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I have chest tightness with shortness of breath and throat irritation what is the problem | hello since when your suffering from chest tightness is it aggravating at night or early morning possible causes are like episodic asthma in which you may feel repeated episodes of chest tightness and breathing difficulty herd gastroesophageal reflux disease in which lower esophageal sphincter lead to acid reflux which may enter into to larynx cause asthmatic episode diffuse esophageal spasm this is esophageal motility disorder that lead to painful spasm of esophageal musculature on barium swallow it appears as a string of beads panic attacks lead to chest wall muscle tightness regarding this attack postnatal discharge neuromuscular disorders etc until examination is done it is difficult to say what it is so please get it done spirometry 24 hour oh monitoring esophageal manometry may useful serum ice levels barium swallow chest ray and absolute eosinophil count avoid spicy food at night elevate the head end of the bed in case of allergic asthma use tablet montelukast and levocetirizine once a day night may be useful use tablet deriphylline twice a day for five days avoid allergens that trigger the episode common allergens like household dust molds mites and pollen if no improvement please consult with your physician or pulmonologist he will examine and treat you accordingly | hello doctor I am suffering from chest tightness and at times turns into pain I feel like I am breathing into a tight chest with constricted chest wall muscles along with shortness of breath and throat tightness the doctor said I have mild asthma and nothing he is giving me is working albuterol dulera oral prednisone I even tried herd therapy to see if it will help and it is not I am suffering a lot please help I have been tested for coronavirus three times and it came back negative my chest ray and echocardiogram has been normal as well | high severity |
my mother is diabetic as well as hypertensive please give an opinion on her retinal detachment | hello let me first reassure you your mother case seems to be not urgent judging by the information you gave and the attached c scan you have done the left eye seems quite normal the right eye has some macular edema meaning that there is fluid in the retina that is causing retinal stretching also I can see neurosensory detachment in the retina too this is probably due to long standing diabetes retinal detachment usually manifests with seeing a bright light and floaters in the visual field as well as a drop of vision I will need to know if anything new happened to her vision in this case my opinion is your ophthalmologist will need to intravitreal injections of avastin this will help absorb the fluid leaking in the retina and causing the stretching if there is detachment he will need to reposition the retina with a vitrectomy procedure and retinal fixation and implanting temporary silicone do not worry this procedure can help maintain vision and maybe fix it for the better it can be a little bit costly and you have to select an experienced vitreoretinal surgeon diabetes control your mom will need to check her diabetes with an internist I need to know further information as regards to her vision previous medical history and operation done when was the last time she has checked with an ophthalmologist so I can help you and tell you more about her management retinal degeneration macular edema neurosensory detachment | hello doctor I am worried about my mother retinal detachment she has diabetes and hypertension I have an ray of her eye she is currently located abroad and I would love to have a second opinion on what process she should be taking | high severity |
lump on my right side of anus healed on medication and now it has recurred on the left what to do | hello it seems you have a perianal abscess perianal means around anus and abscess means collection of pus it can be secondary to chronic itching and excoriation of the skin resulting in abscess formation it can occur secondary to poor hygiene in and around the anal area since the one abscess is already burst this will allow pus to drain and would heal itself but the other evolving abscess would burst and lead to pain as you may be experiencing there was the simple explanation of your problem sometimes there is a problem with the small or large bowel a condition is called crohn disease which causes inflammation of the small large bowel as well as perianal area resulting in an abscess anal fissure and fistula I can recommend you some antibiotics but urge you to see a gastroenterologist in nearby and let be examined by him thoroughly or you can send me pictures of the area which is painful and discharging pus as I can guide you further on this for now take the following regimen for seven days and come back to me to inform about improvement in your symptoms we can then adjust medicine or add others if this does not work perianal abscess crohn disease stool for fecal calprotectin complete blood count crohn disease perianal abscess tablet metronidazole 400 my thrice daily for seven days capsule cefixime 400 once daily for seven days half tub of warm water add my of dettol antiseptic sit in the tub for minutes three times daily for seven days maintain hygiene innthat area regular removal of area avoid long sitting on hard surfaces like table chair or floor follow up in one week with tests and inform me about the improvement of symptoms | hello doctor eight months before I felt a small lump around the right side of my anus area before I had itching around the anus for several months later that lump became larger and painful in a week I consulted a homeopathic doctor and he gave me medicines paeonia off acid muraticum acidum nitricum I took that medicines and the lump wound burst in three days but that wound skin has not dried yet and it still watery it also feels itchy sometimes besides this issue for a week I am feeling another small lump on the left side of my anus area and I feel like sure it would become big and painful like the previous one so I need your consultation to cure it forever and these wounds appear externally around my anus | medium severity |
why am I not getting periods even with negative hpt | hi welcome to iclinq com I saw your concern it is unlikely to be a pregnancy the cause for the delay could most probably be hormonal the reason for bleeding could be uterine or ovulatory nothing to worry about it do you have bleeding every time after sex if yes then you need to have in person gynecologist opinion to look at your cervix for the cause post coital bleeding anemia weight gain hypothyearoidism stress change in food and exercise pattern can affect the cycle length and pattern I hope this helps hormonal tis transvaginal scan if the post coital bleeding is recurrent delayed cycle probably hormonal just wait for a week if you do not get your cycles repeat up urine pregnancy test if negative take tablet medroxy progesterone acetate 10 my meparate once daily at bedtime after food for five days cycles revert by one week of last dose of progesterone | hello doctor my periods are late even though my home pregnancy test is negative it is still late I had bleeding for a couple of days after having intercourse before three weeks what could possibly have gone wrong | medium severity |
I have a lump on my glans penis with no pain what could it be | hello I read your query and gone through the attached images first of all I like to inform you that from the attached images it does not look like something serious this is applicable for almost all forms of lumps over the penis the most common possibility for similar looking lumps includes pearly penile papeles and sebaceous cysts the other possibility is scaring from eczema which you experienced during childhood the possibility of a sexually transmitted infection induced lump is out as you are sexually inactive and masturbation carries no risk of sexually transmitted infections most of these lesions are likely to go without any intervention or will stay without causing any damage which means there is no need to do anything on your part however if you see there is a sudden change in size pain during erection or ejaculation any form of discharge or fever unexpected weight loss consider seeing a doctor without delay I hope this helps | hello doctor I have a am sized lump on the glans of my penis it appears to be under the skin therefore I ruled out the possibility of it being a fordyce spot which I appear to have and are usually on the skin it is slightly raised while flaccid but really shows in definition when aroused I seem to have a similar definition around the start of the glans and end of the shaft which I have had for some time when I move the skin these lumps it do not move at all unlike fordyce I suffered with bad eczema on my penis when I was a young child and used creams to heal I do have trouble retracting the skin as it is tight and I am not sexually active however I do masturbate usually two to three times a week I wanted to know the possibilities of what it could be should I be worried can I treat it myself if it needs treatment and should I stay away from any sexual activity during this time | medium severity |
I am unable to get erection when touched by my partner and during sex please help | hello anejaculation is a condition where a man cannot discharge semen it can be absolute when he cannot discharge in any situation and situational when he cannot discharge in certain situations but can discharge in other conditions if he can ejaculate with masturbation but not with sex then it is a psychological issue if he cannot ejaculate even with masturbation or in dreams then it is a physical issue for which some tests need to be done psychological issue is due to inhibition when a man cannot ejaculate in the presence of another person it can be overcome by gradual desensitization he can rub his penis on any body part of the female like buttocks thighs breasts belly etc and try to ejaculate the female can also masturbate him it is a long drawn process and often frustrating but is useful he can also self masturbate and on the verge of ejaculation put the head of penis into the vagina also vibrators can be used but before doing all these enough foreplay should be done if needed help of pornography can be taken also there are medicine to reduce the anxiety related to it and facilitate ejaculation for physical problems the treatment is decided after doing some blood tests and ultrasound tests | hi doctor I am suffering an erection problem for the last three years I am married for the last year but I never did satisfaction and natural sex with my wife my problem is I used to do a lot of masturbation heavy masturbation with oil so it is erect for a while and again loose one more thing my penis would not get erect or discharged if my wife do handjob and sex it gets erect only when I touch I am trying a lot to discharge in my wife vagina but I could not do so because at the end movement it is going to loose one more thing I cannot masturbate with my dry hand because I need some oily lubricants to erect my penis after marriage also I am doing masturbation due to heavy masturbation my penis shrinks and sometimes I forgot things I am not able to remember anything | medium severity |
I am taking 25 mug thyearonorm and it is difficult to reduce my weight shall I increase the dose | hi I find you are having hypothyearoidism and consulting for thyearonorm dose adjustment dose adjustment will be made on free to and ash thyearoid stimulating hormone levels and not based on to levels so I request you to upload the full thyearoid profile results then we can decide upon the dosing hypothyearoidism | hello doctor I am a 28 year old female my to is 8 I am obese at 76 keg with 153 am I take 25 my thyearonorm tablet every day weight loss becomes very difficult as thyearoid levels have not decreased in the past five years post pregnancy can I increase my thyearonorm dosage to 100 my | medium severity |
I have chest tightness with a history of breast cancer in my family am I prone to cancer | hi your reports are normal nothing seems worrisome since you have a family history of breast cancer you should get a mammogram done also get your bra gene breast cancer gene tests done it is a blood test and if it is positive then it means high chances of getting cancer in the future if it is negative it is good also you should take supplements and should stop birth control pills they can also cause cancer sometimes you should use a mechanical method of contraception like condoms and should do regular exercises to reduce your weight too | hello doctor I am a 39 year old female I am fatigued sluggish difficulty concentrating migraines and difficulty regulating temperature I have periodic tightness in the chest and fluttering sensation my ekg it chest and chest ray are normal and the couid test is negative my vitamin b12 folate and vitamin were low I started supplements last month and levels are in normal range now but I still have symptoms borderline low white count abs lymphocyte count and slightly high platelets I was diagnosed with lupus as a teenager but then in the early 20 I was told that I do not have it my father died at the age of 59 of a sudden catastrophic event possibly a heart attack also my dime was slightly elevated and so was my sedimentation rate I have a history of cancer in the family especially breast cancer so I am more concerned about cancer I am currently on lamictal lexapro and birth control pill | medium severity |
I have crohn disease for a long period will it cause ed and pe | hello you have mentioned ed erectile dysfunction and pe premature ejaculation no details of medications tried so far can you elaborate on this testosterone only indicates sexual drive which you have not mentioned as a problem so that being normal rules out nothing there are no tests for ed and pe specifically history is key better to discuss in person immunosuppressive medications do not generally cause ed or pe you have not mentioned any reason or symptoms for checking semen culture in the absence of any such factors these semen tests can simply be a contaminant even if you have prostatitis it is not likely to cause ed or pe no need to treat semen culture unless you are symptomatic or in other words it will not help have you checked fasting glucose lipids and thyearoid function in the absence of any such symptoms this is likely to be psychogenic especially because of age please check the blood tests as above reassurance correct the factors if abnormal in the mentioned tests need a face to face audio conversation to understand the issues in more detail | hello doctor I am a 29 year old male and I am diagnosed with crohn disease before years and was taking immuran 150 my day and diagnosed with streptococcus after semen culture at the beginning of this year my main concern is ed and pe but the testosterone level is within the normal range I want to know whether my problem is urology or neurology | medium severity |
