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on taking medications my postnatal drip has become thick why | hello I understand that you are having constant post nasal drip is there any other symptom that is bothering you is there any lump sensation in the throat any nose block or runny nasal discharge any facial fullness did you ever have this problem before this month the treatment given by your ent appears to be correct and complete considering the symptoms you have told me but are you using the spray in the right way antihistaminic mucolyte and spray together should decrease the postnatal drip unless there is some pathology inside the sinuses that is producing constant mucus please tell us more details of your problem continue the same medicines for now take a picture of the back of the throat with open mouth showing the details of the mucus drip and send it to us please let us know if you are using the spray in the right way if you are doing everything properly and this is the only symptom you are facing then probably we need to check the insides of the nose using nasal endoscopy and a it scan of sinuses next is there any allergy that you suffer from do you smoke is your workplace ridden with dust smoke or pollution | hello doctor I am having postnatal drip for the past one month and had tablet zee and montair la and took steam inhalation but I think it got aggravated and the drip got thick because of it I then consulted an ent and he gave nasomac af spray tablet alaskan am and raciper 40 no improvement since seven days and then he gave acetylcysteine 600 my the mucus comes out by coughing and I have to constantly clear my throat I looked at the back of the throat and I could see white mucus dripping I am 34 years old | low severity |
I get pale clear fluid from both ears please help | hello since how many days are you having this problem any hearing loss or cold or nose block | hello doctor I have a problem of fluid coming from both ears what is the cause there is no blood and foul smell and it is pale and clear please help | medium severity |
I am allergic to almost all foods with swelling in the back of the mouth and throat please help | hello I have gone through your query and can understand your concern as you rightly said there might be an allergy for a particular type of food you eat you may have allergy probably to one particular type of food you need to observe keenly over getting symptoms after eating a particular type of food you have been eating potatoes for a month and then getting symptoms is little unlikely if at all it is because of potatoes you should get it immediately after eating and not after eating for a month most of the people will have an allergy to milk and milk products or lactulose intolerance most common food products that cause allergy are milk and milk products eggs fish nuts like almonds cashews peanuts walnuts soy or wheat as seen in patients with celiac disease or non celiac gluten sensitivity have you been evaluated for other gastric disorders by a gastroenterologist it would be better if I could see all your reports and treatment given so far by your doctor you need to observe keenly about the food type that is causing the allergy avoiding the food that is responsible is the best way to avoid allergic reactions make sure you have always with you all emergency medications needed to be taken in an emergency as anaphylaxis and other allergic reactions can be dangerous at times kindly get back with the above details your further queries and reports if available for further discussion and management | hello doctor I am having severe allergic symptoms to almost every single food I eat and not really sure what to do for the last year I have been developing what seems like ice type allergic reactions to literally every single food I eat it is getting really bad these potatoes I have been eating for the past month now cause swelling in the back of my mouth and throat that makes me choke so I had to stop eating them other foods cause different types of reactions like frank diarrhea please help ice egg and ga antibodies normal ice skin prick testing normal ca inhibitor slightly low cortisol low acth stim test not performed fasting hypoglycemia testing for insulinoma negative so far and I have mild heart dysfunction diastolic | high severity |
after passing stools I get mild to intense abdominal pain with no fart how to fix this | hello well the onset of pain with a feeling of bloating and change in intensity after passing stools suggest it is related to gas you probably had something last night or a few days back which has caused you to this gastrointestinal upset well this does not seem alarming in any way I suggest you to take simethicone suspension or capsule whatever available ot pharmacy 60 to 125 milligrams my four times a day after meals and at bedtime for two to three days this medication will break the gas bubbles and will help you pass the gases easily it has side effects of excessive burping belching and farting but use temporarily until the time you feel better if symptoms do not improve in the next 48 hours and if the pain increase in intensity or you started feeling vomiting and complete loss of flatus I suggest you to contact me immediately or get yourself checked to the nearby clinic gas and bloating simethicone 60 to 125 milligrams my four times a day after meals and at bedtime follow up if no improvement in pain or unable to pass flatus | hello doctor this morning I woke up and passed stools and had mild abdominal pain in the center of my belly I went about my day and the pain is getting more intense I defecated again and it still hurts the pain feels like the worst gas of my life but I am not farting I cannot afford to go to the hospital especially if it just ends up going away is there anything I can do to fix this | medium severity |
after getting my hip adjusted I get nerve pain in left leg and lower back why | hello in my opinion you might have your sacroiliac si joint strained and the same is causing you pain in the back and the leg you just need a good mobilization of the si joint and lower spine along with some soft tissue work to relieve the pain and spasm nothing to worry once you start realigning the joint you will gradually feel better you need to start strengthening your lower back and glue stability with hip control exercises as of now keep a lot of icing in the painful area frequently like once in two hours for 10 to 15 minutes gentle stretching of gluteus and hip flexor gentle massage over gluteus muscles and hip mobility program will help you to relax with lower leg symptoms I hope this helps | hi doctor I had my hips adjusted about a year ago and the trainer who did it yanked my right leg to align my hips it felt good at that time but the next day I had nerve pain down my left leg and into my lower back on the right side every time I stretch my left hamstring or sit in an shape I get a really sharp pain in my right lumbar spin area it has not gotten any better and I have tried nerve flossing but that was making it worse any help would be greatly appreciated | medium severity |
I had negative hiv tests with a swollen lymphnode in my underarm am I in window period | hi the chances of transmission of hiv by the given description is almost nil hiv tests are repeatedly negative and after three months of exposure it is conclusive you are free from hiv there is no need for you to worry about seroconversion you can forget about the episode and lead a normal life there is no need for any further hiv tests in any lab just relax do some yoga exercises meditation etc | hello doctor I am 29 year old married male I have a baby who feeds on breast milk I had a sexual encounter before months with a professional with a condom I am 95 sure that my protection was intact then I started reading about the hiv symptoms and technicalities of testing online five days later I went to a dermatology and venereology specialist and described about the incident he was confident enough that he advised me not to go for any testing although my fear of infection remained around two months post exposure I felt tenderness here and there like on the back of my head arms one lymph node in my underarm was swollen and I developed cold and cough I started sweating during that time as well I looked a bit thinner I got panicked and went to the doctor again he checked me and was still confident that I am not infected but for my mental satisfaction he prescribed me thorough testing which includes hiv1 vdrl hbsag hav along with urine e e s analysis on 74 the day post exposure I took all those tests and they all came back negative after lapse of a few days again I felt some skin irritation on theback and burning sensation on my forearms although no skin changes can be seen again I got panicked thinking that I may be in the window period for hiv but the doctor remained confident and he advised me not to go for any repeat testing but my sense of fear anxiety panic guilt and impurity continues on 10th day post exposure again I repeated the tests but I excluded the urine analysis this time all the tests came negative again the hiv tests were fourth generation combo test both the time I am on the eighth month post exposure still I feel tenderness hear and there recently I am developing small red blood vessel like dots just underneath my skin on my hand and feet which is staying for 7days and going away leaving faint black spots I again showed it to the same doctor he is confident and repeatedly asked me to stop worrying he also gave me anti anxiety anti ocd anti depressant drugs I am also taking sessions with a psychologist but still my mind is not free from the fear of hiv and also fear that my wife and child might get infected by me my questions are do I need to repeat any test to out rule the probability of hiv are there any probability of error from lab test given the fact that I took the tests twice do I need to worry about the window period as there is conflicting information available on the internet do I need to worry about the phenomenon of delayed seroconversion do I need to opt for the tests from a different lab do I need to worry about hiv 2anymore how to uproot the fear from deep inside my mind any other opinion on my history | medium severity |
I have tinnitus in one ear more than the other could this mean I am slowly losing my hearing | hi welcome to icliniq there are different causes of tinnitus ringing in ears like infections loss of cells inflammation advancing age or few other diseases of inner ear at your age hearing loss is less common unless having a disease there are two possibilities so to two differentiate which ear is abnormal few test are done by audiometerist ent specialist to make final diagnosis I would suggest you to get examined by an ent specialist and he will perform necessary test and manage appropriately you are welcome for any further queries have a blessed day god bless you | please give me a meaningful response as I cant afford to reply and I am scared that I am slowly losing my hearing or something I have had tinnitus in my ears for about months now and it sounds kind of like v static and its not loud so its okay but today my phone edited a very high pitch sound and I closed one ear and then opened it and closed the other ear and noticed that I could hear the high pitch sound much better in one ear then the other could this mean im slowly losing my hearing about months ago I got a hearing test done but I dont have the results but they said my hearing was amazing even now I have no trouble hearing at all so what is happening with the high pitch noise why can I hear it better in one ear then the other | medium severity |
my dad has blood in urine and he is becoming weak is it due to liver failure | hello I welcome you to icliniq I can understand you must be very upset about your father the history you provided provides a little clue to what excatly he is suffering with non visible blood in urine is called microscopic hematuria some liver condition can cause this problem such as hepatitis viral infection hepatitis viral infection recent drug use or advanced liver disease secondary to any cause with advanced liver disease platelets white cells in blood which control bleeding are decreased that why patient is prone to develop bleeding from any site may be in urine skin or sometime internally within abdomen the swelling you mentioned possibly be secondary to fluid collection over legs and which resolves with medications called diuretics which increase urine formation if these all findings combined it is possible that your father is suffering from liver cirrhosis also called scarring of liver dear the liver cirrhosis requires a long term management with initially medical and supportive treatment followed by liver transplant which is the definite therapy if you want to discuss with me in more detail plus want to show up his previous investigations I strongly urge you to use icliniq forum you can easily book a consultation via text phone or video and get in touch with me I hope this will help good day liver cirrhosis complete blood count liver function test serum album and total protein ag ratio bun or lytes urine do stool do alpha fetoprotien ultrasound of liver with doppler follow up to discuss and provide more information | he my dad becoming weak day by day we consulted doctor who told the urine is containing blood also although its not visible looking at urine his leg was also swelling on medication it became fine he also added it may be liver failure but he did not confirm how he is becoming weak age 73weight 70 height 2i would be thankful if I get a prompt reply | high severity |
