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qucklecrabik
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mc_dataset

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train · 257k rows

conversations listlengths 2 2
[ { "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, Four days ago, when I was away from home for some work, I felt sick and my hands and feet were numb for several hours. Then, I had fever for three nights with soaking sweats followed by continuous diarrhea for the last four days. I am going nearly 8 to 12 times a day. I read the symptoms on Campylobacter and it seems pretty similar. Do I need antibiotics? Does it go away by itself? I assume that I should not take medicine to stop the diarrhea. I did have chicken before all of this started. Not sure if that is connected. Thank you" }, { "from": "gpt", "value": "Hi. For further information consult a general medicine physician online -->" } ]
[ { "from": "human", "value": "Hi doctor, I went to the doctor for a general physical examination and did the normal blood work. Everything came back normal, except my blood protein was 8.5 g/dL. She sent me for another blood test today, monoclonal protein test. I am worried sick until I get the test results. Should I be concerned if my other results like blood counts and platelets are within the normal range? I read that it can also mean that I was dehydrated. As I had a doctor's appointment, I did not drink and eat much before the tests. I only had half a cup of water since the previous evening before having the blood test. The doctor sent me for a monoclonal protein study today. Please help." }, { "from": "gpt", "value": "Hi. For more information consult an internal medicine physician online -->" } ]
[ { "from": "human", "value": "Hi doctor, 8 months back, I was detected with kidney tumor and immediately had an operation. In that operation, one kidney was removed. My health has slowly improved and now doctors say that I am fine. I want to know, this year after 8 months, can I keep my roza during the month of ramzan? Is it advisable to fast for a month? Every day I will not be drinking water or eating anything from sunrise to sunset. Please advice. Thank you." }, { "from": "gpt", "value": "Hello. I would strongly advice you against fasting for ramzan. For further information consult a urologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am 26 years old and I have missed my period this month. Last period was on 19th of last month. Few days ago, I vomited two times, so I have checked urine test a few days back. There was a faint line. Again I checked it in the evening on the same day, the result was faint line. But when ultrasound and T.V.S. test were done then result was negative. The doctor has suggested me to keep in touch and again check up after a week. Please suggest me what to do." }, { "from": "gpt", "value": "Hi. I can understand your concern. Urine pregnancy test may give faint line during early pregnancy. And also in ultrasound it may take around six weeks for visualization of gestational sac. So, you better go for blood test for pregnancy which will give accurate result compared to the urine pregnancy test. Beta hCG levels above 25 indicates positive result for pregnancy. Take care." } ]
[ { "from": "human", "value": "Hello doctor, I took GABA supplement and I am unable to sleep. If I fall asleep, I am only sleeping for a few hours, and then I am wacking up. I did not start experiencing this issue until I took the GABA supplement." }, { "from": "gpt", "value": "Hello. GABA (Gamma-aminobutyric acid) supplements can both, make one go to sleep and keep awake. As for now, I suggest you wait for a few hours until the effect of the medicine wears off. I suggest you do not take the GABA supplements by yourself." } ]
[ { "from": "human", "value": "Hi doctor, I have a 5-month-old baby who is having loose motion, so got his test done for reducing substances. It has a pH level of 6 and a positive report. What does this report signify? Otherwise, he is very gassy and burps and passes gas a lot. Please help." }, { "from": "gpt", "value": "Hello. The reports (attachment removed to protect patient identity) state that he is lactose intolerant. You have to avoid milk and milk products for a minimum of 15 days. Give him normal food, rice, dal, and vegetables, etc. After his stool has returned to normal color and consistency for four days, then you can start with small quantity such as 100 ml once a day and check if the symptoms return. For more information consult a paediatrician online -->" } ]
[ { "from": "human", "value": "Hi doctor,I am on new birth control (NuvaRing) and getting some discomfort. When I looked up the side effects of the birth control, it said that all my symptoms could be toxic shock syndrome. I am currently on Doxycycline and Wellbutrin. How can I be sure about the syndrome?" }, { "from": "gpt", "value": "Hi. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I have been diagnosed with schizophrenia and have been prescribed anti-psychotic medication Olanzapine. I have been taking it for 2 to 3 years. I was wondering if there is an alternate route to treatment? Or if there is another solution for a possible cure? I do not want to deal with the negative effects. I do not experience any of the positive effects for 2 to 3 years as long as I have taken Olanzapine. Can I come off the medication?" }, { "from": "gpt", "value": "Hi. Olanzapine is an antipsychotic medicine. Yes, Olanzapine is available in injectable form. If Olanzapine is causing some effects then it can be changed to other antipsychotic like Aripiprazole, Risperidone or Ziprasidone. You need to take medicines or injectables to keep symptoms in check. I want to understand what negative things you are experiencing." } ]
[ { "from": "human", "value": "Hi doctor, I am six weeks and six days pregnant. My urine test is positive and beta hCG is also increasing but I am very upset about my ultrasound report. There is gestational sac in my uterus but from last week there is no yolk sac and fetal pole. I have a dark brownish discharge from six days with no cramps. Do not know what is going on with my pregnancy. This is my first pregnancy after 10 months of marriage. The doctor suggested me to wait for two more weeks. The wait is going to be long. Can someone please tell me what would be its result? Your answer will be truly appreciated." }, { "from": "gpt", "value": "Hi. You are receiving enough supportive treatment. In case of discrepancy between dates and scan, yolk sac and fetal pole could appear but there is continuous brown discharge which is risk actually. Have a complete avoidance of restricted activities that can trigger a miscarriage, like stairs, stress, sex, abnormal blood pressure, sugar levels, thyroid levels, hormonal imbalance, etc. Have a strict check on symptoms like the passage of clots, bleeding with or without pain, etc. In case of miscarriage request to send expelled product for histopathology. Complete treatment for any health issue you have, recreational activities and quit recreational drugs, balanced diet, weight, and BMI. Scan after 10 weeks. Threatened miscarriage. Scan after 10 days. Report symptoms immediately to gynecology emergency. Restrict activities. Continue medications as before. Complete treatment for any health issue you have. Recreational activities and quit recreational drugs." } ]
[ { "from": "human", "value": "Hello doctor, My sperm count is 64 M/mL, motility 60 %, rapid linear progressive 15 %, sluggish linear progressive 15 %, forward progressive 30 %, morphology normal 35 % and abnormal 65 %. Are these values normal?" }, { "from": "gpt", "value": "Hello. Are there any pus cells or WBC's (white blood cells) in the sample report? Also, is the fructose test positive? Please share the complete report as an attachment." } ]
