conversations
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[
{
"from": "human",
"value": "Hi doctor, I am a 28-year-old male. My weight is 70 kg and 5'4\". I diagnosed of LDL 188 for the first time. So what can I do?"
},
{
"from": "gpt",
"value": "Hi. Well, not only the LDL (low-density lipoprotein) but the triglycerides, the HDL (high-density cholesterol) and their ratio are equally important. You need to do some dietary and lifestyle changes according to your current LDL score. Consult a physician for a thorough examination, ECG and discussion for changes in your lifestyle. As per the latest guidelines, you might not need any medication for your level of LDL unless any other problem does not exist. Take care."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am always feeling depressed and lonely. I am now least interested in doing activities which I used to love doing. I cannot even concentrate on my studies. I am feeling dull every minute with stress, negative thinking, and overthinking. What to do?"
},
{
"from": "gpt",
"value": "Hi. I can understand your problem. You are suffering from depressive episode. Your issues like being negative, sad, tensed, tiredness, decreased interest, weakness, decreased emotional control, sleepness, the eating problem are the core symptoms of a depressive episode. I have a few questions for you. Is there any family history of any such kind of illness? Is there any history of thyroid problem? Do you have any recent psychological trauma like breakup, examination results, or financial problem? Are you taking any medicine for any other issue? Do you have a history of self-harm? Can you reveal if there is any past medical history, the effect on you, and taken full treatment or not? I assure you that all your symptoms will disappear after treatment of depression with antidepressants and psychotherapy, CBT - cognitive behavioral therapy. The investigations to rule out a medical cause of depression are CBC (complete blood count), TSH (thyroid-stimulating hormone), blood sugar, serum calcium, and serum B12. Take a healthy diet, avoid junk food, do moderate exercise and relaxation technique (yoga, meditation, etc.,) which may help you. Thanks."
}
] |
[
{
"from": "human",
"value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance."
},
{
"from": "gpt",
"value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?"
},
{
"from": "gpt",
"value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect."
},
{
"from": "gpt",
"value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?"
},
{
"from": "gpt",
"value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?"
},
{
"from": "gpt",
"value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My wife has been having itching on her body for the past one year. Itching subsides with Allegra 120. She is taking this medicine for the last one year. Mostly, she gets itching on the area which is not covered by clothes. Skin becomes red when she scratches it. I am attaching the picture."
},
{
"from": "gpt",
"value": "Hello. She is allergic. The allergy can be due to food, sunlight, pollens, soap, moisturizer, or powder. So she can be allergic to anything. As you mentioned that only areas that are not covered by clothes are affected, which points to photosensitivity which is an allergy to sunlight. It can be an allergy to something else as well. It is very difficult to say only on the basis of history. I would suggest to look for any particular food if she develops itching after eating something. Change soap, moisturizer, and powder. Cover the whole body while going out which will protect if she is allergic to sunlight. You can also go for skin allergy testing which will confirm the diagnosis. Take tablet Montair LC (Montelukast and Levocetirizine) whenever she has itching. Stop Allegra. It is basically prevention from allergens she is allergic to. You can find it by yourself by closely watching or go for skin allergy testing."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am a 23-year-old male. My height is 5.8. Some years ago I had an accident, and there are scars and black marks on my face. Please suggest me the ways to remove the scar and the black spot from my face. Also please provide me a solution for my dandruff."
},
{
"from": "gpt",
"value": "Hello. A black mark on the face can be quite worrisome. It can be treated, but I need to know how deep was the wound and is the mark accompanied by any scar? It will be helpful if you could provide a photo of the same. For the time being, apply Aloevera gel (natural) over the mark daily twice as it helps in healing. Regarding oily skin and dandruff, you can apply a Ketoconazole shampoo like Nizral weekly once and bath. Keep your scalp dust free. For oily skin, you can use good neem based facewash twice daily. Get back to me in 20 days, let us see how you have responded. Dandruff itself will lead to hair loss. So treat dandruff first and then treat hair loss if it persists."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have psoriasis for a long time for which I have been taking Methotrexate. Last week I got my iron studies and blood test done. My transferrin saturation, and total iron levels are low but hemoglobin is fine. Kindly advice."
},
{
"from": "gpt",
"value": "Hello. Your transferrin saturation and iron level are mildly decreased, and your hemoglobin level is normal. So you do not have iron deficiency anemia, but it can be an early sign of iron deficiency. You need to investigate with serum ferritin level because that indicates iron storage level. You need to take iron-rich foods like red meat, beans, pumpkin seeds, and green leafy vegetables, etc. There is no need for taking an iron tablet as hemoglobin level is within the limit. I hope this will help you. Let me know if I can assist you further."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had two psychotic episodes last year and was diagnosed with schizoaffective disorder. I have recently prescribed Risperidone (1 mg) in combination with Wellbutrin (150 mg). One is a dopamine blocker while the other is a dopamine reuptake inhibitor. Would not these cancel each other out?"
},
{
"from": "gpt",
"value": "Hello. The short answer to your question is no. They do not cancel each other out. You may be aware that Risperidone (a dopamine antagonist) is prescribed as an antipsychotic and also helps to stabilize mood whereas Wellbutrin (Bupropion- norepinephrine-dopamine reuptake inhibitor) is used as an antidepressant. You need to be monitored for any potential side effects when you are taking a combination of these two medications. So kindly follow up with your prescribing doctor who will be able to review and titrate the dose accordingly. Also, inform your health care professionals if you are prescribed any other medication for other reasons. They will need to consider potential drug interactions. Take care."
}
] |
[
{
"from": "human",
"value": "Hello doctor, How common is HPV in our country?"
},
{
"from": "gpt",
"value": "Hello. Hope this helps. Please feel free to ask more if you need further assistance. I would be happy to answer any queries. For further queries consult an internal medicine physician online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have been trying to conceive for a few months, but every time the test comes back negative. My last periods was on the 25th of last month, and I started ovulating on the third of this month, and it ended on the 12th. My husband and I had sex on the fifth. Despite my history of irregular periods, I was expecting them to come this time around the same date as I was put on Cabergoline to control my high prolactin (22 on the last report) for regularity of periods. I did not get periods on 25th, but I did not worry too much, as I could have been late in general. However, I checked pregnancy on 20th of this month, which was negative, but I kept the kit. I checked the pregnancy again on 28th and found it negative again, and kept the kit again. After a few hours, I went back to throw the kits, and I found a very faint line on the 28th one, and checked the other one also and found a very faint line on that also. The one on 20th was more fade than the one on 28th. I thought it is urine or evaporation line, and did not take it seriously. I went to the hospital, and the doctors did not find any gestational sac or ectopic pregnancy in ultrasounds also. Nothing at all. But as I had a faint line, they asked me to come back after 10 days. Yesterday morning, I again did a home pregnancy test. Within 2 to 3 minutes, I got another faint T line. This time it was a bit darker as compared to the previous one. I do not understand what is going on. The doctors said that there is nothing called as false positive if the test is checked within prescribed time frame, and a T line appears only when there is some hCG hormone, however, nothing on the ultrasounds. My all four I-can strips show faint lines, but the Prega news kit does not show anything at all. Complete negative. My ultrasound shows nothing. What could be happening with me? My medications since last month are Cabergoline, Metformin, and Folic acid. The doctors say that it could be too early to say something, or it could be ectopic, which could not be verified in the ultrasounds. Could you please give me some opinion on this, as to what could have been the reasons for faint T line appearing within 2 to 3 minutes, while ultrasounds say I am not pregnant?"
},
{
"from": "gpt",
"value": "Hello. For more information consult an infertility specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,My baby is three and a half months now. Since he completed three months, he is more on formula milk than breastfeeding due to supply issues. He poops every alternate day. I am concerned as his poop color is dark green and at the end of the process a slight yellow poop comes. I have learned that babies on formula milk poop green but it is dark green. That is the reason I am concerned. Please suggest. Also, I would like to add that the consistency is normal, not too hard or too watery."