I get flare up of diarrhea once in a month with lethargy loss of appetite and dry mouth why | hello do you have lost some weight since the start of symptoms do you have noticed any triggers diets stress change in lifestyle or drinking alcohol before such episodes alcohol has a large amount of fermentable carbohydrates which can cause diarrhea gas and bloating often episodes of binge drinking the common possibilities are that you have one of the above trigger which causes your gastrointestinal gi upsets they can go unrecognized with episodes of symptoms as in your case the other possibility is endometriosis endometrium is the lining of the uterine cavity of the female internal genital tract in menstruation the lining sheds causing bleeding and pain endometriosis is a condition where endometrial tissue is implanted into gut and it behaves similarly as one has menstruation on monthly cycles it causes pain at times very severe diarrhea and even bleeding from the gut it is important that you notice yourself the temporal time relation between the onset of symptoms and onset of menstruation I want that you should provide me more information as I can be able to investigate you properly in a specific direction providing you target management plan which can fit you best I hope this helps cyclical abdominal symptoms endometriosis celiac disease food allergies eosinophilic gastroenteritis endometriosis environmental triggers follow up to provide more information to diagnose and investigate properly | hello doctor every once a month at least I get a flare up of diarrhea where I go at least six times a day and nothing seems to settle my stomach the stool itself has a weird texture almost sand like most of it float down but some do float up and there is mucus in it other symptoms I am experiencing are lethargy feeling of being full yet hungry loss of appetite and dry mouth any idea of what this could be | medium severity |
my year old son complains of shin pain in left foot why does he get such pain | hello welcome to iclinq com lower limb pains in growing children are usually benign normal blood tests and normal ray reports also point towards the benign nature of pain most probably your child is having growing pains can you please recall anything that is common before the pain starts like excessive physical activity or specific footwear please share the ray image and blood test reports start calcium supplements and regularly massage the legs before bedtime | hello doctor I have a year old son who complains of shin pain in the left foot once in every month before going to sleep he is generally hyperactive the next day when he wakes up he tells me that it does not hurt anymore we did rays and blood tests all are fine please help | low severity |
applying conut oil for dry skin on penis shaft cause redness and burning in urethra is it balanitis | hello normally the tip of urethra is slightly more reddish compared to the rest of the penis head as the mucosa is thin over there compared to the penis head it is possible that you have not noticed it or paid attention to it before and now became more aware due to oil application now if you are very sure that it has gone more red after the oil has entered it then also in the absence of other symptoms you do not need any treatment for it would settle on its own however we would like to get a urine routine examination just to rule out the possibility of urine infection which appears unlikely to me so I think it is not a worrisome issue and you may continue to apply oil or vaseline to penis shaft carefully the next course of action should be urine routine examination and treating infection if we find it which appears unlikely also you should have plenty of water for a few days atleast if possible avoid masturbation for a few days to avoid mechanical trauma to it I hope this helps | hello doctor I have dry masturbated for years and it created dry itchy skin on my penis shaft I read where conut oil had soothing qualities for sore skin so I tried it for four to five times for three days some of it got into my urethra I noticed some minor redness five days ago so I stopped I have no burning when I urinate no discharge the only sex I have had in months was oral and that person is sad free per doctors tests in march I have never had an sad but it is slightly uncomfortable I have a doctor appointment scheduled for a week from now but was curious what my treatment options could be | medium severity |
how to find that I am allergic to hydroxychloroquine | hello it is less likely you would be allergic to hydroxychloroquine however allergy is not the only criteria a detailed physical examination along with an egg electrocardiography report will have to be done to check if your body can tolerate the medication or no there is no specific food for immunity any home cooked food that is not processed will do you can drink hot water that is bearable important precautions for couid 19 are social distancing use of mask whenever outside the house at all times as soon as you come from outside have a bath and keep clothes for washing without touching anything in the house do not touch your face eyes ears or nose when you are outside hand hygiene is very important keep your hands clean by rubbing with soap and water whenever you touch anything that is not yours you can use a hand sanitizer when outside in this regard if you get any symptoms of fever 100 or more in the thermometer with cough or cold please report to the nearest health facility | hello doctor I am allergic to quinolones metronidazole ibuprofen diclofenac and aspirin please tell me whether I am allergic to hydroxychloroquine or not if yes then please tell me ways to how to develop my immunity food that I should eat and should I drink hot or cold water what all the special precautions that I have to take to fight corona | low severity |
I get stomach pain if I do not eat for hours why | hello welcome you to icliniq com I can imagine how upset you have been since the start of your symptoms I will try to provide you the best options for your treatment so far I understand that you have pyloric induced gastritis you have taken medications for it but it turns positive every time you have an endoscopy the last which was 5 years back you tend to have stomach pain which is worse on fasting plus you feel burping and acidic taste in the mouth anal itching and constipation worsen your itching so pyloric infection is common worldwide with a prevalence of 50 of the world population is infected with this bacteria pyloric can cause ulcers in stomach and small intestine which is called duodenum pyloric responds to combination antibiotics for a duration of 10 to 14 days however due to excessive use of antibiotics in community this bug is getting increasingly resistant to these first line antibiotics hence use of second line antibiotics are preferred I will write down the treatment below in a while secondly due to failure of first line antibiotic therapy the pyloric will remain in the stomach and can cause ulcers as well as damage to nerve cells within the wall of the stomach and cause slowing of the movement of the stomach medically termed as gastroparesis or weakness of stomach in common words so your symptoms may be partly defined by resistant pyloric infection causing ulcer formations particularly in duodenum plus the nerve damage within wall of stomach leading to gastroparesis causing bloating belching early fullness of stomach and abdominal discomfort and constipation I want you to tell me whether your last test for pyloric was positive or negative if positive then I recommend you to take the following therapy for 14 days capsule pylera bismuth submit metronidz tcn three capsules daily with a glass of water three hours after meals and at bedtime capsule esomeprazole 40 my once daily half an hour before meals for two weeks digestive 40 my half an hour before meals daily for two weeks if the test was negative then I suggest you to test pyloric stool antigen to confirm if the infection is still present if still negative then do not take capsule pylera but continue with esomeprazole and digestive the digestive tablet will help you to improve your stomach movement secondly some precaution for gastroparesis try to avoid large volume meals instead take small frequent meals avoid taking fatty meals such as burger fried things and large carbohydrate meals like potato and sweets and soft drinks which further slows your stomach avoid taking a large volume of water while having meals your stomach pain occurring when you are fasting for two hours is due to ulcers in duodenum once your treatment with pyloric is completed plus acid suppressant medication such as esomeprazole would help you to reduce your pain I want you to upload your endoscopic reports and ultrasound reports which can help me to assess the extent of damage pyloric has caused to your stomach and duodenum I hope this helps peptic ulcer disease secondary to resistant pyloric gastroparesis pyloric induced or idiopathic small intestinal bacterial overgrowth functional dyspepsia post prandial distress syndrome stool for pyloric antigen to confirm if pyloric is still present gastroparesis pyloric induced or idiopathic small intestinal bacterial overgrowth functional dyspepsia post prandial distress syndrome peptic ulcer disease secondary to resistant pyloric follow up in weeks to update about symptoms as I can reassess and guide you further treatment plan for long term | hello doctor I have regular pain in the stomach while not having food in hours or so I have constant reflux air goes from both ways while burping I feel acid taste frequently after defecation I feel itching in the sphincter I am having a hard time if constipation occurs I am diagnosed with chronic gastritis and pancreas three years ago and was on medication I am seeking for a cure or for something that will get my health back in balance please help | low severity |
has metformin 500 been recalled due to cancer scare | hello greetings happy to give consultation to with the above given history you sugar levels are very much high and you need to control you sugars as early as possible the current medications are not at all enough to control you sugars I will give you the prescription regarding metformin the cancer risk behind metformin is totally wrong it is a good drug of choice even we prescribing this in pregnancy too so do not worry abt the cancer risk behind metformin tats false news I would like few investigations for kindly do all the above investigations and get back for further evaluation I am hereby sending the prescription kindly get these tablets and start taking it will follow up in a week with the above said investigations medicines tab glykind 80 500 0 before food gliclazide metformin tab dynalglipt 20 500 0 tenegliptin kindly take these tablets and get back for follow up with above given investigations kindly contact me anytime for further queries kindly give you valuable feedback thank you | i have diabetes type I am a female my age is 27 and my weight is 43 kegs I am currently been taking glimepiride and metformin 500 my height is 1 I have read that metformin 500is recalled due to cancer scare require alternative medicine my last sugar check was 395 | low severity |
my grade sprained ankle is paining extremely and I am unable to bear weight why | dear thank you for your query as per the information provided by you I would suggest you to follow price protocol that is protection rest ice compression and elevation also I would suggest you to wear ankle support brace or tapping the ankle to provide more stability and thus accelerate healing also try to move the foot within the brace gradually without stressing much avoid weight bearing on the affected foot also I would suggest if you do not feel improvement within week kindly meet orthopedic surgeon or physiotherapist hope I was able to suggest few helpful information to accelerate your healing regards | i have a grade sprained ankle im male 9 160lbs I had severe swelling to the size of a softball the first day swell as bruising that started to appear overnight on day I went to the doctor and got rays the doctor determined it was a grade sprain but gave me a projected recovery time of 6 weeks which is the recovery time for a grade sprain currently I am still unable to bear any weight but swelling is down drastically bruising is the same and now if my foot is not elevated I suffer extreme pain that causes me to often collapse to the floor if anyone knows why this is happening and if it will heal with the rest of my injury it would be much apreciated | medium severity |
my fiance is couid positive how can I protect myself | hi I understand you are worried about couid infection you need to understand that if couid test result shows positive then it is sure that the person has the infection but if the result shows negative that does not prove that the person does not have the infection the person can still be a asymptomatic carrier of couid so at present scenario with huge number of population affected and you being in close proximity with couid positive patients I would suggest you to repeat the test after days if you do not develop any symptoms or earlier itself if you develop any symptoms and since your boyfriend has tested positive you satisfy the criteria of couid close contact you need to isolate yourself at home for weeks and you also need to inform your health officials regarding this couid close contact | hello doctor I have a question on tuesday I went to go get tested with my fiance for couid because we thought his dad may have had it since at his job there were so many infected we showed no symptoms but to be safe we went after then I have not seen him just in case today I got my results and I was negative but he was positive does that mean the virus can still get to me I was supposed to go back to work tomorrow and I have showed no symptoms do I need to get tested again like I said since that day I have not seen him | high severity |
can coronavirus affect asthmatic and thyearoid patients | hello please note that there are two important things that decide fate of a person suffering from couid 19 these are immunity and viral load if your immunity is good but viral load is too much outcome will be poor and if immunity is poor and viral load is less outcome again will be poor both immunity and viral load are under our control please note that hypothyearoidism or asthma will put you at a very low risk for couid 19 so it is fine for immunity general good nutrition will help there is no specific need of taking vitamin and mineral capsules for it as regards to viral load it can be controlled by social distancing and by reducing exposure with anybody and everybody outside your house this rule applies to each and every member of the house as soon as you come back home it is advisable to have a bath with soap and water and to keep the clothes immediately for washing when outside wear a mask covering both nose and mouth at all times also avoid touching your face when outside unless you have cleaned your hands with soap and water do not touch any part of your face | hello doctor as everyone are worrying about corona virus I have a few doubts relating to it how corona effects on asthma and thyearoid patients will corona effect the persons who are suffering with asthma and thyearoid even if they have strong immune system as corona effects especially on lungs even if the person is having vitamin food will the person die after he gets effected by corona because I have asthma and thyearoid problems and I heard that even the person who is strong with immune system will be effected by corona and will die please answer to my question and please suggest me what kind of food I need to take to boost immune system and fight against corona | medium severity |
is it possible for couid 19 to worsen asthma | hi according to your statement you have been suffering from childhood asthma and for the last 20 days your asthma is totally uncontrolled your present medication is foremost 200 respicaps which is a combination of long acting bronchodilator as formeterol with corticosteroids as momentasone and your query is whether you are couid 19 positive or not couid 19 usually attacks the respiratory tract first then eventually other systems as you are a diagnosed patient of childhood asthma so you are more vulnerable to develop couid 19 positive I do not know whether you are quarantined or not you had exposure history or not so you should undergo some investigations like antigen test for active infection and antibody test for previously infected by couid 19 you can also undergo car and pulse oximetry for monitoring of oxygen saturation rate you can take nebulization with salbutamol and salbutamol inhaler hourly or sos with fexofenadine and montelukast along with steroid orally | hello doctor I have asthma since my childhood since last 20 days my asthma is not in control is that related to couid and I do not have any other symptoms | high severity |