[ { "from": "human", "value": "Hello doctor, I have a cluster of bumps nearly identical on either side of the penis (frenulum), about five each side. They are yellow in color. Are these fordyce spots or genital warts? I previously had a couple of warts on the shaft, but they looked different from what I am having now. Kindly help." }, { "from": "gpt", "value": "Hello. I understand your concern. Yes, these are fordyce spots, (attachment removed to protect patient identity) that is ectopic sebaceous glands, when present at this site they are known as Tyson's glands. They are completely harmless, and no treatment is required unless you want to get them removed for cosmetic purpose. In that case, they can be removed by cautery." } ]
[ { "from": "human", "value": "Hi doctor, I am having irregular periods. My cycle is usually on the 10th of every month, but I had heavy spotting on the 19th of last month. Then, I had my normal periods on the 10th of this month. But, I had my periods today, which is 10 days earlier than the normal cycle. During mid of last month, I had some Iron tablets for around three to four days. Please help me with this irregular period issue. Thank you" }, { "from": "gpt", "value": "Hi I have gone through your query and can understand your health concern. For further information consult an internal medicine physician online -->" } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am suffering from OCD and doctor prescribed Depakote XR 500 mg and Paroxetine CR 25 mg, which I am taking for last eight years. I read that these medicines can cause drug-induced Parkinson's. Please advise how to stop taking these medicines without withdrawal symptoms." }, { "from": "gpt", "value": "Hello. I do not think that those medications can induce Parkinson's. Antipsychotic drugs are more common to induce extrapyramidal symptoms like Parkinson's. Still, if you want to stop it, then you need to taper off over months gradually. It may lead to worsening your OCD." } ]
[ { "from": "human", "value": "Hello doctor, I am a 70-year-old male. I am under treatment for stable angina for the past three years. 80 % small artery blockage, and 50 % large in certain areas. I am taking Clopidogrel, Nitrates, Amlodipine, etc., with tiny sublingual Nitro, averaged 25 Nitro pills over three months. Occasional episodes of twinges occur, but then they remit. I feel there is a need for cardiac MRI to gain a current picture or status of my disease. I feel occasional chest tightness and dull pain but I also have acid reflux disease. What could it be?" }, { "from": "gpt", "value": "Hello. You have stable ischemic heart disease for the last three years. You are taking medicines and want to know about the heart in detail for which you want cardiac MRI. You have 50 % blockage in the major coronary artery. As far as your heart condition is concerned, it only needs detailed echocardiography to know the function of left and right side of heart, structures of valves and other structures. MRI is only done in case when comprehensive echocardiography is unable to provide information which cardiologist wants to know. Stable ischemic heart disease is treated with lifestyle modifications and medicines. If signs or symptoms remain stable, these are continued without intervention such as angioplasty or bypass. When symptoms are out of control despite maximum medicines and lifestyle modifications, then revascularization is done. I hope your cardiologist got complete information about your heart from angiography and echocardiography. So there is no need of cardiac MRI. MRI is required when there is congenital heart disease, any infiltrative disease whose complete details are not evident on echocardiography. I am sorry I could not promote your views about having cardiac MRI, yet you may ask your cardiologist to tell you the benefits of cardiac MRI over echocardiography, and then you may ask about undergoing MRI in your case. Remember, in most patients, MRI does not provide any additional information that may aid in planning medicines and treatment plan beyond echocardiography and angiography. I would advise you to adhere to a healthy lifestyle, medications, and follow the advice of your cardiologist. Moreover, you may send your reports to me, so that I may guide you more accordingly." } ]
[ { "from": "human", "value": "Hello doctor, I had a silent missed abortion last year in the third month of my pregnancy. After that, I got some tests done, which resulted in CMV IgG positive. Then I got vaccinated for rubella to prevent any casualties in the next pregnancy. Now I want to try and conceive, but just now I got my torch panel done again. And now the HSV IGM is positive with 1.15 range along with CMV and rubella IgG positive. Should I wait or can I try to conceive right now? My husband's torch panel also done, nothing abnormal. I am currently under Folic acid and Multivitamin, for now, to conceive faster. And also a homeopathic medicine for migraine." }, { "from": "gpt", "value": "Hello. Yes, you can try for your pregnancy as IgG (immunoglobulin G) means that you do not have any current infection. It is only due to prior exposure. And for HSV, the only thing you have to watch is the presence of active lesions. Otherwise, there is no other reason not to try for pregnancy. You must try for it whenever you and your partner feel ready to do so. Secondly, abortion is a very common thing in reproductive age and only after one abortion there is no need to undergo all these extensive investigations. I hope it has helped you." } ]
[ { "from": "human", "value": "Hello doctor, I had my first appointment with a new pulmonologist today. I presented with a productive (clear) cough which I have had for two weeks. I am very frightened by them and I am terrified that I have COPD, as it seems to appear from the numbers. The doctor was very non-committal about it, gave me a Breo inhaler and said to come back in a month. FEV1 is only 71%. And can you explain a percentage predicted the result for the FEV1/FVC value? It seems to me that the report is stating that my percentage is only 58 %. Is this low value dangerous? I am terrified right now. Please see the enclosed report and give your impression." }, { "from": "gpt", "value": "Hello. Percentage predicted means how much is your observed value to the expected value. The computer predicts based on your height, age and gender and on equations how much your FEV1 (forced expiratory volume) and FVC (forced vital capacity) values should be if you are normal. Then in the test we calculate how much are your actual values. To say as normal in FEV1 and FVC we want your calculated value to be not less than 80 percent of your expected. That is 80 % predicted. Here your FEV1 is 71 % percentage predicted. As per values it suggests COPD (chronic obstructive pulmonary disease). But few observations, 1. This test is not very reliable as your graph picture shown on right hand side is not an acceptable one. So I personally would like to repeat it. 2. I do not see a bronchodilator reversibility test here, which is a must to see if it is asthma. 3. If you were a smoker and have symptoms I would suggest a repeat test with bronchodilator reversibility to get a definitive diagnosis." } ]
[ { "from": "human", "value": "Hello doctor, My wife was previously diagnosed with bipolar II and was taking 100 mg Lamotrigine daily for depression maintenance. She was on that dosage for nine years. She recently suffered a more chronic depressive episode and went out of town for ketamine infusion therapy. The infusions were very successful, and the psychiatrist who was assessing her for the infusions suggested that she did not need the Lamotrigine, that it was ineffective for treating depression in bipolar II. She tapered off the Lamotrigine, which was very difficult. It has been three to four weeks since her last dose of Lamotrigine, and nine weeks since her infusions. She is feeling very moody and depressed, irritability, fatigue, loss of focus. The question is, do you think she needs to go back on the Lamotrigine? Or does she need to get a booster shot of Ketamine? Both are difficult solutions. Getting off the Lamotrigine was awful, and getting Ketamine requires out of town travel, etc. Kindly advice." }, { "from": "gpt", "value": "Hello. I can understand your problem. Ketamine infusion therapy has great roles in depression but regular maintenance treatment is needed and which results in a significant burden on patients. Lamotrigine is the right drug for resistant depression. Even in maintenance treatment, the drug has good roles. So, in my opinion, the drug should be started again from a low dose, and gradually the doses are build-up. Lamotrigine is safe and is free of severe side effects." } ]
