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qucklecrabik
/

mc_dataset

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Split (1)

train · 257k rows

conversations listlengths 2 2
[ { "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, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help." }, { "from": "gpt", "value": "Hi. For further doubts consult a sexologist online -->" } ]
[ { "from": "human", "value": "Hello doctor,I am a 26 year old female. At the beginning of this year, I had a bad cold, and two weeks later, I had a tingling in the wrists, feet, and legs, which the doctor said was reactive arthritis which lasted a few weeks. Then, the first time my left hand felt weak was five months back. It felt weak, more so at rest but, when I had to grip things, I was able to. I went to a physio and had a neck massage as my back was also tense and the next day, the weakness was gone. So, the massage helped it. Now, more recently, I had foot weakness on the left side and a weakness and very mild tingling in hand. Again, my back is very tense and tight from gym and work position. As soon as I get this, I get very anxious, and I feel the tingling gets worse. The only difference in daily activities is lifting weights at the gym, weighted squats, and heavier arm exercises. I used the foam roller on my foot last night, and today the foot weakness was gone. The foot weakness lasted 12 hours on and off. There are no problems walking or anything like that. It just felt weaker but, it was not. The weakness always comes randomly but, I do seem to always have a tight back when the weakness occurs as well. Could this be MS? Does it sound like it? I am extremely worried now. I have never been diagnosed with it. I have just read about it online. What could this be from? I went to the opticians last week, and my eyes were fine. There were no eye symptoms. It was just a standard check-up. My eyes were said to be perfect. I do not have any bladder or bowel symptoms and no other weakness anywhere else." }, { "from": "gpt", "value": "Hello. For more information consult a neurologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I am an 18 year old boy. Last year, I made a very best friend. He was like my second half. He used to share each and everything with me. A few months back, I saw him with his ex-girlfriend, and they were in a relationship now. He never told me that. She lives near my home, and my friend always drops her to her home, but whenever I asked him to come to my place he used to tell that it is too far away. Then we had a major fight without any violence, and we both stopped talking. Then I started realizing that I like him so much. I miss him as he used to hold my hand in public places always. I started remaining sad the whole day. I was depressed, and I tried to commit suicide. After that, it is like at sometimes during the night I express all my warm feelings with anyone on chat, and after a few minutes, I regret it. I feel like there are two persons inside me. First I thought that it is split personality, but I do not have memory loss. Please help me. What should I do? I hate his girlfriend. But, I am not sure whether I love my friend or not. Sometimes, I feel like I love him and after a few minutes, it is like just friendship. Am I gay? But, but I have a crush on girls also. I think I am attracted to both boys and girls. I am totally confused. Please help me." }, { "from": "gpt", "value": "Hi. I can understand your problem. This is completely normal at the age of 18 years. You like your friend as a friend and not as a partner. He was very close to you, but it does not mean you are gay. This is a very common feeling at your age. At this age, we can get attracted towards both the sexes, but this feeling is temporary. As your friend is in a relationship with a girl, it is evident that he will less interact with you. So do not get hurt. You should respect your friendship and his decision. Presently you are irritable because of depression, and you miss your relationship. You have suicidal ideation. To avoid this situation get involved yourself in some outdoor games and other hobbies. Make new friends, interact socially and stop negative thinking. If this thought sustains, then you can visit a local psychiatrist for treatment with medicines. But, do not worry. You will be fine. For further information consult a psychiatrist online -->" } ]
[ { "from": "human", "value": "Hi doctor, A 44 year old woman, suddenly felt uneasiness and weakness. Her BP was measured and the reading was 141/96. She weighs 55 kg, non-diabetic, no previous history of dyslipidemia and she is quite active. What investigations should be done immediately? And how to proceed?" }, { "from": "gpt", "value": "Hello. Well, a single episode with the symptoms of uneasiness and weakness is most of the times nonspecific or due to a mild anxiety attack. If such is the case you should not be worried about it. But, if such episodes are frequent and comes repeatedly, then definitely it should be thoroughly investigated. Though her BP (blood pressure) is slightly on the higher side, it is not as high as to cause sudden onset and prolonged uneasiness. To be on the safer side, I would like to suggest her very mild antihypertensive and anxiolytic for a short duration. But before that, I would like you to get few investigations done on empty stomach and let me know the reports. Another important factor to consider for her is that it may also be related to menopause, which can lead to hormonal disturbances, anxiety, uneasiness, hot flushes, mood disturbances and intolerance to mild/moderate heat and cold. So, kindly let me know about any recent changes in her menstrual cycles, so that I can evaluate that aspect too. Revert back with the investigation reports to a general medicine physician online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am suffering from loose motions since last three days. I have visited a doctor. He advised me Oflox 200, Entroquinol and Deulac forte for three days. I have taken the medicines as prescribed until today but even then they have not reduced. I am traveling, so it is difficult for me. Kindly suggest the course of action." }, { "from": "gpt", "value": "Hello. Since there is no response, you need to change the medicines. You should have Oflox OZ (Ofloxacin and Ornidazole) 200 mg or 500 mg twice a day for five days along with tablet Pantoprazole 40 mg before breakfast for five days. Also, for symptomatic relief, you should have tablet Racecadotril (Redotil) 100 mg up to three times till stools stop. This will reduce stool frequency and output but need to continue above mentioned antibiotics for five days. More importantly, you need to have plenty of water and ORS (oral rehydration solution) 100 to 200 ml with each stool output. For more information consult a general medicine physician online -->" } ]
[ { "from": "human", "value": "Hello doctor, I will be facing major surgery for stage three lung cancer contained in the left lobe. I am extremely allergic to Fentanyl, Propofol, and Versed. Are there any alternatives to these anesthetics? I am currently on Synthroid." }, { "from": "gpt", "value": "Hello. If you are allergic to these agents, I suggest you undergo a detailed allergy test with various agents so that you will be able to know which agents are safer for you. There are so many agents and techniques available nowadays in the field of anesthesia. If you are allergic to Propofol, Thiopentone (Sodium Thiopental) or Etomidate is a safer option. For analgesia, the multimodal technique will be a safer option including regional anesthesia, various blocks, NSAIDS, etc. Versed (Midazolam) can be avoided at all during surgery. So my suggestion to you is to inform your anesthetist about this and leave your worries on him." } ]
[ { "from": "human", "value": "Hello doctor, I am a 39-year-old male with a history of hypertension. My BP medication was changed for the past six months and doctor put me on Metosartan 50, and Amlodipine 5 mg. For four to five weeks, my ankle joints are swollen. I went to an orthopedic, and he asked for a venous Doppler lower limb. Other results CRP, vitamin B12, ANA, uric acid, are normal. ESR is 20. There are remarks in venous Doppler, and he suggested for a physician opinion. I am attaching the Doppler report. Please give your opinion." }, { "from": "gpt", "value": "Hello. I have gone through your Doppler report (attachment removed to protect patient identity). Before making the diagnosis, I want a few things pertaining to your problem, like your complaining of swelling of both ankles joints like on and off. 1. Do you have a fever with regards to swelling? 2. Do you have any history of injury? 3. Whether the swelling is continuous or is there any joint pains? 4. It is better if you can attach your picture of ankle joint. And do you a history of varicose veins? From the above Doppler, I can make an inconclusive diagnosis. Bilateral inguinal lymph node signifies infection that can be treated with proper antibiotics. And another one with prominent perforators of GSV (great saphenous vein) as it means initial stages of developing varicose veins might eventually lead to swelling of the leg." } ]