I have right sided head neck and shoulder pain please suggest treatment | hi I can understand your concern according to your statement you have been suffering from right sided head neck and shoulder pain most head neck and shoulder pain is resulted from sprains and strains by incorrect posture or mechanical injury due to daily works it may result from soft tissue injury including muscle tendons ligaments etc again nerve injury of these area can produce head neck and shoulder pain displacement of cervical disc can produce same type of symptoms known as herniated or prolapsed disc rotator cuff tendons hold your arm with shoulder and rotator cuff tear which is caused by sports or overuse can produce head neck and shoulder pain inflammation of tendons tendonitis or burst bursitis of these areas also can produce the same type of clinical symptoms again heart attack angina stroke cervical artery dissection etc can present the same type of clinical symptoms treatment depends on causes so you should undergo some investigations like an ray of cervical spine it scan or mri of cervical spine ribs random blood sugar abc complete blood sugar us ultrasound of the hepatobiliary system with blood pressure monitoring etc to find out the underlying the causes which are responsible for your suffering and then treat them accordingly for your head neck and shoulder pain you can take naproxen plus and esomeprazole combination twice daily with baclofen twice daily with calcium plus vitamin combination once daily please inform me of the results after undergoing the investigations and then I will be able to help you further | hello doctor I am a 27 year old female I have pain on the right side of the head neck and shoulder please suggest | medium severity |
I am having bloating stomach cramps and pass stools to times a day why | hello I welcome you to icliniq I can understand you must be very upset about your problem well the symptoms you mention seem to be occurring due to irritable bowels the irritable syndrome is a gastrointestinal entity where patient has abdominal pain which change with physiologic activities such as defecation belching this abdominal pain can accompany diarrhea which is called as irritable bowel syndrome is diarrhea predominant is to be precise the blood test urine test and ultrasound abdomen that you shared are very much within normal limits so do not be worry at moment you said stool test contain macrophages but I cannot see any stool detail report among files you uploaded well macrophages or leukocytes can be present in stool harmlessly and does not suggest any diagnosis by its own I would recommend you to get some more stool test that can determine it clearly so the is usually affects small and large bowel and it is not uncommon to have concomitant stomach irritation which is called functional dyspepsia so part of your symptoms such as stomach cramps bloating are secondary to stomach irritation you are on lots of medications many with similar drug class that does not seem a wise to continue for now I just recommend you some medication you can use them and let me know in one week time how that work in your case please find below investigation and treatment plan good day irritable bowel syndrome with functional dyspepsia stool for pyloric stool for fecal calprotectin stool for detail report for ova and parasites and for giardiasis stool for fat globules reducing substance and stool spot na and spot levels serum ash ft4 and ft3 random blood sugar and hba1c inflammatory bowel disease endocrine disorders diverticular disease of sigmoid pyloric gastritis gastroparesis is plus fed tab rifaximin 200 my thrice daily for weeks tab mebervine my 200 my twice daily reduce some weight avoid gas producing diets such as nuts peas cauliflower cabbage certain cereals which you think causing increasing bloating follow up after investigation | i am 40 years old my digestion is always a concern for me but since last month I am having blowing stomach cramps stool discharge 4 times a day medicine taken rifagut actigut for days mental spas continuous pentaprazole 20 days till no at present blowing reduced but stomach cramps stool discharge 4 times a day still persist us abdomain found minimal edamatus wall ave 3mm noted in sigmoid colon rest is ok as per stool test macrophagus present a few kindly advise | medium severity |
I get recurrent cold sores which are not healing completely why | hi as per your information and photographs I can see there is swelling and some small pus filled rash and small scars if it is recurrent then there are some possibilities like herpes labialis cyclic neutropenia neutrophilic dermatoses localized granulomatous cheilitis yes punch skin biopsy will give a more close clue for diagnosis along with it you need to do tzanck smear from lip area abc complete blood count absolute neutrophil count and anna anti neutrophil cytoplasmic antibody do you have diabetes or high blood pressure or on any medicines for the same or any other complaint from your detailed information recurrent herpes labialis or neutrophil abc related skin disorder are more possible tingling and pain indicate nerve fiber involvement which is more possible in herpes virus infection for time being you can start tablet pregaba pregabalin plus methylcobalamine 75 my one tablet in the morning and night after food for 15 days tablet prednisolone 10 my in the morning after food for 10 days flutibact cream apply at morning and night for seven days vitamin 500 my one tablet at night dissolved in water for 15 days and tablet famcivir 250 my ads after food for seven days review after investigation reports | hi doctor I get cold sores about every years over the past 15 years and they go through the five stages of healing which take about 10 14 days to heal over the past two years I have got two cold sores that have not completely healed one was before a year and the most recent one was in february of this year they are faint but apparent to me and every time I move my lips eat have hot food shower sweat or just about do anything I can feel them on my upper lip I have been to multiple doctors and two dermatologists I have been prescribed valtrex tacrolimus and medicines for the pain I have used many over the counter medicines such as neosporin abreva hydrocortisone vitamin oil face cleansers tea tree oil aquaphor and kept it moisturizer and clean throughout nothing has worked or even made a slight difference I get the constant tingling and it is not super painful but I can feel it there as if it has not healed or subdued my current dermatologist has suggested a biopsy but I am not sure if that is the next step if it is not a cold sore or cannot be healed with what I have been prescribed I nor my dermatologist have any idea what it could be how I can be rid of it please help | low severity |
my lower wisdom tooth is erupting with swollen gums and pain please suggest solution | hello welcome to icliniq com first of all please do not worry I went through your query and I am a specialist dealing with third molars I can understand what kind of pain and discomfort you have been through I will guide you to relieve all your pain these teeth are impacted and they will not come out normally and will cause discomfort repeatedly I will prescribe better medicines kindly get them you will be fine visit your dentists office once the lockdown gets over to extraction for now I need you to do warm saline gargle two to three times a day if hypertensive avoid salt use betadine gargle avoid sticky or sweet food maintain oral hygiene avoid direct heat warm cloths from outside take the medications as prescribed impacted third molars pericoronitis follow up after seven days | hello doctor I am facing this below for more than 15 days my lower and upper wisdom teeth are erupting the lower teeth are erupting and gum got swelling and pain there is swelling nearby the last molar teeth and feeling pain I have a feeling of throat infection and sometimes pain in the throat neck and jaw I have no fever but inside the tongue I found red blisters I need your advice already I am taking loxoprofen sodium 60 my for one week and azithromycin for about three days | medium severity |
I am a cad patient with stomach bloating and constipation please help | hello I read your query and understand your concerns first of all I like to inform you that anxiety disorder is a treatable disorder during current times as a lot of medications are available in this regard as I can see you are taking two medications for the same but unfortunately dose of both medications is at lower limits I also feel instead of two medications it will be ideal to have one medication with proper dosage for example dose of david sertraline is 50 200 my per day and the dose of mirtazapine is 15 60 my for most individuals in my opinion you need to discuss the optimization of dose with your treating psychiatrist as I can see there are issues with stomach bloating and constipation mirtazapine needs to be avoided as far as possible this is because abdominal side effects along with constipation are very common especially among the elderly there is also a possibility that your medications for cad or diabetes contributing to the current problem for that purpose I feel you need to discuss same with your cardiologist in addition to medications there is a need for stress management I can see that you have excessive concern about the ongoing medical illness first of all we need to acknowledge that these two conditions are treatable and with appropriate care you can have near optimal life to smoother the stress management I am writing down a few of the strategies that will help you diet ensure intake of adequate quantity of fiber two servings of vegetable salad and two servings of fruits one preferable citrus fruit avoid junk food and fast food especially pizza burgers and excessive sweets ensure adequate water intake recommended intake of water is two to three liters a day insufficient intake of water could be a contributing factor in the causation of symptoms early morning exercise and brisk walking for 30 minutes at a stretch preferably in the garden will be very helpful avoid tea coffee nicotine and alcoholic beverages if at all you want to drink something drink fresh lime water it is very much refreshing start your day with a glass of lemon water with two spoons of honey added have a good breakfast do not take work so seriously we all have the feeling to excel in our respective fields and do not spend adequate time with our own self trying to understand our own needs spend time with your family and friends while working take frequent regular breaks I will advise you to take a break of 10 minutes after every 50 minutes close your eyes and rotate the eyeballs for a couple of minutes avoid starring for a longer time at the computer screen or tv steam inhalation before going to sleep will be very refreshing it will also benefit 10 take multivitamin and calcium supplement I hope this helps | hello doctor anxiety disorder bloated stomach and constipation are troubling me I am a coronary artery disease patient with diabetes thinking about these issues cause me more anxious please help I am currently on mirtaz 5 and david 50 my I have also done sugar lipid profile ad echo egg and tit | medium severity |
I am suffering from severe cold cough and chest tightness for a month is it anything serious | hello hope you are doing well do you smoke or have allergy to dust is the discharge yellow or green blood stained do you have fever or any associated complaints such as headache have you been taking any antibiotic which over the counter medicines have you been taking you probably had common cold and now you have secondary bacterial infection with low respiratory tract involvement you could be having allergic rhinitis mild asthma and bronchitis there could be some risk factors which need to be investigated so you need to be examined physically with some blood test carried out on confirmation of diagnosis you probably need a course of antibiotics common cold with secondary bacterial infection abc ear he and chest ray allergic rhinitis with secondary bacterial infection and bronchitis common cold with secondary bacterial infection and bronchitis after physical examination and investigations for second opinion | hi sir mam am female the age of 23 and my weight is for the height of 160 am height for the past one month I have suffering from severe cold runny nose and cough I also felt chest tightness nasal congestion sore throat and shortness of breath too sometimes I can heard some sounds from my chest while breathing I can take some over the encounter medicines when I will get rid off and is that anything seriousness looking forward for ur answers soon thank you doctor | high severity |
I want to get braces but I have so many baby teeth what to do | hello welcome to icliniq this is your dentist first of all you will be needing an op its a full mouth view xray extraction of the deciduous teeth as found in the xray will be done now its turn to see where those impacted permanent tooth are present hopefully they will erupt a bit late but they have no tendency to erupts they will be removed if needed ortho treatment at 16 years of age minimum so for now get to your dentist get an op done and get all those baby tooth extracted you can also upload the xray to me so I can assist you more you are a good kid donot worry am here to help you when even you need focus on your grades avoid too much sweet food or chocolates or sticky foods brush twice and donot forget to rinse your teeth will be fine dont worry if possible upload the xray image for me to look at have a good day thanks alot | im a 14 year old child my concern is that I only have 24 set of teeth is growing at the back but I only have 13 baby teeth and are permanent teeth to be add on I have doubling rows since three years back and have gotten it out last year but it is still hasn't come back to its place because of the lack of space my teeth are a mess I want to get braces but I have so many baby teeth I dont know what to do please help me | low severity |
please help me get rid of constant lower back and neck pain | hello yes the mri does talk about the disc bulges both in the neck and the back but it is now clear as to the degree of nerve root compromise as canal encroachment as this will determine the degree of symptoms and likelihood of conservative management succeeding I really need to see the mri films to comment the obvious thing is that the mri was done years back so the relevance is doubtful if you are having new symptoms and with passage of time the mri picture may change I will recommend that you two a course of duloxetene 30 my twice daily and added pregabalin 75 my twice daily to see the response and do take them for atleast weeks mind you pregabalin makes you sleepy but that will fade with time | consistent lower back and neck pains yes I have been diagnosed with having a cervical disc herniation since 20 years and a lumbar disc herniation since 12 years an la nerve block procedure was performed in years back the last mri I did was years back | medium severity |