I get tinnitus in my right ear after self irrigating the ear for wax did I damage my ear | hi it is always dangerous to predict and take action in case of their own health the tinnitus in your case is not due to earwax it may be due to the blockage of the eustachian tube connecting middle ear and back of the nasal cavity its primary work is to equalize pressure between environment and middle ear this is also a prediction the real cause can be found after an ear examination as you have already mentioned nowadays it is a little hard to go for treatment what you can do is practice some no side effect formulas steam inhalation start sipping lukewarm water for tinnitus use resound relief app which has so many natural sound combos use that in speaker mode never use earphones do not put oil and do not do the treatment on your own unknowingly you are worsening the conditions | hello doctor since about a week and a half ago I have had tinnitus in my right ear this was after self irrigating the ear with one of those squeezy syearinges that come with the tex ear drops before doing this I was putting in oil drops for about a week prior quite a bit of wax came out but now I have this hissing noise in my ear which gets worse when listening to podcasts and music at low medium levels it also seems to become more pronounced when I chew I have had a subtle amount of ear pain over the past week but that seems to have gone now but the hissing sound has not improved at all I am worried I may have applied too much pressure when squeezing the ear syearinge and have damaged my eardrum I was wondering if this will heal over time and the tinnitus will go away I cannot go see a go due to corona so an opinion would be much appreciated | low severity |
after cholecystectomy for rapid weight loss I experience postcholecystectomy syndrome please help | hello well I understand that a year back you have been diagnosed with gallbladder dyskinesia or dysmotility as reported by hide scan I was wondering whether you have weight loss as the only primary symptom or associated with abdominal pain because gallbladder dyskinesia most commonly causes pain and diarrhea rather simply weight loss or one should have to have evidence that the weight loss was due to gallbladder dyskinesia and not otherwise then surgery was probably the right decision I cannot figure out whether you have other symptoms or not and now what sort of typical symptoms you feel suggesting you as postcholecystectomy syndrome pas I can understand actually that symptoms of pas can be at times very distressing and unbearable the common symptoms are bloating after meal frequent reflux or pain in the upper part of the belly diarrhea after meals or sometimes otherwise and this even can cause weight loss this syndrome basically occurs secondary to an excessive pool of bile stored within a small bowel instead of gallbladder which is otherwise a sole bile reservoir but pas usually resolves within some time the maximum it can take is two to three years until the time your small intestine is adapted to it you can try tablet cholestyearamine go twice daily hour before meal or hours before meals this is a bile sequestrant and will bind and remove excessive bile from the gut to be honest I still do not understand the reason for your surgery year back but cannot completely argue with physician because I was not and he was the best person to decide while understanding your condition at that time postcholecystectomy syndrome follow up in two weeks | hello doctor over a year ago I scheduled an appointment to try to understand why I was rapidly losing weight my gastroenterologist ran some tests and did an upper endoscopy as well as a hide scan the upper turned out negative for all tests however the hide scan reported that my gallbladder was functioning at approximately 40 my gi then recommended a cholecystectomy as my gallbladder was not functioning properly he did also suggest that I could try to repair it with my diet but then told me it would likely be fruitless and I should get the procedure right away I did so promptly and experienced the typical symptoms I am concerned about this only now because I believe I have postcholecystectomy syndrome due to the surgery this would not be an issue relatively however I believe that my rapid weightless was due to extreme stress and was mostly psychological it seems to me that my practitioner should have advised me that gallstones occur commonly when rapid weight loss occurs furthermore I believe that I could have benefited much more from keeping my gallbladder on a rigorous healthy diet and prescribing a biliary control the latter that has taken place has resulted in a year long constant struggle to be happy and healthy | medium severity |
due to depression I am unable to sleep during night please help | hello how long have you been experiencing these symptoms like poor sleep excessive crying feeling angry etc did they start after any stressful event I can understand it can be difficult having these symptoms but with the right support you will get better it looks like your poor sleep is related to your emotional disturbance helping you calm down will improve your sleep and overall emotional wellbeing share your feelings and thoughts with trusted family and friends talking to a trusted family member or friend can lower stress significantly exercise regularly as it is the best mood regulator even a brisk walk of 15 20 minutes daily will restore your spirit and help to sleep better try relaxation activities like deep breathing progressive muscle relaxation daily be kind towards yourself treat yourself like how you will treat a friend who is going through a difficult time avoid watching tv electronic screens before bed time it will worsen your sleep if your depression issues are severe and persistent consult a doctor for further assessment counseling therapy and sometimes medication may be needed | hi doctor I am facing some depression issues and not able to sleep during the night after two or three hours I can sleep during this time I not able to control myself and crying like anything sometimes it is making me so crazy and angry as well please help | medium severity |
though my mom period stopped before years she gets brown discharge now what is that | hello blood mixed vaginal fluid in the postmenopausal women need to be evaluated cautiously and carefully although the common cause of such bleeding is due to deficiency of hormones once menopause is achieved the possibility of cervical and endometrial cancer needs to be ruled out ultrasound will not detect anything abnormal if the condition is still in an early stage for which microscopic evaluation of the cells needs to be done to see for any cancerous changes rarely the bleeding can be from the urinary tract or from the rectum which could be mistaken as vaginal bleeding too you need to get her a pap smear and hav human papilloma test testing done along with endometriosis evaluation to rule out both cervical and endometrial cancer possibility if possible please share her ultrasound reports to look for her endometrial thickness value please do not ignore these tests if not done previously I am assuming by getting her evaluated you have already gotten her examination done with a gynecologist if not then please make a visit to your gynecologist for her examination pap smear and hav testing endometrial aspiration with endocervical curettage us ultrasound for endometrial thickness | hi doctor my mother is 58 years old her periods stopped in 2015 later she got her periods once in a year now from the last year blood like brown fluid came from her vagina when she go to toilet she do not feel pain or any other symptoms all test came positive and nothing seen in ultrasound no infection and no fibroid also please guide | low severity |
I have soreness in vaginal lips with fever for the two days please suggest solution | hello welcome to icliniq com I have gone through the attachment picture based on that it appears like a genital yeast infection or other possibilities can be a developing bartholin 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 cyst too unless infected I would like to know if you are having any increased frequency of urination 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 microscope urine culture and sensitivity complete hemogram let liver function test rat renal function test serum electrolytes peripheral smear for malarial parasites dengue ns1 egg and i'm serology tidal test tablet doll paracetamol 650 my sos for fever candid ve cream local application at the sore area follow up with the blood test review with the doctor for ear infection issue check up | hello doctor I have soreness in vaginal lips for the past four days and having a fever of 102 for the past two days I had a preauricular sinus infection drainage procedure done I took 45 days of antibiotics taxi for 20 days augmenting 625 for days cecil 500 for 10 days and lizobact 600 for 14 days I stopped taking them on this sunday after ear properly healed | medium severity |
my period has got delayed for 12 days for the first time why does it happen | hello before we could determine the exact cause for this prolonged bleeding I would like to know a little more details about your previous cycles as you said you always had regular cycles just wanted to know if your previous period was on time and had a normal pattern of bleeding or was it scanty also whether you are a sexually active individual and if so whether any chances of pregnancy could be there if there is any such doubt it would be advisable to take a home pregnancy test sometimes the scanty flow of implantation hemorrhage could be confused with a normal period and the actual bleeding could be a sign of threatened miscarriage if pregnancy is ruled out by checking urine pregnancy test or if not sexually active the hormonal disturbances of thyearoid or prolactin hormones and sometimes lifestyle related problem that is cos also can cause such irregularities in periods also stress can be one of the reason for hormonal changes and thus causing disturbances in menstrual patterns basically this is suggestive of anovulatory cycles so to find out these you need to take certain blood tests I would like to know if you had any recent weight loss or do you face frequent acne and unwanted facial hair growth problems any headaches or visual problems these symptoms may provide some clues to the underlying problem which is causing a delay in periods for you please revert back to me with the necessary details for discussion so as to find the appropriate cause for your problem and start the necessary treatment to control the bleeding ultrasound abdomen and pelvis home pregnancy test if sexually active thyearoid hormone disturbances cos submucosal fibroids polyps incomplete miscarriage after discussion and evaluation | hello doctor I generally have regular periods and for the first time I had my period 12 days earlier this month and it is continuing for more than 10 days I am currently on sepia 200 kindly help | low severity |
I have pain in the bones and joints of hand and feet every morning why | hello I have gone through the reports there is a high ra factor and low vitamin I would like to take a few more details on the history part but it would be better if someone can examine the joints as it is a long treatment which patient will need so she should be examined properly before commencing the drugs for it does she have early morning stiffness if yes then for how long any dry eyes or dry mouth any oral ulcers any hair fall any recent changes in mood with irritability any history of tending to forget things early | hello doctor I have pain in the bones joints of hands and feet especially in the morning upon waking up it has been consistent for the past couple of months please help | medium severity |
my nose looks weird with a bent and one nostril being bigger than the other how to correct it | hi the general appearance of the nose happens to change from the beginning until the age of 18 after which it more or less remains constant unless and until there has been an external source of injury to deform the nose if you feel that your nose looks way too weird and it is way bothering you too much you might require a corrective surgery that we call as a rhinoplasty now depending on whether the area in concern has to be reduced or augmented it depends on what type of nose job you want to get done and the surgeon will operate accordingly rhinoplasty is preserved for patients who know what changes they really have in mind and understand that a near close picture can be attained through surgery most nose job surgeons these days do have software wherein you can assess whats the abnormality in the nasal appearance what changes you want and how would it probably look after the surgery all the abnormalities mentioned above can be effectively resolved through operative rhinoplasty and conservative techniques do not really fetch long term results | hello doctor I have a large nose which I do not really mind however I have one nostril bigger than the other and my nose looks bent at the top it has been like this since around age 15 what could cause this I cannot recall any trauma other than having large cysts or spots on my nose which I would squeeze | low severity |
my period is getting delayed this month with weight gain and increased ash levels why | hello yes you can take the primolut tablet as advised by your gynecologist as your periods have gotten delayed by almost more than 45 days it is unlikely that they would come naturally even if it does it may not be similar to your natural menstrual pattern this is because this is an anovulatory cycle meaning no ovulation must have occurred in this cycle usually when periods come after such a delay it could range from spotting to scanty flow to excess flow or sometimes prolonged bleeding which may need hormonal medications to stop the bleeding I would like to know if you face any acne or unwanted facial hair growth problems if so then you must be having cos even if the us is normal and yes you definitely need to start treatment for your hypothyearoidism as your ash thyearoid stimulating hormone level is high thyearoid hormonal disturbance are quite common with cos polycystic ovary syndrome and also it can disturb the menstrual pattern too so definitely you need to start your thyearoxine replacement medications dheas dehydroepiandrosterone is low so there is nothing to worry about that as you complained about weight gain over the recent few months it would be advisable to reduce your weight do regular exercises and eat a proper healthy diet I hope this helps | hello doctor I am a 24 year old female my weight is 57 keg height is 163 am my complaint is face chubbiness and I gained about keg for the past months and the main problem is that I am missing my menses this month my lap was on 15th april as per gynecologist advise I did abc fasting sugar ash prolactin hug total testosterone dheas fish oh us pelvis for pod doctor advised to take primolut but I have not yet started the tablet do I need to start that and what is the line of treatment all reports were normal except the two ash 13 740 dheas 53 19 please help | low severity |
