I did not harm any one, but\u00a0still, this keeps happening to me. Doctor: Hello. It is good that you have elaborated your problem. Now, let me start from the beginning. You said that you had a urinary tract infection (UTI). That causes an incomplete emptying of your bladder. If your urine emptying is not complete even now, then I suggest you take tablet Norflox 400 mg, two tablets, one in the morning and one at night after food for a week. Now, coming to the breathing problem, you have got yourself used to it.\u00a0I advise you to play loud music in the adjacent room when you visit the loo for urinating and pooping. For the time being, to reduce your anxiety, I suggest you use tablet Anxit (Alprazolam and Sertraline) 5 mg at night. Now, coming to the\u00a0improper emptying of bowels. Firstly, visit a proctologist to see if your canal has shrunk, thereby preventing the complete passing of stools. Then take syrup Cremaffin (milk of magnesia and liquid paraffin), half a tablespoon before bedtime. It will allow you to pass stools well. You only develop the breathing problem when alone, which is a clear indication that you are\u00a0just anxious about it. Hence, I gave you tablet Anxit 5 mg before sleep for a\u00a0week. For more assurance, you can take counseling from a psychologist who will provide you the necessary anti-anxiety therapy. You can get a chest X-ray and a laryngoscopy done. In\u00a0the meantime, if you feel too breathless, take tablet Asthalin\u00a0(Salbutamol) 2 mg once a day for five days. For more information consult a family physician online --> https://icliniq.com./ask-a-doctor-online/family-physician" + }, + { + "id": 14480, + "tgt": "I am pregnant by 8 weeks and found some blood clots coming out while urinating. Am I or my child in danger?", + "src": "Patient: Hello doctor, I am 8 weeks pregnant, and I found some blood spot with blood clots coming out while urinating. I consulted the doctor and underwent an ultrasound scan with the following observation. Number of fetuses - 1, Viability - Live, Fetal Cardiac Pulsation - Seen, Fetal Heart rate - 160 bpm. Peridecidual fluid - a chunk of fluid covering one-sixth of sac dia is seen at the fundal end of the sac. Yolk sac - seen. Fetal Biometry CRL 9.2 mm, 6W6D. Maternal Cervix length - Adequate, Internal OS - Closed. Maternal Ovaries - Normal. Impression - Single live fetus of 6 weeks of gestation. Mild Peridecidual Bleed. Post which, I was advised by the doctor to consume Duphaston thrice a day. There is no blood spot post that, but there is still blood clot coming continuously. About four days back, the doctor recommended consuming Duphaston with Sustain 200. I need to know the following. Am I or my child in danger? What percentage is the success rate of such pregnancy? Is there any issue in consuming so much medicines? Is there any other way forward? Doctor: Hello. I have gone through your reports and understand your concerns (attachment removed to protect patient identity). You should take all the drugs as your doctor has advised along with tablet Folvite 5 mg (Folic acid) once daily for better prognosis. There is some kind of a problem, but if you take all these drugs and take rest, then you can overcome these problems. Yes, all these drugs are needed at this time. Do not be worried. Take fresh fruits and vegetables and take rest adequately." + }, + { + "id": 11729, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30952, + "tgt": "I feel bad for my dominant behavior with my husband. Please advise", + "src": "Patient: Hi doctor, This is not a medical issue, but I have not found any articles that could help me on.\u00a0I have a very strong sexual and romantic attraction for my partner, and I consider our relationship to be healthy. I also have a very strong kink for being insulted and degraded in bed.\u00a0The thing is\u00a0my partner refuses to say anything that shows dominance, let alone insult, because he is too respectful. I love that he is respectful of me, but I resort to thinking thoughts of myself to try to make myself orgasm and even that is not nearly as effective as I think him saying it would.\u00a0What I am asking for is advice on how to make him feel more comfortable doing this in bed. He enjoys being on top so he is not really the submissive type to begin with. In case this is helpful, here is the information on our relationship outside sex.\u00a0He is a quiet and passive one. I am the loud and assertive one.\u00a0Despite this, I take care in making sure that he gives me his thoughts and feelings on things in general and never try to pressure him into anything. However, he has a tendency to do what he thinks would make me happy because he feels obligated except in bed, else I would not be here. For example, he watched a movie with me that he did not like, because he felt he had to. A slightly bigger example is that I expressed interest in taking couple's Latin dance class once we were on our own together and he hates dancing, but says he wants to do it for me, even though I told him I only want to do it if he really wants to.\u00a0The one thing I say I probably dominate him in is that if I do not think he eats enough or is on his phone too much during lunch, I nag him, sometimes take the phone away and even more seldom spoon feed him. He is very laid back though, and never expressed strong distaste for my being on his case about this. This is a small aspect of our relationship though. Doctor: Hi. For further doubts consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 27451, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 12725, + "tgt": "I am having acidity with headache. Please advise", + "src": "Patient: Hello doctor,I am having an acidity problem. From the past 10 days, it is being greater due to which I am having a headache from the past 10 days. What should I do to control it and what should be my diet and routine exercise? Doctor: Hi. I have read your problem carefully. I need some information that is missing in your query. Your age, job, daily life and dietary habit, acidity increases after or before the meal, more details about the stomach problem, bowel habit. I am trying to give you some suggestion which may help though a lot of information is lacking. You may be suffering from PUD (peptic ulcer disease). Another possibility is IBS (irritable bowel disease). To confirm it, I need detailed information and some investigation also. Now I am suggesting some medication: tablet Sucrafil 1 g TDS (one hour before the meal). Do not take anything between this time, tablet Tryptomer 10 once daily. Start the above two medications. Take regular food, avoid spicy and oily food, try to maintain a regular lifestyle. If further assistance is needed, feel free to contact with information I needed." + }, + { + "id": 12260, + "tgt": "What are the ways to contract mycoplasma infections?", + "src": "Patient: Hello doctor, I contracted microplasma and microplasma hominis. I had this from my partner since last six months and was treated. A future test confirmed it had gone away after treatment. A new test has shown it has come back. Can you advise if this can return naturally if neither of us has it or does one of us has to have had sex with an infected person? I do not know if it is an STD or natural bacteria. Please, can you help? Doctor: Hi. Are there any symptoms?" + }, + { + "id": 27620, + "tgt": "Please suggest methods to control my hypertension", + "src": "Patient: Hello doctor, I have been under medications for hypertension for the past five years. I am currently taking Zilance 40 and Ciplar 10. The random blood pressure reading is 140/100 and goes to around 160/100 at times. The current symptoms include excessive sweating, palpitations, anxiety, headaches, flushing, and fatigue. My ECG and kidney renal doppler tests are normal. Today, I have been prescribed Metanephrine and VMA 24-hours urine tests by the cardiologist. I am also on anti-psychotic medications for depression for the past 10 years. I need your advice and guidance on the tests prescribed above as I read on the internet that the tests are meant to detect a type of tumor. Doctor: Hello. Urinary VMA (vanillylmandelic acid) and Metanephrine tests are done to detect Pheochromocytoma, a kind of tumor, that causes hypertension in young persons, as well as facial flushing, headaches, and palpitations. Though it is rare, it is better to rule out pheochromocytoma in young hypertensives. But honestly speaking, I do not feel that your hypertension is because of pheochromocytoma. The more likely cause is excessive anxiety and depression. So, go for tests and continue your antihypertensive medication. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 8652, + "tgt": "Can I take Practin and Decdan to gain weight?", + "src": "Patient: Hi doctor, I am a 23 year old female. My height is 5 feet 3 inches and I weigh 41 kg. I need to put on weight. I have fast metabolism. Can I take Practin and Decdan tablets? It is suggested by one of my friend. Thank you. Doctor: Hello. The tablets Practin (Cyproheptadine hydrochloride) and Decdan (Dexamethasone) would just add water retention in the body and not increase the muscle mass. So once you leave it, your body shall return back to low weight itsel So, Practin and Decdan are not recommended for instant weight gain Gradual weight gain is always advisable. An increase in 500 kilocalories per day can result in increasing the body weight by 0.5 kg per week Eat plenty of healthy fats. Have egg yolks, meat with animal fat, coconut oil, and other healthy fats. Increase calorie intake of healthy foods that include bananas. Chew the food properly to improve digestion Keep a track of your weight gain as this is essential. It is healthy to increase approximately 5 to 6 kg per month. The right combination of healthy food, exercise, correct breathing, rest and sleep go a long way in healthy and happy life. For further information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician" + }, + { + "id": 7887, + "tgt": "I cannot smile for more than 4 seconds. Is this due to nerve damage or psychological problem?", + "src": "Patient: Hi doctor, I am 16 years old and not good. I have a smile issue. I think it started before 5 years if I am not wrong. I feel like I cannot put a smile for more than 3 to 4 seconds ,and sometimes I think it trembles. My smile is very uncomfortable and weird. This whole thing has caused me social anxiety. I want to do so many things that I cannot do. All these years, I thought that this is a psychological problem. But I started thinking that there is any facial issue or nerve damage. I thought to get in touch with a neurologist. Because, when I smile, I feel like my facial muscles cannot handle it and start twitching too. Also if I try to close a little bit my eye starts twitching, and same for my nose. I would be so glad if there is some physical problem and can be fixed. My life has been ruined all these years because of this. Please help me. Doctor: Hi. Smile is a complex process executed by a group of muscles and nerves. If you are having difficulty while smiling, then it could be because of psychological or organic cause. Psychological cause includes anxiety disorders, and organic cause includes nerve damage. I would advise you to visit a local neurologist for nerve conduction studies. There are lots of options to correct the smile. For psychogenic causes, you can meet a psychiatrist for counseling and medical treatment to deal your anxiety." + }, + { + "id": 797, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 6162, + "tgt": "I have dull testicle pain and intermittent stomach pain. What could it be?", + "src": "Patient: Hello doctor, I am a 48 year old. I was never sick, I never go to a doctor. I do not take medications. I have worked out for 30 years five times a week. Nothing real heavy these days (treadmill three times a week - fast walking). Symptoms started about a month ago with intermittent dull stomach pain and mostly on the left side. It progressed to dull testicle pain - again mostly on the left side. It is usually not stomach and testicle at the same time. There are no noticeable lumps in the testicles - both feel the same to me, but the pain is more on the upper top of the testicle from what I can tell. I believe there are some tubes or cords there naturally and to me, it feels like the left side does feel more cordy (for lack of a better word). I have occasional groin tightness. Symptoms I do not have:Any masses or lumps.No tiredness/fatigue.No bulges anywhere so I do not think it can be a hernia (I do not remember feeling anything).No pain urinating and no blood in urine or feces.No lower back pain but an occasional stab in my mid back (probably referred pain?). My main symptom these days is the dull testicle pain on the left side upper top. Sometimes, I do not have any symptoms at all and almost never when I am working out. But for a month now, I know it is there and it is annoying and the last two days, I feel like the dull pain is slightly greater at times in the left testicle. Again, I am not one to run to the doctor. Anything, I have ever had has gone away if I gave it time. The pain/discomfort is not that great but it has been at least a month. After doing a tonne of research on the internet, I have seen so many conditions where my symptoms fit but none that pinpoint just a few symptoms I mentioned. Sorry for the long winded query but what are your initial thoughts? And do you have any follow up questions for me? Thanks. Doctor: Hello. As per me, there are two possibilities. This is quite common in people who do regular workout and exercises. I will only suggest you if possible get an ultrasound scrotum done. It will be normal only but just in case to rule out other things like varicocele. Regarding pain, I will not ask you to take any medication at present. Only thing is you should wear proper scrotal support, that is, you get special support for testis apart from underwear. That should be worn during workout and testis should not hang loose during a workout. Apart from this, I think nothing is to be done. If you go by internet, then there will be many causes listed and it will only confuse you more. For more information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 11611, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 15321, + "tgt": "What is the reason for three recurrent miscarriages?", + "src": "Patient: Hello doctor, I have had three recurrent miscarriages and I only had some testing done. I am not really sure what to make of it. Could anyone explain why this is happening based on my results? I was on Progesterone during third pregnancy. Doctor: Hello. The presence of ANA positivity (attachment removed to protect patient identity) indicates that you have thrombophilias and this could be acquired or inherited