[ { "from": "human", "value": "Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?" }, { "from": "gpt", "value": "Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am a 46-year-old female. I have burning discomfort in my legs, buttocks, arms, hands, and lower back for six days. There is no weakness, no tingling, no numbness, no confusion, and no stroke symptoms. My friend told me that I might have multiple sclerosis. What could it be?" }, { "from": "gpt", "value": "Hello. I would like to know some more details about your symptoms, 1. Did you have burning sensations over the whole body below the neck at one time? Or had uneven patchy distribution? Or the location of burning sensation was varying with time like, sometimes at legs, sometimes at arm and sometimes back? 2. Do you have any neck pain or lower back pain? 3. Did this burning sensation start suddenly? Or it gradually progressed and is it persistent? 4. Is there any particular position of body or activity in which this burning increases, during walking, neck flexion, and forward bending? Or any specific situation like stress or anxious state? 5. Have you any urinary symptoms like urgency, frequent urination or urine incontinence? 6. Do you have a history of a burning sensation or other neurological problem? 7. If burning is episodic, how long does it last? And is it also associated with palpitations and breathlessness? 8. How is your sleep? And how is your mood these days? 9. Have you any other medical problem too, like diabetes mellitus or a heart problem?" } ]
[ { "from": "human", "value": "Hello doctor,I was diagnosed with gallstones (multiple with largest 14.4 mm in gallbladder lumen). The allopathic doctor says surgery is the only option. Currently, I do not have any symptoms apart from dull ache during daily exercise. Can homeopathy help to dissolve gallstones? Kindly help." }, { "from": "gpt", "value": "Hello. Yes, homeopathy can be helpful to you, and you have to take medicines for a long time. At present, if there are no symptoms then do not go for surgery. It will be useful if you can give details regarding, flatulence (gas), acidity, pain site, and constipation. At which time does the pain get increased? Do you have any other health issues?" } ]
[ { "from": "human", "value": "Hello doctor, I am a 29-year-old male. I am having severe pain in abdomen and I was diagnosed with stones in the right kidney and ureter. The USG report shows right nephrolithiasis, right lower ureteric calculus with mild to moderate with hydroureteronephrosis. I am currently under Tamsukem Plus for 15 days and Alkaston B6 200 ml syrup. Can you help me?" }, { "from": "gpt", "value": "Hello. As it has been prescribed in the USG, the kidney stone that has moved within the urinary pathways have caused the pain you experienced. Alkaston B6 (Magnesium Citrate, Potassium Citrate, Pyridoxine) will help dissolve the stones. Increase water intake. Take uva-ursi, cranberry, and fern tea or supplement to help dissolve the stones. Take Mefenamic acid or Ibuprofen for the pain. Keep following up with a urologist." } ]
[ { "from": "human", "value": "Hello doctor, I am a 20-year-old female. I have many hard skin patches majorly in exposed areas like hands and feet. They started around when I was 10 years old. I have consulted many doctors in the past, and all of them have different opinions like some would say it is an allergic reaction or it is a mosquito bite allergy and also deficiency of vitamin E. After any mosquito bites, it really urges to scratch, and I tend to scratch a lot and due to some reason I do also pluck my skin. Also, I have sensitive skin. I can also send you a photo of these patches. I am looking forward to your reply. Currently, I apply Mometasone furoate cream on the affected area." }, { "from": "gpt", "value": "Hello. It indeed looks like an insect bite hypersensitivity reaction, also known as papular urticaria (attachment removed to protect patient identity). The best way to manage this is protection from insect and mosquito bite. Use repellents, or liquid mosquito vaporizers, or full sleeve clothes and mosquito nets, etc. As this is not always possible, you need to take medications also. Continue using Mometasone furoate cream and take these tablets. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1. Tablet Dapsone 100 mg once a day. 2. Tablet Teczine M 10 mg (Levocetirizine, Montelukast) once at night. Get G6PD test (glucose-6-phosphate dehydrogenase) done before starting Dapsone once." } ]
[ { "from": "human", "value": "Hello doctor, Three months ago I had chest pain with nausea and shortness of breath. Since the BP got controlled, the sob decresed. Though they increased the Nitropatch to 0.6 and started the beta blockers, I am having a fewer episodes. I had an angiogram last week. It showed no major arteries blocked. The cardiologist mentioned thickened heart muscles are due to high blood pressure. I would like to know how to get tested for the micro angina and is there a need to go to emergency when I have severe chest pain? Why am I getting chest pain with no major blockages? I have diabetes, copd, severe arthritis in my spine, and diabetic neuropathy in my feet that could also partially be nerve pain from my spine. I have had two knee replacements and at present have carpal tunnel in both hands but have not delt with that yet. Also with the thickened heart muscle, will that be the cause for acute chest pain?" }, { "from": "gpt", "value": "Hello. Microvascular angina can be diagnosed on nuclear stress test with perfusion defects if any and also on angiography which shows slow flow in the absence of blockages in major arteries. So, if these tests are showing any abnormalities, then we have to consider the possibility of microvascular angina. Another modality is a treadmill test which can also show changes, but another test is not necessary as two tests are normal and you were not able to complete it. And microvascular angina usually causes pain on exertion rather than severe chest pain at rest. So we have to find other causes for it. If you had been evaluated or examined and had ECG etc., at the time of chest pain, then it also rules out other causes like vasospastic angina or accelerated hypertension as a cause of chest pain, which are relatively rarer causes. So, overall appears to be noncardiac pain. I hope this helps you and get back if you have any doubts." } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide." }, { "from": "gpt", "value": "Hi. For further doubts consult a sexologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am a 21-year-old female. For the past four months, my menstrual cycle was not right. It lasted a whole month and was heavy by the end, and it stopped after I took some vitamin C. Then, after one month, it started again and lasted for two weeks (stopped after I got some vitamin C again, and I was not taking any before). After that, it disappeared for two months, and started again, except this time it appears for a day, the next day it is gone, shows up every couple of days, and there was a very little of blood. None of this ever happened before, although my cycle was never exactly every 30 days, everything was fine. I am not sure what could be causing it, it might be stress related, but I do not have an opportunity to see a doctor for the next three months. Currently I am on Omep 40 g, for duodenal inflammation and Cinnabsin N for sinusitis." }, { "from": "gpt", "value": "Hello. At the age of 21 years, possibilities for such irregular cycles are, 1. You have severe physical or mental stress in any form, which would interfere with regular normal ovulation and periods will be haphazard. Try to reduce stress with meditation, breaks, etc. 2. If you have suddenly put on weight. This excess cholesterol will get converted into hormones and interfere with ovulation. So have a healthy lifestyle and diet. You can have cyclical birth control pills for five to six cycles. You have to take pills from day one of the periods for three weeks, then no pills for one week. After eight days start a new pack. Do not wait for next period. 3. You have not mentioned about your sexual activity. If sexually active, then infection could be a cause. If so, you and your partner need to meet a doctor and have a course of antibiotics. 4. If none of these a reason, have a pelvic scan to look for any local problem like polyp or fibroids inside the uterus. 5. Do have a serum thyroid hormone profile and serum prolactin levels to rule out, a hormonal angle. I hope I have clarified your query and do write back if any other questions, and for feedback." } ]