what could have caused stomach bloating and alternative bowel movement in a diabetic | hello I can understand you must be very upset about your mother for her troubling symptoms you know diabetes hypertension are chronic ailments that can affect every system of the body some of these effects particularly of diabetes are related to the gastrointestinal tract git certain conditions like diabetic gastropathy involving the stomach diabetic enteropathy when involving small bowel can cause bloating alternate diarrhea with constipation such as in her case it is highly likely that she has one of two of above mentioned conditions but to be on the safe side I will suggest you some tests as we can rule out anything other than this meanwhile start her on tablet digestive metoclopramide 40 my once daily half an hour before meals start her on tablet rifaximin 200 my thrice daily for three weeks this is a safe antibiotic which will correct her abnormal bacteria within the small and large bowel this will help her control her production in the long term use fibrocol or any other fiber which is available two tablespoons full with water once daily with water and the most important of all tight control of her sugars since the problem is secondary to diabetes once diabetes is controlled fairly enough her symptoms improve itself I hope this helps diabetic gastroparesis diabetic enteropathy small intestinal bacterial overgrowth functional bloating and gas complete blood count abc hba1c glycated hemoglobin ash thyearoid stimulating hormone ft4 ft3 vitamin b12 and rec folate serum albumin bun creatinie electrolytes calcium phosphorous magnesium serum cop stool for ova and parasites stool for fat globules and reducing substance stool for difficile stool for fecal calprotectin stool for pyloric antigen follow up after week of use of above medication to see how she respond meanwhile get above mentioned investigation please do not get frightened seeing list of investigations they are just a through overall assessment of her condition if she already had some of these tests before then please do not get those | hello doctor my mother is 65 years old diabetic she has hypertension hypothyearoid and thalassemia minor she is anemic too for 10 days she has been having alternately bloated stomach diarrhea constipation and lower back pain what could these be symptoms of | medium severity |
I have psoriasis with flaky reddish and itchy skin at the back of my ears and temples please help | hi thank you for providing information kindly hold on a minute I am typing detail answer and explanation of your query | hello doctor I might be suffering from psoriasis I have a flaky reddish itchy hairline back of my ears and almost on my temples how can I treat that at first I thought it was dandruff but as I started to see the flaky skin emerging towards the hairline and gradually towards the back of the ear and the temples I realized it was something more so I googled it and I fear it is psoriasis that I do not have much knowledge about but I would like to take professional help to deal with this issue | medium severity |
my free spa is 19 what does it mean | hello spa prostate specific antigen is only a screening test that can be raised in any prostate abnormality coming back to your query as your total spa levels fall in the grey zone of 10 free spa is done if free spa is more than 25 chances of you having ca prostate decreases to less than if your free spa would have been less than 10 biopsy would have been recommended so when your free spa is 19 so chances of you having ca prostate is relatively less and you can be kept on three months spa and free spa follow up I hope this helps | hi doctor I had a total free spa test done and these were the results spa spa free 49 free spa 19 what does this mean | low severity |
it is becoming hard for me to stand or be on my feet for a long time due to sciatica please help | dear sending love and healing vibes looking into your problem we need to understand the basic physiology about the facet joint facet joints helps healthy movement and intervertebral discstability for each motion segment the aging osteoporosis traumatic injury can damage the facet joints and is the leading cause of back pain known as facet joint syndrome therapies include medial branch blocks intraarticular within a joint steroid injections and or radiofrequency ablation rfa percunateous endoscopic lumbar discectomy meanwhile I recommend you to take these drug which helps reduces the swelling of disc and neurogenic problem thank you | hello doctor I am dealing with sciatica in both of my legs the symptoms I am dealing with are burning tingling sharp shooting pain in both legs aching and pain in my feet it is now becoming hard for me to stand or be on my feet a long time the sciatic flare is from a slip in fall accident I had six years back I was diagnosed with lumbar facet syndrome | medium severity |
why do I have radiating shoulder pain after a week of laparoscopic gallbladder surgery | null | i had laparoscopic surgery week in a half ago and also he an ercp done for a stone stuck in the duct ok a week goes by I had some stomach pain bloating and diarrhea but most of that is gone now this morning I wake up and had one of the most excruciating pain in my shoulder that radiates into my shoulder down to the bottom of the right blade I also have been suffering from motion sickness as well my family doctor prescribed me with anti vert medicine and some muscle relaxants and pain killers tylenol do not do much but percocets seems to work a little but the pain is still in my shoulder and neck its extremely hard to turn to the right because of my pain in my neck I also have issues maintaining balance because I get so dizzy as if I have some sort of vertigo are these conditions normal after gallbladder surgery what exactly am I suffering with do I have irritation to one of the nerves like the vagus nerve | medium severity |
I have mild abdominal pain and a history of abusing co codamol is it due to liver damage | hello I welcome you to icliniq first of all I give you a vote of appreciation that you were able to stop using co codamol for chronic users of these opioid medicines it is merely impossible to stop well once you stopped taking these medicines it is unlikely that the effect will remain within you and can harm you in long term so I do not think that you should be worried about this now the pain you mention which has started nearly at the time of stop of these medicines suggest narcotic bowel syndrome nos in nos the patient became insensitive to the usual doses of opioids and kept on increasing the doses to relieve the same amount of pain intensity with subsequent higher doses this happen because of chronic use of these medicines would potentially increase the numbers of receptors controlling pain once the medicine is reduced in dose or completely stop in your case a rebound pain develop and it remain until another painkiller or similar opioid is restarted so actually it is vicious cycle pain and increased dose cycle is sometime inevitable and requires a close monitoring of switching to other safe painkillers while at the same time decreasing the dose of opioids the treatment is termed as opioid detoxification therapy to be honest I am not an expert in it but tried my best to explain to you to help you understand your symptoms if you want further guidance on how to control your pain which is possibly be secondary to nos I suggest you to meet with pain management specialist in near by hospital since you already stopped the medicines I suggest to use paracetamol which is rather safe medicine for controlling pain plus you can use cap pregablin 75 my at nigh time daily to control your symptoms I hope this will help you take care and have a good day narcotic bowel syndrome nothing pain assessment only functional abdominal pain syndrome nerve entrapment syndrome nos tab paracetamol which is rather safe medicine for controlling pain plus you can use cap pregablin 75 my at nigh time daily to control your symptoms follow up if you have any concern or want to discuss nos in detail and its management | i have had a history for years of abusing co codamol often taking ex 30 500mg several times a day I have some mild right upper quadrant pain that is persevered for a few weeks after stopping all codomol use over the last year I have had abdominal al ultrasounds many liver function tests and urinalysis which have all come back in normal ranges or clear I have been told sometimes the liver can still be damaged but still present normal liver function tests and it can be hard to see on ultrasounds is there a chance I have some liver damage | medium severity |
I have hard crusty stuff around the ear canal with clear discharge what could it be | hi probably you have a subclinical otitis externa in this condition there will be a very subtle infection in the ear canal which leads to an intense amount of itching with the use of earbuds the raw area gets exposed and flares up the irritation even more impacted wax can also be a source of the irritation in the ear this is often associated with fullness and pain you can follow the advice mentioned below please stop using earbuds henceforth tablet levocetirizine 10 my one tablet at night for the next 10 days wax dissolvent ear drops three times a day for the next five days keep the ear dry please wear a shower cap while bathing the scab will dry and fall off on its own so there is no need to keep touching it you can continue amor antibiotic as it has nothing to do with the current problem if there is anything more you want to know please do inform me | hello doctor I have this hard crusty stuff around the perimeter of my ear canal it itches and if I scratch it will come off but it sometimes causes clear fluid to drain out of my ear it also dissolves if I get water in my ear I am currently on amoxicillin for a tooth infection | low severity |
how accurate is sad test done within 6 days after unprotected sex | hello I have gone through your history and understood your concern as the incubation period of organism are different in every infection usually first test should be done after 10 15 days of exposure as your is done little early but as you are not having any other symptoms along with this we can rely on your test results but doxycycline may affect the test results | hello doctor I had an sad test done five or six days after unprotected sex with a new partner the tests came back negative but I have learned that you should wait for different windows of time before getting tested for certain studs this was about seven months ago today I went to my gynecologist to get tested again for chlamydia and gonorrhea to ease my mind she said that the original tests were likely accurate given that just barely enough time had passed to be tested but suggested to get another test for peace of mind I did not think until after my appointment to ask if the doxycycline I am currently taking for my acne 100 my twice daily would alter the results I am wondering if the results I get in a week time will be accurate and if you think the original test was likely accurate in the first place | high severity |
how do symptoms like abdominal pain fullness nausea and weight loss related to ovarian cancer | hi welcome to icliniq com thank you very much for providing detailed history and uploading all the blood tests blood tests give us many clues you definitely have less red blood cells than expected but also you have low white blood cell count that definitely makes me think about some problems related to the bone marrow where those cells produced with the production of less red and white blood cells it is also expected you have a low level of blood proteins let me tell you about your abdomen pelvis scan quality is good they started with noncontrast then got venous routine phase with also additional delayed phase liver gallbladder spleen pancreas bilateral adrenal glands and kidneys look normal uterus and bilateral ovaries are normal bladder is normal what is abnormal intraabdominal fluid ascites which explains your fullness good news is no evidence of ovarian cancer or any other masses I highly recommend you to see a hematologist and maybe sample bone marrow I strongly believe you have bone marrow disease regarding to production of blood cells if you would like to read about it might be some mild form of pancytopenia although your platelet number still looks low normal bone marrow diseases bone marrow biopsy bone marrow diseases | hello doctor I have abdominal pain fullness nausea weight loss leg edema I would like a second opinion and another interpretation of my scans please in february I started having bad abdominal fullness nausea vomiting anemia and weight loss for a few weeks then I felt a little better but then I get the same again I am worried about possible ovarian cancer as three of my aunts had it my mom and five aunts had breast cancer and my grandma died of peritoneal cancer of ovarian origin when I looked at the it scans it seemed of pretty poor quality compared to the images I see online please help | high severity |
after taking co altria for sinusitis I experience dryness of mouth and headache why | hello dryness of mouth might be due to mild anticholinergic effects it may sometime cause drowsiness and also depends on person to person this would take a few days to adjust you can continue this drug along with steam inhalation twice daily | hi doctor I am having a problem with sinusitis my doctor ordered me to take co altria 10 my at bedtime I have taken it at am and currently I am experiencing dryness of mouth and headache what to do is this serious I am also taking cefixime 200 my twice daily sinupret thrice daily and nasoflo spray | low severity |
I am 37 years old and getting twice a month am I facing fertility issue | hello welcome back to icliniq com I have seen the reports your hormone levels are normal I would like to know more about your menstrual cycle is it this month or every month you are getting frequent periods I would like to get you a ultrasound pelvis done | hi doctor I am a 37 year old unmarried female with no sexual activity I have been experiencing problem in periods that I have got the period twice a month in the last month without any pain and scanty period my fish is 29 miu my oh is 69 miu my prolactin 6 ng my testosterone total 18 ng dl ash ultrasensitive 470 uiu my usually my cycle is 35 days with three to five days period and I experience pain too I am worried because I am getting married soon and becoming infertile I want to have my own babies I have attached my today blood reports third day of period | medium severity |
I experience hairball in scalp while using minoxidil for patchy beard why | hello yes you can apply but according to our science oil does not act on the roots they will grow automatically nothing more you have to do it can extend up to months hair fall has nothing to do with the hair shaft minoxidil increases the blood flow of hair follicles in the scalp this increase blood flow would persist as long as you are applying minoxidil once stopped you will return to the same stage of hair loss as you would have been without minoxidil I hope this helps | hi doctor I have been using minoxidil topical solution twice a day on my beard for well over three months to fix some patchy spots under the lip and cheek region after the first month I had hair fall in my scalp this hair fall is increasing in numbers and I am losing more than 100 hair follicles now a days I also want to point out that I use various essential oils with carrier oils in my scalp for more than two years I have many questions kindly provide me detailed information can I apply essential oils on my beard peppermint hibiscus and castor oil in the meantime of applying minoxidil also recommend me some essential oil that are adrogenic nature does all the fallen hair in scalp during this minoxidil period regrow and is there any natural way to stop this hair fall during this period how long does this hair loss lasts and what is this cause for this hair loss since I am only using minoxidil in my beard should I bald trim my head after this telogen phase since I have a long hair 2inch will I lose my hair after stopping the minoxidil usage | low severity |
I have severe headaches neck pain and sharp pain around chest is it brain meningioma | hello welcome to icliniq com the patient has a small frontal base lesion that looks like a benign tumor meningioma I would suggest an eg electroencephalography in order to investigate if the epileptic seizures are due to the tumor in that case I would suggest tumor removal if epileptic seizures persist if the epileptic seizures are not related to meningioma I would suggest only mri every year I would also like to send me some images | hello doctor I have severe headaches neck pain and sharp pain around the chest my query is related to brain meningioma and I am on drugs for epilepsy please help | high severity |