and hence you would have to get a complete thrombophilia screening done, like ACLA, APLA, LAC, protein C, and S deficiency, antithrombin 3 deficiency, factor 5 Leiden mutation, serum homocysteine levels. Pregnancy is possible but once heart rate arrives, then you would have to be on LMWH (low molecular weight Heparin) or Enoxaparin injections daily till your delivery to sustain and maintain pregnancy. You can discuss further if in doubt." + }, + { + "id": 25426, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 13986, + "tgt": "Will having 130 bpm during exercise increase the risk of stroke in heart patient?", + "src": "Patient: Hello doctor, I am a 76-year-old woman, weigh 121 lbs, BMI 20. The exam results from annual wellness check-up are as follows: Coronary calcium scan: LMA 0, LAD 185, LCX 1, RCA 90, Total: 276. Routine wellness EKG summary: aortic valve thickened and calcified. Normal mitral valve with mild mitral regurgitation. Mild cuspid regurgitation. Mildly increased PASP. Physiologic pulmonic regurgitation. Arterial doppler of legs: Normal flow and pulse. Medication: Only Irbesartan 150 mg. Without medicines, BP varies between 120/70 to 155/80, is labile, so I take Irbesartan to stabilize it. With Irbesartan, it is nearly always 120/80. Additional data: Former smoker for 19 years, quit before 24 years. Genetic data analysis suggests a high risk for CHD. Exercise: I began exercising 2 to 3 times weekly about six months ago. 60 to 100 minutes aerobic, weight training. On a treadmill, I try to keep my pulse to 90 % of maximum (target 130) but it reaches that in six minutes walking at 3.73 mph and it often goes to 135 at which point I slow the walking speed to bring it back down. Recovery time to drop 12 BPM is 75 seconds. Question: Am I taking a risk of stroke by pushing myself beyond 130 bpm (90 %) even if only for a short time? Should I regularly see a cardiologist? Doctor: Hello. Firstly, answering your queries, you should visit a cardiologist regularly and avoid strenuous activities in order to reduce the risk of acute coronary syndrome. Your echo has some abnormalities which are age-related and there is no evidence of CAD. However, calcium score is elevated which implies there is a significant risk of coronary artery disease, which is probably in earlier stages as you do not get any symptoms on the treadmill. However, such minor plaques may rupture and give rise to ACS. So, you should avoid strenuous activity and should be on both antiplatelet like Aspirin and statins. Also, you should undergo a stress test like either stress thallium or stress echo or treadmill test." + }, + { + "id": 19286, + "tgt": "Can I take Norethisterone after taking I-pill to delay periods?", + "src": "Patient: Hello doctor, I took an emergency contraceptive pill (I-pill) yesterday. Can I take Norethisterone tablets now for a week? I need to delay my periods which are due in two days. Doctor: Hello. You have to understand that I-pill is a high dose Progesterone pill, much stronger than Norethisterone. So, if your aim is to avoid pregnancy then you have to wait for the withdrawal bleeding for the endometrium to be shed out to confirm pregnancy safety. Your menses if were due in the next two days, then they are naturally likely to be delayed because of I-pill intake by about 4 to 5 days because of high Progesterone content. If you intend to delay menses and at the same time ensure pregnancy safety together then it would be difficult to ensure any pregnancy safety, because if you get pregnant then this Norethisterone would further support the pregnancy and not prevent it. The I-pill increases tubal motility and hence if Progesterone is not withdrawn, as after its single dose, pregnancy may happen and I-pill may fail. So ideally wait for your menses now within next seven days and if the bleeding is heavy then you may take antifibrinolytics to reduce the bleeding but do not delay it this time, for pregnancy safety takes an upper hand over your intended delay of menses." + }, + { + "id": 12100, + "tgt": "Can a feel of spinning occur due to inner ear imbalance?", + "src": "Patient: Hi doctor, My head feels heavy for the past three months, and I am having neck stiffness as well. I have consulted an orthopedist who gave me Stemetil MD, but was of no use. I consulted a neurologist and had Sibelium, Myoril, etc., but still the problem is not cured. In certain positions, I feel my head is spinning. Can it be due to loss of inner ear balance? Doctor: Hi. Sensation of spinningor dizziness is usually due to improper functioning of balance system. It includes your inner ear, cerebellum (part of brain), peripheral sensory system and eyes. All must work together and synchronize with each other to maintain balance. Problem in any one of the system, will make you feel dizzy. In your case, for neck pain stress may be the cause. However, you need to provide with detail history to make diagnosis. When did this problem start? How was first episode begun? And how long it lasted?" + }, + { + "id": 21769, + "tgt": "Medication helped solve ED problem but not PE. Can you please help?", + "src": "Patient: Hi doctor, I have high blood pressure and cholesterol problem as I have the habit of smoking. After a year, I got ED problem, and I am taking tablet Suhagra 50 mg before having sex which helps in solving the ED problem. But still, I am getting PE. Can you please help me with this? Doctor: Hi. Suhagra is Sildenafil, and the drug has a short duration of action. As you have a good erection, but there is early ejaculation, then you can try Tadalafil. The drug is long-acting, and it will help in good erection. For more information consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 27276, + "tgt": "I keep switching between under and overactive thyroid functions. Why?", + "src": "Patient: Hello\u00a0doctor,I am a 35 year\u00a0old male. I had a hyperthyroid since the last five years and was taking Carbimazole 5 mg thrice a day for the last two and a half years. Then, last month, I got my complete physical test done, and I got to know that my hyperthyroid had shifted to hypothyroid. So, the doctor put me on 25 mg of Eltroxin (Thyroxine sodium). Now, I just got another test done, and I am probably back to hyper as per the reports, and the\u00a0doctor has stopped my medicine for a month. Please advise. What is wrong with my thyroid? Doctor: Hello. I just read your query about your thyroid dysfunction and saw your reports in detail (attachment removed to protect patient identity). Hope you find my advice of some benefit. Goodluck. For more information consult an endocrinologist online --> https://icliniq.com./ask-a-doctor-online/endocrinologist" + }, + { + "id": 9593, + "tgt": "My tailbone slammed into cement floor after a fall. Is it curable by a chiropractor?", + "src": "Patient: Hello doctor, After a fall slammed tailbone into cement floor. I cannot walk having much trouble during walking. Can a chiropractor help, correct and fix this? Doctor: Hello. First of all, an X-ray is a must. As the impact was on the cement floor, there might be a possibility of bone injury. Post-X-ray, we can say the possible next treatment plan. Usually with rest for the initial time and using piles pillow will allow the less compression over the injured area. Post which the exercise to strengthen the hip muscles are advised to regain the muscle strength. Please take an X-ray and share the report. X-ray to be taken is PA pelvic bones or PA coccyx." + }, + { + "id": 29844, + "tgt": "Will Isotretinoin affect future pregnancy?", + "src": "Patient: Hi doctor,I am an unmarried woman. My plan is to get into marriage life after two years. Currently, I have been\u00a0taking Isotretinoin for the past 20 days. I have heard that it may cause infertility in women. Does Isotretinoin cause future birth defect? Will it affect my future pregnancy? Doctor: Hello. Actually, it is known that Isotretinoin can cause severe birth defects in the baby if taken during pregnancy. So, you must not take it, if you are pregnant. And if you have taken, then some doctor will advice termination also in early pregnancy. But, there is no study done specifically to find correlation between Isotretinoin and infertility. And if done, then there is no correlation found significantly. So, you can use Isotretinoin if you are not pregnant. If you are planning for pregnancy, then stop using at least two to three months before. If you have acne and you are taking treatment for that, then let me tell you that try to lose some weight if possible. It will also decrease your problem. As far as future pregnancy is concerned, do not take Isotretinoin in pregnancy and stop before pregnancy. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 22166, + "tgt": "How can I increase my height by three to four inches?", + "src": "Patient: Hi doctor, My height is 5 feet. I want to increase my height by at least three to four inches. If possible, how can I improve my height? Doctor: Hi. I have reviewed your query. The growth of bones eventually stops, because of the closure of growth plates in long bones, which occurs in puberty that is around 16 years of age in girls and 14 to 19 years in boys. According to the majority of studies, the growth of height stops between 18 to 20 years. It is highly unlikely for a girl to have her height increased after 18 years (especially after 16 years for girls). Rarely, few studies propose that you can gain a little increase in height by taking foods with Calcium and Vitamin D as required regularly. But this seems to have only small benefits after the growth plate closure. Growth hormone injections do not have any role in your age group (just for children with deficiencies of hormone). But, in some countries, bone lengthening procedures are being done, which are high risk associated with varied results and even not allowed in a few places. There is very minimal chance of increasing your height at this age group. Still, you can follow a few simple methods like taking nutritious food and exercising regularly and maintaining proper posture methods. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 3935, + "tgt": "What could be the reason for blood spot in cough after having sniffles for three days?", + "src": "Patient: Hello doctor, For the past three days, I am having sniffles. But today morning, when I got up I found a small amount of blood spots in my cough. So please advise me what to do now? I never found this before. I am currently taking Corectia, Glyciphase 500 mg, Ovipauz-L, and Aspirin gastro-resistant tablets. Doctor: Hello. The image that you sent (attachment removed to protect patient identity) shows brown rusty expectoration for which you need not worry. It is due to the capillary leak at the inflamed mucosa due to the medical condition. Do you have a watery nose? Do you still sniffle? Do you have a sore throat, sneezing, itchy nose, tearing eyes, dry cough or history of allergies? If yes, do revert so that I can help you to control your sniffles." + }, + { + "id": 26667, + "tgt": "Is my recurrent throat infection due to mono?", + "src": "Patient: Hi doctor, I had strep infection about a month ago. It\u00a0took 6 to 10 days to get cured with the antibiotics. It has\u00a0come back in the same way\u00a0again. Should I take the same antibiotics? Could it be something else like a mono tonsilitis? I am currently taking Imuran 50 mg. Please give your opinion. Doctor: Hi. I went through your post. Regards. For further queries consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 5130, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 3383, + "tgt": "How to control my fantasy about life partner?", + "src": "Patient: Hi doctor, I have a lot of fantasies about my life partner. I am keep thinking about this all time. I do not care about my career. I am a 29 year old male. I do masturbation too. Please get me some solution. Doctor: Hi. For further information consult a psychologist counsellor online -->https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 18217, + "tgt": "Is there ayurvedic medicine for sensorineural hearing loss?", + "src": "Patient: Hello doctor, I am a 62 year old male. Today I was checked and diagnosed with moderate sloping sensorineural hearing loss in both ears. Is there any ayurvedic medicine for me? Doctor: Hello. Yes, ayurvedic treatment is available for sensorineural hearing loss. But, the results may vary from person to person. Hearing aids are commonly prescribed by ENT specialists. Along with that, you can take this treatment. Capsule Ksheerabala two capsules two times a day with water after food for one month. Also, consult a nearby panchakarma center and ask for the procedure named Karan Purana. It is also helpful for you. Follow up after one month regarding improvements. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 30233, + "tgt": "Kindly suggest further line of treatment for my father's urine infection", + "src": "Patient: Hi doctor, My father has a urine infection since last 15 days. His creatinine is 4.8. The ultrasound report showed enlarged prostate and intact kidney size. He lost appetite since last one month. He is only taking a half glass of milk daily only. His fasting sugar was 113. He is a diabetes patient and taking Insulin 5 units during the day and night. Now, this has been stopped by his doctor due to low intact. Kindly suggest a further line of treatment. 