[ { "from": "human", "value": "Hello doctor, I am a 20-year-old female. I had my last periods, last month for four days. I had unprotected intercourse on the next day after my periods. But he did not cum inside (not sure about precum). Next month I found some white sticky thing outside my vagina, and there was white discharge (only drops) for two days. My periods were four days late. From the past four days, I am having lower back ache, lower abdominal pain (sometimes cramps), and leg pain. I had done a home pregnancy test yesterday (which is two days after a missed period), and the test was negative. Is there anything to worry about?" }, { "from": "gpt", "value": "Hello. No, there is nothing to worry about. That was a usual vaginal discharge which usually increases during mid-cycle due to estrogen surge in the body. It is a normal phenomenon. I would advise you to get a regular birth control method for your peace of mind." } ]
[ { "from": "human", "value": "Hello doctor, Yesterday while preparing food, a spoon full of hot oil splashed on my hand. Small blisters started popping up, and it started getting more significant. By today morning, the skin around the blisters has become black. I applied ice and cold water and also one over-the-counter cream. Please find attached the picture of the burn. Should I keep applying ice or should I do anything more to expedite the healing? Is it healing as it is supposed to be?" }, { "from": "gpt", "value": "Hello. I have seen your query and examined your given picture (attachment removed to protect patient identity). It seems you have developed superficial burn.Take injection Tetanus and use Silverex ointment (Silver Nitrate) local application twice daily for one week after consulting your general physician or nearby dermatologist." } ]
[ { "from": "human", "value": "Hello doctor, My father is 48 years old. He is suffering from pleural effusion and TB for the last two months. DOTS treatment is going on. I want to know what foods should he take and what should he avoid?" }, { "from": "gpt", "value": "Hello. Good your father is under treatment, continue without any break, that is the most important thing. Diet also plays a vital role in TB treatment. Consume fruits, and vegetables like orange, mango, sweet pumpkin, carrots, guava, amla, tomato, nuts, and seeds are an excellent source of Vitamin A, C and E. Protein-rich foods, and foods rich in B complex Vitamins should be taken. Ask him to have a boiled egg daily. He needs more protein because they aspirate effusion fluid from the chest, that is rich in protein. So there will be protein loss. To compensate add more protein-rich food." } ]
[ { "from": "human", "value": "Hello doctor,My wife is pregnant. Her hb level is 8.7 and delivery due date is 4th may. The doctor suggested blood transfusion. Is it necessary?" }, { "from": "gpt", "value": "Hello. Yes, it is extremely necessary to transfuse her blood otherwise you may pur her life on risk during delivery. Kindly do not delay in making this decision as delivery may occur any time now because she has already completed her term. Low Hb may cause heavy bleeding during childbirth which if become uncontrolled may even lead to death." } ]
[ { "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, We have started seeing thyroid in my wife after her delivery before three months. We can see a mild swelling in her throat. After thyroid test we came to know that values were not in range, all have exceeded too much. We are afraid and do not know what will happen. Please find attached test reports and please suggest how much she has impacted and how this can be treated. This is the second baby. Before five years after first baby birth, we saw the same in her throat, and it went away after the observation by a physician and some medicine, in around three months last time. Now we see again but with high range. Currently taking Calcium and Iron tables as suggested by doctor after baby birth." }, { "from": "gpt", "value": "Hello. I saw her reports, and it appears that she has postpartum thyroiditis. She can start tablet Carbimazole (Neo-Mercazole) 5 mg twice daily for four weeks and then repeat her thyroid function test to adjust her dose further. I hope you find my advice beneficial." } ]
[ { "from": "human", "value": "Hello doctor, I have OCD for past seven years. My OCD is triggered only during my exams. Last year, I took Prodep 20 mg one month before exams and then stopped. I have my exams coming up next month. I have OCD attack, not able to concentrate on studies. Is it alright to use Prodep 20 mg for one month? I read online that it causes many side effects like loss of libido and erectile dysfunction." }, { "from": "gpt", "value": "Hello. Prodep (Fluoxetine) can be used in OCD and yes it has some side effects as you mentioned but not all the persons taking it suffer from these side effects. And, these are not permanent side effects and remits when you stop the drug. Secondly, it is advisable that you take these drugs only after consulting your psychiatrist, as these are prescription only drugs. Also, this drug is not used for as and when required basis. This may need to be taken for a long period. Hope this helps you. Thanks and regards. For more information consult a psychiatrist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My 2-year-old daughter had been eaten up by mosquitoes, and those areas are red, bumpy, and some have red rings around them. These bumps are itchy to her, and they look infected. Does that mean she is allergic and what can I do to help her?" }, { "from": "gpt", "value": "Hello. This is the normal reaction to mosquito bites. Please wash with soap and water and apply Cortisone cream (Hydrocortisone) two times a day for three to five days. You can also give about 2 ml of Benadryl (Diphenhydramine HCl) once a day as needed for itching. Please use full sleeve shirt and pants when moving outside. You can also use insect repellant lotion to prevent mosquito bites next time. If the rash does not get better in five days or gets worse, please see a primary doctor for evaluation. Mosquito bite." } ]
[ { "from": "human", "value": "Hello doctor, My daughter has small boils at the back of her neck for the past eight days, and it seems to be getting worst. Her major allergies are milk, peanut, and egg. Semi allergies are wheat, soy, and beef. When we first noticed, we started to apply Hydrocortisone, but it seems to be getting worst. We took her to the child doctor and he said switch to antibiotic cream, but today we notice fine boil around the bigger spot and the toddler complaining of burning feeling and crying." }, { "from": "gpt", "value": "Hello. I have gone through your case in detail (attachment removed to protect patient identity). In my opinion, your daughter got some insect bite reaction as in pictures all pinpoint boils are in curved fashion as most commonly seen when any bug or insect crawl bite on skin. It has some peculiar foot prints. Hydrocortisone is considered a good cream in such type of reactions as it controls itching. But sometimes it exacerbates infection while it controls burning. I would recommend you to mix Hydrocortisone cream with Fucidin cream (Fusidic acid) in an equal amount and apply twice daily for seven days. Do not use any cream alone. Give antiallergy syrup like Cetirizine half teaspoon once at night. No specific test is usually required in such cases." } ]
[ { "from": "human", "value": "Hello doctor, Over the last three days, the tip of my penis has become very tight and looks swollen. It is difficult to retract the foreskin and also there was blood after masturbation. This issue started when I used antibiotics for chest infection. Currently I am taking Prednisone for chronic hives and antibiotics for the chest infection." }, { "from": "gpt", "value": "Hello. It seems like posthitis or inflammation of foreskin leading to phimosis. This may require a circumcision sooner or later. Consult your family doctor for this, and he may refer you to a concerned specialist. It is a short day care procedure. Take care." } ]
[ { "from": "human", "value": "Hello doctor, I need a multivitamin supplement and digestive enzymes to regain bone, ligaments, and tendons weakened by digestive issues. Malabsorption of essential nutrients due to digestive conditions like chronic atopic gastritis resulted in bone loss, osteoporosis, low stomach acid, and joint weakness like ligaments of knee, etc. I need supplements that do not depend on stomach acid." }, { "from": "gpt", "value": "Hello. After going through your query and detailed report I suggest to calm your gut first which in turn helps to increase absorption of vitamin and calcium and start with L- glutamine supplement 5g capsule daily preferably before going to bed or at least an hour before meals. Later you can opt for multivitamin supplements with good food intake. Along with that follow these tips. 1. Increase high protein diet, including almonds, vegetables, fish, chicken, and eggs. 2. Do muscle strength exercises if allowed by ortho. 3. Increase fluid intake. 4. Do rest for 8-9 hours of sleep. 5. Manage stress with meditation. 6. Do breathing exercises. 7. Manage to follow small frequent meals. 8. Do take 2500 kcal diet. If required you need to add supplement (whey protein) L-Glutamine." } ]