I developed intermittent exotropia in late adulthood is it a concerning issue | 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 week | 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 | medium severity |
I weigh around 130 keg with liver enlargement kindly suggest solution | hello I can imagine how upset you must be about your overweight and liver issues well I assume you now have a thorough idea of how this weight bears an impact on your liver and with such amount of weight it is not uncommon to have a fatty liver disease with enlargement of liver size the normal liver size should be no more than 13 am despite the fact you have severe morbid obesity thankfully you deserve a vote of appreciation for struggling so high to reduce your weight by 15 keg this is a good sign by the way I would urge you to continue this in future whatever you were doing for the weight reduction since you did not mention whether you still having alcohol and smoking it is important to know that fatty liver plus alcohol can both damage the liver and the impact is much higher if both risk factors are combined I should strongly recommend you to reduce the alcohol intake if still taking or completely stop it your liver may not be able to tolerate more insult because of alcohol now coming to the numbers which you have shared the spa value more than 12 is suggestive of the development of fibrosis which is not a good sign however this value is often erratic or falsely high if someone has obesity or fat within the liver as may be in your case to confirm whether you have that degree of fibrosis you have to get a liver biopsy which can tell the exact grade of fibrosis and can differentiate whether the insult to your liver is because of alcohol you had in past or because of fat due to obesity the cap value of 353 is suggestive of the amount of fat you have in the liver this can however indirectly confirm the damage to your liver is rather secondary to fat and not due to alcohol but again this has to be confirmed on liver biopsy if you are not inclined to liver biopsy I suggest you to continue with the weight reduction strategy completely avoid alcohol intake and keep monitoring your liver function tests and fibroscan every six months alcohol related liver disease plus obesity and fat induced liver disease complete blood count liver function test hbsag anti hav antibody serum ferritin serum iron total iron binding capacity transferring saturation ash ft3 ft4 serum carbohydrate deficient transferin cdt levels serum albumin total protein and ag ratio serum creatinine bun electrolytes alpha fetoprotein app weight reduction alcohol abstinance follow up after investigation to propose plan of action follow up to provide more information and after investigations or earlier if required | hello doctor I am fat my weight was 130 keg and I reduced 15 keg in five months I was having alcohol and smoking for almost 10 years I had an ultrasound where liver is enlarged more than 20 am and I had a fibroscan as well 353 and 18 median kpa kindly suggest | medium severity |
I am on anti tubercular drugs for to lymphadenitis do I need surgery | hi I can understand your concern according to your statement you have been suffering from to lymphadenitis and taking 4fdc antitubercular drugs for the last days your query is whether surgery is needed for your lymph node or not antitubercular medications are enough for curing to lymphadenitis surgery is needed in rare cases surgery can be done for diagnostic purposes or therapeutic purposes sometimes fine needle aspiration or biopsy of the lymph node are needed for proper diagnosis of to lymphadenitis is known as surgery for diagnostic purposes if to regiment for months or months or months are failed to subside the lymph node then surgery is an option again during to treatment if there is any change in size shape or presence of discharging sinuses or turn into malignancy then surgical drainage or removal of lymph node may be needed otherwise antitubercular medications are enough to treat to lymphadenitis your physician has advised you to do a car chest ray for the detection of chest involvement you should undergo car again prednisolone 40 my day for six weeks followed by gradual tapering over the next four weeks along with your current to regiment are enough to cure your to lymphadenitis without any surgery | hi doctor I have enlarged lymph node on the neck fac says granulomatous lymphadenitis consistent with koch afb stain negative in ultrasound it is hypoechoic lesion of approximately 29 34 my abutting the left submandibular gland but appear separate from it similar lesion of approx 14 23 my is seen adjacent to this mass I have been taking rifampicin isoniazid rifampicin ethambutol pyearazinamide for days and I have also consulted another doctor who says that it needs surgery and asked for digital ray of chest I also gained weight please suggest me should I go for surgery currently I am on forecox 150 mycobutol 400 benadon 20 my and neurobion | medium severity |
I have weird pattern on the back of my arms with no pain and other notable symptoms please help | hi I have seen your photographs and to me it seems like pityeariasis versicolor it usually occur in humid weather or sunny season apply the following medications and it will be helpful increased humidity or sweating pityeariasis versicolor ketoconazole cream for local application in the evening and morning over the affected area | hi doctor I am a female in my mid 20 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 | low severity |
I get pain in my lower ribs while coughing and taking deep breath with history of as please help | hi in the light of the fact that you are ha b27 positive the pain that you are experiencing is due to the same problem this is called enthesitis and it occurs due to inflammation at the attachment of muscles to bones so the treatment also remains similar to that of as you need to take a full dose of said non asteroidal anti inflammatory drugs whichever suits you best for the present you could take voveran so 75 twice daily with an antacid like pantocid if things still bad sulfasalazine may be added calcium and vitamin must be continued regular physical exercise is a must to control this disease please make sure you follow this I hope this helps | hello doctor I have been having pain around my lower ribs towards the back side left side since the past eight days the pain gets worse while lying down and trying to change sides in the night it also hurts while sneezing or coughing feels better if I cough or sneeze by holding the area with my hand it hurts a little sometimes while deep breathing while sitting or standing straight the pain is almost not there and also it does not hurt while bending forward or backward but it hurts a little while bending sideways I did a course of hifenac max for days and the pain did come down slightly however it again got bad last night I was diagnosed with ankylosing spondylitis in 2009 since then I have had two episodes of severe pain in my lower back right side sacroiliac joint but it has never pain in the area of ribs like what is happening now I have also had multiple episodes of uveitis over the past eight to nine years I am hla b27 positive I do not have any other symptoms my appetite is fine and I do not feel any other discomfort my motion is regular also I am not on any regular medication my be is normal measured using an electronic commercial machine at home and my vitals were mostly normal apart from slightly high cholesterol when I did my health check up years back | medium severity |
I have intense itching on my scrotum and thighs with hard pimples please help | hi as per your history there are two possibilities either you have scabies or fungal infection and treatment of both are different before deciding the treatment I advise you to send me a photograph of the affected area | hello doctor I am having intense itching on my scrotum and penis and along the sides of thighs and also some hard pimples are there on my scrotum please help | low severity |
I have numbness and pressure in nerves with tingling in head why | hi I understand your problem but it is difficult to arrive at a conclusion with limited information please tell me in detail tell me where exactly you have numbness I mean where in the head on top on right or left or front or back of the head which nerve path do you feel pressure is it in the whole head or on the side similarly where exactly is the tingling do you have nausea or vomiting sensation do you have blurring of vision or irritation with light or sound did you take any medicines in the past for the same if yes what was the result how is your sleep what is your profession | hello doctor I have numbness pressure following a nerve path and tingling in the head while I concentrate more it has been there for eight years and I have done two iris so far and that came back negative | medium severity |
after getting diagnosed with diabetes my father feels anxious with breathing difficulty why | hello perhaps your father has misperception about the disease and that is causing his anxieties and worries it is unfortunate he developed but it does not mean it is the end for him as long as he takes his medications does his routine laboratory workups and checks with his physician then there is nothing much to worry about he must be informed that as long as he consults with his physician regularly then there will always be an expert making sure he is doing alright and making sure that no complications will develop because of the disease if the pandemic is causing more worries it is normal he might be aware that his condition puts him at a disadvantage compared to a normal healthy individual but as long as he adheres to social distancing proper handwashing techniques precautionary measures such as wearing masks and pipes personal protective equipment if needed then there is a low risk he might acquire the disease remember diabetes and couid 19 both are preventable diseases he needs to take care of himself properly and to do this is by following his doctor orders and guidelines during the pandemic however I am worried about the declared respiratory rate of 86 normal is at 18 does he smoke any cough or colds previous hospitalizations at this rate it is best to bring him to the er for further evaluation when counting for the respiratory rate it is the one cycle of the rise and fall of the chest so respiratory rate is equivalent to rise and fall of the chest | hi doctor this is for my dad and we found out that he has diabetes he became very worried which makes him difficult to breathe and cannot get enough sleep and rest at night he had stomachache and he used to skip meals and drink coffee and soft drinks after a blood test we found that he has diabetes I cannot get enough sleep and worried he always feels tired and anxious with breathing difficulty especially if alone he is currently taking metformin and omeprazole | medium severity |
what is the best treatment for psoriasis | hello I saw your photograph you are having psoriasis and I would like to tell you about your disease psoriasis is a relapsing condition and usually exacerbates in winters it will not spread to other people by touching it will not affect your internal organs it is treatable but not curable it will get cleared but can reappear nothing to worry about it as it is in limited area only application of topical steroids will suffice but if there is more body involvement then we will start oral medicines presently I am prescribing your treatment and you can review in 20 days papulosquamous inflammatory disorder liver function test and complete blood count chronic plaque psoriasis topical clobetasol propionate ointment for local application in evening tablet levocetirizine my evening conut oil for local application in evening and morning use oil or moisturizer keep skin supple review after 20 days | hello doctor I am suffering with psoriasis please suggest treatment | medium severity |
I get chest pain and burping after each meal what could be my problem | hi I see you are worried about your chest pain do not worry your symptoms particularly relating to food connects your chest pain to a gastric related problem and it fits into herd gastroesophageal reflux disease in which there will be acid reflux which in turn causes pain due to intolerance of food pipe to the acid herd tablet pantoprazole levosulpiride tablet twice daily half an hour before food for two weeks syearup sucralfate oxetacaine 10 my one hour before food three times a day for two weeks avoid spicy food avoid heavy meals do not lie down immediately after taking food | hello doctor I am 17 years old and I usually suffer from chest pain and burping after eating something or drinking I do not know what is this sometimes shortness of breath occurs for a short period of time I am a little worried about this when I searched this on google there were things like herd acid reflux heart attack and all can you please help me out with this problem | high severity |
I have uncomfortable feel in throat even after taking beclate and monte la regularly why | hi I see you are more disturbed by your throat problem at present I would advise you to continue asthalin rotacap and stop beclate rotacap at present couid situation because steroids increase the chances of acquiring infection and monte la can be continued on a daily basis are you suffering from a fever if any fever present you need to get checked yourself for couid 19 follow the medicines as advised below and review them with investigation reports abc complete blood count uri upper respiratory tract infection tablet azithromycin 500 my once daily for five days before food betadine throat gargle twice daily tablet aceclofenac and serratiopeptidase twice daily after food for three days mucaine gel tablespoon thrice daily before food review with investigations | hello doctor I am a 42 year old female I have allergic bronchitis since childhood I take asthalin and beclate 200 rotacap and now in this couid circumstances doctor suggested to take tablet monte la I took those tablets regularly in the first week and now I take on alternate days but then also I feel heaviness in my throat I feel uncomfortable with my throat feel I take inhaler also when needed and not regularly I have pain in my body from neck to whole body and feel like ants walking from the right side down the body please guide me | medium severity |
is a rise in lymphocyte along with a bitter taste upset stomach and dizziness normal | hi your lymphocyte percentage is not that significant to worry about still it will be more informative if you can upload the full abc panel for better analysis your symptoms could be acid reflux induced gastritis or due to a stone in the gall bladder we need to investigate more before labelling it as anxiety kindly do the investigations mentioned below and review acid reflux abc ribs let us abdomen herd cholelithiasis pantoprazole levosulpiride stab twice daily before food for weeks avoid spicy and heavy meals avoid high fatty meal | i have been having a bitter taste upset stomach dizziness for about a month a month ago I got labs everything was within normal ranges my lymphocyte percentage was at 54 a week ago I have the same symptoms and lymphocyte is at 56 I am told its anxiety is that rise in lymphocyte normal | medium severity |
I have a painless lump in throat at palatoglossal arch could it be cancer | hello I have seen the pictures 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 postnatal drip nose block or headache in the morning please revert back treatment for reflux avoid spicy and very hot food items and dairy products drink plenty of water take dinner at least two hours prior to your sleep tablet pan 40 pantoprazole twice daily on an empty stomach for one week do not do gargling | 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 | medium severity |