},
{
"from": "gpt",
"value": "Hello. The color of the poop does not matter much unless it is dark black, which is a possible sign of occult blood. Usually poops in babies on formula feed is dark green. A breastfed baby will have golden yellow poop. So, do not be worried at all. I also suggest you take some medicines to increase your milk supply as every mother gets milk at least until the baby is six months old. You can try supplements like Lactare or Lactonic granules in milk. If this does not work, I suggest trying Domstal (Domperidone) tablet and it will surely increase milk supply. I hope you use a breast pump too at home. The more you pump and stimulate your breast, the more milk you will get. Hope this answers your queries. For more information consult a paediatrician online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am having a white coating on my tongue. Also, since my childhood, I have had a problem with frequent urination. I have a slightly enlarged prostate of 21.9 whereas less than 20 is normal. My skin has always been very dry. For about 1 or 2 years, I am losing hair and suffering from dandruff. Now I am doing daily tongue scraping, oil pulling for 3 minutes, asanas and some pranayama. My diet is mainly vegetarian. I am on my 8th day of a kitchari mono-diet. I have taken 30 to 60 mL of ghee per day for one week. I am eating twice per day (breakfast and lunch). However, the coating on the tongue remains the same with no improvement. Should I continue the mono-diet? If so, then for how long? As for the urination problem and enlarged prostate, what is your opinion on Himplasia tablets? Would they be beneficial?"
},
{
"from": "gpt",
"value": "Hi. I have gone through your details and found that you are following certain kind of diet, which is not really beneficial in this condition. Instead of sticking with a mono-diet (ayurveda diet for detoxification) you can make the following practices. Aama (toxins formed in the body) and diminished digestive fire. Revert back after two weeks to an ayurveda specialist online.--->"
}
] |
[
{
"from": "human",
"value": "Hi doctor,I think it is weird, but my xiphoid process has come out. It is paining a lot. I am 18 years old. Please help."
},
{
"from": "gpt",
"value": "Hi. For further information consult a family physician online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 29 years old. There are some reddish white hard spots on my scrotum. They are painless but itchy. How can I get rid of them? I have searched on the internet and it says that it is calcinosis cutis of the scrotum. Please suggest something to clear those."
},
{
"from": "gpt",
"value": "Hello. I understand your concern, but you should have sent me the pictures to confirm the diagnosis. If it is calcinosis, then no cream or powder will help. The only treatment is surgery for that. Take care."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am getting pain in the middle of my chest when I put pressure on it such as while sleeping when I suddenly wake up or turn around. Why?"
},
{
"from": "gpt",
"value": "Hi. Costochondritis is the most common cause of sternum pain. It occurs when the cartilage between the sternum and ribs becomes inflamed and irritated. Try the following methods. 1. Ice pack to your chest. 2. You can take non-steroidal anti-inflammatory drugs, like Ibuprofen to reduce pain and inflammation. Limit your movement and avoid any heavy lifting. If still pain persists, then go for investigation."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 24 years old. I have always been very anxious about health, especially my sexual health. But when I was about 9 or 10 a spot came up on my penis where the glans and shaft meet. It was flesh colored, painless, and round. There was no dimple in it. I was never sexually abused or sexually active at this age. I did not even masturbate the first time until I was 12 or 13. My mom took me to the doctor and they said like just come back if it gets bigger. She had likened it to a wart, but it was not very hard or dry. Anyway, it stayed for a couple of years after that it shrinks down. It no longer appears as if it is above the skin but appears as a small pin-sized bump underneath a skin bridge. I am curious if it cannot be an STD and I have never found anything similar online. So what could it be? I would not think a wart would stick around that long. And it really does not look like that at all. That was there over 12 years so I would not think it is anything fatal. To be even more specific, it is on the top side to the right. As I said, it looks like a skin bridge with a little bump underneath. But it really has no sort of texture. And the only problem it really causes is some skin rubbing when that extra skin rubs my underwear."
},
{
"from": "gpt",
"value": "Hello. This was likely a wart only. Warts can have very varied morphology and most plausible explanation is for wart only. Because, considering it was a single lesion, was not painful or itchy, flesh colored and it persisted for a long time and resolved on its own. So all these factors favor it. Morphology can be variable. The negative factor was not sexually active. Although most common causes are sexual contacts, but significant number of individuals may have it with non-sexual contacts as well, it can be transmitted vertically during childbirth and remain dormant for a long time activating later in life. It can be transmitted with usual contacts and can be transmitted through clothing like underwear (if came in direct or indirect contact with infected individual clothing), sharing toilets, etc., can also transmit it. So being not sexually active is not a strong factor against it. Rest all causes like skin tags which would persist without treatment or fall off suddenly, PPP (pearly penile papules) would be numerous papules, other infectious causes would be short-lived and multiple lesions and symptomatic like painful tender or red. Malignancies are unlikely at this age and would progress. So the probability is high for wart only. I hope this helps."
}
] |
[
{
"from": "human",
"value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance."
},
{
"from": "gpt",
"value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?"
},
{
"from": "gpt",
"value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect."
},
{
"from": "gpt",
"value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?"
},
{
"from": "gpt",
"value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?"
},
{
"from": "gpt",
"value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor,I have uncontrollable anger. I quickly get angry and throw things. When my anger reaches a point I start crying and I have an ache in my right head. Also, I feel weak. Please help me."
},
{
"from": "gpt",
"value": "Hello. It is good to know that you are insightful about having anger issues and seeking help to address the same. How long have you been having problems with anger? Have you always had an angry temperament or is it something you developed in recent years? What do your parents and friends say about it? Some people get angry in response to stressful situations; some get angry even with minor frustrations in their day-to-day life. People have different thresholds when they get angry. Uncontrolled anger outbursts happening regularly is not healthy as the body releases stress hormones which can make you emotional and also cause a headache. If you also have emotional problems, then they can be exacerbated during angry outbursts. I will recommend taking active steps to manage anger. These simple steps can help. 1. Exercise regularly. 2. Learn relaxation techniques. 3. Try yoga or meditation. 4. Have an open talk with your parents or trusted friends. If the problem is persistent, then you will benefit from counseling or anger management. You can contact again if any further advice is needed. Take care."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have been suffering from itchy skin since early this year. My doctor does not know the reason for this itching. I had a blood test a few weeks ago, which came back fine. It is mostly itchy on my scalp, upper arms and back. I have been on Telfast to help with the itching and Daktacort to help with a red patch on my foreskin that my doctor said was thrush. Also, he thinks that the thrush may be the root cause of itchiness. The Daktacort has taken this patch down and almost goes away within a week but if I stop using the Daktacort the patch comes back. I have also developed a red spot on the tip of my foreskin, as well as two on the inside of my penis on the shaft. These are not itchy or sore but are just worrying to see as I am generally a healthy person. I also recently had an STI test which came back negative. My partner also had an STI test done and this came back negative as well. Any help would be great!"
},
{
"from": "gpt",
"value": "Hi. Please send the photographs of other affected areas too to help you better. Thank you."
}
] |
[
{
"from": "human",
"value": "Hi doctor, As I use glasses continuously whenever I put them off, my eyes start asking for them, and I feel discomfort. For some time it will be fine to put eye lens for 2-3 hours. If I do not wear specs for 3-4 hours, will it affect my power?"
},
{
"from": "gpt",
"value": "Hello. From what you describe, you have become addicted to your glasses. Your age permits you to wear lenses, and that will provide you with even better correction and vision. But, to better evaluate your condition, I require to know your refraction and the power of your spectacles. It would be informative to know your visual acuity without and with spectacles."
}
] |
[
{
"from": "human",
"value": "Hi doctor, My son is 15 years and medium built. He recently has some concentration problem. What homeopathy medicine can I give him? Please suggest the recommended dose. Thanks."