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": 3481, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 1252, + "tgt": "Often, I stop and think for a while during conversation. Why?", + "src": "Patient: Hi doctor, I have some\u00a0speech problem. I miss the word while talking and I am not conveying it properly. I have to stop and think for a while to continue the conversation. This happens many times a day. My current medication is tablet Vilazine 40. Please help me. Doctor: Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22521, + "tgt": "What to do when periods is missing by more than a month?", + "src": "Patient: Hello doctor,I have missed my period by one month and 18 days. I have done Prega news test. There is one dark line and one is light (faint). I am not able to guess whether I am pregnant or not. My last period was just a day after having sex. Please advise me how to avoid pregnancy right now. What medicines should I take and is that available online? Doctor: Hello. I have reviewed your health query and can well understand that you are worried about chances of pregnancy. You have missed your periods and there are many causes for that. One of them is pregnancy. You have done Prega News test at home and got two lines of different intensity colors (one is dark and one light colored). This means either the test is not performed correctly or the strip may be damaged, expired or you may be under the influence of some medications (see the leaflet information given with the test strip for medications that can interfere with your test strip and can give a false result). In such a case, the best next step is to either wait for about four to five days and repeat the test or go immediately to a hospital for a proper pregnancy test and ultrasound evaluation of the uterus. This makes everything clear. In case you are pregnant (that is not sure at this point in time) you need to consult your gynecologist for discussing if you need the baby or not. The management of the case depends on your choice. If you do not need the baby, your gynecologist can best guide you how to proceed. The medications in most of the countries are not available over the counter. You need a proper prescription for the medications to abort the baby. Even if you are able to get the medications over the counter, I would say not to take it without the consent of a doctor as it may cause excessive bleeding and/or a lot more complications in your reproductive life. Sometimes, the situation leads to life-threatening complications. You need a proper cover of a gynecologist for the management of the case. Hope it helps. Please feel free to ask more if you have doubts or need further assistance. For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 27339, + "tgt": "I am uncomfortable with my baby getting attached to my mother-in-law. What should I do?", + "src": "Patient: Hello doctor, I am not sure if this is the right category to post my question in. My problem is with my mother-in-law. Or maybe the problem is with me, after all.My baby boy is now 8 months old. He is a handful most days. He is not the type that plays by himself and he gets bored really quickly. He is not crawling yet, but he is sort of mobile and very tiring to take care of. He needs constant attention all day long with no breaks except his two naps. Whenever I leave him in his crib to cook his meals or to go to the toilet, he screams horribly and continuously and will go on for at least half an hour, which is as much as I ever left him screaming. In the last two\u00a0months, I have started feeling run down by all this crazy schedule. I used to be a relaxed, lazy individual and now I have something to do every minute. I cannot get a break and I cannot even think anymore. I started having migraines with aura, something I have\u00a0never even heard of before, constant tension-type headaches and insomnia. And with these, also anger. A lot of anger. I never hurt the baby in any way, but I did scream at him a few times. I did cry in front of him. And I did have fights with my partner, also in front of the baby.\u00a0In the last two weeks or so, the baby seems to not like me anymore. We used to have fun but now he is not responding to my jokes and my playfulness. Instead, he is becoming very attached to my mother-in-law. She comes twice a week to help and when he sees her, he squeals with delight and tries to jump out of my arms to be with her. He is obviously very happy to see her. When he sees me he could not care less, not even a smile. Once when he was on the couch and I extended my arms towards him and called him to come to me, he turned around and extended his arms towards his grandmother. Which I found humiliating and it filled me with rage. I could not sleep for days. I wake up at 3 to 4 AM and think about how he prefers his grandmother and how his grandmother is snooping into my life and at the same time, I need her since she offers me some time off. I feel stuck and have a lot, a lot of anger.\u00a0I am ready to cut her visits off to once per week or less. I am furious at the thought that I gave up my life to stay here with this baby and care for him constantly and he prefers his cheery grandmother that comes in once in a while. I feel like I love my son less because of this. Generally, I loathe unrequited love and avoid it like the plague. I find it even more difficult to attend to his needs. I am ready to give up her help because the pleasure of the free time it gives me weighs less than the pain of seeing my baby reach out to her and ignoring me like that. I am so furious I am ready to part ways with my partner as well if he takes his mother's side. About my mother-in-law, she loves the baby but also intrudes upon my relationship with him. She always wants to hold him and pretty much tries to dictate how we raise him. But, this does not work, and I do things as I see fit. Overall, she has an influential position and I think the baby might respond to that also. I do not know. She is spoiling him and cuddling and cooing all the time she spends with him. And says stuff like 'come to granny. Granny loves you', 'you are so happy because granny is here, are not you?' etc. It makes me sick. Of course, she is very nice to me as much as she can. I am sure she is holding back a lot of privileges to be in my house with my baby. But, my baby becoming more attached to her and preferring her over me is something I cannot deal with. Do you think my baby stopped liking me because I raised my voice and was aggressive in his presence? Will it get better if I never do that again? I am really trying to, but it is hard for me. I have an explosive temper. What can I do? What should I do? I am at a loss. I am not good with managing my feelings and my relationship. I am super sensitive to rejection and tend to reject the people who reject me. But, this time it is my son and I feel like my love for him is fading away as the anger about the whole situation grows. My partner says I am being irrational and I reply that it is normal that problems stem from being irrational because that is what most people's problems are. Rational problems would probably involve calculus problems. So, why talk about that. Yes, I am irrational but that does not make this any less of a problem. He says I should see a psychiatrist, get some depression pills and then rethink this whole situation and decide if I really want to make his mother come less often. He seems involved in his work and inattentive to what is going on in the house. He says he will be more attentive to see if indeed the baby prefers his mother. All I know is, whatever his conclusion if I feel it is bothering me, then it does not matter what his so-called objective opinion is. I will want her out of my life, even if it means more work for me. Doctor: Hello. You can review with me for further follow-up. For further queries consult a psychologist counsellor online --> https://icliniq.com./ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 14019, + "tgt": "What causes lung congestion only at dawn?", + "src": "Patient: Hello doctor, I am suffering from lung congestion at dawn. The condition is relieved during the day, persisting for a month. Kindly suggest the remedy. Doctor: Hi. Possibly, you might be having some mild infection in the lung that is causing the congestion towards early morning. When patients come with these complaints, I evaluate them and see if they have any infection or allergy. Symptoms suggesting infection are a cough, thick mucus, chest pain, mucus production while coughing, fever, a headache. Symptoms suggesting allergy or asthma are running nose, wheeze, a dry cough, sneezing. If you have any of the above kindly let me know details regarding each complaint. Like the time for which it is present, the aggravating or relieving factors. Also, general precautions that you can follow to relieve some of the issues are: 1. Steam inhalation with Carpol plus capsules put in the water, take steam through open mouth twice a day, once before sleep and then in the morning. 2. Avoidance of direct cold winds, AC blower, dust, smoke. 3. Avoidance of smoking and drinking. 4. Adequate nutritious food comprising all nutrients. Kindly revert back to me regarding your other complaints and we can make a decisive diagnosis and institute the right treatment." + }, + { + "id": 12141, + "tgt": "Please provide the diagnosis of the MRI taken for upper back pain", + "src": "Patient: Hello doctor, I have uploaded my recent MRI results for my spine. I had been suffering from upper back pain which restricts the mobility of my right hand. I can feel a slight lump around or near my rhomboid muscle on the right side. Please review my MRI scans and provide a diagnosis. Doctor: Hello. 1. Observations (attachment removed to protect patient identity): Cervical spine: There is mild straightening of the cervical vertebrae. Vertebral bodies are showing mild osteophytes and are otherwise normal. No evidence of collapse or bony destruction. Atlantoaxial articulation appears normal. No features suggestive of basilar invagination or Chiari malformation. Neural arches appear normal. There is mild disc desiccation in multiple cervical disc levels. There is mild posterior longitudinal ligament thickening and disc osteophyte complex in C4-C5, C5-C6 and C6-C7 disc levels and causing a mild posterior thecal indentation. There are a mild right and minimal neural foraminal compromise in C5-C6 and C6-C7 cervical disc levels. There is no spinal canal stenosis. Pre or paravertebral soft tissues appear normal. Dorsal spine: Dorsal vertebral bodies are showing mild osteophytes and otherwise, appear normal. No collapse or bone destruction. Dorsal kyphosis is maintained. No spondylolisthesis. Posterior elements appear normal. The dimensions of the thoracic spinal canal are normal. The dorsal intervertebral discs are showing mild disc desiccation changes. Height is maintained. No significant disc bulge. There is mild thickening of the posterior longitudinal ligament in the thoracic disc and vertebrae levels and causing a minimal posterior thecal indentation. There is no spinal canal stenosis. The rest of the thoracic spinal cord is normal without abnormal signal intensity alterations. The perivertebral soft tissues are unremarkable. 2. Impression: There is mild posterior longitudinal ligament thickening and disc osteophyte complex in C4-C5, C5-C6 and C6-C7 disc levels and causing a mild posterior thecal indentation. There are mild right and minimal neural foraminal compromise in C5-C6 and C6-C7 cervical disc levels. There is no spinal canal stenosis. Mild cervical spondylosis. Mild thoracic spondylosis. There is a limited visualization of the right rhomboid muscle and there is no obvious abnormal lesion in the right rhomboid muscle area in the given images." + }, + { + "id": 4118, + "tgt": "What causes headache in an epileptic patient?", + "src": "Patient: Hello doctor, I have to consult regarding my sister who is an epileptic patient. She has been having severe headaches since few days. Doctor: Hi. Can you describe her headache in details, like since how many days she is suffering from headache? It started suddenly? Which part of head is paining ? What are the triggers? What are the reliver factors? Any history of fever? How many attacks of headache in a day /week? Once it starts how long it remains? Send me radiographic report of MRI." + }, + { + "id": 563, + "tgt": "What shall I do for broken nail bed?", + "src": "Patient: Hi doctor, My nail beds are not smooth. The area from where nails are coming out is broken. I am having this problem for more than six years. First, it was there only on a single nail and then it started spreading. Sometimes, watery pus forms near the root of the nail. I have sent the images for your reference. Doctor: Hi. I have seen your query and images (attachment removed to protect patient identity). For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 782, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 15708, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 30776, + "tgt": "Can you help me in getting my itching treated?", + "src": "Patient: Hello doctor, I am suffering from itching in different parts of the body for the last three years. It increases during winter season, though it stays in summer season also. I had a past history of head dandruff, face itch and rashes, which was cured and relieved. At present, I am facing problem of itch at my back middle portion, back portion of hair near the back of the neck, stomach, near private parts, some parts of the hand and some parts of the legs. Itch occurs mostly in the evening and at night. When I start scratching some sticky liquid comes out. During last winter, I visited skin doctor and he diagnosed me with scabies. He gave a few creams and medicines, but they were of little help. During summer, I was relieved of heavy itching in body parts, but a few eczema like spots come up in different parts of the body where itching occurs. When I use Lobate GM cream on the affected area I get some relief and visible result within a week, but the spots again come up with itching. I have clicked the photos of my affected area. Can you please help me to get this treated? Doctor: Hi. You seem to be suffering from atopic dermatitis. Do you suffer from any allergies? Is there any history of asthma in your family? Moisturizers, which are specially meant for such conditions and other medicines can be used. For example Aveeno or Cetaphil DAM lotion. I suggest Moisturex Syndet soap for bathing and wear cotton clothes. Avoid direct contact of woolen on your skin and wear cotton clothing underneath. Avoid perfumes, pets, heavy curtains and carpets, which gather dust. For itching, I suggest tablet tablet Atarax 25 mg (Hydroxyzine) once daily at night. These measures will reduce the need of potent steroids. Consult your specialist doctor and take the medicine with consent. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 3483, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 3505, + "tgt": "I am 38 weeks pregnant but ultrasound suggests growth of 36 weeks. Will it affect the baby?", + "src": "Patient: Hello doctor, I am 38 weeks pregnant (38 weeks and 2 days). I took an ultrasound today. My report shows: Biparietal diameter 8.93 cm (36w 1d) Head circumference 32.17 cm (36w 2d) Abdominal circumference 31.65 cm (35w 4d) Femoral length 6.98 cm (35w 6d) Average age of gestation based on today's scan: 36 weeks Estimated fetal weight: 2765 grams. I just want to ask if I need to be worried, as my doctor said the baby is small. Is there any problem for the baby because I am on 38 weeks 2 days now, but base on my ultrasound the baby is 36 weeks. Doctor: Hello. The growth of the child is two weeks smaller for 38 weeks but corresponding to its ultrasound age, the weight of the baby is fine. There is a likelihood that you may have had an irregularity in your menses earlier and your ovulation may have been delayed and leading to late conception. However, best would be to undertake a biophysical profile and an umbilical artery doppler, MCA Doppler studies (middle cerebral artery) to look for cause for decreased supply to the fetus (if at all). If these parameters are normal, then your dates are probably wrong or you have had delayed ovulation and fertilization because fetus would then be considered growing and pregnancy can be continued and followed up with serial ultrasounds. But nevertheless, even if dates are not good, still it is advisable that one should go with your dates as at 38 weeks and deliver the child by 41 weeks, considering the child has matured and the average fetal weight is also good. I hope this helps." + }, + { + "id": 3814, + "tgt": "I masturbate only by rubbing the tip of the penis. Is it a wrong way?", + "src": "Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not\u00a0get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. Doctor: Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 19597, + "tgt": "How can I reduce my blood pressure without medicines? Please suggest", + "src": "Patient: Hi doctor, My BP is normal. But when I go to a doctor, my BP becomes high. I checked for two times, and my BP was found to be high. I am not taking any medicines. My ECG is normal. How can I reduce my BP? Please suggest. Doctor: Hi. The standard BP (blood pressure) ranges between 110 by 70 mmHg to 120 by 80 mmHg. I think your BP is within the range and any reading above this normal range is considered to be abnormal or high. High BP can be temporary or transient depending upon the triggers. A person can have high blood pressure if the BP remains consistently and persistently high for one to two weeks. In this case, tests like ECG (electrocardiography) can be done before the medications are given. You can reduce blood pressure by reducing the intake of salt, fatty foods, do a lot of exercises, and have a good sleep. Be relaxed." + }, + { + "id": 26455, + "tgt": "How can bloody mucus stools of a 3-year-old be treated?", + "src": "Patient: Hello doctor, My nephew is 3 years old. He is getting bloody mucus in stool for the last six days\u00a0and also is having stomach pain also. Today, it happened for 17 times. We had consulted a local pediatrician. He told it may be a gastro infection. He is having consistent stomach pain. Can I know what should be the diet? \u00a0He is on Gifaxin,\u00a0Zinc UP, Norfagyl,\u00a0Drotin, Xpect PD. What should I do now at home to help him? Gifaxin (Rifaxamin) was given today. After that, the number of stools has increased. Kindly suggest me what should I do. Doctor: Hello. For more information consult a\u00a0paediatrician\u00a0online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 10191, + "tgt": "I have a pulsating feeling on the left side of my stomach. Will this go away by itself?", + "src": "Patient: Hi\u00a0doctor, I am a 34 year old female who is generally in good health. Yesterday, I went to dinner, ate a lot, felt very full after and felt I had strong gas. But, I\u00a0was not in pain, just felt very full. What freaked me out was this pulsating feeling on the left side of my stomach above my belly button. It\u00a0continued throughout the day on and off. I woke up with a\u00a0feeling of no appetite. I was bloated and burping a lot but not nauseous and there was no diarrhea. I have been on Avaine birth control for about a year now and have never missed a pill, but am concerned I could be pregnant as the burping was an earlier sign when I was. Other than the burping, I do not feel any pregnancy symptoms. Is this something that will just pass or should I be concerned? Doctor: Hello. Regards. For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9387, + "tgt": "When can I expect bleeding to start after taking Mifegest kit?", + "src": "Patient: Hello doctor, I took a pill of 200 mcg yesterday night and two pills of 200 mcg of Mifegest kit today morning and I am having lower back pain and abdominal cramps. So, when will bleeding start? And is it risky that I cannot handle it by myself at home? Doctor: Hello. How are you doing? The first pill dislodges the embryo from the uterine lining and you may have some vomiting tendency, but no bleeding. Then the second pills make the uterus to contract and open the cervical canal and the dislodged embryo falls out. The ideal way of taking the pill is to have the first pill and then have the second group of pills after 48 hours of the first pills. Thereby, you give enough time for the embryo to separate from the uterus. The bleeding usually starts within a day or two of the second pill. It is the second pill, which is making the uterus to contract and the cervical canal to open, that is causing the cramps. You can have any of the painkillers like tablet Meftal spas or Cyclopam or Spasmo Proxyvon two to three times a day. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. The bleeding depends on the duration of pregnancy. If early, like less than six to seven weeks, the bleeding will be like periods. If later than that, it will have few clots and the bleeding will be more than normal but can be handled at home. You will need the doctor's help only if there is no bleeding or too much bleeding. Usually, it will resolve in two to three days. Hope I have clarified your query, Do write back if you have any more queries. All the best." + }, + { + "id": 22302, + "tgt": "I am facing partial hair loss from the front edges of my hair. Please help", + "src": "Patient: Hi doctor,I am facing partial hair loss from the front edges of my hairs. I think I have a disease called alopecia areata. But I do not wanna be so quick saying that I certainly have such disease. First, it was not that bad. So, I ignored it hoping it would get better with time. But to my surprise, it has just gone purely noticeable and now I want some home remedy or medicinal treatment for it. Also, I do not want any surgeries because I am only 18. Doctor: Hi. It would have been easier for me to diagnose the condition if you would have attached your clinical picture along with your query. Because there are other causes of hair loss like androgenetic alopecia, frontal fibrosing alopecia. Hence, the diagnosis should be confirmed before starting any treatment. Alopecia areata is an autoimmune disorder. Treatment options are: For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 17788, + "tgt": "When can pain revoke after bone tuberculosis treatment?", + "src": "Patient: Hello doctor, My brother is 23 years old. For the last two years he is having some pain in left hip joint area. He is unable to walk, move and feel dizzy.\u00a0We consulted many doctors, some said he is having bone tuberculosis and he got treated for that. After treatment, it got cured. But, with changing weather it gets revoked and the pain will be more acute. That pain is not constant; it will come and go. We are unable to understand what the problem is. I\u00a0am attaching all the prescriptions and reports for your reference. Please help. Doctor: Hello. I have gone through your reports (attachments removed to protect patient identity) and read your history and prescription. Revert back with the x-rays to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist" + }, + { + "id": 4673, + "tgt": "Kindly explain about the causes and management of acne scarring", + "src": "Patient: Hello doctor, 1. What causes acne scarring? 2. What ingredients should people be looking for to diminish them (In the products they use)? 3. Is scarring more difficult to get rid of on darker skin tones? If so, please explain why. 4. Is it possible to achieve complete removal of this without getting something like a chemical peel? 5. How effective are peels and other cosmetic procedures for this issue? Which procedures would you say are the most effective? 6. For people who do not want to undergo a cosmetic procedure, what are some things they can do on their own to help? Sunscreen? 7. Is there any way to prevent scarring from occurring? If so, please explain. Doctor: Hello. 1. During severe active acne, inflammatory process leads to scarring if it is not properly treated or treated late during course of acne. So treatment of acne is very important both early and according to recommendations. Because inflammation leads to destruction of collagen fires in skin, resulting in scar formation. 2. People should use products that contain collagen, hyaluronic acid, elastin (the natural ingredients present in our skin and maintain its contour and give it even surface). 3. Scarring can be more difficult to treat in darker skin type because of heavy melanin pigmentation present naturally in their skin which also take part in inflammatory process occurring during acne. 4. Once scarring occur, it is not possible that it get improved on its own or without any treatment. Different options available for scars are topical gels and chemical peeling. Apart from that Co2 fractional laser is also available to get rid of it. 5. Chemical peeling is a method by which skin is stimulated to produce more collagen and making the skin scar free and improving its texture. The more effective treatment is fractional laser that helps in stimulating fibroblasts, increasing collagen production and improving acne scars. 6. People can use topical gels containing collagen if they do not want to undergo procedures. Sunscreen do not have much role to play. 7. For prevention of scarring, early and proper treatment of acne is needed. Oral Retinoids are recommended to prevent scarring." + }, + { + "id": 29270, + "tgt": "As all my tests are normal, what could be the cause for my palpitations and chest pain?", + "src": "Patient: Hi doctor, I am 18 years old. I have been a competitive athlete in my whole life. About a year ago, I started experiencing palpitations, near syncopal episodes, and chest pain. I have seen three cardiologists. I have had a bicycle stress test, limited echocardiogram looking at just the thickness of my heart, and also multiple EKGs. Before four months, I had a cardiac loop recorder implanted. All the tests have been normal. I have also had a workup in many other systems of my body including, endocrine, neurology, pheochromocytoma, kidney circulation and multiple blood tests. All came back normal. I am experiencing that my toes were becoming either white or purple, numb and very cold. My heart rate increases with minimal activity. I also have a past medical history of Goldenhar syndrome. Before two years, my second cousin passed away at the age of 13 due to an anomaly of his left coronary artery. My doctor has tried to order a stress echo and also either an MRI or a CT scan of my heart to check for this. I am looking for answers or suggestions on the next step. Doctor: Hello. Unknown etiology. CT and MRI of heart. For further information consult a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist" + }, + { + "id": 1157, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 11904, + "tgt": "Is it advisable for TIA patient to take turmeric and blood thinning medications?", + "src": "Patient: Hello doctor,My amazing 67-year-old dad who runs 10 miles a day just had his first TIA. The hospital did an array of tests and did not see any sign of it afterward but they are sure that is what it was. He and my mom are changing their diet and I am researching supplements. They are changing his blood thinning medication so I am not exactly sure what he will be on. But I read that one should be careful in taking turmeric and blood thinning medications.However, it would be great for him to be on turmeric because of the other benefits. What precautions would you recommend when it comes to this supplement and preventing a stroke? Any other supplements he should get on right away or talk to his doctor about? Doctor: Hi. I would like to bring into your notice that he should avoid turmeric as well as Fenugreek seeds in diet, as they have blood thinning potential. However, the potential is low, but can get aggravated by blood thinner medicines. As far as diet is concerned, he should completely avoid fast food, oil, alcohol, and smoking. A regular walk should be done, but make sure it is not done during cold seasons. I do not recommend any supplements. You may ask your doctor to add Vitamin B12 and Vitamin D to his prescription. Make sure he takes his medications regularly and get his check-ups done regularly." + }, + { + "id": 12705, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 14490, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 12960, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 18319, + "tgt": "What is the bump 1 cm away from base of penis in area of pubic hair?", + "src": "Patient: Hi doctor, I have had a slight lump or bump in the area of my pubic hair, about 1 cm away from the base of my penis. What is it and what shall I do? Doctor: Hi. Usually, bumps appear in the pubic area due to infection of the hair follicles in the area (pubic hair folliculitis). This is very common and is not so dangerous. In some cases we need to administer antibiotics otherwise most of the cases heal on their own. Applying hot or cold sponges would be helpful. I would suggest you to please spare some time to upload a picture of the affected area for better understanding. Also, tell me, are you sexually active or not? If active, have you had unprotected sex with any partner in the recent days or so?" + }, + { + "id": 27032, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 8120, + "tgt": "Can use of Mirena IUD cause irregular periods?", + "src": "Patient: Hello doctor, I am having a Mirena IUD in for three years. I had regular monthly periods, which will last for two to four days and usually very light. Four months back, it lasted for 12 days and was heavier than normal. It was almost orange in color. I missed a period the following month then had a very brief amount of blood. Had less than a day bleeding last month and this month a pink tinge was found and then nothing. I am experiencing pelvic pain over the past one week, with headaches and tender breasts. Do I need to consider a pregnancy test? Or could this just be the IUD? Thank you. Doctor: Hello. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26839, + "tgt": "My periods were late and darker, four months after a stillbirth. Why?", + "src": "Patient: Hello\u00a0doctor,Four months back, I had a full term stillbirth. I am trying to conceive again. My menstrual cycles are 28 days, and I bleed for five days. This month, my periods\u00a0were late by two days, and I had bright red blood for two days. The home pregnancy test was negative. What to do? Doctor: Hi. How are you doing? I am sorry about your previous loss. 