I feel burning sensation in perineum with urinary frequency and discomfort please help | hello it can be prostatitis do you have a history of unprotected sex with a new partner before the start of symptoms is ultrasound abdomen has been done before kindly attach reports any report on urine culture you mentioned that you have been treated thrice which antibiotic has been given to you do you have a burning sensation after ejaculation also are you a diabetic or hypertensive | hello doctor I have had the following symptoms every few months for a long time now frequent urination burning in perineum area and discomfort after urination I have been treated for general urethritis three times in the last year I do not have any studs as I have been tested these symptoms come along with no apparent cause what is this and what should I do | medium severity |
I have a small fleshy lump on my penis for the past one year with no changes in it please help | hi I get to see you ate worried about the lump in your penis I have gone through your pictures not clear though it looks very small considering your statement to be present for the past 12 months with such a small size without any growth or difficulty in skin retraction it is not a significant problem still I need a bit more information for a better understanding as I have mentioned had it been the same size for the past 12 months is there any color change over the lump or redness or pain over the lump do not mistake me for this how many sexual contacts you had only your girlfriend or beyond her was there any watery or pus discharge anytime from the lump do you have any burning sensation while passing urine or cloudy colored urine and regarding the black marks do you have any itching sensation over the black marks are the black marks increasing in number and size do you have a fever it will be helpful to guide you better if you can upload the investigations you have done for sad check and more clear picture of your lesions review back with the investigations advised below if not previously done and upload your previous investigations abc complete blood sugar ribs random blood sugar urine routine tablet amoxicillin and clavulanic acid 625 my twice daily for five days fexofenadine twice daily for five days | hi doctor on my penis I have a small fleshy lump and I have had it for around 12 months my girlfriend has had an sad check within these 12 months and the tests have come back clear so I do not think it is warts I think it may be a skin tag I have been applying tea tree oil to it the past week which has dried it up and made it feel a bit looser the reason I am getting in touch is because I have started to develop black marks on my penis they are very small but I want to make sure it is not connected to the lump | medium severity |
I get discomfort and bleeding post fingering with an urge to urinate is this uti | hello have you noticed the bleeding while you urinate also or else only after fingering in view of your past episodes of ti urinary tract infection it seems the same has recurred again as suggested by the pain after urinating on top of that since women urethral opening and the vagina are very near fingering might spread the infection there also and some injury during the fingering might have caused the bleeding please take the following medications and refrain from fingering and sexual activity until the pain bleeding and ti subsides meanwhile do the following test to confirm urinary infection also please attach the previous prescription where lamotrigine and adderall were prescribed do you have discharge per vagina and pain during intercourse as well urine for routine and microscopic examination and culture sensitivity test vaginal swab for culture sensitivity us ultrasound lower abdomen and pelvis with peru postvoid residual urine tablet nitrofurantoin modified release 100 my tablet twice daily after breakfast and dinner tranexamic acid 500 my tablet twice a day sos if there is bleeding syearup urinary alkalinizer disodium hydrogen citrate two teaspoons with one glass water twice a day avoid fingering and sexual intercourse until bleeding and pain subsides if at all sexual intercourse is done do it with a condom drink plenty of water and oral fluids avoid holding urine before urinating sanitize your toilet seats maintain hygiene at private parts with urine re me and is reports | hello doctor a few months now I have been experiencing discomfort and bleeding after being fingered it does not really happen during sexual intercourse though I have an urge to urinate even after urinating and it stings and the urine will sometimes come out at different random times I have had two unis which I have felt the urine sensation before but the bleeding is what I am most concerned about also we always use protection why am I experiencing bleeding and discomfort after being fingered I am currently taking lamotrigine and adderall | medium severity |
I have pain in joints with bad flares in hands knees and hips please suggest possible diagnosis | hi you seem to have multiple joint arthritis since cop reactive protein factor anti cop cyclic citrullinated antibody and ear are normal no one is going to conclude this as rheumatoid arthritis or seronegative arthritis I need the following details since how long are you suffering from it do you have an increase in pain and stiffness in the morning when you get up or is it the same throughout the day within how many minutes to hours of getting up in the morning you start feeling lesser stiffness do you have pain and swelling in distal interphalangeal joints of hands | hello doctor I have been to six different rheumatologists one of those rheumatologists said I have fibromyalgia and I still do not agree with this diagnosis my labs come back normal my radiographic test concludes osteoarthritis in both knees and thumbs I have pain in these joints and have a bone island in my right knee I am under pain management but I just feel like we are missing something my body feels way off and I am almost positive with seronegative ra I just feel like the physicians are in someway scared to conclude this diagnosis I have bad flares that are bilateral on my hands knees hips and between my shoulder blades I have swelling and fever in these joints I have no idea what to do but I am progressively getting worse please help I am currently taking nucynta er 150 my xanax my lyearica 100 my is tizanidine my and synthroid 25 mug before meals | medium severity |
I regularly regurgitate for about 10 minutes after each meal does it suggest ruination syndrome | hello I can understand you must be upset about your condition lasting so long you well described the symptoms and timings which are very important in your case the symptoms you mention can present for many years harmlessly and at the time this accompanies other eating disorders such as bulimia nervosa excessive eating and anorexia nervosa excessive fasting I want to hear from you do you have certain symptoms suggestive those disorders as well ruination is a functional disorder and it can resolve with time on its own but the one recommended therapy is diaphragmatic breathing you can learn how to perform this at home by watching some videos available on youtube secondly you can start the tablet ondansetron my thrice daily this medication will improve gastric accommodation to prevent the reflux of contents the diagnosis of ruination can be confirmed with gastroesophageal manometry with impedance which is a test to measure the change in pressure across the stomach and esophagus while you do this ruination this test is sometimes important because there are certain mickers which present in the same way but have a completely different approach I hope this helps ruination motility disorder of esophagus gastroesophageal manometry with impedance esophageal motility disorder ruination syndrome diaphragmatic breathing tablet ondansetron my thrice daily half an hour before meals follow up to provide more information to decide whether a gastroesophageal manometry is required at the moment | hello doctor I am a teen and I believe I have ruination syndrome as 10 minutes after every meal I regurgitate the food I eat but it is not digested and tastes like the food I recently ate I often chew the food again and swallow but it is quite annoying and it happens for about 20 minutes before going away it started several years ago but I brushed it off thinking it was nothing what should I do and is there any treatment | medium severity |
I have a painful swelling in my perianal area could it be an abscess | hello well I do not know the particulars of your case it sounds as if you may have what is called a bartholins cyst this represents inflammation of the glandular structure in the perianal area in women it is generally benign but can be very painful and uncomfortable try sitting in a warm tub with warm water several times a day or applying warm compresses to the area such as a warm cloth for about 15 minutes and as it may bring down the inflammation if that does not work then you should probably see a local doctor who has other methods of bringing down the inflammation including the use of antibiotics | hello doctor I have a painful lump on my perianal area I shaved on friday and at first I thought it was only an ingrown hair but I am not sure anymore for the last two days I have been working sitting for many hours and it became very painful and swollen I do not know if it is an abscess please help | medium severity |
when I try to walk the lower part of the scrotum becomes dark and I have pain please help | hi let me tell you that the symptoms described by you suggest that you have vasculitis inflammation of the blood vessels can cause peyearonie disease more over it may be due to epididymo orchitis in this situation I suggest you non asteroidal anti inflammatory medication like ibuprofen 400mg and antibiotics medication I recommend you lignocaine ointment apply locally use ice packs for good blood supply avoid alcohol and smoking avoid stress and anxiety more details you may consult with me hope I have answered your query | hello one day when I masturbated my right testicle went up and at the same time I felt a burning in the perineal area after ejaculation I felt an intense pain in that area and from that time I always have problems walking or ejaculating the thing that scares me is that the penis veins have increased in volume and have a dark color initially I thought of a nerve injury but now I do not understand why this veins and pains along the legs the doctor said that I have a prostatitis and vesiculitis but he did not tell me about the veins if I try to walk the lower part of the scrotum becomes dark like a hematoma and I have pain it seems to me that there was damage to the veins and nerves because I always have pains that start from the perineum and branch towards the legs | high severity |
is there any possibility for me to get hepatitis if condom tears during vaginal sex | hello I welcome you to icliniq I want to know which test did you do to check hepatitis if this was a high quantitative per test and if it was negative then you are completely safe if it was antibody test and was negative then I suggest to confirm with quantitative hav per test the antibody response to hav viral infection is slow hence a negative antibody tests does not confirm absence of infection means it can be falsely negative quantitative hav per if negative then it can confirmly rule out the infection for example if you were exposed then per test can come positive as earliest as to weeks do scree yourself for other sexually transmitted disease hav and hiv I hope this will help you understand things good day risk stratification for hav exposure risk stratification for hav exposure follow if required | hi doctor I have question about hepatite I had vaginal sex with condom but unfortunately the condom was torn during the sex and I stopped it is there any possibility for me to get hepatite in this way actually I did not know her I have tested for hav blood test 60 days after exposure and it was negative if I test one more time at 90 days it will be conclusive or I should repeat the test more thanks for your help | medium severity |
my baby is avoiding breast while breast feeding how to feed her | hello you can express breast milk either manually or by using a breast pump and give that milk to the baby using a spoon but the reason for avoiding breastfeeding needs to be evaluated nose block is a common cause for refusal to feed if the child is having a nose block you can use nasoclear drops two drops prior to each feed you have mentioned the baby current weight as labs for a three months old baby labs fall much below the normal range was the child preterm how much was the birth weight | hello doctor my three months baby is avoiding breast while feeding is there any other option to make her drink breast milk without direct feeding | medium severity |
I get muscle twitches in my quad and calf muscles often with no pain could this be due to anxiety | hello such muscle twitching can happen in few medical conditions like anxiety motor neuron disease nerve injury benign fasciculation syndrome and hyperthyearoidism if you do not have any weakness or muscle thinning it may be due to anxiety I suggest to observe it get to and ash thyearoid stimulating hormone test if you are anxious you need to overcome that too if it persists then it may need some further investigations | hello doctor I am a 41 year old male who is 10 and in pretty good shape however last week while I was sitting on the couch at night I noticed muscle twitches in my quad muscles I ignored it thinking maybe I walked or exercised more than normal but since then they have not gone away and I notice them in all different parts of my body but mostly the legs calves shins quads of both legs I feel them every few minutes or so while sitting or laying down they are not painful I have not lost any strength while doing pull ups lunges or dumbbell curls I do not drink coffee nor alcohol and I do not take any medicines I took a magnesium supplement for the last few days and it did not help my symptoms I started googling stuff and became very afraid could this be caused by anxiety I did have some restless nights last week please help | low severity |
please suggest some tests to assess my stomach | hello revert back with the answers to the above questions to an internal medicine physician online | hi doctor yesterday I had roti with spinach which is home made today morning I experienced a stomach bout but not watery should I take a combination of antibiotics idol and ulticept 500 my along with metrogyl and eldoper I am still feeling uneasy please guide me on this every 20 days I am having issues related to the stomach should I go for endoscopy I am scared of my present health condition please advise some tests | medium severity |
what shall I do for spider veins and swollen legs | hello I had gone through all the data posted revert back with the report details to an internal medicine physician online | hi doctor I am 60 years old I am in excellent health I just had medical checkup and everything fine except cholesterol reading of 320 despite a healthy diet and exercise my problem is peripheral edema spider veins and swollen legs which is often very painful after standing for a long time in the past has spent a long time standing at work I have good shoes and surgical stockings for help I am not on any medication for this I have this problem for over five years now please help | low severity |