},
{
"from": "gpt",
"value": "Hi. It is essential to understand the cause of a concentration problem. Based on the limited information provided here I can think of a few remedies. If your son has taken too much stress of his studies and due to which he is not able to perform well or unable to concentrate, then you can give him Kali Phos 6x two tablets twice a day for 15 days. If Kali Phos 6x is not available, then get Phos 30c three pills once a day in the evening for seven days. You can give him Five Phos 6x if he is generally not able to concentrate and the cause is not known. Five Phos 6x two tablets can be given twice a day for 15 days. I would suggest you seek help from professional homeopath either face to face or online consultation on icliniq.com. It is very important to understand the details of his problem to prescribe any homeopathic remedy correctly. I hope he will feel better with this remedy. Let me know if you have any questions or else report back in 15 days."
}
] |
[
{
"from": "human",
"value": "Hi doctor,Five days ago, when I woke up, I felt dizzy, and my vision was off. I was sluggish all day and had a headache upon waking. I figured I was coming down with something and laid around all day on the couch. When I woke up the next, I had no headache and was no longer lethargic, but my vision was still off. I noticed that I was having double vision when I looked at objects both close and far away. I closed one eye, then the other, and my vision was perfect (binocular double vision). I also noticed that if I looked at something with my head and eyes straight, it was there and got worse if I looked down. But, when I look up with my eyes, it went away. Keeping my head pointed slightly down and looking up at something made it go away. I also noticed that it seems to be my right eye because if I gently pull the corner of my eye outward towards my ear, my vision goes back to normal.I went to the eye doctor, and she said it is because I am 44 and I need readers. I bought a pair from the local pharmacy, and it does help with my reading on the phone, computer, etc. Even though it is blurry looking at a distance, there is no double vision. Granted, maybe I do need them at my age, but that does not explain the double vision or how I can get it to go away by looking up or pulling the corner of my eye. My vision was tested along with all of the other standard tests, and it was all fine. I have 20/20 vision still after having Lasik to correct nearsightedness 13 years ago. I am not nauseous and no longer have a headache, but the problem persists. And, it is 15 days since starting the Keto diet, and I thought that maybe that could be causing this. So today I carb-loaded to replenish my glycogen stores, yet the problem persists. I flew back from a trip and read that maybe something could have happened with the pressure. I am not diabetic and do not have high blood pressure. I have no idea of what is going on and if it is severe or not. I do have an appointment with an Ophthalmologist coming week, but I am getting worried. Do you have any idea on what could it be? What should I do?"
},
{
"from": "gpt",
"value": "Hello. The fact that your vision becomes better upon changing the position of the head or pulling your eyelid towards your ear proves that this is only related to your newly acquired age-related refraction. By reducing the area of the eye slit (changing the position of the head leads to the being covered more by the upper eyelid and reducing it manually by pulling your eyelid to the side), you reduce the refractive changes in your eye. The fact that the specs provide you with better vision while reading and relieves you of your main symptom is enough to make you feel calm towards this newly acquired physiological (it always starts after 40) change in vision. However, please refrain from using that correction to see distant objects because it is not designated for that distance, taking into consideration that you do not need it for distant objects, and might lead to headaches if you do. Otherwise, you should be good to go and start adapting to this newly acquired condition because from now on, every five years it is going to change and you will need more correction to correct that age-related deficit. Some additional recommendations would be to increase the size of the fonts on your devices to evade the necessity of using the specs every time you need to visualize your devices at a near distance. Also, lubrication of the eyes with artificial tears can also help maintain an absolute clarity during visual activities."
}
] |
[
{
"from": "human",
"value": "the bottom part of my abdomen hurts, and i can't poop."
},
{
"from": "gpt",
"value": "Hello, I welcome you to icliniq. I can understand you must be very upset about your problem. It seems that you have a defecation disorder. which is difficulty in passing stools. It can occur to any body, but common among individuals who have difficult learning the art of passing stools. For this you have to relax , remove your anxiety and start learning the art of pooping. Here are some tips for that. If all above fail then there is computerized therapy called biofeedback therapy. I want you to follow above tips first, and let me know if improvement; if required, I will suggest when to go for biofeedback therapy. The pain is a secondary phenomenon, once your stools became normal the pain will go away. Do not use painkillers, because they may slow your bowel and can cause more constipation. Defecatory disorder Slow transit constipation Defecatory disorder As above Follow up in 1week and update me about your problem"
}
] |
[
{
"from": "human",
"value": "Hi doctor,I was wondering why my tailbone seems to pop in multiple places like my back. It only happens when I stretch in the morning and tense the muscles around the area. Also, I would like to know why my back keeps hurting right where the spine meets the pelvis, i.e., at the bottom of my back but above my butt. I am 18. Will it make any difference?"
},
{
"from": "gpt",
"value": "Hi. Thank you for providing a brief history. It sounds to me as the SI (sacroiliac) joint dysfunction. Due to which, there will be a kind of biomechanical changes in the bone and the joint compression leading to pressure on the joint receptors. Also, there might be a weakness of the muscles of the hip and lower back which may be leading to this discomfort. I would recommend you to take up an x-ray because it will reveal if there is any structural or anatomical alignment change. Also, having a hot water fomentation and exercises will help strengthen the muscles of the core, lower back, and hip and help reduce the symptoms. Please let me know if you had any history of fall on the hip, any other thing like sitting for long hours for study, etc."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had a root canal done some years ago. Now, the tooth has broken off. I can still feel some screw in the gum. I am now getting some constant puffiness and bleeding."
},
{
"from": "gpt",
"value": "Hi. I have read your complaint. Firstly I would like to say that you do not have any screws unless you have done an implant. It is the broken tooth root which you might feel sharp. That is again the reason for bleeding as it irritates the gums around. The root canal treated tooth when not protected with a cap or crown always break eventually and that is what has happened in your case. Now the treatment would be to pull out the remaining tooth remnants. Meanwhile, some painkillers like Panadol (Paracetamol) would help you. I reckon you to visit a dentist and get it treated as soon as possible. Kind regards."
}
] |
[
{
"from": "human",
"value": "Hello doctor, Kindly give a report of my CT scan. I had CT scan for swollen lymph node in the left neck, posterior cervical."
},
{
"from": "gpt",
"value": "Hello. Please find the CT scan report as below (attachment removed to protect patient identity). Contrast enhanced CT neck, •\tBilateral neck spaces appear normal. •\tVisualized neck vessels appear normal in course and caliber. •\tThyroid, submandibular and parotid glands appear normal. •\tFew enlarged reactive lymph nodes with intact fatty hilum (hilum is a the portion of a lymph node where the efferent vessels exit) are seen in left sub-mental and jugular region. •\tVisualized bones appear normal. •\tVisualized lung fields appear normal. Incidental note is made of a simple renal cyst in the upper pole of left kidney. If any further doubts please feel free to discuss."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My boyfriend is 24 years old. Being a fitness trainer, he does not take any drugs. He has been getting chest pain for the past four months and sometimes lightheadedness. He went to the doctor and had done a blood test which came back normal. His blood pressure is low, and he had a 24-hour Holter monitoring and ECG. The results came back as second-degree heart block four times in 24 hours. Our appointment with cardiologist is after a month. I am worried because he feels weaker when he exercises and the pains are more frequent. Not sure what we can do in the meantime or what is causing it."
},
{
"from": "gpt",
"value": "Hello. I understand your concern. I want to explain that when we are in front of a cardiac conductance abnormality in an young adult first, it is necessary to exclude an infectious and inflammatory disease, like Lyme disease, sarcoidosis, and other cardiac issues, like myocarditis, and anomalous coronary artery, etc. It is necessary to undergo a full blood test panel and a cardiac ultrasound test. For a more detailed cardiac tissue characterization, it is necessary to undergo a cardiac magnetic resonance imaging test (CMR). Meanwhile, I recommend that your friend refrains from competitive sports and any excessive physical exertion. I hope it is helpful for you."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 24 years old. My crown area is almost bald, and I want to regain my hair. I had PRP treatment for hair, but there is no result. Hairfall still persists. Why? I am currently on vitamin C tablet."