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": 30055, + "tgt": "Can I conceive with adenomyosis?", + "src": "Patient: Hello doctor, I am 29 years old. Last year, I was diagnosed with adenomyosis\u00a0after an ultrasound. Previously, I had\u00a0undergone ovarian polyp removal. My gynecologist has told me that there is no problem with me to get\u00a0pregnant. However, everything I read online says differently. We plan to start trying for baby\u00a0by next month. Is there anything I can do to help with the process? I am just confused with my doctor's words, as we have waited a year and the disease has more likely spread. I have been taking progesterone since the diagnosis. I just want to prepare myself mentally before trying. Thank you. Doctor: Hi. Firstly, let me tell you that sonography is not always suggestive of adenomyosis. It cannot diagnose it. For diagnosis, you have to send biopsy of the uterus. In adenomyosis there is pain before, during and after menses. There is also focal and diffuse type of adenomyosis. Whatever you read on the internet is about diffuse or generalized adenomyosis. A few things on focal adenomyosis are available because most of the time it goes undiagnosed or has very mild symptoms that do not hamper routine. So, just focus on the present and start trying for pregnancy. In fact, if you get pregnant and pregnancy goes up to term or near term, then there is a chance of cure from adenomyosis theoretically. If you do not have the symptoms of clear adenomyosis, then there is a chance that it is not adenomyosis. So, do not worry and take chance for a year. If you do not get pregnant, then consult a gynecologist as normal people. For further information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 21048, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 17658, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2762, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 28654, + "tgt": "How to overcome my depression symptoms?", + "src": "Patient: Hello doctor, I am a 42 year old male. I feel extremely weak after sleeping in the afternoon on weekends. And even after taking breakfast I feel sleepy, and I sleep off. I got a kidney transplant done five years back, and I am under psychiatric treatment from the past 15 years. I currently take the following medicines Nexito\u00a020 mg, Quitipin 25 mg, and Modafinil 25 mg. How to overcome the ongoing depression symptoms? Doctor: Hello. I can understand your concern. Please follow these steps, and consult your treating doctor about the dose adjustments. For more information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 30400, + "tgt": "My PSA level is high. Should I get a biopsy?", + "src": "Patient: Hi doctor, I am 62 years old. I have severe pain while urinating and having frequent urination at night. My PSA 62.32, prostate 78 g, RUV 142 mL. Should I get a biopsy? Doctor: Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 27455, + "tgt": "My friend said I was talking gibberish, but I do not remember doing so. Please help", + "src": "Patient: Hello doctor, I was talking with my friend today, and after our conversation, when we met again, she asked if I was feeling alright. Apparently, mid conversation, I started going in and out of talking gibberish, then continuing the conversation as if nothing had happened. I have absolutely no memory of this happening. What could it be a result of? Doctor: Hello. I understand that you feel concerned about forgetting the content of your conversation. Hope this helps. For more information consult a psychologist online --> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor" + }, + { + "id": 20864, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 7105, + "tgt": "Had NorLevo after taking Ecstasy pill. Will it be effective?", + "src": "Patient: Hello doctor, Would NorLevo pill work if a female has taken Ecstasy pill and after 10 hours she takes the morning-after pill. Will this have an effect or not? Please, can you advise me on this and ovulation? And also, how long does it take a female to fall pregnant? Doctor: Hello. There have not been documented evidence of ecstasy having a reaction with an OCP (oral contraceptive pill) pill, but some times the efficiency of the pill may come down with medications of this category. It is ideal to consult a gynecologist and look for an additional option like intrauterine device that can be inserted and prevent pregnancy within five days of intercourse, provided you do not have an active pelvic infection and other contraindications for its use. Generally, pregnancy happens when intercourse is done from day 10 to day 19 of the cycle, where ovulation chances are high if done on day 14, pregnancy has a high possibility, and fertilization happens, and implantation happens after 10 days roughly." + }, + { + "id": 8208, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 5271, + "tgt": "I need advise regarding the treatment of recurrent toenail fungal infection", + "src": "Patient: Hello doctor, I am having a fungal infection on my toe nail. I showed it to a doctor about a year ago and I was given medicine. It was almost cured and a little portion of my nail was yet to be cured completely. But then I stopped taking the medicines due to some reason and then slowly it has again covered my whole nail. I have lost the prescription. I want some advice regarding this. Doctor: Hello. First of all, tell me about your age. How many days did you took the medicine, as the treatment for toe nail fungal infection is of 12 weeks? Are you a diabetic as it is a frequent cause of fungal infection? Kindly response to these queries, only then I would be able to write a prescription for you. Also, if possible kindly send the photograph." + }, + { + "id": 13686, + "tgt": "What is the method to take I-pills?", + "src": "Patient: Hi doctor, My periods started 14 days before and I had sex eight days back. Should I take pills after unsafe sex? If yes, what is the procedure to take I-pill? Doctor: Hi. According to your cycle, it is the seventh day of your menstrual cycle and considered to be safe. If you have a regular 28 day cycle, then ovulation is less likely on day seven. But, if your cycles are irregular then it is difficult to predict the exact day of ovulation as to when the chance of conception will be there. So, to be on safer side, you should take a pill today only. It is known as morning-after pill or pill 72 (Levonorgestrel 150 mcg) to be taken within 72 hours of unprotected sex only once. Yes, you can get a withdrawal bleeding after taking these pills before your next due date. In case 72 hours have crossed after sexual intercourse, then also you can prevent pregnancy in this cycle by getting a copper-T (intrauterine device) inserted and that too within five days of unprotected sex." + }, + { + "id": 6213, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 4648, + "tgt": "I am having pain in the scrotum. Is it torsion or detorsion?", + "src": "Patient: Hi doctor, I am a 48 years old male. I do not have diabetes or hypertension.\u00a0I had on and off pain in the scrotum for two months. I felt better after I had a course of Doxycycline for seven days.\u00a0But one day I ran to catch a bus and at that time I felt some pain. Again I am experiencing the on and off pain, but this time the pain is restricted to the area in the left scrotum. My general surgeon advised me Ofloxacin for a week and then I had Doppler, urine and blood examination. My high resolution color Doppler ultrasound findings are as follows.\u00a0Left testis - 40 x 21 x 29 mm, normal in size and echotexture. There is no mass or lesion or calcification seen.\u00a0Right testis - 46 x 19 x 26 mm, normal in size and echotexture. There is no mass, lesion or calcification seen.\u00a0Epididymis is\u00a0normal in size and echotexture right 10 x 8 and left 11 x 9. There is no evidence of hydrocele and varicocele. Is it\u00a0torsion and detorsion? Will Doppler show that? Also advise further investigations. Please guide me. Thanks. Doctor: Hi. Revert back with the investigation reports to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist" + }, + { + "id": 4360, + "tgt": "I am diabetic and have a toe infection. How to treat it?", + "src": "Patient: Hello doctor, I am a 55-year-old male with diabetes. I am in relatively good health, but I do have an infected toe. I need antibiotics and anti-inflammatory drugs. Please help. Doctor: Hello. It is great to know that you are generally in good shape, except for the infected toe. It is important to know if the infection started on its own or due to an injury? If there is an ulcer on the sole side of the toe? Duration of the infection? If the toe is swollen, and red? If there is pus, and importantly are you in pain? Scenario 1: Now, if the infection has started on its own, if it had started on the side of the nail bed (paronychia) and of short duration, then it is relatively straightforward. You need antibiotics to cover the most common bacteria causing superficial skin infection (Penicillin family) and anti-inflammatory to reduce swelling and pain (Diclofenac group). Scenario 2: If you had an ulcer on the underside of the toe, and that has lead to an infection of the toe itself, then it is something that needs specialist consultation, for involvement of infection of the toe bone and the extent of the infection has to be assessed. And if in need of powerful antibiotics, oral or IV may have to be considered, apart from the drainage of pus, clearing of dead tissue from infection site and dressing of the wound. If you do not feel pain, then it is ominous, because, the extent of infection can be far greater than you think, and it needs a surgical consultation at your nearby hospital. Finally, if there had been an ulcer, pressure-relieving footwear might have to be considered to prevent the recurrence of ulcers. I hope this helps." + }, + { + "id": 7777, + "tgt": "I have slight tremors after stopping Trigabantin disease. Is this Parkinson's?", + "src": "Patient: Hello doctor,I was taking Fluoxetine and Escitalopram before two years for around nine months and slowly tapered them, and I stopped taking them. Recently I visited a neurologist for nerve pain and burning feet. The neurologist gave me Trigabantin and Nexito forte. For restless leg syndrome and burning feet. I could not take them and stopped taking Trigabantin cold turkey in two days. After stopping Trigabantin, my legs are feeling slight tremors when I am trying to sleep, and also I experienced muscle spasms, and my muscles were not in control of me when I woke up sometimes.I felt like paralyzed when I woke up suddenly from sleep (this happened twice) after which I went to a psychiatrist, and he gave me Panzep ls. Now I am taking Panzep. Also, he prescribed me Nextril 50, Dicorate er 125 mg and Arifine 5 mg, these three I am not taking out of fear. My body is sometimes shaking on own from left to right when I am tensed or worried.I fear I have Parkinson's disease. I fear that Trigabantin may have damaged my GABA receptors as well as dopamine receptors. Please advice me what should I do. Also, I am taking 100 mg Thyroxine for thyroid. Is my tremors due to anxiety or Parkinson's please help as I am not able to go to work out of fear. Also, why am I not falling asleep usually and waking up gasping for air in between nights? Please advise. Doctor: Hello. Tremors can be a part of EPS (extrapyramidal symptoms) due to medications which can not be predicted by any doctor beforehand, some medicine can manage them, and if the drug is causing it is removed, the tremors also subside. You should meet your psychiatrist and have a second opinion, and please do mention the tremors and your concerns beforehand. About Parkinson's disease, do you have any family history of Parkinson's or any other neurological disorder in your family? Because your tremors have started after the medicine, it is highly likely that it is EPS. But you should meet the same doctor and get a second opinion." + }, + { + "id": 25112, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 10034, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 22284, + "tgt": "I have stress, loss of appetite, and trouble sleeping. Why?", + "src": "Patient: Hello doctor,I am a 20 year old female, not on any medication. I have stress, loss of appetite, feel sick when eating, throw up after eating, headache, and trouble sleeping. Doctor: Hello. When you say you are stressed, it would be helpful to know how bad the stress is. Do you frequently suffer from stress or do you get stressed out easily? If yes, all these symptoms you described can be attributed to stress alone. Moreover, too much mental or physical stress also aggravates existing dyspepsia or hyperacidity as this causes an increase in gastric acid secretion, hence the throwing up and loss of appetite. However, if you have other symptoms like fever, abdominal pain, or malaise, we would have to look at other possibilities too. Let me know if that is all you are feeling or if there is more to your symptoms. In the meantime, try to relax and de-stress yourself by listening to music or meditate and see if you feel any better. If not, then report back to me so that we can take a look at other probable factors. For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 9230, + "tgt": "I am having a hard time in hearing and itchiness due to partially extruded ear tubes. Kindly help", + "src": "Patient: Hello doctor, I have ear tubes that have extruded or partially extruded, and I am having a hard time hearing. My ears are itchy, and I am having extreme and instant pain if water gets in the ear (at the beach). I have an ear camera, and I can attach photos. Doctor: Hello. Please attach the pictures in which I can see you external ear canal and tympanic membrane. It can be due to middle ear effusion." + }, + { + "id": 25327, + "tgt": "I woke with numbness on one side and weakness. Is it a stroke?", + "src": "Patient: Hello doctor, I am looking for a second opinion on a possible stroke. Can anyone look at MRI scans online? I had symptoms of \"wake up\" stroke. I woke up with complete numbness on the right side, unable to make a fist, weakness when trying to stand, dizziness and confusion around dates (I did not know what month it was), issues with spatial awareness and remembering. I felt like I had the worst hangover of my life. After 10 hours with no feeling, I went to A and E. The junior doctor said she would expect to see paralysis and not just numbness. I had CT which I was told was \"clear\" and sent home. I was told I was too young and not fat so not at risk of a stroke. After one week, movement improved in the right arm, after four weeks symptoms were 90 % better. I still have some confusion with dates/times/numbers/spatial awareness and some new dyslexia. I have developed a deep pain in the right arm. It started with one point in my elbow and one point in my shoulder, now I have a heavy and deep consistent pain. I have been choking on my food a lot and I have had chest pain. I also was experiencing pain in both my calves. Around six months ago, I had temporary episode of visual disturbances and I was unable to tell if the soup was hot or cold and I burnt my mouth. I needed to lie down. Symptoms only lasted an hour or two but I had problems with depth perception after. I was advised it was a migraine. A few months later, I felt sick but could not vomit. Extreme dizziness. Lay down and body became rigid then relax, rigid then relax, then came the headache. It was like someone clashing two symbols at the side of my head. It came in a few seconds bursts, relief for 20 minutes and returned. The headache lasted several hours. I had an MRI and was told the lesions were \"non-specific\" and that the diagnosis was \"functional\". I am 100 % sure that these events were not functional. I also had blood taken and my homocysteine was 25. I had another MRI after the wake-up stroke symptoms. I was told there are new lesions but because of my age (33), they are choosing to ignore it. Doctor: Hello. I read carefully your question and would explain that your symptoms could be related to migraine or a possible seizure. A stroke cannot be excluded, but it is really less likely with a normal MRI. I would like to directly review your MRI reports and give a more professional opinion on the new lesions. Can you please upload both your MRI reports? I would also recommend performing an EEG to investigate for seizures. Thyroid hormone levels should be done too. Hope you will find this answer helpful. Kind regards. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 10082, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 11925, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 16171, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 3286, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 19255, + "tgt": "Does the MRI of my head show any TMJ problem?", + "src": "Patient: Hello doctor, It has been a long tiring search to find out what is wrong with me and I want to get a second opinion on the MRI of my head. The main symptoms I am having for three months are a constant sore throat, right ear feels clogged, ringing in ears at times, eyes are red all the time and sting a lot, a bad TMJ, constantly clear my throat, slight numbness on left side of the face and left back shoulder area.\u00a0I wanted to ask, do my sinuses show any abnormality or thickening? Do I have any visible mass or lymph node problems? Is there any\u00a0problem\u00a0with my TMJ?\u00a0 It all started with a pain in my right upper quadrant, and then CT scan showed hemangiomas and cysts on my liver and bilateral parapelvic cysts. So, thinking the worst, I had MRI of the\u00a0head and abdomen done with contrast. After many opinions and radiologist readings, they have all said my liver lesions appear benign. I have also had a clear colonoscopy and upper endoscopy. MRI of the\u00a0head showed thickening of mucosa in sinuses, but it does not say how bad. I have tried everything from nasal sprays to eye drops, to allergy pills and still the same. I read that TMJD can cause eye, ear, face, and throat symptoms\u00a0so wanted to get this MRI reread. I have had constant clearing of the\u00a0throat and post-nasal drip for many years with no relief. All my blood reports are also normal. Doctor: Hi. I have gone through the reports (attachment removed to protect patient identity) Revert with more information to an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist" + }, + { + "id": 22422, + "tgt": "Can I have brain tumor or cancer by using hair dryer?", + "src": "Patient: Hi doctor, I am using hair dryer five days a week. Can I have brain tumor or cancer by using hair dryer? I have been using it for six months. My hairs are pretty well. I have a nice growth and I will oil my hair every day. Sometimes I have pimples in my scalp and there is a mild pain in my one side of the head which lasts for a few seconds. Doctor: Hello. There is no connection between hair dryer use and brain tumor. So just relax and do not get worried about it. I just recommend using a good material hair dryer, without bad chemicals. Asbestos-containing hair dryers can increase the risk for lung cancer. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 19983, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 13067, + "tgt": "For how long should I take Kalachikai powder to overcome PCOD problem?", + "src": "Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 1127, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 18728, + "tgt": "Does my LFT report indicate fatty liver?", + "src": "Patient: Hello doctor, I am a 50 year old male. I got my lipid profile, LFT and KFT done. I have attached the reports. Kindly check and suggest the following:\u00a0Does LFT report indicate fatty liver? I consume 2-3 pegs of alcohol three times a week since last 14-15 years. If yes, then what precaution has to be taken? Can I take Liv 52?\u00a0My triglycerides was 400 last year, but reduced this year. My cholesterol, HDL and LDL are the same as last year. I have some sleeping problem too. I am drinking amla and aloe vera juice daily. I am taking Isabgol in the evening and Revital capsule every alternate day. Please help. Doctor: Hi. We are here to help you. I have studied your case history and reports too (attachment removed to protect patient identity). Revert back after the repeat tests to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist" + }, + { + "id": 9505, + "tgt": "I have numbness and tingling of the lip and chin due to a tooth infection. When will it get normal?", + "src": "Patient: Hello doctor, The last molar on my left side broke around two years ago. It slightly niggled and chipped further during that time, reminding me that it needed to be fixed, but never actually posed a problem. I finally went to the dentist last year and an X-ray was taken. A decay was present at the roots, and I was referred to an endodontist and a root canal treatment was the suggestion. The dentist did a temporary filling, which fell out soon after. The tooth appeared settled, and I had delayed taking an appointment with the endodontist. Two months ago, I started to feel sensations of extreme nerve pain, when a pressure was put on the tooth, and it was getting worse after a few days. But, it settled again. Finally, I took an appointment with the endodontist. He took an image of the tooth and said that it could not be saved, and extraction was the only option. The tooth was alright except for the occasional jolt of pain. Last week, I was awakened many times at night with a dull toothache. It progressed to the next day. I took Neuropin and Panadol for pain relief. The pain then changed to a throb and was increasing. I had a packet of Keflex with the worry of an abscess. Four days ago, I had sudden numbness from under my left lip over my chin. I rang my endodontist on the next morning, and he organized to have the tooth removed the same afternoon. On the day after the extraction, the numbness was still there. Four days later, I am still numb. I now get tingles a few times a day. I do have the slight feeling of pressure or touch on the numb chin by running my fingers over it. I have read so many horrible things about numbness of the chin. Doctor: Hello. Possibly there been some compression or inflammation of the inferior alveolar nerve, which passes through the mandible and then emerges as the mental nerve. The mental nerve supplies the part below the lower lip and chin. If you have pain, severe tingling, pins and needle sensation in the supplied area, then few medications like Gabapentin can be of some help. But, it is the impaired sensation which is bothering you. I suggest you visit your dentist to check if anything further can be done. For more information consult a neurologist --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 7332, + "tgt": "How can hair loss be prevented with regrowth of hair?", + "src": "Patient: Hi doctor, I am suffering from severe hair loss since the past 45 days. I am only losing my hair on the top and front part of my head and it all started like a month ago. I am not using any medications right now. Basic Details: Male, 25 years old, 5'11\", 154 lbs. Please suggest me medications to prevent hair loss and regrow my hair. Any help would be appreciated. Doctor: Hello. I understand your concern. However, I would need to see the images of the affected area to help you better which as to what is could be the possible cause of hair loss and advice the best treatment accordingly. Kindly send images of the scalp for the same. Thanks and take care" + }, + { + "id": 2816, + "tgt": "Can weed smoking cause schizophrenia?", + "src": "Patient: Hi doctor, I have been dealing with anxiety since childhood. I am 22 years old now. I have been smoking weed for about six months and my quality of life drastically improved. Now, I could sleep at night. I went back to being myself happy. My confidence went up and my social anxiety virtually disappeared. Once, while watching videos on the internet, I came across one talking about reality and how we might be part of some sort of virtual reality. When I started thinking about that, it really freaked me out and I had a panic attack. Then, the mixture of the anxiety and being high made me really entertain the idea of this reality was fake. I was in a constant state of being on the brink of a panic attack for a few days afterwards, even while being completely sober. I am better now, through the day I am fine even thinking back on it makes me kind of laugh. But, when I am alone at night the thought comes back and no matter how hard I try, I cannot take my mind off it. I could not sleep because of the anxiety related symptoms, putting on a podcast and listening to people talk is the only way to calm me down. I hate this and I cannot stop thinking about how I may become this crazy person who truly believes were in some sort of matrix and end up in some asylum rocking back and forth. Should I be worried about this? Am I going crazy? I do not want to develop schizophrenia and lose touch with reality. I have not smoked since the incident and I have gotten better. But, I am worried that I will never be able to shake off these thoughts, although I know these thoughts are completely ludacris and I am truly fine. Will time resolve this? Doctor: Hi. I read your query and understand your concerns.\u00a0Before I answer your question I like to congratulate you for taking the necessary step of stopping cannabis. For further information consult a psychiatrist online -->https://www.icliniq.com/ask-a-doctor-online/psychiatrist" + }, + { + "id": 29533, + "tgt": "My lower teeth gum color varies. Please clarify if I have gingivitis", + "src": "Patient: Hi doctor, I do not know if I have gingivitis. The gums of my front teeth in the lower jaw have a small hint of pale pink. But, on the right\u00a0side, it shows a hint of a darker pink. Also, my teeth look larger on the back side. Is that normal? Please help me. Doctor: Hi. I have read through your complaint and the relevant details. Revert with the photos to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 1193, + "tgt": "I am suffering from very painful anal ulcers that recur every few weeks. Please help", + "src": "Patient: Suffering for anal ulcers for 4 months now, diagnosed with SIBO last year which was treated with antibiotics and now experiencing ulcers in the rectum which are very painful. Been tested for ulcerative colitis and chrons disease which came back negative. I have had STI checks so can rule this out also. I'm so uncomfortable and a bit miserable now as it recurs every few weeks and very painful. Other symptoms include night sweats, itching, soreness, and ulcers in the nose and mouth. Doctor:" + }, + { + "id": 12419, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 2941, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 26710, + "tgt": "I noticed a stone-like appearance on my abdominal CT. What could it be?", + "src": "Patient: Hello doctor,I had an abdominal CT done for pain in my lower abdomen, groin, and testicle that resulted after a sudden twisting movement. The report did not really address a cause for any of the pain, though when I was looking at the images, I noticed what appeared to be two stones of some sort on my right side. These were not mentioned at all in the report. I was wondering what they were. I am attaching the link to view the images. Doctor: Hello. I have seen the images (attachment removed to protect patient identity).\u00a0I understand your concern. Regards. For more information consult a radiologist online --> https://icliniq.com./ask-a-doctor-online/radiologist" + }, + { + "id": 18277, + "tgt": "I am passing maroon colored stools. Could it be due to stomach bleeding?", + "src": "Patient: Hi doctor, I am a 23 year old female of 5'6\" and weighs 250 lbs. Currently, I am on an antibiotic for tooth abscess. I have been taking Ibuprofen and Tylenol for the pain. Now, I believe that I may have stomach bleeding due to a maroonish colored stool. I just need to know if I should visit the ER right now. Doctor: Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician" + }, + { + "id": 27476, + "tgt": "Is the lesion on my lip a pimple or herpes?", + "src": "Patient: Hello doctor,I regularly have chapped and dry lips, and this spot was a cut on the lips, and I messed with it. I have attached a picture.\u00a0Is this a pimple or could it be herpes? I\u00a0have no other symptoms and a cluster of bumps did not form before this. It was red at first and pain-free, but now it hurts too bad to pop it. Doctor: Hi. I have seen the picture (attachment removed to protect patient identity), and I understand your worry. Take care. Revert after five days to a dermatologist online --> https://icliniq.com./ask-a-doctor-online/dermatologist" + }, + { + "id": 29830, + "tgt": "Why does my stomach get upset when I eat wheat?", + "src": "Patient: Hi doctor,My stomach remains upset most of the time upset. This happens especially when I eat roti made of wheat flour or corn flour. If I eat fruits, then it is normal. My weight has also reduced due to this. I have this problem for the past one month. I had a liver infection before two years. I am currently not on any medication. Doctor: Hello. IgA-anti tTG and RAST testing Revert back with the reports to an ayurveda specialist online.