my year old son has a fever cold and is vomiting what to do | null | 1 year old son has fever and cold for ex day he is also vomiting temp 39 | high severity |
I have sudden aches and sensitivity due to cavity on the front teeth please help | hello welcome to icliniq this is your dentist I went through your query and the image attached its been very tough for you as those tooth seems to be in a preety bad shape please donot worry what has happened is you have a cavity between your left upper central incisor and lateral incisor thats causing the discomfort the cares is due to the position of the left upset mental incisor note its not straight and redness of gingiva foul breath is due to gingivitis you will be needing these are the medications let me know if any further query or discomfort feel free donot hazitate I am here to help thanks alot intro oral xray of upper left central and lateral act depending upon the xray avoid sticky or sweet food or cold food days | cavity on the front teeth sensitivity sudden aches in the front teeth there are dents on my front teeth these dents have lasted for more than a year and visible cavity between two teeth sensitivity and gum redness happens but rarely | low severity |
I am having a sore throat with redness and white spot please help | hello thank you for attaching a photo because that really helps your throat does appear red but your tonsils do not appear swollen so it is unlikely to be tonsillitis most of the time this is just due to a viral infection that will get better on its own without medication healing usually takes about five to seven days as long as you are able to eat drink and remain without fever just allow your body to heal naturally if the sore throat is only getting worse to a point you are unable to swallow anymore due to pain and you are having a fever of temperature 37 and above you might need to see a doctor in person to have it examined and prescribe you antibiotics viral supportive management only drink lots of water take paracetamol every hours as needed for pain difflam lozenges every six hours bactidol gargle three times a day after meals regular handwashing if the throat pain is getting progressively worse until a point that you cannot swallow any food due to pain or if having fever you will need antibiotics feel free to follow up with me in 5 days time regarding your progress | hi doctor I am currently having a sore throat as I checked it is a bit red and saw a white dot please help | medium severity |
I get migraine daily but it gets controlled with painkiller how to manage the same | hello I understand your concern and would explain that considering your aggravated situation it would be reasonable to start preventive therapy for migraine in this regard I would recommend starting topiramate 50 my twice daily it is recommended starting 25 my daily and increase each week by 25 my up to 50 my twice daily this will help reduce the frequency and severity of migraine headaches if you do not tolerate this drug or it does not help reduce the frequency of headaches within the first month I would recommend considering other treatment options like verapamil or amitriptyline you should discuss with your doctor on the above treatment options there is no need to perform any tests as this is a chronic headache and painkillers still help I hope this helps | hello doctor I have migraines daily for the past two months it gets controlled with painkillers and worsens with movement other than that no other symptoms like dizziness or vomiting are present the pain is usually moderate to severe sometimes one sided and sometimes full head pain I am taking paracetamol or ibuprofen for pain please help | medium severity |
due to wrong twist my knee got locked in hyperextension please help | hello from what I can read and understand by the brief history you have given is that there can be damage to ligaments and meniscus in your knee can you please elaborate on the range of motion of your knee if it is barely movable it means that probably some tissue either meniscus or soft tissue is stuck causing block to the range of motion also are you having hyperlaxity generally people who have hypermobile joints tend to go for hyperextension also kindly update the details of your surgery was there all reconstruction as well as you pointed high rising patella alta is more responsible for patellar dislocation subluxation rather than knee hyperextension do attach a copy of the mri you have | hello doctor my knee is locked in hyperextension I had an injury on my knee had lateral damage that was fixed by knee scope this was successful however about two months ago I twisted the wrong way and my knee got caught in hyperextension I saw my orthopedic surgeon and he told me I had a high rise patella and chondromalacia we did synvisc and cortisone and physiotherapy but my knee is still caught in hyperextension and cannot fix it I am only 32 years old so I need my mobility but now I am in pain and can barely move any thoughts right now I am on naproxen and tylenol | medium severity |
I feel heaviness in my head while bending and lifting my head up why | hello I would like to confirm a few more before arriving to a probable diagnosis site of pain front back whole or half side of your head or vague episodic or stays the entire day any facial pain apply pressure on the face on either side of your nose on your temple and see whether those areas are tender do you have body pain fatigue sleepiness dullness menstrual irregularities fever sleeplessness nausea vomitings neck pain blurring of vision double vision past history of similar headache or excessive working on laptop or tv for now take tablet naproxen 500 my with food as and when required plenty of oral fluids high fiber diet greens syearup duphalac 15 ca to be taken with two glasses of water preferably at bedtime get back to me with the answers to the above set of queries | hello doctor I am having heaviness in my head since yesterday afternoon especially when I bend and lift my head up also I am experiencing the same heaviness while coughing too I took paracetamol 500 my once yesterday evening and today afternoon but I did not find any change in pain also for the past three days I am having slight constipation I am taking medication for thyearoid eltroxin 75 my also I use glasses for short sight and presently the lens has got scratches with vision not 100 clear I had checked my be in the morning and found it to be 17 62 | low severity |
I get pimples in my arms and wrist and it becomes dark on healing please help | hello I have seen the photo how long it has been there what are the symptoms of it any other area affected any history of hypertension and diabetes please send a few more photographs taken from different angles | hi doctor I would like to seek assistance with regard to my concern in skin there is a pimple appearing in my arms and around my wrists I am now using a sulfur soap I am wondering why this happens if the pimples were healed it leaves marks that make my arm and wrists dark I want to have normal skin I was looking forward to take antibiotics but I do not know what to take please help I will attach a photo of my arms for your look | low severity |
I have minor nose bleeding with a history of valve replacement therapy please help | hello sorry to hear about your experience did you have a history of nose bleed long before the surgery or did the bleeding start after you started taking ecosprin have you noticed bruising in any part of your body alongside the nasal bleed conditions like nasal polyps hemophilia ecosprin medication she is currently using can cause it if it started after the commencement of the escoprin I advise you to call the doctor that prescribed the escoprin there is a need to adjust its dosage or replace it in the meantime try to apply an ice pack on your nose with your face in an upward direction and buy nasal spray oxymetazoline it will help with your situation if your symptoms persist please go to the emergency so as to physically examine your nose | hello doctor I am a 60 year old female having a complaint of minor nose bleeding and headache for the last five days I have undergone valve replacement therapy a few years ago and tablet acitrom od going on my recent it value 17 40 in 52 as we do not have access to our doctor what step we have to take ahead to manage the problem | medium severity |
I get yellow stool and diarrhea with fatty foods and rib pain is gallbladder removal necessary | hello I will definitely help you as per your history and investigation report your diagnosis maybe some kind of hepatitis in which there is a yellow color of stool and urine without any evidence of any abnormalities in us and it scan if us ultrasound is normal and there is no evidence of gallstones then no need to remove gall bladder as it is a very sensitive investigation for gallstones I will advise you to do hepatitis a c and hepatitis marker tests for confirmation of diagnosis please attach all investigation reports for better comments about your illness I need your liver function test also I am advising treatment for you please start as soon as possible avoid fatty and spicy diet drink plenty of water hepatitis a and antigen let liver function test tablet udiliv 300 my be for 15 days pantoprazole 40 my od for 15 days | hello doctor I am a 20 year old female I have had bad stomach issues since february it started with yellow stool and diarrhea when eating fatty foods I have pain on and around my right rib cage and in the same spot in my back near my shoulder blade I have done an hide scan and my ef was 68 it ultrasound and blood work was normal my doctor wants to remove my gallbladder anyway because he says I seem to be symptomatic without test evidence have you ever heard of this before is this possible | high severity |
how to treat genital herpes | hi I have thoroughly reviewed your health query and can well establish the sensitivity of issues you have thanks for uploading the labs here for reference for further information consult a general practitioner online | hi doctor I have recently contracted genital herpes I am having an outbreak which scared me I have blisters vesicles on the penis I had a blood test done last week and this confirmed it please help me | high severity |
what could cause yellowish vaginal discharge | hello yes oral sex could transmit sad sexually transmitted disease and they are herpes simplex gonorrhea or even syphilis infections less frequently passed on include chlamydia hiv and hepatitis a but I must tell you that the risks of getting an sad from unprotected oral sex are typically much lower than the risks posed by having unprotected vaginal or anal sex this is because saliva often contains the antibacterial and antiviral agents I think of a prescreen if it persists for more than a week or changes its behavior as you never know how you could contract sad for further information consult an obstetrician and gynaecologist online | hi doctor I just noticed that I had some yellowish discharge from my vagina I do not have any itching or burning while urinating and there is no odor from the discharge I was checked for studs about three or four weeks ago and everything came back negative I had protected sex with a condom last week but had unprotected oral sex how likely is it that this is sad I am also on viorele an oral contraceptive and I know sometimes that this can cause discharge what could this be | medium severity |
does adderall tablet cause allergic reactions | hi I have read your concern and I appreciate your effort for a detailed and meticulous history revert back after seven days to a dermatologist online | hi doctor I am a year old male my weight is 180 labs and height is 10 I was prescribed a generic brand of adderall 20 my about a year ago it truly has improved my lifestyle up until about two months ago everything was fine I noticed that on the left side of my neck became red randomly I would describe it as looking more like a heat rash that starts around my collar goes up only on the left side of my neck it extends to my left ear and sometimes I get some redness on my left cheek bone it does not itch or bother me in any way but it is very noticeable sometimes I have not been able to find any other factor that could be causing this I have tried not eating particular foods changed my laundry detergent etc my older brother and I both get a redness in our face when we play sports and this has happened every since I can remember I do occasionally smoke cigarettes and have tried different brands to see if that may have a factor but nothing I have been to my local doctor and they have said that it is probably allergies but I just do not agree I am not allergic to anything but I have not got around to getting an allergy test since the redness appeared I am very concerned about this and more embarrassed thank you for any advice | low severity |
what causes kidney pain | hi kidney stone urinalysis urea and creatinine uric acid and non contract it abdomen and pelvis crystalluria revert back with the investigation report to urologist online | hi doctor I have just started fasting from yesterday morning and last night I was having slight kidney pain then I awoke in the middle of the night with some kidney pain and a swollen kidney feeling and urinated with difficulty like having to really push it out similarly last year my kidney got worse when I was fasting when I was under year of age I had an operation on my kidney and have a large scar in front of the bladder or abdomen area it was a blocked urethra which caused whatever fluid back to the kidney causing damage they said that my kidney would have to get removed at one stage in my life and 21 was the oldest patient in the past that lasted before removal I am now 30 my height is 183 am and weight is 85 keg I wanted to know if it would be advisable for me to stop fasting and if so would that be for the rest of my life | medium severity |