[ { "from": "human", "value": "Hello doctor, I have undergone angioplasty (2 stents) before four months. The doctor prescribed Clopitab 75 in the morning and Metoprolol 25 mg in night. I am having a fast heartbeat of 84 to 100. Can I take Hawthorn or Motherwort or Valerian? What should be the dosage and where will this be available in?" }, { "from": "gpt", "value": "Hello. You have ischemic heart disease so your heart rate should be kept low as much as possible to prevent from further deterioration. For this purpose, you are taking Metoprolol 25 mg one time daily still your heart rate is high. Moreover, you are asking about some herbs or herbal products for heart disease. Regarding these herbs, there are no consistent results in clinical trials for heart conditions. Moreover, these products have not been studied widely as for as there beneficial effects on ischemic heart disease are concerned. Also, their side effects have not been assessed in the long term. So, in such case, these herbs cannot be recommended provided there are many evidence-based medicines available for reducing morbidity and mortality one of which is Metoprolol you are taking. There many trials of Metoprolol in ischemic heart disease and heart failure which shows beneficial effects. Regarding your heart rate, I recommend to increase the dose of Metoprolol. There are two forms of Metoprolol available in the market, short-acting Metoprolol Tartrate and long-acting Metoprolol Succinate. Hope you are taking long-acting Metoprolol Succinate because short-acting Tartrate form is to be taken two to three times per 24 hours to reduce heart rate and reap benefits. I advise you to take long-acting Succinate form 50 mg per 24 hours to reduce heart rate. Apart from these, adopt a healthy lifestyle, take a heart-healthy diet low in salt, low in trans fats, low in saturated fats, high in fiber, fruits, vegetables, poultry, low-fat dairy products, dry fruits, legumes, lentils, etc. Please send me your angioplasty and echo report and all medicines you are taking so that I may advise you proper medicine dosages and guide you further regarding your heart." } ]
[ { "from": "human", "value": "Hello doctor, My mother’s blood test report shows low hemoglobin 10.9 and high platelet count 623000. The sugar test report shows 107 glucose fasting and 144 postprandial. We also had her ultrasound done as she had pain on the left side of the groin area. I am attaching all the reports. Kindly advice." }, { "from": "gpt", "value": "Hello. Increased platelet is called thrombocytosis (attachment removed to protect patient identity). This can be present in anemia due to iron deficiency. Since your mother has anemia platelet count may be increased. Pain in her left side groin may be due to hernia. Lastly very rarely we have to rule out that is there any cancer lesions also. Kindly send your mother's ultrasound report." } ]
[ { "from": "human", "value": "Hello doctor, I am a-25-year-old female. I am a PCOS patient and had sex two days ago (that was after five days since my periods ended). My periods are usually irregular but it occurs sooner or later and I usually have a long cycle more than 30 days. So while sex, my condom broke and I took an I-pill immediately and also in the next day morning. I want to know if the I-pill will work irrespective of having PCOS and what are the chances of getting pregnant?" }, { "from": "gpt", "value": "Hello. Since you have a longer than usual cycle as expected of PCOS, less likely that you are fertile on the day you had sex. It would be an even added protection that you took the I-pill. The I-pill will work whether you have PCOS or not. Comparing to a non-PCOS patient, you have lower chance of getting pregnant after taking the I-pill. If you took the first pill within 24 hours after sex, it is said to be 95 % effective." } ]
[ { "from": "human", "value": "Hello doctor, There is no withdrawal bleeding after Unwanted 72. Period date: 4th of this month, sex date: 16th and tablet intake: 17th of this month. When will I get my period or withdrawal bleeding and when to have home pregnancy test?" }, { "from": "gpt", "value": "Hello. It is not always necessary to have withdrawl bleeding after taking Unwanted pill. Some women do not experience that. You should wait for your regular cycle date which might also get a little bit delayed due to intake of pill and if you missed your periods only then you have to do a pregnancy test. Otherwise, if periods start there is no need to go for it. You just relax and calm down. These pills are quite effective in preventing against pregnancy and your periods might start around 3rd or 4th of next month hopefully." } ]
[ { "from": "human", "value": "Hello doctor, My teeth are getting deposited with something which gets removed after scaling but, soon develops after 20 days. This situation has taken place twice. I do not have soft drinks, coffee, and chocolates. I am very upset about this situation. Please help." }, { "from": "gpt", "value": "Hello. Scaling is a temporary solution. You should maintain your oral health. As I have seen in pictures, there is stain deposition in your back teeth (attachment removed to protect patient identity). There are several reasons for stains, most common is smoking, fail to brush at night, not changing the brush for every two months, ignoring the brushing of back side teeth. Brush twice daily (especially night brushing), flossing, avoid smoking and gutkha paan. Make your teeth free from any deposition. Change brush every two months. If you follow these instructions, you do not need any scaling for several years. The most important thing is proper brushing technique. All surface of teeth should be involved, and prolonged brushing is not required." } ]
[ { "from": "human", "value": "Hello doctor, In my penis, veins are visible and it is painful. Last month I consulted urologist, and he gave me Evion 400 tablet for 20 days. I masturbate daily. What I have to do now? Shall I keep Heparin cream on penis vein? Please help me." }, { "from": "gpt", "value": "Hello. There are always large veins on the upper aspect of the penis, and they transport blood back towards the heart. Since the penis is an erectile organ, the veins have to be large and zigzag (tortuous), so they can elongate when the penis becomes erect. Sometimes the pain may occur due to rough masturbation. Please do not use Heparin cream as it is not needed. Avoid rough masturbation for a few days. Take care." } ]
[ { "from": "human", "value": "Hello doctor, I am 21 years old, girl and I think I have genital herpes. I am full of white blisters that are very sore and burn. My lymph nodes in my groin are swollen and tender too. I generally have been feeling very poorly for the last few days. I am extremely uncomfortable. I am taking contraceptive pill." }, { "from": "gpt", "value": "Hello. It is better to confirm that it is herpes by having one local examination by infectious control specialist and to have high vaginal swab or biopsy from lesion to check in laboratory. If it confirms, you can have tablet Acyclovir 800 mg five times a day for 10 days but only after confirmation. Have complete treatment of any health issues you have. Have recreational activities and quit recreational drugs. Have balanced diet, weight and BMI. Have a strict hygeine." } ]