---> https://www.icliniq.com/ask-a-doctor-online/ayurveda-specialist" + }, + { + "id": 24830, + "tgt": "Will using Restreta tablet for three months cause hormonal imbalance?", + "src": "Patient: Hello doctor, I am a 23 year old girl. I have very dry and dull skin. My dermatologist recommended me to use Restreta tablet for improving my complexion. I have to take it twice in a day before a meal. I want to know whether there will be any hormonal imbalance because of this tablet. Is it safe for me to eat? Will it affect my body internally? And I have been told to eat it for three months. So will the result be permanent or will they fade after I discontinue it? Doctor: Hello. Restreta (Glutathione, Collagen, and L-cysteine) contains Glutathione which is an antioxidant. It effectively prevents melanin synthesis in the skin which helps in skin lightening. It is available in oral and injection form. Oral capsules do not produce much of a change in complexion because of its poor absorption in the stomach. It does not have any side effects. The injection form produces good results but it is not FDA approved. The results with Restreta are not permanent. It will definitely decrease within few months of stopping the drug. So, it is better to go for natural forms of antioxidants present in fruits such as carotene and papaya. Have plenty of water. Avoid sun exposure and use sunscreen every day along with a good moisturizer for your skin. That will eventually help in the long term. For more information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist" + }, + { + "id": 6016, + "tgt": "Will Nano-Leo give permanent solution for erection problem?", + "src": "Patient: Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age.\u00a0I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way.\u00a0I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days.\u00a0I wish to have your second opinion on this. Please guide. Doctor: Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist" + }, + { + "id": 28049, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 23578, + "tgt": "Kindly explain MRI taken for soreness of anterior knee", + "src": "Patient: Hello doctor, I am a 28-year-old male, weight around 78 kg and have been having soreness on my left anterior knee for the last three to four months (not an accident or anything just started getting sore). I finally got an MRI and was told the following (but I do not really understand the terminology). Findings are the ACL and PCL are intact. The medial and lateral menisci are intact. There is no major chondral wear in the femorotibial compartment. The extensor mechanism of the knee is intact. There is edema in the superolateral Hoffa's fat pad indicating patellar maltracking and fat pad impingement. There is no major patellofemoral chondral wear. There is a small joint effusion. The conclusion was no meniscal tear, features of patellar maltracking. Small joint effusion. Can someone please tell me if this means anything serious? My physiotherapist told me nothing to worry about but I do not understand what was said in the findings? Doctor: Hi. Let me explain the report findings in simple words. For more information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist" + }, + { + "id": 11324, + "tgt": "What does abutment of the nerve root mean?", + "src": "Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for\u00a0annular bulging and tear? Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 25943, + "tgt": "I have severe burning pain in my feet. How can I be treated?", + "src": "Patient: Hello doctor, I am feeling really down. I have had a lot of digestive problems for about two years. I have been diagnosed with candida and dysbiosis but my regular doctor does not seem to know what is wrong with me. I have been very stressed and have suffered anxiety since I was about 16. I was not on any medications and started taking Cymbalta a few months ago. After about three to four days, I started to notice a bit of burning in my feet. I have since stopped taking the Cymbalta about a month ago. My feet seemed fine. Then seven days ago, I have started getting really bad pain in my feet and burning and tickling and pins and needle feelings. I am not diabetic or alcoholic. I have no idea what has brought this on or whether it can be reversed. I am so stressed out. I have to be on my feet for my job for about four and a half hours every morning. Can this be tested to see if the nerve cells are either dead or just damaged and can it be reversed? This feels like it is going to ruin my life. Please help. Doctor: Hello. Regarding your concern, I would agree with you on the fact that your symptoms could be related to a peripheral nerve damage. Coming to this point, I would recommend consulting a neurologist and performing an NCS (nerve conduction study) to examine your nerves. Other tests to investigate the possible causes of your symptoms would be: You should discuss with your doctor on the above issues. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 6447, + "tgt": "Can brain stem tumors cause trigeminal neuralgia?", + "src": "Patient: Hello doctor, I am a 27 year\u00a0old female. I am healthy, and my routine blood studies are fine. But recently, I experience cramps in my left hand and occasional numbness in the left side of my face. Also one day, I felt a strong toothache on my right side, so I went to a\u00a0dentist, who told me there was nothing wrong. So, I\u00a0guess it was trigeminal neuralgia, but the tooth pain has gone. I still have the cramps and facial numbness, which comes and go. I went to three different physicians, and they all told me it was just stress. Today I saw a neurologist, and he told me that I have no related symptoms to any conditions, but he sent me for an MRI scan just to be safe. The point is, I am freaking out with the idea of having a malignant brain tumor, and I am panicking to get an MRI. Is there any chance that a malignant tumor shows up? I am afraid that my trigeminal neuralgia is caused by a tumor. 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. Thanks and regards. For further queries consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 10861, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 24988, + "tgt": "What are the investigations to find the familial risk of lung cancer?", + "src": "Patient: Hello doctor, My friend's sister died of lung cancer at the age of 28 years. No one in their family had lung carcinoma. Now he is afraid of any familial risk and occurrence. He is 30 years old now. Is there any investigation to find whether he is at risk or not? Doctor: Hello. Lung cancer occurring at 28 years is unusual and he is right to be concerned regarding familial risk. As far as lung cancer is concerned, there is no specific gene or syndrome which is considered familial. But studies have shown that if a family member who had lung cancer and was a non-smoker, the risk of lung cancer in them is high. There are genetic tests available which can detect such mutation and their risk of causing lung cancer. But these tests should be done in a patient who had cancer so we can identify the particular mutation. So that the relatives could be tested for the specific mutation. Most widely known mutation in such cases is EGFR (epidermal growth factor receptor), which can cause familial lung cancer. If his sister was tested for this and was negative then there is no further need for testing. So even if we do the test in your friend and find some abnormalities, we will not be sure of their significance. It will only add to the anxiety of your friend. What I would recommend right now is to adopt a healthy lifestyle and avoid known risk factors for lung cancer. As some researchers have shown that family history makes you seven to eight times more prone than a normal person if you continue to smoke. Also, if possible, I would like to see the histopathology report of his sister regarding type. For more information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist" + }, + { + "id": 27376, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 54, + "tgt": "Can LVH be reversed?", + "src": "Patient: Hi, This is regarding my husband who is 35 years of age. Four years back, after a nasal septoplasty surgery, the doctors realized that his blood pressure was very high. After doing all the tests he was diagnosed with moderate concentric LVH. My husband who is 5 feet and 6 inches was 98 kgs then. He was put on hypertension medicines and was on diet and exercise and he visits his cardiologist every 3 months. He has now reduced his weight to 79 kgs. In the ECG report taken last year, the diagnosis is Sinus Arrhythmia, Prolonged P-wave and complete Right Bundle Branch Block. The Echo report at the same time says concentric LVH, No RWM. Normal Valves, Normal LV systolic function (62%). Doctor had advised him to continue with his medicines, diet and exercise. What do you make of the ECG and Echo test? Is it fine to continue with the hypertension medicines, diet and exercise. His blood pressure is under control now. Could the LVH be reversed? Doctor: Hello, I have gone through his reports. So he has hypertension and he needs to be on medication for long term. However in future with weight loss and healthy lifestyle like avoiding fatty oily and high calorie food, plenty of green vegetables and fruits etc. his requirement for antihypertensive may go down. So his future BP readings would guide regarding that, but as of now he should be on regular BP medications with regular BP monitoring. Best BP readings would be 110 to 130 systolic and less than 90 diastolic. Now regarding Ecg and echo, firstly they are all hypertensive changes and not worrisome. Concentric LVH would be there even if BP is under control and it's not going to cause any problems. ECG doesn't show complete RBBB, however there are early RBBB changes which are again likely related to hypertension and not worrisome. Sinus arrhythmia is normal finding and nothing to worry to about prolonged P wave. So there are changes which are not very significant and alarming. So in a nutshell, he should focus on BP control, healthy lifestyle, get his lipid profile tested and he should be subjected to treadmill test after age of 40 years. Hope this helps you and get back if you have any doubts." + }, + { + "id": 24738, + "tgt": "Why do periods get delayed after first time sex?", + "src": "Patient: Hi doctor, I had sex for the first time.\u00a0After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29230, + "tgt": "I feel bone on the extraction site. How to get it fixed?", + "src": "Patient: Hi doctor, A week ago, I had all of my wisdom teeth removed. Three are healing fine, but my bottom left feels and looks like bone. I am not sure whether the bone is visible. It is smooth, but I am concerned about it. My dad, who is not a dentist, think that the gum is growing over it. It is not painful so much as sensitive and achy. I am just curious if I should wait or if I should see my dentist again to let him suture it. Also, if I have to see the dentist again, what should I expect as far as getting this fixed? 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": 3936, + "tgt": "Please interpret my MRI brain for severe headaches", + "src": "Patient: Hi doctor, I am a 30-year-old male. I have been suffering from severe headaches and loss of memory sometimes. I get light headedness at times and mt throat dries up. Did an MRI Brain.The contents are: T1 hypointense, T2 flair hyperintense lesion on right peritrigonal region involving optic radiation, possibly an area of focal demyelination. MRI plates also show a bright white spot. Is it severe? I am currently taking medicines for uric acid and headaches. Doctor: Hello. I would like to know some details about your problem: Since when you started to have headaches? In which areas of head you feel that headache? What kind of headache is this? Is it heavy, throbbing, stretching, bursting or some other kind? Is it severe, moderate or mild? Does this headache happen persistently or episodically? Was it initially episodic and now turned to constant headache? If episodically, how long time one episode of it lasts? How frequent are these headache episodes like how many times in a week? Do you feel any vomiting or watering from eyes or redness in eyes or nasal congestion during headaches? How is your day to day mood? How is your sleep and vision? Have you noticed any trigger factors for this headache? Have you ever took any regular medications for these headaches? I suggest you to send the MRI images because I need to see the images. Ophthalmology examination to look for intraocular pressure and fundus. Revert with above mentioned information and also send MRI images for better understanding and judgement." + }, + { + "id": 29958, + "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": 15119, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 28289, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29423, + "tgt": "What to do for sudden front tooth irritation?", + "src": "Patient: Hi doctor, My front tooth is irritating right now. The gums are not swollen and it feels like the nerve is hurting. Should I visit a dentist or will it go away in some time? What should I do? Doctor: Hi. Revert with further details to a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist" + }, + { + "id": 22170, + "tgt": "Can Yasmin birth control pill be used as an emergency contraceptive pill?", + "src": "Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 29165, + "tgt": "After RCT treatment, how did the infection get spread to the jaw?", + "src": "Patient: Hi doctor, I had a root canal by a general dentist. I was told that the tooth was infected and going through with the procedure would be my best. I consented and had my treatment. I was done with the treatment and came home with full of instructions given to me. I had Penicillin and Ibuprofen for every six hours. Initially, it was fine, but I awake the next day\u00a0with more pain and swollen face. When I called up my dentist, he said that he has to remove the cap and the tooth as the infection\u00a0got spread to the jaw. Apparently, the infection was already in the jaw, and he did not tell me that. If so, then I would have opted for extraction. I am aware that the root of all the teeth are curved and have been told that it may make the procedure a bit difficult. I understand that being neglectful has its price. I have attached the x-ray here for better management. I would appreciate any feedback. Thanks in advance. Doctor: Hello. For further information consult an endodontist online --> https://www.icliniq.com/ask-a-doctor-online/endodontist" + }, + { + "id": 26329, + "tgt": "I am unable to recall some of the things I did in the last two months. Please help", + "src": "Patient: Hello doctor, I have not been able to remember some of the stuff I have done these past two months. It has actually been a problem for around five years, but it was not this bad. I have had entire days missing from my memory, and people around me have said that I have done or said bad things to them, some even showing proof. Now, sometimes I have an attack. It comes randomly, but also when I\u00a0try to tell people about this too. During the attack, it is hard to breathe, my hands shake, and my heart races, but I feel the need to struggle against it, because every time I give in, I forget again. These attacks have only been there these past