},
{
"from": "gpt",
"value": "Hello. As your hair loss is quite severe, I suggest you go for 5 % Minoxidil with Aminexil solution (brand name - HAIR 4U solution). Aminexil helps regrowth in fibrosed hair follicles. Apply it daily twice over the area and see that it is undisturbed for at least four hours which means you should not apply oil or any other cream over it, and you should not sweat much in that time because those things will dilute the medicine. Also, take a hair strengthening tablet like Follihair twice daily. Take a lot of Vitamin A, iron and protein in your diet. Tell me after thirty days on the response. We will decide on how to proceed after that."
}
] |
[
{
"from": "human",
"value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance."
},
{
"from": "gpt",
"value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?"
},
{
"from": "gpt",
"value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect."
},
{
"from": "gpt",
"value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?"
},
{
"from": "gpt",
"value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?"
},
{
"from": "gpt",
"value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I had circumcision two months ago and still have swelling around my penis. I did a CBC and urine test last week, and all came back normal. The doctor last month said all the incision have healed. Will swelling last this long? How long will it take for the swelling to disappear? Should I be concerned? Will night erections affect healing?"
},
{
"from": "gpt",
"value": "Hello. The healing looks fine (attachment removed to protect patient identity). The swelling is mostly an extra skin that is bunching up in a non-erect position. When you have an erection, it might be less prominent. If all excess skin were removed, sometimes there would be pain during erection due to the stretching of the skin. I think things will be fine in about another month. Night erections will not affect healing."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I had unprotected sex with my partner today. She is on the 22nd day of her cycle. Will she get pregnant? We do not want to have a baby now. What should we do now?"
},
{
"from": "gpt",
"value": "Hello. If she has a regular cycle of 28 to 30 days, then there are no chances of pregnancy, and these are safe days. So nothing to worry. I hope it has helped you. If you have any further queries, please do not hesitate to contact me."
}
] |
[
{
"from": "human",
"value": "Hello doctor, Suspicious cancer in my breast scanning report. What are the symptoms of breast cancer? The report mentioned there is a relatively well defined hypoechoic mass with small calcifications at periphery. There is no necrosis. Suspicious cancer. No enlarged axillary node. BI-RADS 5."
},
{
"from": "gpt",
"value": "Hello. Looking at this report, the suspicious finding needs to be evaluated further (attachment removed to protect patient identity). You need to do the following things. 1. Consult a breast surgeon or an oncologist, who takes complete history such as since when these symptoms started, any family history, etc. He or she examines this and gives his or her point of view. 2. If needed this mass should be biopsied or Fnac (fine-needle aspiration cytology) preferably under USG (ultrasound) guidance. Depending on the report we can take things further. Regarding symptoms of breast cancer, there are many such as a lump in the breast which is increasing in size, location of the lump, nipple discharge, and skin changes over the breast, etc. Occasionally there are none. Kindly revert if you have any queries."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I changed my four weeks old baby’s formula milk, and it caused him to vomit after feeds and he had diarrhea. Should I change it to thick formula milk because he has reflux? Is this a normal side effect?"
},
{
"from": "gpt",
"value": "Hello. From the reflux point of view, the first thing that is to be done is to keep the baby at an angle of 35 degrees to the ground level after feeding. This will reduce the chances of reflux more than any medication. The next thing to be done before feed thickening is to start the child on Perinorm (Metoclopramide) and Rantac (Ranitidine). If all these do not work, food thickening is to be done. Also, I would recommend you to get a reflux study of the child done for a better knowledge of what grade of reflux the child is suffering from."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have bumps on my nose and chin. I believe that as pimples but I am not sure. They do not contain any pus or pores because nothing squeezes out."
},
{
"from": "gpt",
"value": "Hi. The history that you have given and the picture (attachment removed to protect patient identity) that you supplied makes me inclined to believe that these are what we call closed comedones. Pimples are often referred to as open comedones. Closed comedones occur when cells, oil, and other substances get trapped under the skin without a way to come out, they appear as bumps on the skin that are often painless. Closed comedones can be extracted by a qualified individual, and I would advise you to approach a dermatologist. Dermatology consult."
}
] |
[
{
"from": "human",
"value": "Hi doctor,I am a 17 year old female struggling hard with bulimia and binge eating. My mom is anorexic, and so is my grandmother. I suffered from low weight until I started binging which has been going on for almost a year. I purge sometimes, and I am terrified of how much weight I continue to put on, yet I still regularly binge. I try everything to stop. I try new methods all the time and constantly research, but I keep hearing the same things. I lie to my parents a lot, and we both feel helpless. I guess I do not know what I am expecting because I am already on CBT treatment (which I do not think to help me), Prozac and Wellbutrin, but I need reassurance and some help with these extreme and constant binges."
},
{
"from": "gpt",
"value": "Hi. According to your height, your weight is average. In bulimia, CBT (cognitive behavioral therapy) is helpful. If Prozac (Fluoxetine) is not working, then you have to increase the dose of Prozac or shift to another medicine. It is a learning process so that you have to change this to a better one. Continuous thought of purge will come to mind, but you have to stop the though by not reacting to that. Have patience because learning is a prolonged process and as age grows it is challenging to change the previous learning method. You can respond in another way rather than purging. I hope you understand."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am on Effexor 187 mg and Trazodone 50 mg at night for depression and anxiety. My depression and anxiety have been worse, and I did not want to keep going up on with more medicines. So I tried Ashwagandha 600 mg in the morning and have seen a great deal of help in my mood and anxiety. I have not even considered if it is safe with my medication. Kindly advice."
},
{
"from": "gpt",
"value": "Hello. Effexor (Venlafaxine) and Trazodone are good drugs for depression and anxiety but will have some side effects. You may take Ashwagandha 600 mg (morning and night), Centella Asiatica (morning and night) as a supportive therapy. There must be one hour gap between modern drugs and herbal supplements, to prevent their interactions. Consuming Ashwagandha and Centella Asiatica is safe. On a long term basis, it will reduce the side effects of modern tablets and also stabilize the nervous system functions."
}
] |
[
{
"from": "human",
"value": "Hello doctor, What can be the muscular thing right out of my anus? I had a normal delivery a month ago, and it is almost healed. When I pass stools, I feel pain in that place with bleeding. While passing stools, the muscular thing gets torn, and blood comes out. This started a day before yesterday and now happening every day. What is the treatment for it?"
},
{
"from": "gpt",
"value": "Hello. It is anal hemorrhoids (attachment removed to protect patient identity), and it is very painful. You may be suffering from constipation, or you must have been eating very spicy food. The treatment is sitz bath, and it means you have to sit in a tub full of warm water. It gets relieved, and you have to do this for two to three times a day. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. You may apply ointment Pilex over the area. Stop eating spicy food and take syrup Duphalac (Lactulose) two spoons daily at bedtime to avoid constipation. If it is not relieved, then you have to consult a general surgeon."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 29 years old and a mother of 2.5 year old girl. I have PCOD and I am obese. I am continually taking oral contraceptives to get my periods. I have Kalarchi Kai powder but I do not know how to use it?"