[ { "from": "human", "value": "Hello doctor, Before a week I went to the hospital and I found out that I was pregnant with a hCG level of 23. The next day, I started getting cramps on my lower right side stomach. Four days later, I got two transvaginal ultrasounds and nothing was found in the uterus, or anywhere else. So I was sent to the hospital again concerning an ectopic pregnancy or possible miscarriage. I got blood tests done, and they told me that my hCG levels went down. So, they ruled it out as a miscarriage or I was in the process of losing it. So on the next day, I went to my doctor, and she told me that she does not understand why they said to me that my levels went down as they went up from 23 to 100’s, so she said it could be an ectopic pregnancy. I got more blood test done, and I came to know that my hCG levels are going up but very slowly. I do not know what is going on. First, they said it was a miscarriage and now something else. I need answer. This is my first pregnancy." }, { "from": "gpt", "value": "Hello. Let me give you a few basic facts about beta hCG (human chorionic gonadotropin). This hormone is produced from fetal tissue. Once it reaches a level of 25 mIU/mL, it is detectable in the urine test. A normal rate of rising of beta hCG is double in 48 hours. This doubling would mean a healthy pregnancy inside uterus. Rise less than double would mean either an abnormal or ectopic pregnancy. But your level has risen satisfactorily. Many times even a rise just below double also is normal. Only when the level reaches 1500 mIU/mL, then the fetus will be seen on the scan. So do not decide about the health of the baby until the scan sees the sac or fetal heartbeat. The blood test is not always right. Just wait for 10 to 14 days and have a scan. Hope for the best and pray well. I hope I have clarified your query, do write back if any more questions, for feedback." } ]
[ { "from": "human", "value": "Hello doctor, My friend got boiling water thrown on him. Will Taro-Mupirocin help the burns go away or help him in healing the burns?" }, { "from": "gpt", "value": "Hello. I do not think Taro-Mupirocin will be much effective. Instead of this, you may use Silver Sulfadiazine ointment which helps to relieve the burns and give a cooling effect also to much extent. Also, apply a lot of ice over the burnt area. Ice application helps to heal much faster. Take some anti-inflammatory consisting of Ibugesic (Ibuprofen) and Serratiopeptidase combination to relieve the pain and inflammation." } ]
[ { "from": "human", "value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached." }, { "from": "gpt", "value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->" } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I have been having ice pick headaches. Hence, I went for an MRI scan and regular blood tests. Now, I am wondering whether my report is normal. Can you please guide me? Thank you." }, { "from": "gpt", "value": "Hi. The attached MRI images (attachment removed to protect patient identity) showed normal findings. Revert back with the complete pictures to a radiologist online -->" } ]
[ { "from": "human", "value": "Hi doctor,Every morning while I brush, I notice bleeding from my gums. I do not have any pain. What is the possible cause and solution?" }, { "from": "gpt", "value": "Hello. I understand your concern. The most common cause of bleeding from gums is inflammation of the gums, otherwise called as gingivitis which leads to periodontitis if left untreated. The reason to develop gingivitis is mostly associated with oral hygiene and oral hygiene habits. You may consult your local dental doctor and get a dental cleaning done and follow up after a week to check if your symptoms have subsided. It is most likely to resolve if associated with oral hygiene. Other factors affecting gum health may be menopause, diabetes, etc. Visiting a dentist every six months for a regular check-up is recommended. For more information consult a dentist online -->" } ]
[ { "from": "human", "value": "Hi doctor, In the home test, I observed a faint pink line on five days overdue of periods, kept checking and a faint line got a little bit darker in 2 to 3 weeks. But not exact darker as it was during my first baby time, who is a healthy boy of 10 months. I am now at six weeks four days pregnant. I took 3 to 4 hCG blood tests and the results were 400 (previously 150 and 350). I was precribed to take Duphaston due to some spots, now I am asked to stop due to hCG not rising properly. On TVS, I was told to have a thick endometrium of 20 mm. My doctor asked me to wait till next ultrasound. Also, I have been a PCOS patient and treated and delivered a healthy baby. I cannot feel any symptoms of pregnancy as I felt last time. What do you feel about my condition and advise, please? I am taking only Folic acid and asked to wait if period comes or not. Stopped Duphaston two days ago." }, { "from": "gpt", "value": "Hi. I have read a detailed description of your query. Beta hCG should increase around 66 % after every 48 hours in a normal healthy pregnancy. Have a strict check on your symptoms. Beta hCG if shows increase but less then 60 %, then ectopic should be excluded by having transvaginal scan and symptoms. In case of a suboptimal increase in beta hCG, actually happens in pregnancy outside the uterus. In your case, beta hCG is very less, not even above 500 and should be followed strictly. Symptoms could be abdominal pain, bleeding, etc. It is better to repeat beta hCG after 48 hours and have a detailed scan with expertise hands. Follow beta hCG scan, check in detail and report symptoms that you have to an emergency gynecologist. Ectopic. Beta hCG, a detailed transvaginal scan. Ectopic, early pregnancy. Have beta hCG and detailed expertise scan with a local examination. Strict check on symptoms and report." } ]
[ { "from": "human", "value": "Hello doctor, I eat three fruits together in the morning that is kiwi, guava, and papaya for breakfast. I read that this combination is fine. I do not eat many vegetables, but I would love to have a vegetable juice for complete nutrition. Can you please suggest a juice which I can have as a daily routine." }, { "from": "gpt", "value": "Hello. In this age group, it is better to take fruits and vegetables in your daily diet. You can take the following vegetable juice in your daily routine. 1. Carrot juice, contains beta carotene and natural source of Vitamin A. It helps to improve your eye health naturally. It contains fiber which helps to evacuate bowel easily. 2. Spinach juice, is a good source of multivitamins like Vitamins A, B2, B6, C, and E, etc., and micronutrients like zinc, copper, magnesium, manganese, calcium, and iron, etc. It helps to improve your overall health, hair, and skin. 3. Cabbage juice has a high capacity to heal the peptic ulcer. It also helps to fight against cancer. It is a good detoxifier. 4. Sweet potato juice, is a good source of Vitamin C and B12. It helps to resolve arthritis and inflammatory issues. 5. Beetroot juice, is a rich source of multivitamins and minerals. It helps to improve Hb (hemoglobin) count, and subside skin disorders. Here I have mentioned some vegetable juice and their benefits. You can also select tomatoes juice, bottle gourd juice, to fight against abnormal cholesterol and hypertension. You can mention it in your daily routine as per your issues or for natural health." } ]