two months. Please help. Doctor: Hello. The problem you have mentioned looks interesting. For further queries consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist" + }, + { + "id": 24920, + "tgt": "Is tongue fasciculations in a baby always a sign of SMA?", + "src": "Patient: Hello doctor, My son is 18 months old. He was born with ankle clonus, but it was completely gone after a while. So, he no longer has clonus. He also has possible tongue fasciculations. I say possibly because the pediatrician said that it was difficult to tell if they were or not. He is always sticking his tongue out and has an active tongue. My question is, is tongue fasciculations in a baby/toddler always a sign of SMA? I am horrified by what I have read online. Is it possible that he is fine? I am desperate to know if tongue fasciculations always mean something bad. He is healthy and thriving in all ways. Doctor: Hello. You should know that tongue fasciculation do not have the same clinical significance in children as in adults. There are many abnormal neurological signs in adults which are usually present in normal children and disappear while growing up. This is because of an immature nervous system in children and incomplete myelinization of the nerves and central nervous system because of immaturity. As your child has a normal physical and psychological development, there is nothing to worry about ALS (amyotrophic lateral sclerosis). It is an exceptional diagnosis. So, just try not to think about it anymore. For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist" + }, + { + "id": 5258, + "tgt": "Inspite of brushing many times a day, why am I getting bad breath?", + "src": "Patient: Hello doctor, I brush two times a day, and also whenever I wake up from small nap, I brush my teeth. But, my mouth smells after 30 minutes of brushing. Please help. Doctor: Hello. Start using antibacterial or Chlorhexidine gluconate mouthwash. This is best for bad breath, stinking mouth and halitosis. Use three times a day for two weeks. Another very helpful method for the cure of bad breath is saline water mouth rinses. Take a small cup of lukewarm water and add 1/4th teaspoon of salt in it. Do rinses three times for ten days. This will help. But chronic halitosis or mouth stinking are not a healthy thing. You must get the cause for it identified, whether it is due to any systemic problem like acidity, stomach ulcer, etc., or due to mouth breathing habit or due to poor oral hygiene. Try to fix the problem accordingly first. If you need scaling, get it done and then start with mouth wash or rinses, you will get rid of bad breath for good. Followup after two weeks. Note: Excessive and harsh brushing may damage your teeth. If your oral hygiene is good you need to brush only twice a day with a gentle hand." + }, + { + "id": 4596, + "tgt": "Kindly explain the ways to increase the body weight", + "src": "Patient: Hi doctor, My problem is I am not able to get fat. Doctor please help me to get fat. Doctor: Hi. With the details you gave I understand that you are an 18-year-old girl who is slim and unable to increase weight. Also, I see that your Body Mass Index is 15.43. Where as the weight that is desirable to you would be about 50 to 53 kg (attachment removed to protect patient identity). You are in your puberty and hence there will be growth spurt because of which the body energy would be used fast to put height and other bodily developments. Also, this is the time your body sexually matures. These might be the reasons why you are unable to put weight. However, I give you the following suggestions to help increase weight and bring it in normal range: 1. Eat plenty of proteins : soyabeans, fish, chicken. 2. Take ghee in appropriate amounts: You may use ghee as a cooking medium if you are not susceptible to pimples and acne, ghee has great deal of energy in it and helps put weight. 3. Eat adequate green leafy vegetables and minerals: take spinach, gooseberry, fenugreek leaves, palak leaves. 4. Drink 3 to 4 litres of water daily. 5. Drink 500 mL of milk daily: make sure the milk is not condensed (skimmed). Skimmed milk is devoid of the fat. You require the fat. 6. Increase the amount of food you eat, if you are eating 3 meals make it 4 spread out through the day. 7. Keep your body in shape by exercising so that weight gain is healthy and not in appropriate places. 8. Practice yoga and a daily workout regime concentrating more on weight gain exercises than cardio. Cardio exercises help lose weight than gain. 9. If still not satisfied, take protein powders, soy or milk protein powders with good energy content. Search for protein powders for ladies for putting weight. Next, do not worry unnecessarily about your weight. This age one grows tremendously and so it might be difficult to put weight. However, within a few years your growth spurt will stop and you body metabolism will stabilize. Take the above measures and follow my advice. It is important to keep oneself healthy and appreciate ones own body." + }, + { + "id": 17329, + "tgt": "I overdosed on Benadryl and I feel lightheaded. When will I feel normal?", + "src": "Patient: Hello doctor, I am a healthy 15 year old male. It has been two weeks since I overdosed on Benadryl and I still feel lightheaded and everything is like a dream. The dose I had taken was 500mg. I also get random confusion spells. When will I feel normal? Doctor: Hello. Revert back to a general practitioner online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 5108, + "tgt": "There is swelling of arms and feet in a heart failure patient. Please help", + "src": "Patient: Hello doctor, I am a 41-year-old, who is obese. I have high blood pressure. Also heart failure. I am also having problems with water building up inside my body, I do use medication but it feels like I am swollen and that the water is pushing upwards. I am also struggling to get air at times and I do not have any energy. Doctor: Hello. The problems you are facing is due to heart's failure to maintain the normal circulation. So the fluid gets stagnated in the interstitial tissue causing swollen feet, arms and fluid in lungs causing breathing problems. I hope you are already following the prescription of a cardiologist. I would like to know a few more information to help you better. May I know the medicines list you are on at present? And can you upload the reports? Some important strategies are to be followed: 1. Improve the heart function ---to decrease load on heart by ACE inhibitors like Ramipril, ARB's like Telmisartan, diuretics like Lasix and beta blockers at optimized dose). 2. Fluid and salt restriction (salt maximum 3 grams /day and consume fluids 1.5 to 2 liter/day maximum). 3. Mild exercise training are also believed to improve exercise capacity and the quality of life in heart failure patients. 4. Diet and life-style modifications (smoking cessation, weight reduction, limit alcohol and avoid smoking, treat if lipid levels are high, control sugar levels, etc.). With this limited information,I think,you might be needing an increased dose of a water pill loop diuretic (Lasix) to drain out the accumulating flluid regularly. I would advise you to discuss this with your treating doctor to alter therapy regimen, if necessary." + }, + { + "id": 28571, + "tgt": "What is your opinion about my NT scan and double marker test?", + "src": "Patient: Hi doctor, I am 12 weeks 3 days pregnant. I got my NT scan and double marker blood test results. NT value 1.7 mm at CRL of 52.6 mm, free beta hCG 1.29 MOM, PAPP-A 0.37 MOM, trisomy 21+NT risk 1:513, trisomy 21 1:214 and trisomy 13/18+NT. What is your opinion? Doctor: Hello. Revert with the report to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 9391, + "tgt": "Every time I eat spicy food, I poop blood. Why?", + "src": "Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy\u00a0food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I\u00a0do not have a\u00a0family history of colon\u00a0cancer. I got blood tests done last night. Please find my reports attached. Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon" + }, + { + "id": 310, + "tgt": "I am 35 years old and NT scan shows risk of Down's syndrome. What is the accuracy of NT scan?", + "src": "Patient: Hi doctor, I am 35 years old. Right now I am14 weeks pregnant. My doctor found out that my baby has a risk of down syndrome. In NT scan at 11 weeks 5 days the CRL was 48 mm and NT was 1.32 mm the double marker test report is showing background risk T 21 1:369 and adjusted risk 1: 911. T 18 background risk is 1:4357 and adjusted risk is 1:238. T13 background risk is 1:10257 and adjusted risk is 1:3524. Doctor did NIPT after this report. Can you tell me how accurate the results are and why NIPT was done? Doctor: Hi. Your report in the link is not readable (attachment removed to protect patient identity). However, the values that you have written in the query seem to be all within range. For T21 cut off is 1 in 250 and NT 1.3 mm is also fine. May be you are 35 and doctor wants to be doubly sure for your safety." + }, + { + "id": 6243, + "tgt": "Will Kalarchikai cure multiple ovarian cysts in PCOD?", + "src": "Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." + }, + { + "id": 19574, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 26656, + "tgt": "Please explain the poisonous effect of phenol ingestion", + "src": "Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> https://www.icliniq.com/ask-a-doctor-online/general-practitioner" + }, + { + "id": 14129, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 24314, + "tgt": "How long should my husband and I wait to try for a baby if we did cocaine?", + "src": "Patient: Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. Doctor: Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist" + }, + { + "id": 11953, + "tgt": "Post-pterygium surgery my uncle has a feeling of thick eyelid, why?", + "src": "Patient: Hello doctor, I have a question. My uncle had pterygium excision with conjunctival autograft surgery on his right eye. He was given Ofloxacin ophthalmic solution 0.3% drops for eyes. After using the drop 4 times a day for 4 days, things did not seem right. After peeling the label of the bottle he saw, he was given Ofloxacin otic solution 0.3% for ears only. I am wondering if this could have caused the issues. He is currently having a feeling as though his eyelid is thick, heavy as well as very dry. And also he is feeling as though there is a film over his eye. Do you think this could have caused permanent damage? Presently he is taking medicines for high blood pressure and cholesterol. Please help. Doctor: Hi. The cause for his present complaint is due to the surgical trauma induced by the surgery. In pterygium surgery, the mass of tissue is cut and scraped off and then a graft is placed to cover the defect. Our eyes are so sensitive, that even when an eyelash accidentally falls in the eye, it becomes so uncomfortable. Now a whole area has been actually cut and the graft sutured, so definitely, until the healing is completed the symptoms of heaviness, dryness will continue. This usually takes about a month to heal. Regarding the eye drop, I do not think it should matter much. If you can change it easily for any ophthalmic drop, then it will be better." + }, + { + "id": 11543, + "tgt": "Why is 5-month-old baby having loose motion with pH level of 6?", + "src": "Patient: Hi doctor, I have a 5-month-old baby who is having loose motion, so got his test done for reducing substances. It has a pH level of 6 and a positive report. What does this report signify? Otherwise, he is very gassy and burps and passes gas a lot. Please help. Doctor: Hello. The reports (attachment removed to protect patient identity) state that he is lactose intolerant. You have to avoid milk and milk products for a minimum of 15 days. Give him normal food, rice, dal, and vegetables, etc. After his stool has returned to normal color and consistency for four days, then you can start with small quantity such as 100 ml once a day and check if the symptoms return. For more information consult a paediatrician online --> https://www.icliniq.com/ask-a-doctor-online/paediatrician" + }, + { + "id": 7628, + "tgt": "My thyroid ultrasound results are suggestive of Hashimoto's. Kindly advice", + "src": "Patient: Hello doctor, I had an ultrasound done on my thyroid. Results are right labor 0.8 \u00d7 2.9 \u00d72.0 and left lobe 3.0 \u00d7 2.8 \u00d7 5.7. The texture is extremely heterogeneous throughout. They said some Hashimoto's. Can you tell me what this means? It has grown in two years (mostly left lobe). It is going to be another month before I see a doctor and not sure when I will see an endocrinologist. Please help. Doctor: Hello. Your one lobe is larger than other. It could be a simple overgrowth or a tumor. To differentiate between these and to tell exactly what is the problem in your thyroid gland, you need to get a test called FNAC (fine needle aspiration cytology) of thyroid or radioactive iodine uptake scan. Once you meet your doctor ask for these tests. Hashimoto's is one of the diseases where the patient initially will be hyperthyroid and gradually become hypothyroid, but in your case, you do not give any history of being hyperthyroid. So Hashimoto disease is less likely. Kindly get the tests recommended and revert with reports. Hypothyroidism." + }, + { + "id": 24455, + "tgt": "Uric acid is 7. 5. Please suggest a medicine", + "src": "Patient: Hello doctor,My uric acid is 7.5. Please suggest me a medicine. Doctor: Hello. I have gone through your medical history carefully and understood your concerns. Your uric acid level falls within the normal range for female patients (the normal range is between 2.5-7.5 mg/dL). I think Fabulas 40 (Febuxostat) you are taking is taking good control of your uric acid levels. For the moment, you are having pain in both knees and swelling in the ankle. Get an X-ray of the knee and ankle joints to evaluate the changes there. The basics of treatment for gout is to eliminate and correct what is causing it: After getting the X-ray results, we can decide for the best treatment strategy for your knee pain and swelling in the ankle. For more information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician" + }, + { + "id": 20034, + "tgt": "Can you explain in detail what these incidental findings in my MRI are?", + "src": "Patient: Hello doctor, I recently had an MRI completed and the report says the following. I would like some more information. Inferior poles of cerebral hemispheres are seen 3 mm below the foramen magnum, no crowding. Is this MRI speaking of the cerebral tonsils? Doctor: Hello. Revert with more information to a neurologist online --> https://icliniq.com./ask-a-doctor-online/neurologist" + } + ] +} \ No newline at end of file