[ { "from": "human", "value": "Hello doctor, I am married it has been one and a half year of my marriage. It was an arranged marriage, so we took the time to understand each other before making love we took five months, and we did not do it. But after five months period, he tried for one year and could not make it. He can only ejaculate for some seconds. Is this because after marriage we took five months and so he is not able to make it now?" }, { "from": "gpt", "value": "Hello. It is not because of the five-month gap. He might be suffering from premature ejaculation disorder. Why did you wait for five months? Does your husband have any bad previous sexual experience? If he had a failed sexual intercourse, he will try to avoid it, because he thinks it is going to be a failure again. And he woulod be afraid of getting humiliated infront of you. So he thinks it is better not to have sex. On management part, first try to relax him, and make him understand that you love him even without sex. Now start working on a treatment. 1. SSRI (selective serotonin reuptake inhibitor) antidepressants and Clomipramine. 2. Anesthetic spray on glans penis before sex (only a few studies support it). 3. Weak pelvic floor muscles sometimes contribute to it. Kegel exercises may help strengthen them. Wear a condom as it may desensitize him. Some men find that masturbating a few hours before sex helps them stay in control during intercourse." } ]
[ { "from": "human", "value": "Hello doctor, I am 22 years old. My height is 165 cm and weight 67 kg. I have receding hairline and hair fall, for a year. I am not under any medication. Kindly advice." }, { "from": "gpt", "value": "Hello. I read your query and saw the attached files (attachment removed to protect patient identity). There can be many causes behind this kind of hair fall like genetic cause, nutritional deficiency or improper lifestyle, etc. If it is due to a genetic cause, then it will be hard to control with medicine. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. Follow-up after two weeks. 1. Mahabhringraj oil for local application. Apply it on every alternate day and wash your hairs with mild herbal shampoo. 2. Take tablet Asthiposhak two tablets two times a day with water after food for two weeks. Take healthy and fresh food. I hope you understand my point. For more queries, you can consult me." } ]
[ { "from": "human", "value": "Hello doctor, I have a 6-year-old child. She has flatulence, digestion problem, and stomachache after eating. Today, her stool was like mucus. Please suggest some medicines. Currently she is on Neopeptine." }, { "from": "gpt", "value": "Hello. I understand your concern. Please do not give milk products for the time being. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1. Syrup Rantac 5 ml (Ranitidine) twice a day for five days. 2. Econorm sachets (Saccharomyces Boulardii) 1 sachet twice a day for three days. 3. ORS (oral rehydration solution) as much as she wants. If she develops fever, foul-smelling stool or blood in stool or tummy pain, then please consult a pediatrician as soon as possible. She may require to start antibiotics. Food. Stool routine SOS (if above-mentioned symptoms occur) Early dysentery. Give homemade food and plenty of liquid to prevent dehydration." } ]
[ { "from": "human", "value": "Hello doctor, I feel a tight band like pressure around my head while wearing specs. I try not to flinch my head muscles while feeling the head pressure fearing it will escalate the pressure feeling. I started wearing specs from the age of 16, and now I am 19. I do not want to wear contact lenses and cannot go for LASIK because of keratoconus in my right eye. When can I get rid of this feeling or get a proper way of coping with it?" }, { "from": "gpt", "value": "Hello. You probably have a tension-type headache. This can be managed with medicine and relaxation exercises and by reducing the stress as well. Even with specs, you can manage these headache symptoms. For more clarity on your symptoms and further evaluation, you can visit nearby psychiatrist or neurologist. So as of now, limit your time in watching tv or mobile. Do regular relaxation exercises, manage your stress effectively and have adequate sleep. Painkiller drugs like Paracetamol or Ibuprofen can be used whenever required. A drug like Fluoxetine or SSRI (selective serotonin reuptake inhibitor) can be used to manage symptoms associated with stress. I hope this clarifies your concern." } ]
[ { "from": "human", "value": "Hello doctor, How to brush after removing a tooth? Two days ago I got it done. How to know if I have a dry socket and what are the ways to prevent it?" }, { "from": "gpt", "value": "Hello. Keep usual brushing habit after the removal of your teeth. No need to worry about brushing habit. Use mouthwash twice a day after brushing your teeth. Take care of the wound, like after taking any food make sure that you gargle your mouth with lukewarm water. Do not do vigorous gargling. This will prevent you from dry socket. To prevent from dry socket. Do not put your finger or tongue over the wound area. There will be a slight amount of postoperative pain or discomfort after the removal of the tooth which you will feel for almost a week. Just maintain your oral health care. No need to worry." } ]
[ { "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 have acne and oily skin with very bad acne scars and dark spots all over the face. Please help." }, { "from": "gpt", "value": "Hi. If possible provide me photographs of the affected areas which will help me for better understanding of your skin problem and proper treatment plan. Photographs are required for diagnosis purpose because the treatment given without proper diagnosis can be less helpful or can also harmful for you." } ]
[ { "from": "human", "value": "Hello doctor, I have been experiencing bleeding, pain, and discomfort during sex. It started about three weeks ago when my fiance and I had multiple sexes in a day for almost a week. At first, the bleeding was very little, only during intercourse, and stopped immediately after the intercourse. We had sex before three days, and the bleeding was minimal. But now the bleeding continues. I can tell that it is coming from my vagina wall (near the entrance) instead of the uterus. Neither of us has STI or STD. I am on combination pill Rigevidon for almost a year. The pain goes away immediately after intercourse, and it is not that intense. What could be the problem? I also do not have a yeast infection." }, { "from": "gpt", "value": "Hello. The most common cause of post-coital bleeding is either vaginal mucous frictional lesions, and the other is cervical erosions or cervicitis (lesions over the cervix which bleed due to frictional injury during intercourse). It is essential that you should get speculum examination, and pap smear done to check for cervicitis, and any vaginal mucous lesions if any. Please avoid intercourse. If diagnosed then this may require a course of antibiotics for the next 10 days as would be advised by a gynecologist after evaluation. Please consult your gynecologist." } ]
[ { "from": "human", "value": "Hello doctor, I had a pink eye. An allergy specialist advised me medications, and my eyes improved a lot. But I used Visine for a year every day, and that made my eyes addicted to that, and every time they became more red now. My allergy is controlled, but my eyes are not white, again they are like a little yellow and red stained. Also, they advised me Vigadexa drops because I had bacterial infection. But my eyes are still weird color even when I do not have itchiness." }, { "from": "gpt", "value": "Hello. I understand your concerns and have gone through your photo attachments (attachment removed to protect patient identity). The brown patches are suggestive of benign melanosis, and the red lines are blood vessels. The blood vessels can reduce in size and number when Visine (Tetrahydrozoline HCI) drops are used, but due to the mechanism of action, the drops will lose their potency over prolonged periods of use. Other than that your eyes look fine. The benign melanosis, as the name suggests is a harmless patch of pigmentation and the blood vessels although a bit prominent are not suggestive of any disease. There are no signs of serious infections. I hope this helps you. In case you have any further questions, please let me know." } ]
[ { "from": "human", "value": "Hello doctor, I am a 35-year-old female. I am 11 weeks pregnant. On the sixth week, I had a threatened miscarriage and started taking Cyclogest 400 mg suppository, twice a day. Now I am facing severe shortness of breath. Is it because of the high dose of Progesterone I am taking? Does this affect the baby in any way? Kindly advice." }, { "from": "gpt", "value": "Hello. You can switch to oral administration of Progesterones and half the dosage with tablet Susten 300 mg SR (sustained release) once at night daily orally. This shall reduce your possible breathlessness, and uneasiness. You should repeat your ultrasound now, and see if the placentation has improved, and the fetus is viable with no evidence of subchorionic hemorrhage. Please follow-up with the ultrasound report and discuss with your obstetrician to decrease the progesterone dosage, and take an informed decision." } ]