[ { "from": "human", "value": "Hi doctor, I eat healthy food on time. When I feel hungry I used to eat good quantity of food, but I am not putting weight. What could be the reason?" }, { "from": "gpt", "value": "Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. Every person has his/her own metabolic rate of body. Some have high metabolic rate causes high combustion of nutrients into heat, that dissipates in vain. Some diseases also cause such issue. I am ordering some laboratory work for you. When you get the reports, upload them for review and I will guide you why is this issue with you. 1. Thyroid profile. 2. HbA1c levels (glycated hemoglobin). 3. Fasting blood sugar levels. Immunity booster foods good for you are:- Citrus, red bell peppers, broccoli, garlic, ginger, spinach, almonds, yogurt, cashew, turmeric, green tea, berries, citrus fruits, kiwi, apples, red grapes, kale, onions, sweet potatoes, carrots, old fashioned chicken soups and shiitake mushroom. These foods have got miraculous effects on patients of this category and I have a wide variety of experience on observing improvements in my patients. Most of my patients name them as the magic foods. Also tell me your age, height, weight and waist circumference to help you in a more personalized medical way." } ]
[ { "from": "human", "value": "Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well." }, { "from": "gpt", "value": "Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." } ]
[ { "from": "human", "value": "Hi doctor, I have mild vertigo for the past one month. There is no sweating or vomiting. I do not have any pain in the head and there is no problem of hearing and vision. I am only experiencing some balancing problem. My ENG test is absolutely normal. What will be the possible way to reduce this?" }, { "from": "gpt", "value": "Hello. I understand your concern. I would like to tell you the causes of unsteadiness or dizziness. They are aural (disease of ear) and extra aural. Under extra aural there comes a long list of diseases. As your electronystagmogram (ENG) is normal, there is likely less chance of aural cause. Please consult your doctor for thorough examination and relevant investigation to reach correct diagnosis that may be managed accordingly." } ]
[ { "from": "human", "value": "Hello doctor, I had been on Femilon last month and did not continue with it this month after my periods. When I was on Femilon, I had discharge after the intercourse and I assume that the semen flows. Now, while I am not on Femilon anymore, I am still getting discharge after intercourse. Does this discharge mean that the semen is not getting inside and comes out entirely? If no, what could cause this discharge? If yes, would I be able to still conceive if the semen flows out of my body after the intercourse? Please help." }, { "from": "gpt", "value": "Hello. The discharge after the intercourse is more likely to be cervical physiological discharge which is following sexual excitation and can come out as mucoid homogeneous non-smelly vaginal discharge. If the semen is coming out after ejaculation then it is advised that you should practice sex in missionary position and keep two pillows under your back during the act and after ejaculation cross your legs and lie down for 10 minutes. This shall avoid extrusion of sperm and shall increase your chances of conception." } ]
[ { "from": "human", "value": "Hi doctor, My mother underwent gallbladder surgery 10 months ago. From past 3 months she started having chronic cough. She tried many home remedies. She did not recover completely. I took my mother recently for a health checkup. As I suspected the chest report was not absolutely fine. But, the doctor was not at all concerned about her cough and said everything is normal. Why is it so? I want to know what is the meaning of this x- ray report and what should be our next step? Presently she is under medication for thyroid as well as diabetes. I have attached her reports. Kindly have a look at them and suggest how to go about the treatment. Thank you." }, { "from": "gpt", "value": "Hello. Thanks for choosing this platform. As you said your mother is having chronic cough 4 months after surgery. It can be just coincidental finding as her x-ray (attachment removed to protect patient identity) is showing prominent basal vascular markings and cough can be aggravated by surgery. The x-ray findings are suggestive of interstitial lung disease called lung fibrosis which can be confirmed only after HRCT (high-resolution computed tomography) scan of chest. So at the earliest, I advise you to do HRCT scan of chest to rule out IPF (idiopathic pulmonary fibrosis). Once the diagnosis is made, treatment can be started accordingly. IPF or lung fibrosis is a chronic and progressive condition. So, diagnosis should be made as early as possible.Talk to your pulmonologist regarding further investigations and treatment. He will guide you better as frequent follow-up visits are required for monitoring the disease. Autoimmunity. HRCT chest to rule out IPF. Interstitial pneumonia. IPF (idiopathic pulmonary fibrosis). 1. Steroids 2. Immunosuppressants. Strict control of BP and blood sugar is a must." } ]
[ { "from": "human", "value": "Hello doctor, My hair is becoming very thin. Kindly advice." }, { "from": "gpt", "value": "Hello. May I know your age, and since how many months are you experiencing thinning of hair? Please send the pictures of the scalp." } ]
[ { "from": "human", "value": "Hello doctor,Kindly take a look at my results from various scans of my chest and advice." }, { "from": "gpt", "value": "Hello. I have seen all your FDG-PET reports, which is very sensitive to detect any tumor activity in unidentified mass as the scan shows solitary pulmonary nodules in the left lateral lower lobe. This scan is beneficial to identify and detect tumor by detecting the oxygen utilization level as tumors have growing tissue, which takes more oxygen, so it shows increased activity of that area. Now I will tell you what is happening in your case. Generally, a solitary nodule is very common in the population as it has asymptomatic, multiple etiologies like infection, tuberculosis, simple benign tumor-like hemangiomas, inflammatory disease like sarcoidosis, malignancy, and pulmonary embolism, this all causes pulmonary nodules, out of which 90 % are asymptomatic or benign type. But in your case in the scan 1. Some metabolic activity is seen but not that significant as normal-malignant tissue shows, 2. The nodule has a well-defined shape, but with pleural extension. 3. There is no hilar lymphadenopathy, which is very common in lung malignancy. So it can be a healing granulation tissue, secondary to infection or immune reaction, but it is more unlikely to be a tumor. The last thing I wanted to ask you is, do you have any symptoms of breathlessness, weight loss, anorexia (eating disorder), or heavy smoking history, or hemoptysis (coughing up blood)? Kindly tell the history for better detection." } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My daughter has acne on her face for the past one month. I think that is hormonal acne because it is in her chin and jawline as per my knowledge. She is taking Cabergoline .25 mg per week for an increased level of prolactin as prescribed by an endocrinologist for the past three years. There is no acne on her face for the last three years but now suddenly it appears on the face. Sometimes it is white and small and it often occurs on a daily basis. Kindly suggest." }, { "from": "gpt", "value": "Hello. I have gone through the history and prescription you have attached (attachment removed to protect patient identity). Honestly speaking, I cannot understand what is written in the prescription. Can you send me a picture of individual medication so that I can get an idea of what is she taking? It will be of great help to guide you further with new medicines and creams." } ]
[ { "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 30-year-old married male. Me and my wife are trying for a baby but not able to concieve. I did semen test, sperm count was 84 million, morphology 60 percent, and 40 percent viable but motility was very low five percent rapid progressive, and 10 percent slow progressive. So the doctor gave Fertyl M and Hey Forte Plus tablet (twice per day) to take every day. I am consuming for the past two and a half months and trying for a baby. How long I need to continue these tablets, and when will it be effective?" }, { "from": "gpt", "value": "Hello. Usually, these medications take one sperm cycle (around two months to act). As you have already taken for two and a half months, repeat the semen analysis test to see the improvement. Further course can then be decided accordingly." } ]