},
{
"from": "gpt",
"value": "Hello. Kalarchi Kai powder is a well known Siddha medicine to manage PCOD (polycystic ovary syndrome). It is very effective in such kind of issues but It will take some time. USG lower abdomen, and thyroid profile. Take Kalarchi Kaai powder 3 gm twice a day with warm normal water after meals regularly for three months. Avoid spicy, fried, and junk foods. Drink plenty of water. Do regular Kapalbhati and Pranayama like Anuloma Vilom Nadi Sodhan and Bhramari. If you are a breastfeeding mother, then you should not take this powder."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am a 34-year-old female ophthalmologist. I have a single gallstone which is 10 mm in size that was noticed incidentally in ultrasound. Is it necessary to undergo cholecystectomy before planning my second pregnancy? I had nonspecific episodes of abdominal pain in the last two years which were not typical of gallbladder pain because the pain was more located in the center and lower abdomen. But the intensity of the pain was severe and was associated with nausea, and vomiting which relieved only after taking intramuscular painkillers."
},
{
"from": "gpt",
"value": "Hello. I have gone through your case and reports (attachment removed to protect patient identity). This looks like a symptomatic uncomplicated gallbladder stones. Even though you say that the symptoms have not been typical of biliary colic but the repeated episodes of pain, need for parenteral analgesics, and no other attributable cause leads to consider gallbladder stones as the cause for your pain. Without surgery, there is 50 % chance of recurrent pain episodes per year, 2 % chance of biliary complications per year, and 30 % will have no further pain if there was only one episode of biliary pain previously. The best option in this situation is laparoscopic cholecystectomy especially if you are planning a pregnancy. Since during pregnancy, the risk of recurrent pain and complications are higher. The other issue is that risk of surgery in the first and third trimester is significantly higher with the preferable period for surgery in pregnancy being the second trimester. You can consider medical dissolution therapy of gallstones but the efficacy is 30 to 49 %. And this is mainly based on the unimpaired motor activity of gallbladder, which has to be assessed before therapy (only with good motor activity of gallbladder the efficacy of 30 to 49 % can be predicted). The best option in your case is laparoscopic cholecystectomy."
}
] |
[
{
"from": "human",
"value": "Lower back pain unable to put pressure on legs to walk. 3 weeks ago I was lifting my dog into the car. I got a sharp pain in my lower back..went away in about two days. Today I was lifting my two year old into an inflatable tube, While setting her down I had the same pain but on the mid right side of my back. This pain continued all day. Then while bending down to get a dish out of the dishwasher I got a horrible pain in my lower back. The pain knocked me to the ground. My husband had to help me off the ground to the bed . Since then I have not been able to put pressure on my legs to walk without horrible pain."
},
{
"from": "gpt",
"value": "Hello, You need to be examined to determine if this is a back strain or a sciatica from a pinched nerve. Is there any numbness in the leg, does the leg feel weak apart from the pain you feel while trying to walk, can you control your bladder well ,does the pain worsen upon straining ? If the answer to the questions is yes then you have a disc prolapse and you will need to see a doctor and perhaps a MRI too. In three mentioned to need to take anti-inflammatory tablets and muscle relaxant top help with the muscle spasm and apply Ice to the sore area on the back, rest in bed but not absolute such that you walk as much as to feel comfortable"
}
] |
[
{
"from": "human",
"value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance."
},
{
"from": "gpt",
"value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?"
},
{
"from": "gpt",
"value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect."
},
{
"from": "gpt",
"value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?"
},
{
"from": "gpt",
"value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?"
},
{
"from": "gpt",
"value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello Doctor, I recently consulted a counsellor suggested by my probation officer and discovered that I have extreme post-traumatic stress disorder, anxiety, and depression, etc. I wonder if any of this could be related to the trouble I have got myself into. When I get very overwhelmed with emotion or stress, I tend to black out completely but still functioning, and I come back to normal after a few minutes, but I have no memory of what I have done during those minutes. In my whole life, I had a lot of bad things that have happened to me and my family, but I have never dealt with them. This past year a lot of bad personal situations have happened, and now I am starting to notice the blackouts. What can I do?"
},
{
"from": "gpt",
"value": "Hello. You should get yourself investigated for the blackouts and memory problems you face. First, you should consult a neurologist for that. Once every other neurological issue are cleared, then only we can diagnose whether it as related to your anxiety, depression or PTSD (post-traumatic stress disorder) if so then it is psychogenic. In most cases, a psychogenic blackout is an involuntary reaction of the brain to pressure or distress. Psychogenic blackouts sometimes develop after people have experienced ill-treatment or trauma and such conditions are treatable and curable. But we need to identify the severity of anxiety and PTSD and then the treatment slowly starts with medicines, psychotherapy and relaxation therapy. You can be cured completely, but it takes some time. Consult a psychologist or psychiatrist. Take care."
}
] |
[
{
"from": "human",
"value": "Hello doctor, A few months ago I had a right side upper molar issue. I went to a clinic and was given an antibiotic, but it did not help. I went to the clinic after some days, and I asked for Clindamycin and still there was no result. The dentist tapped on the tooth, and there was no pain. He surmised it as chronic sinusitis. I purchased a lavage apparatus and all kinds of nasal sprays. The pain was really bad because I thought it might be a viral infection. I used Tylenol after reading how to deal with the pain. Though I know that Tylenol is not the correct drug for my pain, it worked for some time. Now I get unbearable pain (burning sensation) above the molar on both sides. I started using Tylenol many times a day. I am not addicted to it but thought of getting relieved from pain for at least six hours. Kindly advice."
},
{
"from": "gpt",
"value": "Hello. You need to get a professional evaluation because your symptoms may lead to septal perforation, nasal bleeding and permanent loss of sense of smell. I would advise going for nasal endoscopy if you were to do that then follow it up if needed with a CT scan of nose and sinuses. If there is any sign of infection go for a sample culture sensitivity and take the most appropriate antibiotic after the culture sensitivity report comes from the microbiology lab which usually takes three days. If there are no signs of infection, you can have some nasal saline douching with steroid nasal sprays and nasal anti-inflammatory steroidal sprays."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My mother is 59-years-old and has mitral stenosis. CMV was done 35 years back. Now recently she had a heartbeat of 150 and atrial flutter, and she was on Acitrom previously. She has undergone DC cardioversion shock. Now latest ECG shows atrial ectopic and her heart rate is 70 to 80. Can she undergo operation soon? If yes, which valve would be best for her biological or mechanical? Which is the best and latest generation biological valve in the world market?"
},
{
"from": "gpt",
"value": "Hello. Yes, she is now a candidate for mitral valve replacement. However, you should make a note that valve replacement is not a complete solution. Firstly, at this age, a mechanical valve is better considering the durability of the valve. Bileaflet valve is the preferred one. Next, she has to be on regular blood thinners. Otherwise, there is a risk of valve dysfunction which may lead to a repeat surgery if blood is not adequately thinned. Also, this heartbeat problem may not go even after valve replacement and has to be controlled on medicines. Even now she should be on beta blockers like Metoprolol, then Diltiazem to keep heart rate controlled, which are quite effective. I hope this helps you and get back if you have any doubts."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am having problem of acute flaky dandruff and also itching in my hair. I have tried Topisal, Nizral and various other shampoos as well. However, there is no respite from dandruff. Please suggest me some good mediation as well as shampoo and oil. Currently I am under sugar and BP medication. My height is 5'6' and my weight is 80 kg."
},
{
"from": "gpt",
"value": "Hi. I have gone through your complaints. You should start with shampoo containing Salicylic acid and Ketoconazole. Use it every alternate day in the beginning. Once you notice improvement gradually taper it to twice weekly and then once weekly. Along with this apply, Clotrimazole and Betamethasone combination lotion on the affected areas of the scalp twice daily. I also recommend you to take tablet Ketoconazole 200 mg once daily in the morning and tablet Levocetirizine 5 mg at bedtime. Continue this treatment for two weeks and revert back. 1. Immune factors 2. Hormonal factors 3. Fungal infection Seborrheic dermatitis. Avoid oiling of scalp as it will increase your dandruff."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My query is about my sister. She is a 31 year old female who is unmarried. Her height is 5 feet and she weighs 55 kg. She is suffering from huge uterine fibroid measuring 140 x 83 mm arising from the right fundus of the uterus. I would like to know what are the best treatment options available? Can natural treatments be tried upon? We have tried ayurveda, which helped only in shrinking bulky uterus but not fibroid. How serious is this condition? She is pale and underweight. Will surgery cause difficulties? Please guide."