[ { "from": "human", "value": "Hello doctor, I am 31 years old. I have pain in my knees especially in the left one. I have not been able to walk for quite long, and sometimes it feels that some fluid is traveling towards the feet and some cold sensations as well. My job profile needs lots of walking. Can the pain be due to the wearing of improper shoes?" }, { "from": "gpt", "value": "Hello. Kindly give me the following information. 1. Since how long you had the pain? 2. Have you had any injury in the knee joint? 3. What aggravated the pain? 4. Is pain more in the knee or foot? 5. Do you have any back pain radiating down to the left leg? 6. Do you have any other medical problems for which you take medications?" } ]
[ { "from": "human", "value": "Hello doctor, Our 12-year aged daughter has a problem with the skin around the lips, below the nose, and on her chin. It started before seven months, and the skin in those places is red with little white spots and often very itchy. We visited many general physicians a few times, but they cannot determine what it was. They suspected it to be some bacterial infection, acne or something else. She has tried different creams and ointments such as Hydrocortisone, Hydrocortisonum Oceanic, Bactroban 2 %, Freederm, Duac, Virupos, Fusidic Acid, Oilatum, and even Elocom. And Elocom seemed to work but just for a few days. Without any cream, it gets worse very fast, and changes are visible in hours. She had eczema and some skin allergies, but it was not so severe and long-lasting. The condition at this moment is, so severe and she needs a quick help." }, { "from": "gpt", "value": "Hello. This condition is known as perioral dermatitis, which usually results from the use of topical steroids. One feels better when they use topical steroids like Elocon (Mometasone), but it gets worse as soon as it is stopped. You need to stop using steroids and start taking following medications A. Pimecrolimus, 1 % Cream, apply once at night. B. Metronidazole gel 0.75 % apply once in the morning. C. Use sunscreen every three hours during day time. D. Capsule Doxycycline 40 mg once a day. E. Tablet Fexofenadine 120 mg once a day. Do this for 20 days and then follow-up. Please stop using topical steroids for this." } ]
[ { "from": "human", "value": "Hello doctor, My fiance had her periods (period started) five days before, we had oral sex on the fourth day, and I had precum. When I tried to enter her vagina, she said it is paining, and we stopped. I have not ejaculated. Is there any chance of pregnancy? She had her period regularly after 28 days. If chances are there for pregnancy, please suggest pills to avoid it. When to take and can she take pills in the evening?" }, { "from": "gpt", "value": "Hello. If her cycles are regular, then you had sexual activity in a safe period, and there is no risk of pregnancy. No need to get worried. Also, the sexual activity you had does not result in pregnancy. So you can stay relaxed and there is no need to take any pills to avoid pregnancy. Use condoms during sex to remain safe, and emergency pills are alternative but should be used in accidental or emergencies only." } ]
[ { "from": "human", "value": "Hello doctor, He was diagnosed with Budd-Chiari syndrome before five months, and he is feeling very uncomfortable due to ascites. Currently on Acitrom 3 mg, and Udiliv Dytor 10 mg. Kindly advice." }, { "from": "gpt", "value": "Hello. Budd-Chiari Syndrome is a rare condition caused by narrowing and obstruction of the hepatic veins. Obstruction of the veins prevents the flow of blood from the liver to the heart. Obstruction is due to the formation of a fibrous web in the blood vessel or blood clots. It can be due to a blood disorder, infections, chronic inflammatory disorders, cancer, liver enlargement, and fluid collection in the abdomen, etc. Do LFT (liver function test), RFT (renal function test), CBC (complete blood count), CT (clotting time), BT (bleeding time), and US abdomen (ultrasound). Treatment depends upon the cause. But generally, treatment is medical or surgical. Mainly ascites fluid is taped to relieve tension and portal hypertension management is done. Some times liver transplantation may be needed." } ]
[ { "from": "human", "value": "Hello doctor, A 6-year-old gets itchy rashes on her face and stomach after taking Paracetamol syrup, may be a probable allergy to Paracetamol. We have been giving her Calpol for the past three years. And it is showing these symptoms now. 1. How to make sure that this is Paracetamol allergy or not? Is there any test? 2. Why were there no adverse symptoms earlier when I gave her Calpol for the past three years? 3. Do children outgrow these allergies after a few years or months? Can she be able to take Paracetamol later in her life? 4. Is it true that any future exposure to Paracetamol will delay the ability to outgrow the allergy? I mean if she is exposed to Paracetamol will she take more time to become normal? 5. I tried Ibugesic instead, and it was tolerated well. Should we give her Ibuprofen instead of Paracetamol during fever?" }, { "from": "gpt", "value": "Hello. For allergy, you can give Cetirizine syrup. Paracetamol is one of the safest drugs. It is very rare that Paracetamol causes allergy. And you are also giving Paracetamol for the last three years, and there was no allergy. Generally, allergies increase by repeated exposures. So I think it may be due to some food allergy or infection. At present do not give Paracetamol if you feel that it is causing allergy, continue with Ibuprofen. If she is developing so much rash, itching or breathing problem then go to a pediatrician as soon as possible. Food allergy. Syrup Cetirizine 5 ml BD (twice a day) for five days." } ]
[ { "from": "human", "value": "Hello doctor, I have been bleeding heavily for the past two days. I had large blood clots, and I soak through a sanitary pad every one to two hours. My last normal period was before five months. After that, I did not get a period for the next two months. I got a period on the third month but it only lasted for one day, and it was light. In the fourth month, my period was strange. It was a mixture of spotting, light bleeding, and moderate to heavy bleeding which lasted for 11 days. It stopped because I took a Plan B emergency contraceptive pill not because I had unprotected sex but because I read that it will stop the period. My period ended after that for three days. I had spotting before seven days which continued as a normal period after two days. From the next day of my normal period and till now, I have been bleeding very heavily and passing large clots. I had a surgical abortion last year at 13 weeks. My period came back on the very next month of my abortion. After three months, my gynecologist did a transvaginal ultrasound to check me for PCOS. The ultrasound showed that I had polycystic ovaries, but blood work showed normal hormones, so PCOS diagnosis was not confirmed. The ultrasound was otherwise normal. Before three months, my endocrinologist wanted to do a scan because she still believed I had PCOS. The scan was normal, and It just showed polycystic ovaries. She did another round of hormone testing, and my hormones were normal after which PCOS diagnosis was not confirmed. I am 5’9 in height and 270 lbs in weight. I gained over 50 lbs since last year due to depression from abortion. Now I have been reading a lot about uterine (womb or endometrial cancer), and I am worried that I might have cancer. Can uterine cancer develop that quickly?" }, { "from": "gpt", "value": "Hello. I doubt that you have PCOS which is the most common cause of irregular cycle in young age like you. Secondly, it is not necessary that hormonal levels become abnormal always to make a diagnosis of PCOS. It could be a clinical diagnosis as well as based on the presence of irregular cycles and ultrasound evidence of polycystic ovaries. The main cause of heavy bleeding is that when one does not get periods regularly the lining of the womb becomes thicker and when it sheds it causes heavier and prolonged bleeding. And the thick endometrial lining is one of the risk factors for the development of endometrial cancer in later life. But it does not develop at early ages commonly. It is usually a problem of menopausal women, but PCOS is one of the risk factors for development. So it has been recommended to regularise your cycle with the help of pills to avoid heavier bleeding and regular shedding of the lining of the womb. I hope it has helped you. If you require any further queries, please do not hesitate to contact me." } ]