[ { "from": "human", "value": "Hello doctor, I took an STD panel test and got a positive result for HSV-1 IgG Ab test. My result was 49.20, but the reference range was 0.91 for negative and anything over 1.09 as positive. Does my 49.20 mean the infection is a very recent one because it is so high? I am confused about why it is so very high. Should it go down over time? I have also heard that a high IgG could be related to HIV, as I was tested negative for it at day 105 after potential exposure (the last sexual encounter I had was three and a half months ago). Does an HSV IgG antibody test measure for antibodies that are only relevant to HSV, or should I be worried about HIV?" }, { "from": "gpt", "value": "Hello. HSV (herpes simplex virus) IgG (immunoglobulin G) antibodies indicate previous exposure and HSV IgM (immunoglobulin M) indicates current disease. The positive IgG can become significant only if you have active lesions. The type one usually causes oral lesions which look like small blisters. The HIV testing recommended post exposure is the PCR (polymerase chain reaction) or the fourth generation. Which testing did you get? If the antibodies are negative for three months out it is a good sign. But I would be satisfied if HIV by PCR is obtained. I hope I have answered your questions." } ]
[ { "from": "human", "value": "Hello doctor, I have read that cracked skin is a symptom of genital herpes. But I searched to find a picture or an example of what this cracked skin would look like and have found nothing. Could you explain what this would look like? And would these cracks become permanent or how long they would take to heal? I have had sore legs that occurs and disappears in the groin area." }, { "from": "gpt", "value": "Hello. If possible forward few pictures of the affected area to guide you through precisely." } ]
[ { "from": "human", "value": "Hello doctor, My age is 22, and I have lots of pimple, acne scars, and dark circles. I am trying to get rid of them since last year. And I have white hair which are increasing. My nails are very week, and my foot nails become dead after some time. Kindly help." }, { "from": "gpt", "value": "Hello. I understand your concern. Kindly send images of your lesions to help you better." } ]
[ { "from": "human", "value": "Hello doctor, I am a 41-year-old female. I am suffering from sensorineural hearing loss. Is there any Ayurvedic treatment for this? Because I do not want to use hearing aids. Please help." }, { "from": "gpt", "value": "Hello. Sensorineural hearing loss cannot be reversed or cured. Scientific evidence about preventing it from causing further damage due to age also is not very sound. However, what is the cause of neural loss? Is it present in both ears or only one? Can you upload your audiometry to check? Was an MRI scan done to rule out neuroma of the eighth nerve? Ayurvedic medicines rely on improving the nerves so that their functioning stays sound. It will not help in overcoming the loss. It may, however, prevent further deterioration of hearing in that ear due to aging with time." } ]
[ { "from": "human", "value": "Hello doctor, I am a 42-year-old male. Because my half brother had a heart attack at 21 and died. I paid for an angiogram and exercise stress test. I had a good exercise outcome, but the angiogram showed triple vessel heart disease. The cardiologist said it was very mild and probably due to smoking. Cholesterols were in the normal range. I was placed on Statins and low dose Aspirin and discharged. The doctor told me that I need not worry and many people would have mild atheroma at my age. My concern is triple vessel sounds very serious and also I have a print out from the angiogram that I cannot understand. I need a second opinion. I am so anxious about it every day, and I am worried." }, { "from": "gpt", "value": "Hello. Thanks for providing a detail note (attachment removed to protect patient identity). I understand your concerns, but no need to be worried you will be fine. The study only shows minimal evidence of coronary heart disease, which is reversible as of this moment. In cases like this, I usually advise my patients to modify their lifestyle. Do the regular exercise of at least 30 minutes three times a week, stop smoking and adopt a healthy eating habit. Continue the medications as prescribed and hopefully you will be fine." } ]
[ { "from": "human", "value": "Hello doctor, I have a skin ulcer that appeared about a week ago in the pubic area. The initial lesion is now surrounded by four liquid filled bumps that look like they also will become ulcers. A small itchy bump developed into an ulcer in 10 days. Three days between photos at a different stage of the ulcer. Now itches and oozes.I have never had a skin issue like this. My girlfriend thinks it was because my swimsuit was not cleaned for days. We live in a hot, and humid climate overseas. Please recommend medicine." }, { "from": "gpt", "value": "Hello. 1. Looking at the images (attachment removed to protect patient identity), I could think of two differentials for it and they are pyoderma, a superficial bacterial infection, or herpes genitalis, a disease spread via sexual contact and presents with grouped blisters with pain. 2. Right now treatment for pyoderma is all that you require as even if it is herpes anti-herpetic medications are not needed after 72 hours. So clean the area with normal soap and water and apply following cream twice a day and take these medications for five days. Kindly consult your doctor and take the treatment with consent. 1. Tablet Cefadroxil 500 mg twice a day. 2. Tablet Fexofenadine 180 mg once a day. 3. Cream Mometasone plus Fusidic acid twice a day. Get following investigations done if possible, HSV 1 and 2, IgG, and IgM serology." } ]
[ { "from": "human", "value": "Hello doctor, I am a 34-year-old female. I am on my second pregnancy. My last menstrual period was a month ago. Last month my beta hCG was 2708 mIU/mL, and transvaginal ultrasound showed GA (LMP) 5 weeks. Gestational sac 0.66 cm (no yolk sac or fetal embryo seen). A single intrauterine pregnancy with left corpus luteal cyst. I was suggested to take Ecosprin 75 mg, Folic Acid, and Progesterone injection weekly. Kindly advice." }, { "from": "gpt", "value": "Hello. Your details show that there is no yolk sac seen on the scan until now (attachment removed to protect patient identity), but you have not mentioned any query. I suppose you are worrying for absent yolk sac. I would suggest to repeat a scan after a week or so and also repeat beta hCG after 48 hours of the previous test date and check if it is almost doubling or not. If it is nearly doubling that would mean that your pregnancy is viable. And soon yolk sac will appear, but if the level is falling, then it would mean that abortion might be there. I hope it has helped you. If you have any further queries, please do not hesitate to contact me." } ]
[ { "from": "human", "value": "Hello doctor, I have had a lot of hair loss in the past year. Mostly on top of my head. Lost half my hair. My regular doctor did not find anything wrong with my blood test and said hair loss affects a lot of women and accept it. My new Naturopath thought my numbers seemed low and suggested iron and thyroid supplements. I need another opinion. I have tested positive for Hashimoto’s, and I have ankylosing spondylitis. The dermatologist did scalp bio negative for inflammation. My TSH is 3.71, T4 is 99, T3 is 110, and FSH is 8.1. The values of zinc is 82, ferritin 36, Iron 93 and TIBC 315. Please help me know what I should do?" }, { "from": "gpt", "value": "Hello. Hair loss in females can be due to many causes, most common being 1. Telogen effluvium stress-induced, due to illness, a diet with low protein intake, surgery, post-pregnancy, and mental stress. 2. Female pattern alopecia is genetic and hormone-mediated, runs in the family. 3. Diffuse alopecia areata is autoimmune condition usually associated with other autoimmune disorders like diabetes, thyroid disorders, and ulcerative colitis. 4. Drugs such as Isotretinoin, and Chemotherapy drugs induce hair fall. 5. Lupus, scarring alopecia. With your description, it seems like diffuse hair loss, but I cannot confirm unless I see the pictures. In your situation, I feel it is autoimmune condition most probably diffuse alopecia areata, because you have been diagnosed with Hashimoto's and ankylosing spondylitis. I do not know if you have taken an injection of corticosteroids (Triamcinolone) for the scalp. This is very helpful in an autoimmune condition. I am considering the most probable cause, and it could even be female pattern alopecia. Do you have a family history of baldness, history of surgery, illness, stressful events before you noticed hair loss? Please send the pictures of the scalp." } ]