I am ready to help a sex chat agent by giving her some money is it right | hi I can understand your mental turmoil I can see that you are deep in trouble for further information consult a psychiatrist online | hi doctor I am having severe mental problems and I cannot concentrate on anything I am a civil engineer and working in a private firm I am married and have one child I am unable to take my wife with me because of financial issues my wife got pregnant last year and since then I have stayed alone due to excessive sexual desire I have approached many prostitutes but only after spending lots of money I got physical satisfaction mental desire was still unsatisfied nearly one year I went through many troubles in my jobs including court case and money loses since then I have changed three offices but did not receive proper funding from the company I was all alone with less or no friends I searched in dating sites and found a girl who is a professional sex chat agent she made a personal contact with me out of her job scope in less than a week time I feel like I am in love with her and cannot live without her now she is having some financial problem and seeking money from me for providing sex chat services she is not a fraud and somehow I can manage to give her that by taking a loan on credit card and something I am in constant touch with her since last days and I have yet not done any sex chat because my mind did not allow me to ask her for sex I am thinking about her only and not be able to concentrate on my work I cannot get rid of the problem and cannot take myself out of the situation I am seeking help in this regard thank you | low severity |
my mom behavior changes every single minute how to resolve this | hi for further information consult a psychiatrist online | hi doctor myself and my wife are stressed by my mom behavior she keeps changing every single minute and fights with us for small matters kindly help me to resolve this | medium severity |
has high level prolactin affected my sexual desire | hi I understand your concern for further information consult a sexologist online | hi doctor I got married recently for the last few months I am experiencing erection problems during intercourse and struggling to get the sperm out hence a general physician advised me to take a few tests I have uploaded the results of the test can you please tell me what would be the next step to improve my sexual activities I have high levels of prolactin has that affected my sex desire also I want to know if it really leads to delay in getting a kid please advice | medium severity |
am I at a risk for heart attack | hi we follow so many patients but these are just a predictor of screening patient who are at risk even a low score person also gets a heart attack you need to show your report to your cardiologist rather than doing interpretation by yourself even we had seen so many patients with critical blockages in coronary it and found the only minimal disease so it is not a gold standard test still risk factors like obesity smoking high cholesterol are better predictors revert back with detailed history to a cardiologist online | hi doctor I had a it scan of my heart to check for calcium buildup in my arteries the score is 83 cubic my and there is a break down in left anterior descending and no detectable calcification an approximately my calcification is present within the proximal aspect of the left circumflex coronary artery about to am distal to its origin and 8 my calcification is present within the proximal aspect of the right coronary artery just distal to its origin please tell me your opinion am I at a risk of heart attack I do not have any previous history of heart issue but heart disease runs in my family last month my cholesterol and lil were 280 and 235 and now 182 and 149 respectively | medium severity |
I would like to try ayurveda for adhd please help | hi rather than just mentioning as add attention deficit hyperactive disorder I would request you mention the dominant symptoms you have noted in him also mention about his bowel movements sleeping and food habits revert back with a detailed history to an ayurveda specialist online | hi doctor my son was diagnosed with add before a year and subsequently he was given vyvanse 20 my he has continued to take this medication until this year with a dosage increase from 20 my to 30 my he is years old and weighs about 70 labs I would like to get him off this medication and try an ayurvedic approach last one year when he has been on vyvanse he has not gained any weight and frequently lacks appetite currently he is on summer break and not on this medication he will be homeschooled from this year onwards | medium severity |
dealing with separation please suggest something to take my feelings away | hello separation from spouse depression mixed anxiety revert back with a detailed history to a psychiatrist online | hi doctor I am 41 years old I am dealing with separation my 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 david 100 my and stopped now | medium severity |
could right eye be more sensitive than the left | hi for further information consult an eye care ophthalmologist online | hi doctor I am years old my right eye seems a little more watery than my left eye it is not running down my cheek but does feel a bit more watery I just feel this for a couple of weeks I have not had any swelling or pain in my eye also there is no discharge from my eye my vision is normal could right eye a bit more sensitive than the left | low severity |
am I under the right treatment for cough | hello I had gone through all the details you have posted for further information consult an internal medicine physician online | hi doctor I am having cough for two to three weeks now it is mostly dry and frequent throughout the day I am getting two to three coughs at one time and then it continues currently I am taking piriton cs pantocid and monte la I had bronchitis problem a few years back wherein I used to get frequent cough please help | medium severity |
what is the risk of heart mur in a days old baby | hi I appreciate your trust in our services I have carefully reviewed your query and can well establish the sensitivity of the health issues you described for further information consult a cardiologist online | hi doctor my baby is days old heart mur was identified during check with the pediatrician he said that the cardiovascular system is abnormal with soft systolic grade 6 mur at lsb we have done the echocardiogram and the results are as follows ventricular septal defect q21 with stable condition and atrial septal defect q21 with stable condition moderate size secundum asd moderate size perimembranous vid with pig of mhg I would like to know the risk factor on the identification of the mur and the steps to cure this as early as possible we need your support and guidance on this thank you | high severity |
other than uti what can cause urethral discomfort | hi for further information consult a urologist online | hi doctor I am a 24 year old female I was previously diagnosed with ti for three to four times in the last two years now I have a frequently occurring problem of itching and burning in my urethra about three to four times in a month it stays for around to hours and slowly goes off after drinking lots of water and visiting the washroom every now and then this generally happens when I miss drinking required amount of water I drink a plenty of water of more than liters a day it also happens when I miss going to the washroom if my bladder is full kindly help me as my life is getting severely affected by this and I stay quite depressed owing to this I have taken urispas when the situation gets worse the urine culture reports show nothing negative is there any treatment for this what are the necessary precautions | medium severity |
should I worry about my brother urine culture report | hi for further information consult an internal medicine physician online | hi doctor my brother had pain in the right side under the rib and feeling stomach fullness we took him to the hospital and an egg and a few blood tests were taken both are normal and he was discharged with some painkillers next day morning the same issue repeated when we took him to the doctor he advised to take a urine test after seeing pus cells he asked us to take urine culture the urine culture report came as no growth I have attached the above reports for your reference please look into the reports and suggest the treatment | medium severity |
how to relax myself during panic attacks | hi I read your query and understand your concerns I am glad to know that you are willing to take necessary steps for avoiding similar problems of depression which had crippled you last year although all kinds of behavioral intervention need personal interaction and complete assessment but deep breathing is the one which can be used in any situations without much effort when you feel something is wrong do deep breathing allow a single breath of in and out around 10 15 seconds this will help you to control the tiredness and fatigue secondly keep yourself hydrated take at least four to five liters of water every day including the day of travel thirdly ensure proper sleep if possible if you are not able to sleep properly without medication then consult your specialist doctor and ask for a prescription for further information consult a psychologist counsellor online | hi doctor I am suffering from depression for the last two years my doctor had changed my drug recently to a new one which is zoloft I have been taking it for a month maybe I am traveling now and in the airplane I got tired along with depression and severe panic attacks even after reaching the place I could not settle down I feel as if my heart is going to stop beating from fear anxiety and panic attacks I do not really know the reason I just need something I can do in order to relax from these symptoms my flight is after two days and I really do not know how and what will happen before a year when the severity of the depression was stronger than now I did not breathe and the emergency staff gave me oxygen how to make myself relax I am really trying to calm down I am telling myself not to fear and relax without thinking anything please help me | medium severity |
being a diabetic why was I started on evista | hello I had gone through all the details you have posted for further information consult an internal medicine physician online | hi doctor I am a type diabetic I have been prescribed vista as I have precancerous cells in my breasts I have had multiple biopsies done in the past years and they were always benign I am concerned about the harsh side effects of vista I cannot sit for extended periods of time as blood clots may occur and also I have an increased chance to get stroke being diabetic now I am retired and not as active as I used to be please help | medium severity |
how to stop taking the drug suboxone | hi for further information consult a psychiatrist online | hi doctor I have had about a six years dependency on the drug suboxone I do not abuse it but I have tried several times to taper or wean I have a white collar high profile job and I really need to get this off to avoid problems in the future do you have any recommendations to get this off I would really appreciate any help you could mention thank you for your time in advance | high severity |
what shall I do for allergy on the head of the penis | hello revert back with the answers to the above questions to an internal medicine physician online | 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 | medium severity |
what is the treatment for dvt | hi based on your query my opinion is as follows for further doubts consult a hematologist online | hi doctor I am having dot in my left leg I had about a year of warfarin treatment and it was stopped two months back I had my thrombophilia profile and it shows protein deficiency what to do | medium severity |
what to do for severe hip pain during pregnancy | hello for further information consult an orthopaedician and traumatologist online | hi doctor my wife is 14 weeks pregnant since 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 kindly suggest me what I have to do | medium severity |
please help with my pain under my rib cage | hello revert back with the answers to the above questions to an internal medicine physician online | hi doctor I am 25 years old my weight is 53 keg and height is 3 from yesterday afternoon I have some pain under my rib cage please check the reference image I can breathe easily but it is paining when I am breathing heavy it has also pained when I laugh cough and puke please help me with this recently I took a thyearoid test I do not know of it is useful but I am attaching it thank you | high severity |
how to affirm that my husband suffers from sex issue | hi I read your query and understand your concerns for further information consult a sexologist online | hi doctor this is regarding the personal health of my husband I am suffering from a very bad sex life due to very low sex interest of my husband to tell about the past we had a long courtship period of 2 years in which I was able to understand from his conversations that he has very low interest in sex I ignored that and got married to him right after our marriage we had sex daily and then it started reducing gradually the frequency fell drastically from having sex once in a week to once in 15 days whenever I tried to initiate or have a word with him about it he said that a man needs to be very free to have sex and busy people generally have low sexual engagements I know that it is not true and I believe that he gives some excuse to his own weakness now at the end of one year of our marriage the sex has reduced to once in a month so you can understand the level of frustration I have landed into which is severely affecting my own personal health and interest in staying with him he hardly gets aroused once in many days and does not react sexually even after I make advancements he does not react does not understand and most importantly not able to enter me without putting a condom he says he gets support with the condom so the second issue you can understand is that with that condom I cannot conceive also he has very low interest in anything related to sex and he is not able to enter me properly as he says it hurts him otherwise he is such a loving husband and its tough for me to believe that he does not want to make love to his wife for any other reason I would like to tell you that he does not have a separate skin from the shaft it rather covers the shaft and that pretty much indicates he even masturbates very less could you please help me could you please tell me if this is normal with some men does the case of my husband look abnormal what are the tests that he must get done to affirm that he suffers from sex issues or low testosterone what line of treatment should I take him to thanks in advance please help me as this is ruining my personal health and would probably push our marriage to the end of divorce as my family knows about it now and does not want me to stay in a marriage with a man who cannot keep me physically happy and still not accept he has some issues thank you so much | medium severity |
I feel that one of my friends uses me monetarily what to do | hello welcome to icliniq com for further information consult a psychiatrist online | hi doctor I do not have any health issue but I am not in mental peace with my close friends I do something that is unintentional and it bothers my friends this creates a sense of agony in me it bothers me a lot as I overthink the issue can be very small and negligible but I think that one of my friends uses me monetarily may it be a matter of a very small amount I am often embarrassed amongst them but this is because of the reaction of the other people | medium severity |
can an 80 year old undergo surgery for fracture | hello thanks for posting your query along with the ray image for further information consult an orthopaedician and traumatologist online | hi doctor my grandmother is 80 years old her left side is paralyzed she is incapable of holding or carrying any weight or exert pressure by her left arm for more than 15 years now she met with a fracture in the same hand I have attached the ray of her left arm if the fracture and dislocation of elbow remain uncorrected will there be any problem please advice will it fuse or calcify in some position now she is using an arm pouch sling and feeling no pain in her arm | medium severity |