is surgery required for my mother thumb injury | hi revert back with more detailed history to an orthopaedician and traumatologist online | hi doctor basketball hit my mother left thumb and there is a regular pain for some two years now the skin becomes harder in that area also that arm becomes thinner as compared to the other arm please help | medium severity |
would you recommend grommet for glue ear | hi revert back with the reports to an ent otolaryngologist online | hello doctor I am a 38 year old male I was diagnosed with bilateral glue ear it has persisted for two weeks now and has seen an ent specialist I am on my third dose of antibiotics moxiclav duo forte 875 125 the condition does not seem to be improving I am also using painkillers nasal spray and antihistamine I am keen to get grommet in my ears just to get some relief as the pressure or fluid buildup is unbearable on occasions the ent specialist seems to be against doing this what would you recommend please explain | low severity |
how to manage pyloric infection | hi for further information consult a general medicine physician online | hi doctor I am an 18 year old male I have been experiencing a wide range of symptoms for nearly a year it all started in the last summer I started to experience constant vomiting after eating bloating and weight loss then I was diagnosed with a dientamoeba fragilis infection and given a course of antibiotics I thought I would get better after this but that was not the case I was treated for the bacteria and I still have symptoms like occasional vomiting a lot of weight loss 15 20 pounds bloating and abdominal swelling the doctor did a bunch of blood tests and said he did not see anything wrong the vomiting stopped but I still experience the symptoms and not gaining any weight so my doctor referred me to a gastroenterologist I told him about my symptoms which are as follows herd weight loss occasional abdominal pain abdominal swelling and bloating malnutrition alternating diarrhea and constipation and heart issues like racing heart and heart palpitations my sister has celiac disease my gastroenterologist has done an endoscopy and said he does not think that I have celiac and he said helicobacter pyloric might be a possibility I am really worried because I have got a lot of blood tests and everything came out fine except vitamin b12 and deficiency so I just want to know if you think that I could have helicobacter pyloric I am really anxious please explain as soon as possible and share any other possible illnesses that I could have based on my symptoms thank you | medium severity |
should I go ahead with varicocelectomy to improve my sperm count | hi revert back with the report to a sexologist online | hi doctor I have been diagnosed with bilateral varicocele grade I and I my urologist recommended microscopic varicocelectomy after reviewing my test results I am 32 years old and all of my blood test results including hormones were in the normal range however my semen analysis showed that there are approximately 34 million sperms and out of which 60 are of good motility that is approximately 20 million my semen analysis from years ago was nearly 90 million sperm count with 60 motility I understand that my current sperm count is at the bottom of the normal range me and my wife are not planning to have kids for the next one or two years and have not tried yet my doctor recommends the surgery because there is going to be some improvement in the sperm count if he performs the procedure I prefer to avoid the surgery if not necessary I have a few questions is the sperm count going to be significantly different three years from now after performing the procedure is there a downside with leaving a permanent suture in my body for the rest of my life what happens to the permanent sutures if the veins shrink or get absorbed by the body I am not comfortable with leaving an external object silk in my case in my body for the rest of my life especially if it causes problems in the future and I have to remove it later on I am a highly active person and play soccer and go to the gym regularly I am not sure how experienced the doctor should be for this procedure my doctor is relatively young and obviously less experienced please help | medium severity |
is thalassemia minor genetic | hi based on your query my opinion is as follows for further information consult a hematologist online | hi doctor my girlfriend has thalassemia minor trait and I am a healthy individual person if I get married to my girlfriend is there a risk of this trait for my future children please give me some advice thanks a lot | low severity |
how to overcome my fear while facing an interview | hi I first wish to appreciate the love and dedication you have shown towards your family by staying away from work for three years revert back with the reports to a psychiatrist online | hi doctor for three years I have been at home as a caretaker for my child mostly I feel exhausted and boredom every day morning now I plan to go for a job but I have a fear of facing an interview please help | low severity |
is it difficult to conceive with hormonal imbalance | hello for further doubts consult an obstetrician and gynaecologist online | hi doctor I was diagnosed with cos and my insulin and prolactin levels are 30 and 60 respectively my doctor put me on glucophage and prolactin for these before two months I got my periods on the same month but until now no signs of periods I have mild thigh pain heaviness in my stomach light stomach pain and bloating my doctor told me that if I do not get my periods in the next five days then she will go for a pregnancy test I am really scared of thinking about my pregnancy with these hormonal imbalances is my imbalance too high that it will take time to conceive or to make my periods normal | medium severity |
is stem cell therapy useful for neurogenic bladder | hi welcome to icliniq com we are here to help you for further information consult an internal medicine physician online | hi doctor my daughter who is years old has neurogenic bladder her height is 10 and weight is 53 keg she is suffering from voiding dysfunction and constipation she underwent surgery for spinal lipoma when she was 45 days old her bladder trabeculated and grade reflux her right kidney is 83 89 am and left is 40 08 am she had been on nitrofurantoin 100 my and tolterodine tartrate 2mg per day bed time for six years and discontinued three months back kindly advice on appropriate treatment option and prognosis I would like to know if stem cell therapy is useful I have attached her reports for your reference | medium severity |
I cannot sustain erection and my blood pressure is quite high please help | hi before we can make any conclusions I request you to provide the following details so an impression can be made about the cause of the problem revert back with the answers to the questions to a sexologist online | hi doctor my penis gets soft very quickly and I cannot sustain erection for a long time moreover after one session it is very difficult to cope up with the next session sometimes when I use a condom it is very difficult for me to enjoy my sex please help | high severity |
I cannot digest dairy products what treatment should I take | hello I have a few questions for you revert back with the answers to the above questions to an internal medicine physician online | hi doctor I cannot digest dairy products oily foods and sweets these all give me loose motion what treatment should I take to combat it my current medication is normaxin 5 my in the past I had mahacef oz nougat capsules and ilaprazole during aggravation please help | medium severity |
please explain my ankle mri report | hi for further information consult an orthopaedician and traumatologist online | hi doctor I am a 38 year old male I have ankle pain for the last nine months but I have no problem in walking my ankle ray is fine the mri report summary is as follows subchondral cystic changes seen in the medial and lateral aspect of valar dome with adjacent marrow edema and overlying hyperintensity and irregularity it is suggestive of stage I a osteochondral injury of talus no evident separation of the osteochondral fragment or loose body formation mild ankle joint effusion no evident of ligament sprain or tendon tear please explain | medium severity |
would cancerous breast lump grow in four weeks time | hi I can understand your concern for further information consult an obstetrician and gynaecologist online | hi doctor I am suffering from anxiety around the health issues cancer and tend to obsess about things I have been fixating on my breasts and keep thinking I feel lumps my doctor suggested to get an ultrasound four weeks ago for my peace of mind and they were perfectly fine tonight I was scratching and then prodded to the left of my nipple on my right breast if I push firmly down I feel a small knot or pea like thing there seems to be two and one is more prominent I can feel something vaguely on the left side of my breast but not near a prominent am I right in assuming as I had an ultrasound only four weeks ago and everything was fine whatever I am feeling might be some muscle or something I have to press quite firmly to feel it if I just do a normal breast exam then I cannot feel it also if the scan was fine four weeks ago is it possible for a cancerous lump to grow in that time frame sorry the anxiety is tough to deal with please help | high severity |
what are the chances of side effects of tablets given for gad | hi I think for a 71 keg young male the chance of side effects with recommended dose is very minimal but at the same time I do not think this could be the final dose your doctor is right in saying take my of escitalopram and this is the minimal effective dose for first time anxiety problem since you are already taking xanax alprazolam I assume that you have this problem for a longtime and it is possible that there will be required to increase the dose in the near future you also mentioned heart arrhythmia in that situation we need to be very slow first start with my than 5 my or 10 my as there are problems encountered by those who has a heart problem I do not mean there is a serious risk but caution is warranted in case if you develop side effects then there is some possibility of headache gastrointestinal disturbance and giddiness which are most common regarding the suitability of treatment I do not find any fault with prescribed treatment as escitaopram a sari selective serotonin reuptake inhibitor is used for definite treatment of gad generalized anxiety disorder while clonazepam helps in initial management of anxiety till escitalopram takes over for further information consult a psychiatrist online | hi doctor I am suffering from unsteadiness muscle tension mild fatigue anxiety and depression I have been diagnosed with gad my doctor prescribed my clonazapem my and escitalopran 10 my is it fine to take half of each tablet will it cause any intolerable side effects I do not want to take medicines my doctor said that it is mandatory she said cut will not work for me please help | medium severity |
for gallstone problem should I get my gallbladder removed | hello I had gone through all the details posted revert back with the answers to the above questions to an internal medicine physician online | hi doctor I have aches on the right side of the upper and lower abdomen as well as in the back that is below my shoulder blade these aches have got worse over time in the past seven months my doctor informed me that I have gallstones and that is the cause of my aches and pains he said that I should get it removed I hope not please take a quick look at my sonogram and tell me what you think of my situation thank you | high severity |
should I take rituximab for neuropathy | hi I am here to help you first and foremost I would like to congratulate you for your excellent narration and detailed documentation of the prescriptions and reports which has enabled me to have a good understanding for further information consult a neurologist online | hi doctor I am 24 years old I am suffering from a neurological disease and due to this I am getting weak day by day my toes are gone almost numb since last two years and the same things are now happening with the upper limbs I had this disease from childhood but in a progressive state so with time my health degraded constantly it started affecting my lower limbs now I cannot even walk or stand properly now it started affecting my upper limb as well I cannot lift heavy objects due to weakness in grip and cannot do any manipulation by fingers quickly such as typing writing etc I have been treated in various hospitals since my childhood currently it was predicted as vasculitis neuropathy and getting treatment accordingly I have gone through various treatments till now but unfortunately nothing worked now my doctor suggested me an injection called rituximab which can possibly stop the growth of this disease the two dosages of this injection are quite expensive and due to this we are worried that how much safer is this injection to me hence I thought that I should take an opinion from you before taking this injection could you please suggest me your opinion by looking at my attached reports is there any possibility to cure this rare disease or at least to stop the growth of this disease should I go for this rituximab injection I know it would be a challenging task but please spend some time and share your thoughts I have attached my reports prescription and life history from childhood any suggestions would be really helpful to save my life | high severity |
why are baby stools green in color | hi I have seen the reports for further information consult a paediatrician online | hi doctor I have attached the laboratory reports of my wife and the baby stools are green in color please explain whether there is any chance for the baby to get jaundice | low severity |