},
{
"from": "gpt",
"value": "Hello. As this is a subserosal fibroid, she is unmarried, the remaining uterus is bulky but endometrial lining is normal and there are no other intramural fibroid detected, the best form of removal for this large fibroid would be through a laparoscopic approach. A laparoscopic myomectomy can be performed through 3 hole technique and the fibroid can be removed with the help of a morcellator by slicing it into pieces before removal through the port entry puncture hole."
}
] |
[
{
"from": "human",
"value": "Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?"
},
{
"from": "gpt",
"value": "Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had high hs-CRP of 3.86 around 8 months back. I have got it rechecked and it has gone even higher to 5.36. I have attached the reports of blood test done a couple of days back. This blood test report includes other tests too apart from hs-CRP. I have previously been advised that high lipoprotein and hs-CRP can cause cardio related issues. How do I get the hs-CRP back into range? And do I need to go for further checkup to find the actual cause of inflammation? I have no other medical condition except lower back pain. Please suggest."
},
{
"from": "gpt",
"value": "Hello. I understand your concern regarding the raised hs-CRP (high-sensitivity C-reactive protein) and lipoprotein levels (attachment removed to protect patient identity). These biomarkers are predictors of future events. They tell you that there is an inflammatory state that is going on and that will contribute to your blood vessels to the heart and brain possibly getting blocked. So, you need to take steps to prevent a heart attack in the future. They have done a study called JUPITER (Justification for the Use of Statins in Prevention : an Intervention Trial Evaluating Rosuvastatin) where they used an anti-cholesterol medicine called Rosuvastatin 20 mg for patients like you with a raised CRP and normal cholesterol levels. They have found it causes a 50% reduction in future heart attacks. You may benefit by taking tablet Rosuvas (Rosuvastatin) or Rozat 10 mg once daily for at least 2 years. This will prevent heart attacks, stroke and bring down your hs-CRP levels. But you need to also know that there is a very small risk of new onset diabetes for patients taking this drug. Second you need to change your lifestyle. You need to lose weight. Just going on medications is not the answer to these diseases. You need to get yourself a personal trainer in a gym and work with him to lose weight. You may also consult a dietitian to reduce your calories. Is there any family history of heart disease? If you smoke, you need to quit smoking at the earliest."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I was diagnosed with ADHD. I was on Ritalin from 9 years to 14. I am 30 years old now and feel like I need some help. I have started retaking Concerta last year as it improves my concentration but also makes me even more hypersexual. I have a major problem with being over sexual to the extent that I would harm myself for gratification. I want to be humiliated and struggle with what is called small penis humiliation. I have never harmed others, but I am afraid that I will make myself into risk by doing self-harming and repeating it for the needs. I want to stop it, so I tried lowering my testosterone, but it just comes back occasionally. And it masks the problem that there must be something wrong in my brain."
},
{
"from": "gpt",
"value": "Hello. If you think that your sexual need is increased by Concerta (Methylphenidate), I have a few advice for you, which you should discuss with your psychiatrist. 1. Can he slightly decrease the dose? Till your symptoms of ADHD (attention-deficit hyperactivity disorder) does not flare-up. 2. Add some second-generation antipsychotic like Risperidone which ultimately increases your prolactin level and decrease sexual urge. 3. Avoid porn and do not watch such type of videos. 4. Relaxation technique like yoga, meditation, and mild exercise may also help you. Avoid junk foods and take healthy foods. Have proper sleep."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have a white scab on the inside of my right nostril. It has been there for over a week now. It is very irritating and it hurts when I touch it. I am coughing up alot of green mucus. I was given Amoxicillin for pharyngitis a week ago and thought that would have killed any bacteria that I had."
},
{
"from": "gpt",
"value": "Hello. As per what you say, you have a white scab in your nose. It can be due to viral or allergic rhinitis. You have taken Amoxicillin for pharyngitis. So no need to take any antibiotics now. Just clean your nose with salt water 2 to 3 times a day, the scab will get loosened and will drop off. Do not try to remove it with force. Otherwise, it will bleed. Even after using a saline wash, it is not getting removed, take help of ENT doctor. He will also prescribe you medicines for rhinitis also. Though it not a serious problem you should consult ENT doctor. Allergy, viral infection. Rhinitis. Saline nose wash."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 18-years-old. I am 52 kg in weight. My problem is I am not defecating in the morning, but I am urged to defecate after some time. The stomach does not become clean. And I also have metal allergies. The other problem is nausea and vomiting while traveling."
},
{
"from": "gpt",
"value": "Hello. Please take warm milk with excess sugar daily at bedtime and along with it two spoons of Duphalac (Lactulose) syrup every day for a week. Eat a lot of fresh vegetables during the day and drink a lot of water. You may also eat papaya every day that is very good at clearing the stomach. Regarding your second query, you have a tendency of nausea when you travel. Many people also have this problem. You can chew a candy or a mouth freshener when you travel. Do deep breathing when you feel like vomiting. Eat light, and your tummy should not be full while traveling. You may also take an antiacid before traveling."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am a 55-year-old male. Ever since I can remember I have been able to retract my foreskin fully, all the way to the base of my penis. I have always had a problem with the phimotic ring once it passes the head of my penis it is very, tight around the shaft of the penis which can be somewhat painful when the penis is fully erect. Is there any way to treat the phimotic ring to make it less rigid and more elastic? So, when it is around the girth of the shaft, it is not too tight."
},
{
"from": "gpt",
"value": "Hello. By your description, it is clear that you have phimosis along with tight frenulum, which causes the pain during erection and difficulty in retracting the foreskin. It can be easily treated by circumcision, which is a day care procedure. However, you need to undergo an evaluation to rule out diabetes, as phimosis is associated with diabetes and it needs to be treated by medication before surgery. At present, there is no medication to increase the elasticity of the foreskin. Phimosis with the tight frenulum. RBS (random blood sugar). Circumcision."
}
] |
[
{
"from": "human",
"value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance."
},
{
"from": "gpt",
"value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?"
},
{
"from": "gpt",
"value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect."
},
{
"from": "gpt",
"value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?"
},
{
"from": "gpt",
"value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?"
},
{
"from": "gpt",
"value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have been having spotting during my past two cycles on an off for days on end. I am not sure if I should be concerned. I have stopped birth control for over one year, and I am trying to conceive from the past two months. I have had a couple of urinary tract infections during these cycles. I am worried that my hormones are out of balance."
},
{
"from": "gpt",
"value": "Hello. The presence of pinkish-brown spotting in the proliferative phase of your cycle does indicate that you are having inadequate endometrialization possibly due to decreased serum estradiol levels during the phase. Also if the spotting turns darkish brown in the second phase of the cycle, then the level of progesterone is also inadequate which can cause early spotting premises as well. It is suggested that you should get your hormonal profile for day-2 of cycle done and also take to sequential ultrasonographic follicular and endometrial thickness monitoring which would indicate the state of endometrialization due to estrogens and also the correct time of ovulation. This can be corrected by starting estradiol pills in the first half of the cycle followed by progesterone-only pills post ovulation, which shall prevent these bleeding episodes."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I had mucus from the throat, and it had minor blood in it. I went to the ER, and the blood pressure was 190/110. The doctors told the bleeding had to do with the blood pressure as the bleeding stopped as soon as blood pressure reducing pills were given orally. I had blood tests done today, and everything came out normal. Can high blood pressure be the reason for this bloody mucus from the throat? I am feeling very anxious about this. PTT tests were done, and they were normal as well. ECG and echo were done, and both were normal. I have attached the images of the reports."