can cancer recur within six months of operation | hi I understand that your brother in law has undergone treatment for tongue cancer for further information consult a family physician online | hello doctor my brother in law gone through ca tongue right side operation followed by radiation and chemotherapy before six months from last two weeks he is getting pain on the left side of the tongue and we consulted the doctor again doctor said that there is no possibility for further operation and radiation therapy he suggested that he needs to go for chemotherapy only though we opt to go for chemo his body is not able to support he became very weak as he underwent surgery radiation and chemo already this also has more side effects and with this he will be unable resist also the doctor said that there is no scope in curing and he advised to go for medicine which is equal to chemo I kindly request you to give best possible solutions to save his life is there a possibility of recurrence of cancer in the left side within this short period what is the stage of cancer before and after operation I have attached his current medication is it fine to continue | high severity |
I could not bear the pain while doing physiotherapy for leg injury why | hi revert back with the ray to an orthopaedician and traumatologist online | hi doctor I met with an accident three months before and my left leg was injured it includes tendon cut and multiple fractures on the next day the tendon was repaired through an operation after 25 days all stitches had been removed and I got plaster on my left leg and now the plaster has been removed yesterday when was going through physiotherapy for my left leg it started paining a lot my face started sweating and I felt dizzy then I had a glass of water and managed my question is that why is it so paining will I be able to run in the future | medium severity |
I have a small painful bartholin cyst with translucent discharge is biopsy required | hello I have gone through your description the details you mentioned definitely suggest there must be some infection in the bartholin gland as you have mentioned it has been painful for eight months I would like to know if you took any course of antibiotics to address the infection in your case you can try that as the cyst is still very small although the definitive treatment for a bartholin abscess is excision and marsupialization of the cyst for mild cases a course of antibiotics may provide some relief for some time but there can be a recurrence of infection in such cases in the future if the lesion is persistent or it increases in size excision of the same is recommended and it is usually a very minor procedure and not that painful too so please do follow up with your gynecologist in case you face any such issues I hope this helps | hello doctor I am years old I have bartholin cyst for the past eight months it is small but painful daily and has a very tiny pinprick hole on hymen that seeps a translucent non offensive discharge after I bathe or massage the lump the lump is deep under labia major pea sized according to mri it is 1084 my will a gynecologist operate on it being so small and do a biopsy due to my age | medium severity |
can I remove the gauze soaked in clove oil placed on the site of wisdom tooth extraction | hello welcome to icliniq this is your personal dentist I went through your query and am deeply sorry for your inconvenience and you have been uncomfortable for these may days as an expert I understood exactly what happened after an extraction we warn the patient of not rinsing vigorously only warm saline gargle as softly as possible after 24 his if this is not follows the cloth at the extraction site dislodged exposing the bones day to day food accumulations also adds up leading to the level of pain you are under so your dentist to heal the socket places a gauge with medication which is not ment to be taken out by you as its helping the wound healing and will eventually reduce the pain and also donot allow food particle to accumulate at the extraction site the smell can be too annoying as one can be deeply irritated by it due ti clove oil it might feel burning sensation too but donot worry that will fade off as soon as the extra medicament which might got rubber on your gums gets risked out do it slowly or you might dislodge the gauze too thats not good you can apply but donot try to take the gauze out let me know if any further query am here to help feel free donot hazitate and upload an image of the site if possible I will be waiting thanks alot | i got my wisdom teeth removed days ago I ran out of my medicine and my mouth in severe pain so I went to place again and got gauze soaked in cover oil put into the holes of my wisdom teeth the taste is horrible and burns and is making me sick to my stomach I am wondering if I can just take the gauze out myself | low severity |
I have symptoms of urinary infection but no bacteria found in the urine culture why | hello welcome to icliniq I understand how distressing it must be for you please go for thorough evaluation of the cause for recurrent urinary infection first of improve your water intake make sure you drink at least 4litres of water excessive urine while drinking plenty of water will flush out the infection from the body regarding your urine culture it would be advisable to check if you had given the sample prior to starting the antibiotics course as once you start the antibiotics and then submit the sample it may not show any bacterial growth on culture plus you are likely to develop antibiotics resistance infection because of inappropriate antibiotics please get an ultrasound rub kidney urinary blaader to look for any kidney or ureteric stone which can cause repeated infections please feel free to revert back with your queries anytime would be happy to help urine routine and microscope urine culture and sensitivity ultrasound whole abdomen and pelvis haemogram syearup citralka 2tsp thrice daily in half glass water when there is burning tablet urispas twice daily after food for days antibiotic after urine culture sensitivity report drink plenty of water or fluids at least 4litres per day review with reports as advised or if there are any doubts or queries | i am year old girl I was suffering from urinary infrction I completed my medication and have urine culture but no bacteria found there but I still have high symptoms that is urge to pee and sensation in genital feels like I he to pee all the time I am getting depressed this is now months I am experiencing these things one year back these type of symptoms I have experienced but I did not paid attention and I dont know when they goes away by own | medium severity |
I am having vaginal burning and white discharge what to do | hello welcome to icliniq based on your symptoms it appears you are suffering from genital tract infection I would like to the if you have any offensive odour of the vaginal discharge or associated itching I can prescribe some medications for the pain relief but for definitive treatment with antibiotics more details would be needed please consult me for a detailed discussion so that definitive treatment can be given ideally you should be visiting a gynaecologist to have a physical check up and a pap smear please revert back to me with further details and for definitive treatment ultrasound abdomen and pelvis pap smear tablet mental spas sos after food for pain relief wash for local cleansing avoid sexual intercourse till symptoms subside avoid vaginal douching change undergarments frequently follow up for further discussion and definitive treatment | i am observing vaginal burning and not regular but white discharge also I am having cramps after having orgasm very uncomfortable feeling in my lower body what to do also please suggest some hime remedies to help more its been more than months earlier I didn't left pain after having intercourse but now I am feeling pain I dunno why which is why I have become scared to do any further im feeling like vaginal burning cramps after orgasm even though its been months I hadnt done any sexual activity and uncomfortable feeling in my lower body gender female age 26 height 6 weight 72 kegs thanks | medium severity |
my eye power changed as I was using wrong glasses how to get back my previous vision | hello welcome to icliniq com according to your age you are having hypermteropia which is called far sightedness in which you can see distance objects clearly but near focus will be blurred without glasses and one more thing you are 46 years old now so this is an age for cataract and when you will have cataract and once it will start increasing then because of lens changes there will be change in refractive index of lens which will lead to improvement of near vision and worsening of distance vision this you can see in your case you can compare your previous power and recent power now you are not having glasses or power for near vision that means you have cataracts which can be in starting stage so you have to consult an ophthalmologist and you should undergo cataract assessment | dear sir when my eye power years back my vision was re spy 5 and add 25 le spy 75 and add 25 but wrongly I was using a glass of power re spy 50 add 25 and le spy 50 add 25 yesterday when I went for a test I got to find my vision is re spy 50 le spy 75 so requesting you to guide me how can I get back my previous vision regards | medium severity |
I am not getting energy with low metabolic rate inspire I am gaining weight why | hi your symptoms look more like hypothyearoidism I would suggest you to check for the same and review back take syearup zincovit my once daily for one month abc complete blood count ribs random blood sugar free to ash thyearoid stimulating hormone hypothyearoidism | 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 | low severity |
it has been 90 days since my last period with negative pregnancy test should I take duphaston | hi you may be suffering from pod polycystic ovary disease if you want to conceive then the entire approach to treatment changes because we then focus on making you ovulate let me know your lap last menstrual period and health history and also any investigations done previously I understand things are difficult with couid but you can get the treatment at home only do not worry | hi doctor I am 23 years old my mi rate is 29 and I am trying to conceive for the past one and a half years I have irregular periods and my doctor prescribed me duphaston tablets for getting periods last year should I take this medicine again it has been 90 days since my last period I tested for pregnancy it was negative my query is what should I do for getting my periods or getting hormone balance these days I cannot go to my doctor due to lockdown please help | medium severity |
I am getting flare ups of atomic dermatitis with change in weather please help | hi atomic dermatitis is relatively more sort of relapsing with seasonal aggravation it has a genetic and familial component as well if you have severe symptoms which is hampering your daily activities you need to start with systemic immunosuppressants like prednisolone and or azathioprine erica ointment I mometasone is good enough for skin lesions but I would rather add on tacrolimus gel 1 over the inflamed lesions but you need to use moisturizer very frequently than previous you need to take antihistamine on a daily basis reduce your stress avoid wool and strong soaps practice wet wrap therapy I hope this helps | hi doctor I have been experiencing flare ups for weeks now I do not know if this has something to do with the change of weather I have been having trouble sleeping lately since I am very uncomfortable right now I am using cetaphil gentle wash and shampoo because my scalp gets itchy as well I am using erica ointment and somehow it helps me with some of the areas that are not really that worse however the uncomfortable feeling is still there sometimes I take antihistamines however I do not think that it helps me feel relieved with my atomic dermatitis I am 28 years old and a project manager my clients are in the us and I need to follow their timezone my shift starts at 10 am to am I weigh around 190 labs and I am 1 I also have an irregular menstrual cycle and I usually get my period every quarter I have asthma and I am currently taking seretide inhaler as prescribed by my doctor please help | medium severity |
I have minor tingle in my right second toe with moderate to severe stenosis of spine please help | hello I understand your concern and would explain that your mri findings head and spine fulfill the radiological criteria of is multiple sclerosis there are many old lesions in the head and spine and there is a new lesion in the left parietal lobe which explains the tingling in the right toes although you have no past medical history for paralysis or limb numbness and weakness these brain lesions are compatible with is I recommend discussing with your neurologist about that as there is a new lesion with light contrast enhancement steroids would help to relieve the tingling in the right toes regarding the mild spinal canal stenosis it does not explain the spinal cord lesions in the upper levels which are probably related to is I recommend performing a spinal tap in order to examine your cerebrospinal fluid and visual evoked potentials I hope this helps | hello doctor I am 58 years old I have some very minor tingle in my right second toe I am very healthy with no medicines and no other symptoms it started with unilateral tinnitus mri of the spine showed moderate to severe stenosis spine I do exercise and running and my neurologist says this might be normal I had a concussion when I was 17 and spent a day in the hospital my mri brain is obviously abnormal with white matter what is the likelihood of ms I had an mri in 2015 and said chronic microvascular changes mri of a couple of weeks ago said no tumor on auditory nerves please explain | medium severity |
due to accidental pulling of cloth around neck I choked for a few seconds will it cause any damage | hello your symptom seems to be temporary you need not worry about it you can take a plain paracetamol 750 my tylenol twice daily for three days after food tylenol will not only reduce the pain and discomfort but also the inflammation post injury instead of semithecone you can take nexium 20 my esomeprazole once daily on empty stomach for three days because tylenol can cause acidity | hi doctor I am a 21 year old healthy male with no underlying conditions today about six to seven hours ago I was getting a haircut and the barber had the cape blanket around my neck pretty tight and so I asked him to loosen it and when he did he yanked it back before unbuttoning it and it choked me for a couple of seconds the cape was lying on above my adams apple so I know it got pressed inward there is not a lot of pain just discomfort like the feeling after getting choked it was not intentionally done hard but it might have been the angle and where it was lying because it is a bit uncomfortable right now if I take my mind off from it I do not feel it but as soon as I am remembered I feel the discomfort wondering if I had any damage permanently or if it is just temporary discomfort | low severity |
cyst in my testicles are getting bigger while trying to pass stools please help | hi with the history you have told it seems like a hydrocele or an inguinal hernia with extension into the scrotum if possible do send the pictures for a better idea and also answer these questions do you suffer from constipation any abdominal pain any fever any issues while passing urine do you have diabetes awaiting your reply please update a clear picture | hello doctor when I am trying to pass stools my testicles get really big also there is a cyst in my right testicle besides this I have pain in my lower back what is your advice to get the cyst killed and get back to normal if necessary I can send photos please help | high severity |