can general dentist replace braces and filling | hi for further information consult a dentist online | hi doctor I have fillings on the buccal surface of some of my upper incisors and regular metal braces attached currently I believe when I chewed some crackers one of my fillings got loosened I can feel pain and sensation from exposure to water however as my braces are still attached I cannot truly know where and how the filling has been loosened whom should I visit first either my general dentist who did my fillings or the orthodontist can my general dentist be able to remove the braces and do the refilling please help | low severity |
is eating jamun in any way related to breathing problem | hi for further information consult a family physician online | hi doctor I have been experiencing breathing problem for the past one week whenever I am trying to take long breathe I am not able to push air completely inside through nose or mouth after consecutive try full breathe happens there is no sign of a cough or pneumonia also I do not have a cold is it due to stress or anything wrong with my heart or lungs does it require any health checkup or consultation with doctor a few days back I ate jamun does it have any relation with this breathing problem earlier I was obese and I have reduced 10 to 12 keg weight now I faced some breathing problem earlier after reducing weight I was absolutely fine what could be the reason for my breathlessness | low severity |
my months old baby swallowed a small thread will it harm her | hi for further information consult a paediatrician online | hi doctor my daughter is months old she swallowed a small thread will it harm her and her tongue is white and thick she also snores a little she often vomits milk which contains mucus my doctor said this will get cleared as she grows please tell your opinion thank you | medium severity |
I could not bear the separation of my boyfriend please help | hi for further information consult a psychiatrist online | hi doctor my boyfriend left me a year before he got married now but I have been dying day by day for his love still I love him a lot please help me | low severity |
I have fatty liver with dizziness heel pain and morning headaches please help | hello welcome to icliniq com I can imagine how difficult time you have doing all these visit to doctors well I have gone through your history I could not see you have any specific gastrointestinal issues at this moment your main concerns are related to the neurological department not a gastroenterology department I urge you to seek help from a neurology team well some of your concerns like fatty liver and indigestion are related to my field hence I would like to give you some suggestion regarding that so I see you already on some medicine for indigestion such as maalox syearup and pariet which is an acid suppressant medication they are relatively safe and can be taken regularly or intermittently based on symptoms the second concern from gi perspective are fatty liver you did not mention your weight so I could not estimate the body mass index which is a direct tool to assess the level of fat one has over the liver and other body tissues atorvastatin lipitor can reduce some fat from liver but they are not the preferred treatment for fatty liver disease they can control lipids however if elevated atorvastatin can cause myopathy means muscle damage and can cause severe cramps over legs and throughout the body I want you to check your creatine phosphokinase cpu levels to confirm this if you have recently stopped your atorvastatin the preferred therapy for fatty liver disease if you are not diabetes is vitamin 400 my twice daily for at least three months the other recommendation is to reduce your weight by to 10 of current body weight in the coming six months walk 150 minutes week and dieting which is all required I am sorry I could not answer the rest of your concern but I want that should contact a neurologist available online on icliniq to be given proper suggestions regarding your health I hope this helps fatty liver disease indigestion creatine phosphokinase drug induced indigestion capsule vitamin 400 my twice daily for three months you can follow up with me for your gi related issues and discuss long term management of your fatty liver disease | hello doctor I had a problem with lower left abdominal pain for years which is diagnosed in 2017 as an umbilical hernia I subsequently did the surgery in january 2018 and I was diagnosed with moderate fatty liver during the test prior to the surgery but I was given liv 52 to take for three months and lipitor 20 my but when I reported to work I started noticing mild pain in my heels and imbalance which I thought was due to the drugs side effects somewhere in march I panicked out of sleep and started sweating with my heart beating very fast I rushed to the hospital and they did a brain it and kidney function test which was normal and the gave me some anxiety tablets lexotamil 5 my afterward I noticed that my heel pain was aggravating with flashes of dizziness and minor headaches which I could manage I reported to the hospital and was referred to an orthopedic specialist there I was asked to do and mri of the brain neck and spine with magnesium phosphate calcium and sodium test which were all normal the doctor then gave me reserve and stugeron for the dizziness but still the issue persisted so I reported back to focus and was asked to see and ent specialist and eye specialist I went to an eye center but they all proved negative so I was referred to see a neurologist who asked for an mri of the thoracic and lumbar spines and also test for folate and vitamin b12 but again they were all negative and he said my situation might be idiomatic so he did not give anything but in all these I realized my energy levels were coming down I easily get tired and occasionally my heart rate will go up with a feeling of uneasiness and confusion all coupled with balancing disorders associated with cluster headaches I went back to my hospital and was advised to see a cardiologist he also did his relevant test which all proved negative and he declared me safe but he advised if I am still not normal I should see his boys at the executive heart center which I did they have been working on me since and nothing has come up although the symptoms still persist so just last week I was not feeling very well and had to go for a check up when I was told of the micro pulmonary embolism and was admitted I currently have serious heel pain without swelling in the legs dizziness without spinning chest discomfort unsteady gait muscle weakness and extreme fatigue diminished vision issues with acid reflux and indigestion occasional heart palpitations insomnia and pressure and discomfort in the chest after standing for about minutes or while walking with extreme dizziness I currently take xarelto 15 my motilium once daily stugeron 25 my maalox plus suspension 150 my pariet 20 my carvedilol 25 my and lexotanil 5 my once daily at night | medium severity |
I had nasal surgeries in the past is it safe for me to take nasal coronavirus test | hi I see that you are concerned about previous surgeries nasopharyngeal swab for coronavirus is a very simple test just like how you use your ear buds so ned not worry it can be done even if you have deviated septum at this pandemic season it is recommended by world health officials and your employer can demand you to get tested before joining your work as you have traveled overseas and 14 days quarantine is also recommended by world health organization no other tests is as less invasive and highly yielding than a nasopharyngeal swab test I hope this helps | hello doctor I have had three nose and septum surgeries and my septum is deviated my workplace wants me to do the nasal coronavirus test as I recently came back from overseas I am already on day 10 of quarantine but they want to do the test is there any risk for me to do this test considering the previous surgeries can they force me to do the test do they need me to consent to the procedure can I request to finish my quarantine instead of testing or is there any other test that is less invasive | low severity |
I am diagnosed with ulcerative proctitis and suppositories do not work for me why | hello I can imagine how upset you are about your disease thankfully it is limited to the rectum and not extensive to involve the left side of the colon I am sure that your previous gastroenterologist had done biopsy of the rest of colon to exclude microscopic activity in other segments of the colon so if suppository is not working I suggest you to use mesalamine enema you can use grams enema once a day preferably in morning after passing the first stool not thrice a day the once a day dose work fine actually suppositories may not reach up to the extend of disease hence in such situation enema which are rather liquid preparation would work fine plus you should add hydrocortisone enema 100 my once daily at night time you can use hydrocortisone enema for two weeks and mesalamine enema regularly the picture you uploaded suggestive of blood with lots of mucus I also want to recommend to test stool for difficile antigen and blood ha titers for histolytica if any of those infections are found would require antibiotic therapy in addition to the above therapy you can follow up with me and update me about five days of use of the above regimen I hope you would be fine by then I would tell you the long term management of your disease and when exactly you require a repeat colonoscopy I hope this helps ulcerative proctitis stool for fecal calprotectin stool for difficile antigen and blood ha titers for histolytica infection colitis superimposed ulcerative proctitis follow up within one week to update about the symptoms and discuss the investigation that are suggested | hello doctor I am 26 years old I was diagnosed with proctitis stage of ulcerative colitis in january doctor prescribed mesalamine suppositories and I was healed it again started in may doctor prescribed me three mesalamine suppositories a day but the bleeding still continues any advice on medicine or diet will be highly appreciated | medium severity |
I have stomach disturbance along with pop sound in legs and knee joints please help | hello well I have gone through your history I would like to ask you a few more questions to confirm the probable diagnosis do you experience a lot of fatigue is the sleep pattern normal or is it disturbed any feelings of tiredness in the mornings after sleep also any history of recent irritability forgetfulness when you say stomach complaints does it mean loose stools or increased frequency of stools or constipation any history of weight loss I have gone through your reports most of them seem to be normal except for mild ana positive you are right that it all looks connected and we need to reach the diagnosis as management gets easier then | hello doctor I am 36 years old I am a vegetarian before three years due to stomach disturbance yellowish urine pain and some popup and cracker sound in my legs and knee joints I visited a doctor and he suggest me for liver function test and all reports in normal range except for sugar which was 138 my dl at that time he gave some medicines and referred to an orthopedic for joint pain I visited an ortho specialist and he took an ray of both leg knees and tell that it is an early stage of osteoarthritis of knee and suggest for mri I had done an mri and in the report it is mentioned that the left knee has affected with osteoarthritis after that he give some medicines for 10 days and refers to a physiotherapist for exercise and weight loss I have visited as he told and I reduced my weight and now there is very little pain remain in my left knee but now my other joints hips joints both hand knee has popup sound when movement including neck jaws all have some very mild cracking and popping sound as there is no pain but as it seems to be taken care of in the next few years so I prefer to consult a specialist like ortho and gastro doctors still I did not found any reason behind my current health situation still I have yellowish urine kindly interpret all the reports | medium severity: |
I have depression for 32 years but I am more depressed with my recent tbs why | hello I read your query and understand your concerns although it is too early to measure the effect of tabs theta burst stimulation after the nine sessions there is a good possibility that there will be an enduring effect over the coming weeks my statement is based on the fact that early response may be transient one is an indicator of long term response for most antidepressant therapies including medications tis transcranial magnetic stimulation eat electroconvulsive therapy and now rims repetitive transcranial magnetic stimulation and tabs considering the above fact I like to state that reversal of symptoms after a few days of normalcy at this stage is considered normal and we need to hold on till the completion of therapy although this is not the part of the question I like to draw your attention to the suboptimal dose of effexor for someone who has depression over the 30 years I rarely see any patient who responds to below 150 my of effexor after a prolonged history of depression say 30 years I hope this helps | hello doctor I am 56 years old male and have been treated for depression for 32 years I have tried numerous antidepressants I have responded to eat extremely well in the past but it did not hold me I could no longer afford monthly maintenance treatments I have currently started a treatment called theta burst stimulation after nine minute sessions I have had a few normal days but more days where I feel depressed I am more depressed after I have started this treatment is this normal I am scheduled to have a total of 36 minute sessions | medium severity |