[ { "from": "human", "value": "Hi, I am a 26 year old HIV negative man married to a HIV positive woman. We would like to have a child. I want to know if there is any medication that can prevent the child from being infected. Is there any risk of me also getting infected?" }, { "from": "gpt", "value": "Hi. Hope I have answered your query. If you have further questions, revert back to a HIV AIDS specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, The imaging of the neck region was done and some lesions were detected. The operation of lower jaw and neck region was done followed by chemotherapy and radiotherapy and it was stated that things will settle to normal. During routine checkup, some swelling in neck region was detected and FNAC was done, which shows metastatic poorly differentiated squamous cell carcinoma, and after that full-body scan was performed. The reports are attached. Kindly look into it as the second opinion is required." }, { "from": "gpt", "value": "Hello. I am sorry to know the recurrence of cancer. (attachment removed to protect patient identity). You got diagnosed with squamous cell carcinoma in buccal mucosa of the left oral cavity in December 2019 which was operated. Then you received chemotherapy and radiation therapy and now on routine evaluation, there are some new lesions coming up in the thyroid and neck. So basically there are two sites of new lesions now, in parotid and around it one more lymph node. So please undergo a biopsy of this lesion from parotid to see if it is same cancer as before or a new second primary cancer. If it is confirmed as same cancer as before, it will be operated and taken out and also few more lymph nodes on the same side of the neck followed by chemotherapy. If a second primary cancer, then treatment can be different depending upon what type of cancer it is (on biopsy). So your first step is biopsy." } ]
[ { "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 preparing for my entrance exam. I am not able to concentrate on my studies since four months. I got shifted to a different hostel with my friend before four months. In the beginning, all was good and he is very much talkative and creepy. He always used to sit in my room and talk about movies and games. Regularly, we together will go for movies and to a restaurant for food. I started skipping my homework in his company. A couple of months ago, I came to realize that I am wasting my time. So, I started ignoring him. I did not let him enter my room. But, I do not know what type of person he is. After all this, he always comes to me and whenever I see him I get disturbed. His room is just next to me and whenever I come out of my room he also comes and starts talking and making mischiefs. I am ignoring him and I think he has also released that. But, he is not leaving me alone. He came to my room checks my homework copy, my cupboard and used to take my book unnecessarily to his room so that I could go to his room. I do not know what to do. I have a choice to shift to another floor of the hostel. But, if I do so, then he will feel bad as he is my only friend in the hostel. But, because of him, I am not able to concentrate on my work. I need some privacy. Please give me some solution." }, { "from": "gpt", "value": "Hi. For further information consult a psychiatrist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I am currently pregnant and still used to have sex with my husband. After sex, there is a burning sensation in my vagina that last for minutes to hours. The thing is, it only happens after he ejaculates inside me. Please help." }, { "from": "gpt", "value": "Hello. Thanks for choosing this platform. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My partner and I had sex and a day after, the skin on his penis was peeling. I have no clue what it means. It is still peeling and we had sex a week ago. I went to get it checked out I have not heard anything yet. He said he got checked two weeks ago and I got checked a day after. Please note, I had chlamydia two years ago." }, { "from": "gpt", "value": "Hello. The peeling of skin after sexual intercourse occurs in 3 to 5 % of men. The most common cause is allergic (contact dermatitis), followed by fungal infection and STD like chlamydia or gonococcal infection. However, STD is associated with pain and dysuria. The other two are possible causes in your case. For more information consult a general medicine physician online -->" } ]
[ { "from": "human", "value": "Hello doctor, I have a bacterial infection in my gums because of my wisdom teeth coming in. I have taken Clindamycin and Motrin but it does not work." }, { "from": "gpt", "value": "Hello. Gum infection can be due to a number of reasons like tooth infection or cavity, abscess, etc. If Clindamycin is not working, I suggest taking Amoxicillin 500 mg twice daily for five days. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Along with this, start with some warm saline gargles at least five to six times a day for a week. Hope this helps you. For more information consult a dentist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am a 31-year-old female. I have lost my sexual drives, and it is affecting my marriage life. Kindly advice." }, { "from": "gpt", "value": "Hello. If you have a low sex drive, then this should be evaluated properly. Medical causes like diabetes and hypertension should be ruled out. This might be due to hormonal issues. Your serum prolactin and progesterone levels should be checked. Normal levels will rule out the hormonal cause. Do you have pain during sex? Because pain could be one reason for low sex drive. Using a good lubricant during sex will reduce pain and will also help to increase pleasure which in turn will improve the drive with time. You should spend more time in foreplay. This will increase the chances of good orgasm which will make sex more pleasurable. This will also increase sex drive with time. As such there are no specific drugs for female sex drive. Drugs containing L-Arginine have some roles in improving drive. L-Arginine in a dose of 500 mg per day help to increase engorgement of the clitoris which will increase sexual pleasure and drive with time. I hope this helps. If you have more doubts, please let me know." } ]
[ { "from": "human", "value": "Hi doctor, HIV tridot antibody test done at 6 weeks, 8 weeks and 10.5 weeks. All negative. Are there chances it will turn positive at 12 weeks now? Test done with blood taken from vein." }, { "from": "gpt", "value": "Hi. Following is my opinion for your asked question. HIV tri dot antibody test is having good sensitivity and specificity in ruling out HIV as like that of fourth generation ELISA. Usually tri dot HIV test is able to rule out HIV after six weeks of exposure. However, HIV test can be considered conclusive in ruling out HIV after three month of exposure. So, I suggest you investigate with HIV rapid test after 12 week again. You can revert back with HIV report after 12 week of exposure to check it." } ]
[ { "from": "human", "value": "Hello doctor, Red itchy patches on groin area all the way spread around anus and thigh. Tried treating with camphor mixed with coconut oil first. Then used Cosvate GM, Ketoclean and Keto Soap. It has worsened." }, { "from": "gpt", "value": "Hello. You have tinea corporis/cruris which is also known as ringworm/fungal infection. Kindly stop using the earlier medicines. You should take capsule Itraconazole 100 mg twice a day for 3 weeks. Also, take tablet Cetirizine 10 mg at night for the itching. Also apply Luliconazole/Sertaconazole/Eberconazole cream twice a day. Kindly take bath twice a day. This will help in cleaning the sweat on the body which helps fungus to grow. Also, as you are a diabetic, you have to maintain your sugar levels. In uncontrolled diabetes, fungal infection is very common. Take care and stay healthy. Tinea corporis/cruris As explained above Avoid wearing wet undergarments" } ]
[ { "from": "human", "value": "Hello doctor,A few days ago one of my female friends had pain around the belly button. She went to a physician and was told that it could be because of a decrease in iron in the blood. Does iron deficiency relate to pain near the stomach? What can be the other causes?" }, { "from": "gpt", "value": "Hello. Yes, it can be related. One of the causes of a low hemoglobin count is low iron in the body, which may occur either due to inadequate diet or excessive loss from the stools or menstruation. There are multiple causes, and we need to confirm it by hemoglobin level, serum iron studies, and stool for occult blood testing. If bleeding occurs due to acidity and gastritis, especially if associated with nausea, bloating, burping, pain on eating, sour water feeling in the throat or chest burning, then she should: If she is bleeding due to a worm infestation, then she should have tablet Bandy plus once at bedtime, to be repeated after two weeks. To confirm this she will need stool routine examination. Hope this helps. Get back if you have any doubts. For more information consult an internal medicine physician online -->" } ]