},
{
"from": "gpt",
"value": "Hello. I have gone through all your reports you sent (attachment removed to protect patient identity) and they are normal. Regards. For more information consult an internal medicine physician online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have chronic fungal ringworm infection in the groin region. Please suggest some Ayurveda medicine."
},
{
"from": "gpt",
"value": "Hi. Ringworm is a skin disease fungal infection. Mostly occurs in wetty areas. Its common symptoms are red skin rash that forms a ring-like structure. That is the area with itching and dryness. Infection of tinea group of fungus. Generally not recommended. Scabies. 1. Gandhaka Rasayana one tablet thrice a day after meals. 2. Sinduradi lep- Apply externally three times a day. Keep the affected area clean and dry. Wear cotton undergarments."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I tried Venlor XR 75 mg during the night and got very poor result for put me to sleep. I tried to take it only in the morning and that too resulted in me being very sleepy. Can I try Fluoxetine? Or any other alternative medicines like ayurveda? Can I take St.John's wort or 5-HTP? I would also like to know can Tofisopam be tried? If so, in what dosage do I need to take them? Can any combination among these provide good sleep only during nights and keep one fresh and active in the morning? Please guide."
},
{
"from": "gpt",
"value": "Hello. Rather opting for ayurveda measures or opting for St John's wart or 5HTP; you can add the following supportive measures. For further information consult a sleep medicine physician online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, For about a month or so, I have been dealing with what I thought was hemorrhoids. I have used preparation H suppositories and some cream and they seem to help some. The pain starts after or during a bowel movement and there is blood on the toilet paper almost every time I wipe. Today, I decided to take a picture of it because it has not gotten any better and I am really scared it is something worse than hemorrhoids. Also, the irritated skin around my anus has some white spots."
},
{
"from": "gpt",
"value": "Hi. For further information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 24 year old lady and married. I have thyroid and irregular period sometimes. For thyroid, I am taking Eltroxin 75 mcg and I am in control. It has been two months since, I last got my period. We used condom while having sex. For three days, I had light cramps on and off in lower abdomen. Since two days, I am having nauseous feeling. Took a home pregnancy test and got negative result. Kindly suggest."
},
{
"from": "gpt",
"value": "Hello. Irregular periods are not only be associated with thyroid but few other conditions too. Check this time for your periods. Suppose, you are still not getting, but having nauseous feeling and vomiting sensation, then I would suggest you to get a beta-hCG test done to rule out pregnancy. Beta-hCG test is a blood test carried out that gives more confirmatory and accurate results even after home pregnancy test is found to be negative. No matter whether the results of beta-hCG is found to be positive or negative, I would recommend you to get an ultrasound of pelvis done. If the ultrasound scan shows negative result, we can rule out the possibility of polycystic ovary syndrome (PCOS). If the ultrasound scan turns out to be positive, we can know the pregnancy details. Medicine to get periods can be prescribed if pregnancy is ruled out. 1. Beta-hCG and 2. Ultrasound of pelvis. Follow up with reports to an obstetrician and gynaecologist physician online.--->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I had pain in my left ear and I went to an ENT specialist. He said that my ears are fine and there is no infection. He said that I have soreness in my TMJ joint as I have a tendency to sleep on my left side with my left arm tucked under the pillow. That puts pressure on my TMJ joint and the pain is radiating to my ear. He gave me a cream (Voveran) and a muscle relaxant (Etoshine MR). The pain has subsided, but I get a clicking or crackling sound in my ear sometimes when I am relaxed and doing nothing or sometimes when I swallow. Is the crackling because of the TMJ soreness? Will it go away on its own? There is no wax in my ear. My ears are cleaned."
},
{
"from": "gpt",
"value": "Hello. For more information consult an ENT otolaryngologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I took thermogenic Phendimetrazine for two days. I am now experiencing shortness of breath and excessive yawning. I am also burping all the time. I stopped taking the medicine six days ago and, yet I am still gasping for breath and experiencing these side effects. My doctor did an EKG and it came back normal. I also want to know, will this go away? How long will it last? Could taking these medications for only two days cause permanent damage? Is this a normal side effect?"
},
{
"from": "gpt",
"value": "Hi. For further information consult an internal medicine physician online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 34 year old female. I have been itching all over for months and constantly covered with bruises, petechiae and livedo reticularis. I was diagnosed with erythromyalgia. I also have severe bone pain. My blood work came back with elevated RBC, Hb, Hct, low alkaline phosphate, low BUN and creatinine. My vitamin B12 levels are in 1000s and not under 200. The neurologist says that I have fibromyalgia and changed my seizure medicines for juvenile myoclonic epilepsy. Do I think that I should visit a hematologist and figure out why my bones hurt so badly in my legs and why I am so itchy? My current medication includes Oxycodone and Lamotrigine for epilepsy."
},
{
"from": "gpt",
"value": "Hi. Based on your query, my opinion is as follows: The elevated hemoglobin, red blood cell count and hematocrit signify polycythemia. Elevated Vitamin B12 level is one of the markers of myeloproliferative disorder. I would strongly think of polycythemia vera. Other values are within normal range (attachment removed to protect patient identity) suggest no renal or liver disorders. Increased hematocrit will slow down blood flow due to increased viscosity and this can cause few RBC to move out and lead to these symptoms. Even migraine, bone pain and increased itching can be attributed to sluggish blood flow. Polycythemia vera is a cancerous condition and requires evaluation. I would strongly urge you to meet hematologist. Hope there are no other causes of polycythemia like lung disorders or staying in hilly regions, etc. With high vitamin B12 and polycythemia, polycythemia vera needs to be seriously evaluated. For further information consult a hematologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have fungal infection in groins and underarms. My doctor suggested me to use Hh Zole and Clocip. After using Hh Zole cream alone I got better result. But, my doctor suggested me to continue with Clocip cream. Why should not I continue with Hh Zole? Please explain."
},
{
"from": "gpt",
"value": "Hi. For further information consult an internal medicine physician online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached."
},
{
"from": "gpt",
"value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance."
},
{
"from": "gpt",
"value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?"
},
{
"from": "gpt",
"value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect."
},
{
"from": "gpt",
"value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?"
},
{
"from": "gpt",
"value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?"
},
{
"from": "gpt",
"value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 12 weeks pregnant. My doctor has prescribed me tablet Moxclav 625 antibiotic for cough and infection. I also take progesterone tablet. Are these tablets safe for my baby? Please advice."
},
{
"from": "gpt",
"value": "Hello. Ideally, till 14 weeks of pregnancy, no antibiotics are prescribed. Symptomatic and natural methods of management of cough and sore throat (if present) are advised. This is because these are the organ forming weeks for the fetus and hence all antibiotics are usually avoided as a safety precaution. But if the infection has increased and the situation is such that fever is continuous with a bad sore throat, yellow sputum and cough, then pregnancy-safe antibiotics like Amoxicillin alone without Clavulanic acid combination is considered safe before 14 weeks. Another antibiotic being Azithromycin 500 mg single dose daily can be taken for 5 days safely. Progesterone, on the other hand, is an absolutely safe medication and given during the first trimester to support the pregnancy in the form of adequate placentation into the uterus and sufficient trophoblastic invasion into the endometrium for better uteroplacental flow. So, progesterone at this stage is absolutely safe. However, it is advised that before using antibiotics you may try warm saline gargles thrice a day and steam inhalation twice a day accompanied with adequate hydration as symptomatic management. If this fails, you can then resort to antibiotics."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 30 years old. I observed something on the penis. It is like it burns and is red in color. I do not have any pain and itching. I started applying Clobesym-OZ cream. Now it seems some transparent shiny skin developing on it and also other parts of skin around it started becoming shiny and scaly. I have uploaded the image. I do not have any pain and itching. My blood sugar is normal. Please tell what it is, seriousness, remedy and how long will it take to improve?"