I have pimple in my inner ear with pain please suggest treatment | hi welcome back to icliniq com there could be an infection of the hair follicle in the ear as a result of which it can create excruciating pain besides the wax would have further got pushed toward the ear drum causing severe pain plain use of antiinflammatories like mefenamic acid alone will not bring much benefit you will have to take antibiotics as well to handle the infection I suggest taking tablet ciprofloxacin 500 my one tablet two times a day for the next week please take an antireflux tablet such as tablet pantoprazole 40 my once in the morning before breakfast along with this I suggest you to apply candid ear drops three drops thrice a day continue mefenamic acid one tablet two times a day keep your ear dry and do not allow water to enter the ear stop swimming for another two weeks until the ear completely heals please do not attempt to clean the ear at any cost as the infection can further flare up I hope this helps | hello doctor I have this pimple in my inner ear and it has been eight days but until now it is still hurt I am currently taking mefenamic acid | medium severity |
my 13 month old baby report shows lymphocytes 73 and hemoglobin 9 is there any problem | hello welcome to the icliniq com following is my opinion for your asked question regarding abc complete blood count of your child the lymphocyte count are usually high in children so you may need not to worry about lymphocytes count but the hemoglobin level of your child is definitely low suggestive of anemia it could be nutritional anemia or hemolytic anemia like cause I suggest you do further work up for anemia with serum ferritin serum iron peripheral smear examination and us abdomen you can consult a nearby pediatrician once for physical examination his pcv packed cell volume and mav mean corpuscular volume is low so most probably he is having iron deficiency anemia according to the cause specific treatment is guided I hope this helps | hello doctor my 13 month old baby has neutrophils 23 lymphocytes 73 abc 6100 and hemoglobin level is 9 is there any worry | medium severity |
can you recommend a good probiotic | hello I welcome you to icliniq well it is very hard to define which probiotic is the best to one since microbiota pooled microorganisms in your gut is completely different from the other person and for one to know what range of microbiota is present in your gut you have to get it tested by giving a fresh stool sample and ask for stool mapping for microbiota once you have report in hand anybody can tell which good bacteria are short and should be replaced and which bad bacteria are present to be removed actually there is no specific regimen of probiotics developed to empirically replace with probiotics studies has largely seen bifidobacterium bifidum bifidobacterium breve streptococcus thermophilus bifidobacterium longue subs longue and other lactibacillus species such lactobacillus rhamnosus lactococcus lactis lactobacillus casei lactobacillus paracasei lactobacillus plantarum and longue all work well but there is no single capsule that can fit all you have to take a probiotics which can anticipate and fulfil your need the one which I commonly prescribe is ecotec twice daily beside good diets including fruits green vegetables and yougurt avoid use of antibiotics as possible as can the probiotic use comes after a good healthy diets and avoidance of antibiotics commonly used for common infection of gut and flu I hope this will help good day follow up if need to discuss more about different diets and life style modifications required to keep your gut healthy | i am looking for a good probiotic I have read conflicting results online and do not know which ones are a rip off or legitimate it seems for one to be affective it needs to survive the trip to your intestines and too many make that claim without knowing if it is true can you recommend one that gastroenterologist recommend that do not cost a fortune thank you so much in advance medical history I am healthy with no gastro problems that I know of only medication I am on is zyeartec | low severity |
is it safe to plan for a baby during the ongoing couid 19 pandemic | dear good afternoon coronavirus dont have any known impact on people planning pregnancy however infertility treatment can be deferred for your family I would advice that corona may continue for few more months as claimed by many studies so you may have difficulty in visiting hospital for routine visits if you can wait for more time it will be ideal there are many tests and medical conditions or factors which are required to be paid attention to for planning family you can contact me subsequently for detailed family planning advice plus let me know if I can be of any further help best wishes after days | we are couple married recently we want to plan a baby however due to ongoing couid 19 pandemic can we plan it now is it safe | low severity |
I have nausea and belly gurgling if I do not eat for a couple of hours what is the cause | hello it appears you have symptoms of gastritis as fasting increases nausea I would like to know any pre existing medical conditions that you may have also would like to know about any medications that you are taking reflux liver function test thyearoid function test gastritis avoid being empty stomach for prolonged periods have small frequent meals drink adequate fluids water have 8 hours of sleep daily if these measures do not provide significant help an upper gastrointestinal endoscopy may be needed avoid late night snacking | i recently had a fasting blood sugar test which was 4 amol because I have been experiencing nausea after a couple of hours of not eating now then did a three month blood sugar test which they said was normal I do not know exactly what the results were however I am still experiencing nausea and my belly gurgling and trapped wind what is causing this and due to coronavirus I cannot get an appointment in the doctors | low severity |
can vitamin do deficiency cause inflammation and burning sensation in the foot and hands | null | vitamin do deficiency units consuming tablet well a as prescribed by doctor its been months since I am consuming my tablets but there is inflammation and burning sensation on my foot and hands I am 18 years old weight 43 keg height 3 how do I get rid of the inflammation | medium severity |
I have stomach pain and bloating after taking augmenting 625 why | hello I welcome you to icliniq well it is not uncommon to have gastric upsets after a course of antibiotic and antibiotic like augmenting are notorious to cause this occur secondary to effect of augmenting on decreasing the amount of lactobacillus microorganism which are normally present in the human gut and help digest the food you should take yougurt kefir fermented yougurt kefir and there are certain diets with probiotic activity you can start taking it plus take tab ecotec twice daily for weeks and tab levosulpiride 75 my once daily half hour before meals for weeks you can continue with acinil spy while rest of your current medication can be stopped I hope this will correct your microbiota and will bring the same healthiness as before good day antibiotic induced dysbiosis small intestinal bacterial overgrowth antibiotic induced dysbiosis let me know in one week time how you respond to above regimen if persistent of symptoms I would consider testing and giving some safe antibiotic therapy for weeks | age years height 164 cos weight 67 keg I am suffering from sore throat so I took augmenting 625 before 12 13 days back but found no improvement but I started suffering from stomach pain and excessive gases now I am taking below medicines as per prescribed by ent specialist that are allegra tablet rinifol capsule esoz 40 capsule acinil syrup for ten days two days remaining to finish course stomach pain and blown stomach due to gas is still there | medium severity |
why do I face difficulty in losing weight | hello I have gone through the reports for further information consult an obstetrician and gynaecologist online | hi doctor I am a 35 year old woman my height is 3 and weight is 147lbs I do not have a child yet but will be trying to conceive soon I am a vegan and eat healthy I workout five days a week and sometimes will go for a am runs around two to three times a week as well I went off my birth control pill about three months ago and have not had a period since I was diagnosed with cos when I was 15 but after going vegan two years ago doctor said it definitely helped with symptoms I have been eating right and working out for the last three months and my weight has not budged in fact it seems I have gained numbers on the scale three months ago I was 139 labs is there anything in my report that could be the reason for not being able to lose weight or abdominal fat is there anything in the infertility test portion that could indicate the issues in trying to conceive I would like to get a professional advice on my blood work results I am mainly looking to find out if anything on here can indicate infertility or difficulty in losing weight please help | medium severity |
what is the reason for continuous eye allergy and irritation | hi for further information consult an eye care ophthalmologist online | hi doctor I have eye allergy for the past 7 years I have consulted many doctors I am using steroid eye drops too but my eye allergy is still present my eye irritates when it contact with blowing air perfumes air conditioner strong odors when I get cold and sometimes suddenly without any exposure occasionally it causes pain in the eyes and head I do not know what caused this what is the permanent solution for this is there any other alternate remedy for this when I take cetirizine my irritation subsides in 30 minutes please help | low severity |
how to calculate the number of days of pregnancy | hi for further information consult an obstetrician and gynaecologist online | hi doctor I am 18 weeks days pregnant my friend told me that I am supposed to add two weeks to those 18 weeks while counting is that true can I get pregnant if I had sex during period my period was on the 28th and I had sex on the ith that time my period was on but not heavy could I have gotten pregnant that time how long do sperm stay in the body please explain | medium severity |
please explain the reason for weight gain during pregnancy | hi for further information consult an obstetrician and gynaecologist online | hi doctor when I had my third ultrasound I was 24 weeks pregnant and it appeared like two faces in the ultrasound I keep asking my obstetrician regarding my weight gain I am gaining so much weight when I barely eat and my stomach so huge I found that at 14 weeks on my first ultrasound I was having a boy and that was pretty early for me to find out a gender I eat like two meals at once a day I am now 34 weeks and days pregnant my obstetrician does not check my pelvis and not advised for another ultrasound can I send a picture of my third ultrasound to get a second opinion whether I am having twins | low severity |
could vomiting cause prominence of the vessels of sclera | hello I can understand your concern regarding your complaints revert back with the answers to the above questions to an eye care ophthalmologist online | hi doctor I am a 21 year old female I was bulimic for about a year it happens once or twice a week I never noticed any permanent changes in my eyes throughout my episodes however the last time I ever binged and purged three months ago I vomited violently a few weeks after this I noticed that the vessels in my sclera are indefinitely more prominent than before did this happen because of the continuous pressure subjected to my eyes with vomiting or could it just be due to many hours of reading and laptop use I have seen an ophthalmologist and he said that there is nothing wrong with my eyes and suspect a very mild case of blepharitis or bilateral dry eyes I am using optive comfort solution I would like to know if my bulimic phase could have caused the prominent vessels in my eyes as this has not been mentioned anywhere else online | low severity |
what can be the reason for my erection problem | hello revert back with the answers to the above questions to a sexologist online | hi doctor I have experienced a problem in erection since last three months I am a smoker the testosterone level in my last routine medical checkup was 134 please help | low severity |
please comment on the severity of my wife wrist ray | hello revert back with the photos to an orthopaedician and traumatologist online | hi doctor my wife is 42 years old she is feeling pain in the right wrist while moving the palm laterally outward the movement gets somewhat obstructed slightly and it is not smooth this has been started after an occasion when she tried to pull or carry one heavy bag a week ago ray has been done on her right wrist which is enclosed herewith please comment on the severity of the wound and its medication thank you | medium severity |
how to find out if my son is suffering from any communication problem | hi I have gone through the query with keen interest and understand your concerns before making any opinions I need to inform you that take the things in objective manner and not on emotions I understand there is history of autism in the family and it does not mean your child suffers with autism in a normal growing child there are many ups and downs and not responding on some occasions is not indicative of serious pathology like autism we need to take notice that a child plays well with another child responds to language on most occasions cheerful not having any abnormal repetitive stereotyped movements and communicates with the mother having said this I feel it will be appropriate to fill a simple questionnaire called autism spectrum screening questionnaire assq this is a screening instrument for autism and you will know probably with sure that whether there is problem or not if you still feel there is something abnormal then you may contact the specialist doctor nearby for a physical evaluation for further information consult a psychologist counsellor online | hello doctor I have twins a boy and a girl aged years I noticed that the girl advanced in skills than the boy in the first few months of life my son was faster than his sister in the growth and everything and then it was reversed I am a graduate of psychology I have a brother suffering from autism and frankly I have a fear of this disease I do not care and I do not want to surrender to delusions but mom and dad insist on reminding me of everything you see them that my son is also the possibility of getting hurt I started since 10 months I am watching my son very much I blame him if he did not implement what I am asking he says dad and mom he loves to play laugh and shake hands if I asked him to do so he looks into my eyes when I talk but I do not feel that he understands what I am saying to him always for example if I asked him to bring me cheesed off the table he does not focus with me and ignore me on the other hand if he feels he is thirsty then he will come to me and say a bottle of water I know this is probably because the rate of a normal iq and concentration varies from one to another child I want a word from the doctor that makes me serenely scream in the face of all of the notes that my son is not normal and I tell them that my son safe and sound the question is how completely I know that my son is not suffering from any problems in communicating diseases or behavior | medium severity |