[ { "from": "human", "value": "Hello doctor, I have been sick with side effects from Doxycycline for two weeks. I had a UTI which has cleared. I have been to the doctor twice, they checked my urine, and there is no infection. I feel tired, have chills, I feel cold, have a back and joint pain. I do not have a fever. I have read that, sometimes it can last up to three weeks. Is it possible to last this long? My blood tests are also normal." }, { "from": "gpt", "value": "Hello. Revert with more information to an internal medicine physician online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am having dry patches around both eyes. Although I have dark circles for a long time, this has never happened. I am using mild face cream to keep the area moist, but it is not sufficient. It is also slightly painful. Please advise." }, { "from": "gpt", "value": "Hello. It seems like an allergy reaction. I advise you to use a mixture of one portion of baby shampoo diluted in five portions of warm water, clean your face and the affected area. Rinse with warm water, then with cold water immediately. At the end apply Tobramycin cream or Fucidin cream (Fusidic acid) locally. Avoid eye contact. Try this twice daily. During day time you can apply vitamin E and zinc oxide cream. You can also apply fresh Aloe vera locally during the day. Let me know if you have any other question." } ]
[ { "from": "human", "value": "Hi doctor, I feel my legs are restless and lack energy. I am feeling tired with frequent yawning and sleepiness in daytime. Sometimes, I feel nervous and vertigo while walking. Please suggest a medicine. I had Escitalopram 10 mg bd, but it did not work well. My other medication list is attached for your reference." }, { "from": "gpt", "value": "Hi. The symptoms described by you are symptoms of depression which are due to low dopamine levels. Escitalopram increases serotonin levels and there is a dopamine deficit remaining in most patients. My advice would be to add Bupropion (Bupron XL) 150 mg to existing drugs. You can make it 300 mg after a week if necessary. Do not stop Escitalopram. This should make you feel fresh and energetic. If your leg restlessness remains, ask your physician if you can take a beta blocker along with current medicine. Take care. Specify probable causes if any. Major depression, dopamine deficit. Tablet Bupron XL 150 mg in the morning along with previous medicine." } ]
[ { "from": "human", "value": "Hello doctor, I am feeling very restless, sleepy and crying the whole day. I have a feel that I am suffering from depression. Please advise." }, { "from": "gpt", "value": "Hello. For further information consult a psychologist counsellor 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": "Hi doctor, My niece, who is 1 year and 8 months old, got choked today when she drank her milk. She got cough because of the choke, but the cough keeps coming back the whole day. I thought it was just a simple choke as it is just milk. Why does it last for the whole day?" }, { "from": "gpt", "value": "Hello. For further information consult a paediatrician online -->" } ]
[ { "from": "human", "value": "Hi doctor, I am having a polyp in my sinus and have been suffering from frequent cold for a long time. Now, I am facing a fluttering sound in my ear. What should be done?" }, { "from": "gpt", "value": "Hi. Generally, polyp in sinus needs to be removed. If ethmoidal polyp, then it can be treated with steroid spray. Ear problem can or cannot be due to a polyp. You need to tell your complaint in detail. Sometimes, polyp can block the eustachian tube and ears and it can cause ringing or fluttering in the ear. Kindly tell me in detail so that I can guide the treatment. If you have got a CT scan done, then you can send me or else you must get a CT scan PNS (paranasal sinus) done. Revert back with detailed history to an ENT otolaryngologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I have had a sinus infection for over eight weeks now. After trying to get rid of it using Neti pot and Flonase, I started taking antibiotics. I had my sinuses scraped about four years ago due to a recurrent sinus infection. I went to a dentist because of a broken tooth, that was causing me pain. The dentist put me on two more antibiotics to treat the pain. So, currently I am under Alprazolam 0.5 mg (four times a day), Truvada (once daily), Quetiapine and Buspirone at bedtime. I have horrible diarrhea and nausea every morning and wake up with a terrible sinus headache still. I am at my wit's end, and cannot see my regular doctor for a month. I am getting the tooth extracted in two days, hope it will help. Any guidance would be so much appreciated." }, { "from": "gpt", "value": "Hello. So you have two issues, one is your sinusitis, and the other is diarrhea. Gastritis is probably antibiotic associated, so you need to discuss with your doctor and change the antibiotics that are causing your diarrhea. I would suggest the following for your gastric problems. For sinusitis along with antibiotics I would suggest you try the following. For a headache, you can have Paracetamol or Ibuprofen whenever needed. If it is not helping, then you need to discuss with your local doctor for a short course of oral steroids. Consult your specialist doctor, discuss with him or her and start the medication after their consent. Get back if you have any doubts. For further information consult an internal medicine physician online -->" } ]
[ { "from": "human", "value": "Hi doctor, Whenever I sit or lie under a fan or walk outside when it is windy, I suffer from running nose and nasal congestion. So, a few days back I did a CT scan PNS, and the report says there is predominant ethmoidal sinusitis and DNS deviated towards left. Kindly tell me how serious is my condition as per the above description of CT scan PNS. I am not willing to do surgery. Let me know whether it can be taken care of without doing surgery or not, and also kindly advise me with medicines and other measures to take care of my illness." }, { "from": "gpt", "value": "Hi. It is not a severe condition, and the surgery is not always required if there is a response to treatment. You appear to have two issues, one is allergic sinusitis, and another one is DNS (deviated nasal septum). Your predominant symptoms are likely due to allergic sinusitis. So treatment depends upon the frequency of the symptoms. If the symptoms are occurring on a daily basis or most of the days of a week, then you may need a long course of treatment. If you are having symptoms on and off, then you may require a short-term treatment. It is advisable to get yourself examined by a local doctor once. We usually prescribe Duonase nasal spray (Fluticasone propionate with Azelastine) which is given two times a day for four to five days if the symptoms are occasional. It is not advisable in persons having infections like fever and body ache. Also, we also ask to have tablet Solvin cold (Paracetamol with Phenylephrine) at bedtime whenever required. Steam inhalation done during a significant period for three times will help. Usually, patients respond well to medicines and surgery is not always needed. For more information consult an internal medicine physician online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am a 20 year old female. I am not on any medication. I take probiotic, multivitamin, vitamin D, Cal-mag and omega supplements daily. I seem to have recurrent infections. In the last three years, I have had two strands of mononucleosis, pneumonia twice, ongoing sinus infections, recurring strep throat, and tonsillitis which resulted in getting the tonsils removed. I also had a stomach infection. I cannot take antibiotics anymore because the infections come back when I stop the medications. I was referred to an allergist and have tested negative to all the allergies. I do not know where to go from here. Hodgkin's lymphoma, leukemia, as well as colon, prostate, and breast cancer has been in my family. Is there a chance I could have any of those? Doctors have said that it could be just a phase of being sick. But, I am tired and worn out. I want to get my life back. Any guidance would help." }, { "from": "gpt", "value": "Hello. Firstly, do not worry, your condition is not suggestive of those cancers. Hope this helps. Get back if you have any doubts. For more information consult an internal medicine physician online -->" } ]
[ { "from": "human", "value": "Hello doctor, My son is 1 month old. His weight is 2.7 kg, and he has been suffering from allergy in his face especially on his cheeks and chin since last five to six days. Now it looks like a sunburn and an allergic reaction. But I could not understand the cause. He has trouble in breathing, and nausea and no medicines were used till now. Kindly suggest any anti-allergic syrup with dose." }, { "from": "gpt", "value": "Hello. The allergy that you may be talking about is probably milk dripping from the sides of the lips onto the cheeks and chin. This milk may be causing those allergic rashes on the cheeks and chin. Please observe, and if it is so, please wipe off the milk that is dripping. Another thing that you mentioned is that he has trouble breathing and nausea. Generally, children below the age of six months make certain sounds from the nose and mouth that makes us feel they are breathless. However, these children can take feeds well. If such is the case, then your child is normal with respect to your sense of breathlessness. Do not worry. Please note that even after taking the above steps if there is no improvement or worsening over the next few days, it is best to get the child evaluated physically by a pediatrician." } ]