},
{
"from": "gpt",
"value": "Hi. I have seen the image (attachment removed to protect patient identity). Clobesym (Miconazole) is a potent steroid based cream and whatever you are noticing now are the side effects of steroid usage. For more information consult a dermatologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am a 34 year old male. I had anxiety issues since childhood. I have been jumping from one idea to another for a long time but it has been three years I have an issue with frequent urination. It started in a bad time for me when I was obsessing that I have HIV. No burning, just slight urethra burning. I went to a urologist. He told me nothing was wrong, maybe an overactive bladder. I go to the toilet every two hours or three. I never knew what was wrong, but I started to obsess over it and it got worse to a place that my mind is in urination 24/7. I almost gave up until I went on a vacation and during that vacation, I forgot about it totally. The frequency was gone and even the burning urethra. Also, I had to remove my wisdom teeth and when I did, I was so occupied thinking about it that I forgot about urination and I noticed that I do not use the bathroom like I used to. But, I got back obsessing about it again and it got to a point that I urinate a lot of high volumes every hour. It comes suddenly and goes on its own. I use to get those episodes every few months when I had stress but since I got the fear it might never go away I get it almost daily now. I do not know what to do. Can anxiety cause polyuria like this clear urine when I am stressed?"
},
{
"from": "gpt",
"value": "Hello. I read your query and understand your concerns. First of all, I like to state that the stress and anxiety can affect almost every organ of the body and polyuria is not an exception. In other words, yes the stress can cause almost all the symptoms narrated in your query. Secondly, I would like to assure you that this is only stress and nothing more. The statement is based on the following facts: I hope this answers you. For more information consult an andrologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, My 5 months old baby has pretty bad eczema. Just recently, he had a bad flare-up in which he was weeping from both legs, arms, hands and cheeks. For 80% of the day he is suffering with rash and seems to have no relief at all. He scratches and cries continuously throughout the day and wakes up in his sleep. None of the remedies we tried have produced relief such as wet wraps, bleach baths, ointments, eczema creams, cortisone, etc. Is there a product that is good and available OTC? Would he need something prescription based? Could it possibly be something in the environment that is causing the flare-up like dust? His mother has altered her diet to accommodate him accordingly. Is weeping a sign of infection?"
},
{
"from": "gpt",
"value": "Hi. This is atopic dermatitis. It has many causes. Most common is due to allergy to various dietary protein or external stimuli. We need to elicit the history properly and need to do investigations to delineate the cause. First we will do basic investigation then we will proceed according to the reports. My advice is as follows: We may need systemic steroid to control this intractable eczema. But, first we need to do basic investigations. Please get the following investigations. Complete blood count, liver function test (AST (aspartate transaminase), ALT (alanine transaminase), bile and protein), ESR (erythrocyte sedimentation rate), platelet size and IgE level (immunoglobulin E). Revert back with the investigation reports to a pediatric allergy asthma specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had a blood work on my liver. The results came back saying that my ALT and AST are very high and out of range. So, I would like to know what that exactly means. When I received my laboratory test report they said that I should seek medical advice. My AST is 75 and ALT is 35. My MCV 116 and MCH 39.2. Also, I am a heavy drinker. Please explain the report."
},
{
"from": "gpt",
"value": "Hi. Based on your query, my opinion is as follows: Alcohol induced liver damage has caused increased enzyme levels. Possibly early stages, as no jaundice is seen. MCV high (mean corpuscular volume) is due to associated vitamin B12 and folic acid deficiency. Malnutrition due to alcohol abuse has caused this. Need to abstain from alcohol on an immediate basis as liver would take another six months to possibly recover. Repeat the test after three months. Also start Vitamin B12 and Folic acid supplements. Nothing major for now. If it progresses then may require liver transplant in next few years. For further information consult a hematologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well."
},
{
"from": "gpt",
"value": "Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am 24 years old. I had pearly papules on my glans penis a long time ago. I got them removed three months ago by a dermatologist with CO2 laser. Now, bottom of the glans penis is very dark purple in color. I have tried to put some gels on it, but had no success with that. I will attach the picture of my glans. Is this normal? Please tell me your professional opinion."
},
{
"from": "gpt",
"value": "Hi. I have gone through the attached picture and provided details (attachment removed to protect patient identity). For further information consult a urologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am a 44-year-old female. After my three miscarriages, I am 13 weeks pregnant now with IVF treatment. I have got my NT scan with double marker blood test. The results are as follows: Biochemical Trisomy 22 risk: 1:249, combined Trisomy 21 risk. Using NT & Other parameters: 1:946. Trisomy 18 risk using NT: 1:10000. PAPP-A: 4.97 mIU/mL and Fb- HCG: 30.9 ng/mL. Crown Rump length: 70.3 mm, Nuchal Translucency MoM : 0.99, Nasal Bone: Present, Nuchal Translucency: 1.74 mm Is my report fine? I am really worried."
},
{
"from": "gpt",
"value": "Hello. The NT (nuchal translucency) scan levels of nuchal translucency are normal with NT < 2.5 mm. However biochemical trisomy 21 risk is high but the combined NT+ biochemical risk is low at 1:946. You may upload the picture of the cutoff graph for a convincing opinion regarding whether you would need amniocentesis for karyotyping confirmation or not. For more information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, My husband's eye got hurt with my finger accidentally. Now his eye hurts and can barely open. There is a red spot on the white area of his eye. What do we do? Please help."
},
{
"from": "gpt",
"value": "Hi. Your finger might have hit the eyeball blood vessels. These vessels can bleed due to trauma and can cause a subconjunctival hemorrhage (bleeding behind the conjunctiva thereby causing a red eye). This does not cause any major problems and resolves on its own in a week. Other possibilities for not opening the eye can be an injury to the cornea, which can have an epithelial defect. This causes a lot of pain and watering, and he may not be able to open his eyes due to pain. For this, he has to use antibiotic eye drops, and artificial tear drops to prevent infection and pain. There can be a possibility of orbital edema which can also cause difficulty in opening eyes. This will resolve in a week; just give cold compress. Please attach pictures of the affected eye for a detailed evaluation and diagnosis."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have steroid induced rosacea. In my childhood I was prescribed Elocon and ever since I have been using the same for my entire skin problem. Hence, if I did not use then my skin starts reacting with itchiness, redness and flushing. I am having this problem for than 10 years. Also, I am allergic to dust. I want to get rid of Elocon without any oral medicine. Please help."
},
{
"from": "gpt",
"value": "Hi. Revert back with the photos to a dermatologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am suffering from NAFLD for the last six months. Now, I am having RUQ heaviness, back pain and flatulence for the last three months. I had several tests and I have given the details below with the findings. USG of whole abdomen - hepatomegaly with fatty liver, fibroscan - 3.2 kPa median value, upper GI endoscopy - GERD grade A and small hiatus hernia, hepatitis B non-reactive, hepatitis C non-reactive, FBS - 94 mg per 100 mL, lipid profile completely normal, liver function test - indirect bilirubin elevated 1.3 mg per 100 mL and others are normal.My doctor advised me to avoid oily and spicy food. Also, prescribed two medicines named Sompraz D 40 and Liv 52 DS. I have lost 9 kg weight in the last four months. Now, my weight is 75 kg and Height is 175 cm. My age is 30 years. Actually, I am having a constant RUQ discomfort and right-sided back pain for the last four weeks. I had the same fine before some time and it recurred again. Also, sometimes I felt tiredness and dizziness. All the reports, which I had shared, are all the recent ones that are taken before seven days. How to recover faster from this situation? Is it dangerous? Also, Please let me know about a perfect diet for me to recover faster."
},
{
"from": "gpt",
"value": "Hello. Thank you for the detailed history. Revert back with the answers to the above questions to an internal medicine physician online -->"
}
] |
Subsets and Splits