what is the life expectancy in cancer | hi we are here to help you I am really sorry to hear about his state for further information consult an internal medicine physician online | hi doctor my friend has been having left shoulder pain for months for the last three weeks he is also having the coarseness in his voice can barely speak and little energy he is eating well but not gaining weight he has no other symptoms he is a carpenter and 50 years old he smokes cigarettes weed and crack cocaine I think he has been doing this for 30 years today his blood test and blood pressure are fine his chest ray came back with a large mass on his left lung it looked large to me he was given a to shot other than that they suggested a specialist it was an er visit so they did not say much other than it could be a cancer what does this sound like to you I deeply appreciate any of your help thanking you in advance | high severity |
why do I feel itchy while urinating | hello urine for routine and microscopic examination as well as culture sensitivity revert back with the test reports to an obstetrician and gynaecologist online | hi doctor I feel cramped itching and lower abdomen pain during urination I had intercourse with my partner last month and since then I have faced this problem I went to meet a gynecologist and she prescribed some medicine and felt fine for 10 days then again I am facing the same problem also I have pod please help me | medium severity |
please recommend some treatment for jock itch | hi please put up two to three clear photos of the affected area for proper evaluation and guidance revert back with the photos to a dermatologist online | hi doctor I am having an abscess on my balls it is reddish and painful but not much I have jock itch right now I saw terrific images on the internet but it is not like that please help | Low severity |
what should I do for my dizzy feeling | hi for further information consult an internal medicine physician online | hello doctor I do not want to be sound like I am panicking but I really do feel quite uneasy since I woke up I feel dizzy my head is rolling and when I close my eyes I feel like the world is rolling around in a full speed it never happened with me any time before I just had my lunch now but I do not feel to eat any due to the same please advise what should I do thank you | medium severity |
got chickenpox during pregnancy what shall I do now | hi really this is a confusing state but this does not mean you have to abort the fetus right now when mother get infected with chickenpox fetus carries a risk but the risk is only and in those cases the fetus might develop rarely some form of abnormality thus straightaway recommendation of termination is not always a choice definitely there is no direct answer and it is unto you what to do if you want to have the risk of which is very minimal and often equal to an incidence of congenital anomalies in low risk pregnancy definitely you can continue it in that case just go for an anomaly scan from a very good center at the 18th to 19th week to confirm about the integrity of the fetus for further information consult an obstetrician and gynaecologist online | hi doctor I am 21 years old my weight is 48 keg I am months weeks pregnant now I got chickenpox I am very anxious about the adverse affect for my baby I have visited a gynecologist and she suggested me to get abortion please clarify me the right step | high severity |
how to cure mouth ulcer | hi revert back with the answers to the above questions to a dentist online | hi doctor I have a sore in the mouth I have attached the photos please help | low severity |
what does my blood investigation suggest | hi for further information consult a criticalcare physician online | hi doctor please find my blood investigation report attached and provide me the required steps to take further thank you | low severity |
my child got hurt while playing can we use bact or neosporin ointment | hello revert back with the answers to the above questions to a paediatrician online | hi doctor my child who is years old fell off while playing she got hurt above the left eye with mild scar please suggest some medication thank you | low severity |
is it true that baldness is hereditary | hi for further information consult an ayurveda specialist online | hi doctor I am 20 years old my hair is getting thin as my father is bald I fear that I will also get bald also I want to improve my skin texture please help | low severity |
how to manage unilateral paralysis of the diaphragm | hi traumatic or some cancer causing nerve compression mri scan and spirometry unilateral diaphragmatic paralysis for further information consult a pulmonologist online | hi doctor what health implications have been observed with a unilateral paralysis of the diaphragm I have had a plication performed but it failed and is back to the original issue currently I am suffering from shortness of breath chest pain with dizzy spells and increased heart rate I am on propranolol for the heart rate issue please help | medium severity |
what are these white spots on my tongue | hi for further information consult a dentist online | hi doctor I have some white spot on my tongue I researched on the internet and it looks like white oral cancer lesion any of your thoughts will be appreciable I have attached the pictures for your reference please help | low severity |
why do I get thigh muscle numbness | hello revert back with more clinical details to an orthopaedician and traumatologist online | hi doctor my uric acid in blood shoots up to 9 I do not have the problem or gout or kidney stones how to reduce it I have already started to drink lemon water the whole day I have attached the photographs I have only knee pain which is at the backside of the knee while climbing up and down stairs for the last two years also my left leg thigh muscle has localized numbness for the past five years numbness did not hurt but bothers sometime numbness is not heavy if I use nail on it or scratch on it I sense it well how to cure this numbness is this serious | low severity |
how to manage nosebleed | hello for further information consult a child health specialist online | hi doctor my year old daughter has had three nosebleeds in about hours during the nosebleeds she said her cheek bone area close to her nose hurts what to do | low severity |
my cheek feels sore after placing a temporary bridge why | hi for further information consult a dentist online | hi doctor I had a tooth extraction and a temporary bridge on my back upper teeth the temporary bridge broke and I got another one after this I started to have some soreness in my left cheek and left side of my tongue my cheek feels swollen and sore I noticed two white bumps on the inner side of my cheek today is this from the dental work or something else | low severity |
why am I not able to focus both the eyes on a single point | hi revert back with the answer to the above question to an eye care ophthalmologist online | hi doctor when I look towards my left I can use either left eye or right eye I am unable to focus both the eyes on a single point also when I move my eyes towards left my left eyeball goes little upward than the right please help | medium severity |
how to get the phlegm out of the body | hello viral fever complete blood count cop reactive protein parasite and test cue complete urine examination and chest ray viral pyearexia I suggest the following medicines consult your specialist doctor discuss with him or her and take the medicine with consent syearup cetirizine my once daily at night continue crocin acetaminophen and mental mefenamic acid nebulization with nail sodium chloride twice daily for three days syearup ascoril is combination of ambroxol and salbutamol my three times a day for three days revert back after three days to a paediatrician online | hi doctor my son is 6 years old his weight is 12 keg he is a healthy and active child but he is getting coughs and cold at least once in a month for the past three months currently he has a fever for the past two days 101 degree and cold from today morning I am giving him cetirizine and ambroxol for cough and cold mental for high fever of above 102 degree fahrenheit and crocin for normal fever other than these I am giving him zincovit I guess that the cold which he has gotten subsided once he take antibiotic and cough syearup whenever he coughs too much he will then vomit the phlegm out other than this the phlegm is not coming out either in the nose or through the stools please get me some solution to make the cold come out thank you | low severity |
does alcohol hinder the work of abilify | hi for further information consult a psychiatrist online | hi doctor a person used ability and drank alcohol heavily on ability then switched medications and quit drinking for years can that person go back to ability again will it work or does drinking alcohol make the medication never work again please explain | medium severity |
can missed period mean pregnancy | hello please do not get worried or panicked get a beta hug test done it is a blood test to confirm pregnancy a value less than means you are not pregnant even if it is positive you do not need to worry you can get it terminated by medicines you will need to get an us done first you can visit a gynecologist without parents and your privacy will be respected please make sure you visit a qualified gynecologist and do not visit quack out of social fear gynecologists are professional and will not meddle in your private life and will help you get rid of pregnancy without risk to your life | hello doctor I am 18 unmarried and I have missed my periods on first two days and I suppose I might be pregnant unplanned as I am not having any symptoms of my monthly periods me and my fiance had a pullout in 10 seconds after he inserted the penis in vagina but there was just a pre cum which he had already ripped away and there was no ejaculation taken place sure is it a sign of pregnancy can I consult a gynecologist alone without parents or guardian can I terminate the pregnancy by medication as it has been only days what should I expect please help I am stressed | medium severity |
will delaying vaccines for an infant cause any problem | hello I understand your concern for your child I would say you can wait for some more time till the end of this month as probably after this month lockdown restrictions will be over I believe you should go according to your pediatrician as he would understand the situation best at your place till then best hygiene measures should be taken for your child use hand rub or wash hands properly before touching your child avoid giving bottle feeds if you maintain this there should be no problem all vaccines can be given at a later date | hi doctor I am blessed with a baby boy months 10 days I am sharing with you his vaccination card all vaccines are almost due because of the corona pandemic most of the clinics are almost closed will you please suggest whether these vaccines can be delayed a bit till the suspension of lockdown or do I need to arrange it asap really tensed about this unexpected and unfortunate situation | medium severity |
what has to be done for accidental swallowing of tooth crown | hello I understand your concern but I think as so much time has already passed and by god grace everything is fine then I think it has not gone into the airway problem erupts only when it gets stuck in the airway it might have gone down through the digestive tract and shall pass out normally through faeces the biggest question is whether it went inside along with breath or food that will surely subside the confusion and the one who swallowed most probably can feel this I would surely want to know which number tooth it belonged to in order to know whether it was bigger or smaller in size anyway an ray is always advisable for safety if your area is now open for the same be careful and look for the engulfed crown in your passed out fecal matter that will also relax you if you find it sooner it mostly passes out in 24 48 hours you can have banana so as to help it pass digestive tract smoothly | hello doctor my friend had accidentally swallowed tooth crown an hour ago she is not facing any problem till now what should she do kindly advise | medium severity |