[ { "from": "human", "value": "Hello doctor, I have questions concerning about the skin on my face. The skin next to both sides of my nose gets red and flaky with dry skin. It is itchy and appears often. I do not scratch it, and I have used shea butter and aloe vera. It helps a little bit, but so far still the same condition exists. I have been smoking occasionally for a few years and never had a problem. I stopped about three weeks ago due to this problem to see if the irritation is due to my smoking, but it is not getting better. I will be visiting a doctor in about a month. Kindly give your opinion." }, { "from": "gpt", "value": "Hello. It can be seborrheic dermatitis, an inflammatory response because of seborrhea, caused by a superficial fungal infection. Do you have dandruff?Seborrheic dermatitis is usually associated with dandruff. Kindly send me the picture of your face from a distance (not in a close up view)." } ]
[ { "from": "human", "value": "Hello doctor, My daughter who is 2.8 years old cried hard before two weeks and developed a hoarse voice the next day. It subsided in about three days. Before a week, I remember her throwing tantrums and crying hard for every small thing and again developed a hoarse voice. I gave warm water and honey, and it has subsided a lot. Sometimes her voice sounds normal, and when she screams or cries, I can still feel her voice is a little hoarse. Is this hoarseness due to crying or could be any other infection? I read that hoarseness could occur due to cancer. I am a paranoid mother who gets scared after reading the stuff. She does not have any cold, cough and eats normally. In spite of her hoarse voice, she is taking ice creams and cold stuff. If the hoarseness is due to any serious medical condition, would she have any accompanying symptoms? My main concern is cancer. What would be the symptoms of laryngeal cancer other than hoarseness? She is a very adamant kid and still screams if things do not go her way. Suggest remedies to get rid of hoarseness. Please remove my anxiety towards cancer." }, { "from": "gpt", "value": "Hello. Relax do not worry. She does not have laryngeal cancer (vocal cord cancer), it is a vocal cord abuse. It is due to screaming she is having hoarseness of voice, so it is temporary. Give her warm water and if she can gargle then let her do it with salt water gargle. Based on your history I can understand that she has a minor behavior issue, typical of a toddler. When she starts screaming then try to divert her attention, so you can stop her screaming. A positive note is that the child forgets quickly and so you can do it. If you still have some queries, then please visit ENT doctor and get her vocal cord checked." } ]
[ { "from": "human", "value": "Hello doctor, I feel like I have water in my chest,and neck which goes down to the stomach, underarms. The precise explanation is like a sweat inside my body that travels in those areas (chest, stomach, underarms, and abdominal wall). What can this be?" }, { "from": "gpt", "value": "Hello. Firstly, this does not appear to be a life-threatening or severe issue. Most probable diagnosis goes with your explanation is of dyspepsia (indigestion) or gaseous issues. Does your upper abdominal pain, nausea, bloating, and burping increase while taking food? Do you have sour water feeling in the throat or chest burning? If yes, it further supports the diagnosis. You should avoid fatty, oily, and a high-calorie diet. Go for a walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Eat lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tablet Pan DSR 40 mg (Domperidone, Pantoprazole) before breakfast once a day for a week. Do you feel any palpitations or chest pain along with it? If yes then we should rule out the cardiac issue. Anyway, you should get yourself examined and auscultated to rule out any other issues. So, overall, does not appear to be a worrisome matter, and your symptoms do not indicate any severe disease. I hope this helps you and get back if you have any doubts." } ]
[ { "from": "human", "value": "Hello doctor, My baby is 2 months old. He is on pumped milk and once a day formula milk (Enfamil). He is gassy and cries mostly from evening till midnight. Spits up even after burping for 30 minutes. I give exercise, and tummy time, but there is no change. He gets reflux which makes him uncomfortable. His spits are watery. My pediatrician suggested Colicaid and Yamoo which I am using four times a day. Still, he gets gas and spits up. And now he did not poop for the past two days and trying very hard and cries in between feeds by trying to poop. Is this an effect of enzymes? Please help." }, { "from": "gpt", "value": "Hello. Please note the following, 1. The clinical picture that you are giving is most suggestive of reflux. It is advisable first to get a reflux study done to find the grade of reflux. 2. The initial medications to be given in reflux are Zantac (Ranitidine) and Perinorm (Metoclopramide). In most cases, this works. The next step beyond this is Gaviscon (antacid) and feed thickening. 3. Also very important is to keep the child in a slightly upright position (30 degrees to ground) after feeding (and most of the time) to reduce the amount of discomfort the child may be facing due to reflux. This one method goes a long way in helping children. As the child grows bigger, the need for this reduces eventually. 4. As regards to the crying episodes during stools, if the stools are hard or if there is gas the child may cry. Both are less likely due to the enzymes. They are mostly physiological considering the clinical scenario of the child." } ]
[ { "from": "human", "value": "Hello doctor, My mother is currently taking treatment from a psychiatrist for depression. Her major symptoms are heaviness in the head, lower back pain, mood swings, feeling sad, and negative thoughts. Recently MRI and CT scan were done. CT scan was fine. MRI indicates multiple small T2/FLAIR hyperintense foci without restricted diffusion are seen in bilateral centrum semiovale, the subcortical and deep white matter of bilateral frontal and left parietal lobe. No demonstrable signal alteration was seen in the corpus callosum at present. No evidence of restricted diffusion or blooming seen. Features suggest the possibility of demyelinating etiology or pronounced microangiopathic changes. Please suggest what should be done? Either psychiatry treatment, or neurology treatment? Her main issue is the heaviness of head. She wakes up with negative thoughts, feeling like crying and suicidal behavior. She is currently on Ventab Xl, Mirnite, Clonotril, Olimelt, Lupirtin SR, and Sertee." }, { "from": "gpt", "value": "Hello. I understand your concern and would explain that your mother's symptoms seem to be related to depression with psychotic signs. The lesions in MRI are suggestive of small vessel disease. I would recommend taking daily baby Aspirin 80 mg to help the progression of these changes. In my opinion, her current therapy is quite complicated, and many interactions between drugs can worsen her situation. I would recommend stopping Mirnite (Mirtazapine) and Sertee (Sertraline) because they both interact with Ventab XL (Venlafaxine). Increasing the dose of Ventab XL may be necessary. Treatment of depression will help reduce the headache. You should discuss with her psychiatrist on the above treatment option." } ]
[ { "from": "human", "value": "Hi doctor, My son is 5 years old. His doctor told that he has a cylindrical power of 1 and 1.25. He also said that his muscle power is weak. Is it a must to wear eyeglasses?" }, { "from": "gpt", "value": "Hello. I can understand your concern regarding your child. Revert back with the prescription to an eye care ophthalmologist 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, During root canal treatment does air spray over CaOH filled canal cause emphysema on soft tissues of the face? How can one distinguish emphysema from flare-up?" }, { "from": "gpt", "value": "Hello. I appreciate your question. Emphysema of the face is directly linked with air trap under your skin. It gives a crackling sensation because of the air pressure underneath and looks like a smooth swelling of the face. Root canal flare-up might result in swelling but with severe pain. Visible periradicular changes start two to three days after endodontic treatment. To my knowledge, air trap in a medicated canal would not directly cause complications but the major reasons are improper canal irrigation, preparation, and over instrumentation. It is most commonly seen in upper canines and centrals. Antibiotics are advised for treatment." } ]
[ { "from": "human", "value": "Hello doctor,I went to a parlor for upper lip and chin waxing. I am scared if the wax was contaminated by a person before me and if he or she bled and had an infection like HIV. The person double dipped, and I do not know that on how many people the wax was used? And what issues they might have had?" }, { "from": "gpt", "value": "Hello. You are right. You have every reason to think and fear about the procedure. But the fact is, HIV cannot survive in the outside environment and cannot transmitted in this way. But what you have to fear for is HBV (hepatitis B virus) because HBV can live and infect for one month in the outside world. HIV can only survive for two minutes maximum, and after eight seconds, it loses their infective capacity. So, regarding HIV infection, you are safe." } ]