can herpes cause cold sore on lip | hello as per the current picture sent by you it does not look like a cold sore as of now also I would advise to stop all ongoing treatment including the hydrocortisone and just leave it alone for a week apply dologel only it contains cholinesalicylate along with certain other ingredients that help to heal no application of any lipstick or any other ointments or creams to the region I would not advise kissing for more weeks atleast till things resolve to prevent spread also limit alcohol intake if you are currently consuming alcohol avoid spicy foods too to promote healing | hi doctor I have had a bad cold sore weeks ago on my top lip and a bit of the skin above it I used zovirax externally weeks course and acyclovir weeks course to treat it the actual sore improved the blister stopped weeping the scab formed and flaked off within weeks but the redness is still lingering I rung the doctors that put me through a pharmacist who told me to use hydrocortisone cream I used it for a week as he recommended but it still did not go away that was two weeks ago I also had a new flare up three days ago also on the top of my lip symmetrical on both sides it looks different to a cold sore in that it was some redness and skin flaking home remedies I have tried so far aloe vera not much help tea tree oil irritated it masuka oil helps healing where the sore is but seem to irritate the new flare up conut oil irritated it almond oil seems to soothening it at the moment I am worried if this is still unresolved herpes cold sore and can be transmitted to my partner who does not have herpes is it contagious and am I able to keep it simple stupid my partner | low severity |
what are the ways to manage the withdrawal symptoms of benzodiazepine and alprazolam | hi people taking alprazolam should not combine it with alcohol and avoid combining it with other medications such as narcotic pain relievers that cause drowsiness doing so can cause additive drowsiness and reduced breathing as well as other side effects which can be dangerous and possibly fatal alprazolam may be habit forming when taken for long periods of time if you have been taking this medication regularly for a long period of time more than one month do not stop taking the medication without speaking with your doctor a gradual reduction in dose is recommended when stopping this medication to avoid withdrawal symptoms escitalopram works by blocking the reuptake of serotonin so that there is an increased level in the brain serotonin is an important neurotransmitter responsible for mood and well being it is usually taken once daily and may take a few weeks to months reach maximum therapeutic potential so continue taking escitalopram until you see significant improvements in your memory | hi doctor I took benzodiazepine alprazolam for insomnia for months for a total dose of 30 my while stupidly attending college parties and binge drinking once a week during the period I have never taken the pill on the day I was drinking I did not take the drug every day and after roughly two months I quit the drug altogether the withdrawal that I did not recognize at the time kicked in extreme tinnitus sweating heart racing heightened anxiety I went to ent doctor and she gave me two dexamethasone injections in days I think my I developed during these days a major loss of short term and then long term memory trouble finding words trouble learning in general the physical symptoms of the steroids and enzo withdrawal went away in weeks it has now been a month since I feel physically fine but the cognitive issues persist and they do not get better at all I have been to a psychiatrist because I felt overwhelmed that iam not going to be able to finish school in such a state and she gave me escitalopram thinking it could be psychological but there is no improvement in cognition after a months use does that combination have that drastic side effects and could it caused a chemical or structural problem in brain what can I do to return somewhere close to my old self I am 24 years old | high severity |
please explain the test results of diabetic and renal tubular acidosis patient | hi high creatinine suggests a cod picture for a long term diabetes particularly uncontrolled do your fathers hba1c is high which shows his diabetic status is not under control high potassium levels is one of the complications of cod in this picture taking potassium citrate is not advisable as it may increase its levels and diabetic drugs also need to be modified when a person lands up in cod most oral medicines cannot be given it is safe to shift the treatment with insulin you need to visit a nephrologist for alterations in your medications and appropriate advice for cod serum potassium sodium phosphorus urine routine us abdomen do cod | hi doctor my father was previously diagnosed with renal tubular acidosis and diabetes mellitus was maintained on potassium citrate and gliclazide od currently he had an infected insect bite on the left anterior lateral aspect of the leg he was started on co amoxiclav bid currently on its ith day I had his labs taken which revealed hba1c 5 fbi 57 crea 79 my do bun 67 my do hgb 195 hct 58 abc 13 plt 157 with normal lipid profile and uric acid should I start cod medicines already should I step up with the do medicines thank you | high severity |
I am consuming codeine will this affect conceiving | hi welcome to icliiq com I read your query and understand your concerns first of all I would like to inform you that codeine can be stopped in gradual manner scientifically speaking you can go for 10 reduction of original dose every week leading to complete abstinence at the end of 3 months in case this is not possible or you are not able to tolerate the lower dose of codeine you can get yourself treated form local psychiatrist we often recommend clonidine for this purpose which helps in the withdrawal symptoms of codeine the medication dose is decided depending on the dose of codeine age of the patient duration of abuse and blood pressure I mean to say that this is high time to say no to addiction and take this opportunity to come out of this addiction without delay I understand that your concern is not addiction but inability of your wife to get pregnant despite repeated efforts but we need to understand that addiction and infertility are related to some extent and removal of one risk factor might pave for fathering a child in addition it is also important to get semen analysis done for yourself and follicular study for your wife to rule out other causes | hello doctor I am addicted to codeine for the past years after my marriage my wife had conceived but that time we did not want it so we aborted and it has been years now we are trying to conceive but it is not happening | medium severity |
my husband gets frequent sharp cramps in right lower abdomen lasting for a minute what could this be | hello I will definitely help you right lower abdomen pain has many reasons including appendicitis and kidney stones there are some other reasons like indigestion of food infection of the small intestine or worm infestation this may be functional also in which no cause is identified the main reasons are indigestion and irritable bowel syndrome in which all investigation were normal so if a it scan is normal and there are no other complaints like vomiting bloody stool urinary complaint constipation then it must be functional due to indigestion avoid fatty and spicy food and lots of water have to be taken give two hour gap between dinner and going to bed please get back to me if any of the above symptoms are there and attach an investigation report also for better help | hi doctor my husband gets sharp cramping in the lower right side of the abdomen over a period of two months it happens once or twice a week and lasts for a minute we checked for appendicitis and kidney stones and all the reports are negative we did a it scan of the abdomen and it came normal but with a finding of stage fatty liver can you please help me understand what is his issue | medium severity |
I am getting pimples and dark spots how to treat it | hello I will help you with your problem you are having acne vulgaris which is the most common skin condition of your age generally the eruptions on healing leave a mild dark spot if the eruptions are manipulated by picking them or squeezing them they leave darker spots on healing in your case if you are having oily skin you should use ahaglow facewash four to five times a day this will prevent oily skin which is one of the main causes of the acne for the treatment of the eruptions you should use derive cos gel on the eruptions at night daily also take tablet azithromycin 500 my three days a week for month days daily dose then days gap then repeat the dark spots if persist after the course of treatment can be treated by other creams then acne vulgaris as mentioned above | hi doctor I am having skin problems for the two months where pimples are like faint and after it disappears that spot becomes black please help | low severity |
I am currently having obsessive thoughts and find it hard to control them please help | hello I can understand that you are suffering from obsessive compulsive disorder and having distressing obsessive thoughts ocd is quite resistant illness which involve serotonin a kind of chemical in the brain we generally prescribe antidepressants to increase level of serotonin in the brain antidepressant require in higher amount because you know ocd symptoms are very resistant more than depression there is also a talk therapy which is called as exposure and response prevention it is a kind of cognitive behaviour therapy I would suggest you to visit your psychiatrist again and ask for this talk therapy this will definitely help you hope my answer help you thank you kind regards feel free to ask further | hi I am 20 years old and a student I am currently having obsessive thoughts and I find it hard to control the thoughts I have fears and getting anxious that something might happen to me yet I am trying to convince myself to not to but then again I ve been seeking for help from psychiatrists that offer free consultations because as I said I am just a student wanting to know more about my condition I hope someone could help me I have ear problems and mitral valve prolapse I for now have medical prescriptions for mitral valve prolapse and have not checked up for this ear problems of mine I am currently taking propanolol | high severity |
can you please review my blood test reports | hi welcome to the icliniq following is my opinion for your asked question the low ferrite low mav could be suggestive of early iron deficiency anemia the common cause for high b12 include supplement intake liver disease or kidney disease your liver kidney profile reports are normal so do not worry about that if you have any history of supplement intake than mention it b12 excreted by urine so might need not to worry about that high non veg food also sometime can cause elevated b12 for low ferritin no need of any treatment repeat your serum ferritin serum iron after few days the abc in urine could be due to urinary tract infection for that investigate further with urine culture report meanwhile take more water cranberry juice extract tablet attach the urine culture report once done hope this will help you regards | hello can you please review my blood test my concern are low level of ferritin high level of b12 and urine abc is very high | low severity |
please suggest a medicine to lower my husband blood sugar level | dear user to decide a medicine for diabetes depends on the current physical and clinical condition there are several aspects to be taken care of it would be necessary for a doctor to start medicine after getting detailed medical history that will include current sugar levels which type of diabetes he has basic diet pattern physical activity status family history of diabetes current medicines he is taking for diabetes and ti his body weight and height any other physical condition etc as long as ti is concerned high sugar levels can also cause recurrent unis we can communicate in detail regarding management of diabetes and ti on this platform ti due to high blood sugar levels fbi pubs hba1c creat urine m maintain good genital hygiene in view of ti practise small frequent meals for diabetes with detailed medical history | i am looking for my husband doctor because he is a diabetic asking for you what is the better medicine to lower his blood sugar at the same time he has ti | medium severity |
I have occasional fever with acid feel in chest and stomach pain what could this be | hi how high was the fever any other symptoms such as cough colds body aches sore throat and pain during urination how would you describe abdominal pain burning crappy or stabbing does it radiate to the back if yes which side does it occur after food intake do you wake up in the middle of the night because of the pain any other symptoms such as yellowish discoloration of the eyes or skin nausea or vomiting I suggest taking omeprazole 20 my capsule 30 minutes prior to breakfast but may take one dose today complete blood count omeprazole 20 my one capsule 30 minutes prior to breakfast for seven days paracetamol 500 my one tablet every four hours as needed for fever | hello doctor I have on and off fever since last friday and been having chest and stomach pain since yesterday pain somewhere in between the chest and the stomach I have a loss of appetite and can feel acid coming out of my chest a few times I also feel like I always need to poop but nothing is coming out when I try to I already took biogenic for my fever but did not took any medicine for the chest and stomach pain can you please advise me on what medicines to take and food to take or avoid | medium severity |
after using larger size silicone ring to loose the foreskin I experience pain why | hello I have gone through your queries the only solution to phimosis is circumcision however you may have minor vascular injury inside the foreskin due to the use of a tight silicon ring you can wait and watch to buy some time for natural regression of the swelling or else you can straightaway go for circumcision after consulting your local urologist by few days to weeks the swelling will reduce but the permanent solution of phimosis is circumcision | hi doctor I am a 30 year old male I am currently using phimocure silicone rings to loosen up my foreskin yesterday afternoon I accidentally used a large ring 26 my by wearing it for hour 30 minutes after taking off the ring I have this persistent pain like burning and pressure on the tip of the foreskin majority on the left side I still have this pain and wanted to know if it will go away by itself I am also using betamethasone cream | medium severity |