[ { "from": "human", "value": "Hello doctor, I am 79 years old. I am having spinal surgery on L4 and L3 next month. I have been on 90 mg of Nardil,an MAOI, for the last 32 years. Is there any general anesthesia that can be used so that I do not have to come off this medication, or do I have to be off it two weeks before surgery?" }, { "from": "gpt", "value": "Hello. The anesthetic drugs and their dose are carefully chosen after considering patients age, general health, condition of vital organs, previous history of diseases, concomitant medications, and duration of surgical procedure, etc. Hence, before any elective surgery, the anesthesia specialist will do a thorough examination and necessary investigations to fix the anesthetic drugs. Rarely in some case, it becomes very difficult to fix safe anesthetic drugs. Only in such cases, the anesthetist may deny the surgery. In your case, many good safe anesthetic drugs will not interact with your MAOI (monoamine oxidase inhibitor) drugs so that you can continue the current medication. If your anesthetist feels that those safe anesthetic drugs are not suitable for you (based on your body condition and duration of surgery), then he may use anesthetic drugs that may interact with MAOI. In such a case, alternative to MAOI will be started with the help of a psychiatrist. The anesthesiologist will coordinate all these. Hence, you do not worry about this part. With the current details given by you and without doing a personal examination, I am not in a position to discuss further drug details. But, I can assure you that your concern will be solved when an anesthetist examines you." } ]
[ { "from": "human", "value": "Hello doctor, I am a 40-year-old male. Recently I was diagnosed with LVH in ECG (possible LVH). My cholesterol level was 175, and pressure was 90/150. Now pressure came down to 80/135. I am taking Diovan 80 and I have little chest pain. Is this disease curable with this medicine? The sugar level is borderline." }, { "from": "gpt", "value": "Hello. Left ventricular hypertrophy (LVH) is reversible and is caused by high blood pressure for a long time. When the heart has to exert more against raised BP, it hypertrophies just like an athlete when exercises, his muscles undergo hypertrophy, same is with heart. So when an athlete stops his exercises, weight lifting, training, etc., his muscles come back to normal over time. Just control blood pressure and sugar. Consume a low salt diet. Regarding chest pain, I would advise you to undergo ECG, treadmill test and exercise tolerance test (ETT). After that, send me reports so that I may guide you better and for future planning regarding preventing other issues." } ]
[ { "from": "human", "value": "Hello doctor, I am a 38-year-old female. I have extreme fear, suicidal thoughts, and fear of failure. I am not able to concentrate on my daily activities. How to overcome all these situations? I had an aortic valve replaced through open heart surgery. I was under Nexito and Rivotril for two years after my open heart surgery." }, { "from": "gpt", "value": "Hello. Decrease in concentration, suicidal thought, fear of failure, and sleeplessness are features of a depressive episode. Why did you stop the medicines? Did you take the medications in the proper dose, and is there any episode similar to the illness has occurred previously? I think you should again start Nextio Fort (Escitalopram and Clonazepam) for the adequate duration, and if not improved, some second-generation antipsychotic can be added, or try cognitive behavior therapy. For sleep you can take help of sleep hygiene to wake up on fix time irrespective of sleeping hours. Avoid coffee or other stimulating agents, have a brisk walk, avoid food before three hours of sleep, and you can take a shower with lukewarm water." } ]
[ { "from": "human", "value": "Hi doctor, I am losing my hair day by day. Can I use Finasteride? I have hydrocele. Is it related to my testosterone?" }, { "from": "gpt", "value": "Hi. Please do not go to Finasteride straight away. First, the cause and the pattern of your hair loss have to be assessed. It could vary from seborrheic dermatitis to androgenic alopecia to any other skin disorders too. Then, treatment can be planned. Have a consultation with a dermatologist for physical evaluation and get your problem assessed. Hydrocele is not related to testosterone. It is just a fluid collection in the sac. So, please do not get confused. For further information consult a dermatologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My period was due on 22nd this month. Last period was on 22nd of last month. Usually I have a 28 to 30 days cycle. I was on antibiotics for cold and cough infection. I had unprotected sex on 24th of this month and took an Ipill within four hours. I am yet to get my period. Do you think there is anything to worry? Please advice." }, { "from": "gpt", "value": "Hello. No, there is probably no chance of pregnancy as you were near to your due date and you have taken Ipill as well so nothing to worry about. Ipill usually makes periods delayed." } ]
[ { "from": "human", "value": "Hello doctor, My husband and I are currently trying to conceive, and hope to be pregnant in the next few months. My in-laws are planning a trip after three months, and I am trying to verify if there is still a risk for pregnant women in regards to the Zika virus. The CDC states to consult with our physician, which I, unfortunately, do not have one currently, especially a gynecologist. I am hoping to get even just pointed in the right direction if it is safe for a newly pregnant woman to travel for a week as I have read that pregnant women are at the highest risk during the first trimester. Kindly advice." }, { "from": "gpt", "value": "Hello. Yes, Zika virus is affecting pregnancies and does have adverse effects on your baby if the mother gets exposed to it in her first trimester or either later in pregnancy. Unfortunately, no precautionary measures are available other than avoiding the exposure to it. I would suggest you to better avoid it in the first place rather than having remorse afterward. I hope it has helped you. If you require any further queries, please do not hesitate to contact me." } ]
[ { "from": "human", "value": "Hello doctor, I am having loss of libido, premature ejaculation, erectile dysfunction, and extreme fatigue. I am currently on Lipicard 200, and Esomeprazole. Kindly help." }, { "from": "gpt", "value": "Hello. I can understand your problem. Your weight in proportion to height is almost near the normal range. But in lipid profile, the cholesterol levels are high, and HDL levels are low (attachment removed to protect patient identity). Deranged lipid profile is one of the common reasons for reduced libido and sexual dysfunction. You should try to improve your physical activities and try to bring weight and lipids in a normal range. Exercise will help in improving the libido too. For weak erection and reduced libido drugs like PDE-5 (Phosphodiesterase) inhibitors like Tadalafil can be used. Low dose Tadalafil in 5 mg per day after dinner daily will help to make a strong erection. To improve erection at the time of sexual intercourse, you can take an extra 10 mg tablet on SOS basis about half to one hour before sex. Kindly consult your doctor for suggestions and take the treatment with consent. This will improve libido and will make erection hard. Avoid smoking, and alcohol use to stay healthy. Supplements containing L-arginine and Yohimbine have great roles in improving libido. Take Nano-Leo which consists of L-arginine that helps to reduce the fatigue." } ]
[ { "from": "human", "value": "Hello doctor, Can you please help me understand my test results? My platelet count is at 1314, and my doctors are unable to give me a specific reason for it." }, { "from": "gpt", "value": "Hello. I have gone through your reports (attachment removed to protect patient identity). Take care. Consult your physician for an examination keeping these points in mind. Hope your concern solved. For more information consult a hematologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My wife is having high platelets count, diagnosed with mild anisopoikilocytosis, predominantly normocytic with ovalocytes (RBC), WBC mild leukocytosis is present, platelets: appear increased in the smear." }, { "from": "gpt", "value": "Hello. The increased platelet count in your wife case seems to be due to reactive thrombocytosis. The iron deficiency anemia can lead to reactive thrombocytosis and so platelet count can be high. You need to treat her anemia with Ferrous Ascorbate tablet like medication for a month. The high total count along with high neutrophil and lymphocytes need to be treated by empirical antibiotic course. Her diabetes is also not controlled well and with a medication, it needs to be controlled. After a week, repeat CBC to check total count." } ]
[ { "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 -->" } ]

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