[ { "from": "human", "value": "Hello doctor, I am a 27-year-old male. My weight is 255 lb, and I am a smoker. I suffer from panic attack, anxiety, and fear of cancer for six years. Right now I have been spending all my day reading about brain tumor because I think I have it since I have all the symptoms. Two weeks ago I had a panic attack where I felt I could not breathe, and feeling fainting. After that day, my ears started hurting a little bit, and I started feeling lightheaded, which is very hard to explain. My head feels like I am drunk but it is not spinning. I have not slept for days. I had this problem before when I had anxiety issues, and I went in urgent care, where they checked my ear and I did not have ear infection. The doctor said your neck muscle feels irritated and sore. He said it could be due to it or allergies. And he prescribed me nasal spray to use, but when I used that, I experience terrible headache with neck pain. After two days, I had the feeling that I am about to pass out again, so I decided to go in the ER. I told the doctor I need MRI and may have a brain tumor, and she said I could not do MRI on you without doing a blood test, ECG, and some tests where she makes me walk in a straight line and, etc. My blood test and ECG came back 100 % good. My doctor said there is no need for an MRI. I doubt that how she knows I do not have brain cancer? She gave me some pills for allergies, but I am not taking it because I think I have a brain tumor. I am a painter, and I paint houses, and I work 14 hours a day. I do not feel any tiredness just this feeling in my head is killing me. Do I have a brain tumor and am I going to die within a year? I do not have a loss of appetite or anything, and I am just really thinking that I have a brain tumor. What do you think my problem is?" }, { "from": "gpt", "value": "Hello. Possibly you are very anxious with thoughts of having a brain tumor. It may be part and parcel of your previous anxiety problem, which might have increased recently. I suggest you consultant a psychiatrist for anxiety issues. For relieving your current thoughts and anxiety, you can get an MRI brain. Otherwise, your thoughts will keep on making you restless. The doctor might have said of not having a tumor because you do not have a different kind of symptom. Still, you can get MRI done, to relieve these thoughts. But for further management, you should meet a psychiatrist. T3, T4, TSH, serum vitamin B12. Anxiety disorder. Daily exercises in form of jogging and yoga." } ]
[ { "from": "human", "value": "Hello doctor, Over the last two days, I have had a bad sore throat. It also accompanies with a slight cough, trouble in sleeping, occasional uncommon sweating, body soreness or fatigue, slight vomiting and voice loss. It is not really getting better. It originally appeared to be just a bad cold, but today there is blood in my sputum. It started about 15 minutes ago and it is only when I spit it out every few minutes. Should I be concerned? My mom thinks that it may be due to a laryngoscope I got at the ENT yesterday. But, no bleeding occurred until now. Thank you." }, { "from": "gpt", "value": "Hi. For further information consult an ENT otolaryngologist online -->" } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am having red rashes on the bare skin of the penis. I used Candid Total and it disappeared completely. Again after seven days it appeared on right and left side of the penis. I continued using it and then got an advise from one of my friend for using Surfaz sn along with DOXT-SL 100 which I am using it since last seven days. The patches are getting orange type color. Sometimes the foreskin of the penis burns while urinating. No pain, no difficulty in urinating, sometimes itching is there on the forehead of the skin. Please advise." }, { "from": "gpt", "value": "Hello. If possible, forward a few pictures of the affected area to guide you through precisely." } ]
[ { "from": "human", "value": "Hello doctor, I had retina detachment in my left eye before three months. I have silicone oil in the eye. Vision is not bad, but I have a problem with depth perception. Everything is smaller in the bad eye. I see people with small heads and big bodies. Is this normal?" }, { "from": "gpt", "value": "Hello. I understand your concerns. The main problems you mentioned are depth perception problems, and distorted images also called metamorphopsia. Depth perception occurs when both the eyes see well, it is hampered when one eye has blurred vision or squint. Metamorphopsia happens when the central area of the retina (macula) is affected or the retina becomes edematous due to the effects of surgery. These problems can be troublesome but do not indicate any specific information regarding the progression or recurrence of retinal detachment. I suggest reviewing with your ophthalmologist to clear your doubts. I hope this helps you." } ]
[ { "from": "human", "value": "Hello doctor, I am having left-sided headache, mostly frontal and behind my eye for a week. I have ear pressure and pressure in my nose while moving and chewing. I have seen my PCP, and I was given Imitrex that does not help. I have tried Aleve, Motrin, and Excedrin." }, { "from": "gpt", "value": "Hello. Your symptoms could be related to a sinus infection, especially considering the pressure in the ear, eye, and nose. For this reason, I would recommend performing a sinus X-ray study to investigate the possible cause. Antibiotics and nose decongestants may be necessary in case of sinus infection. I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need. Sinus infection. Sinus X-ray. Migraine. Sinus infection." } ]
[ { "from": "human", "value": "Hello Doctor, I have very thin and short eyelashes and eyebrows. I want thicker and longer eyebrows and eyelashes. Please help me." }, { "from": "gpt", "value": "Hi Thickness and size of eyelashes and eyebrows depend on your genetic inheritance. If your genetic makeup indicates your eyelashes to be thin then they will not grow bigger than your genes allow. In case your genetic material indicates your eyelashes to be thick and beautiful and because of some disease they do not grow well, the following steps will help: Consult an ayurveda specialist online for further queries -->" } ]
[ { "from": "human", "value": "Hi doctor,I had a question about birth control for acne. I was initially on Tri-sprintec. However, that did not help my acne. My doctor initially prescribed my YAZ. I was wondering if I should just stop birth control altogether or give Lo-Lo a try. What is the difference between birth controls and how that would help or hurt me? The last thing I want is more breakouts." }, { "from": "gpt", "value": "Hi. Birth control contraceptive pills are hormonal pills that help to prevent conception by interfering with the normal menstrual cycle and inhibits ovulation, conception, fertilization, and implantation. These pills are hormonal contraceptive pills that have generalized as well as a specific short and long term effects on the body but it differently affects different individuals. Combined oral contraceptives are composed of two hormones mostly and can give unscheduled bleeding, acne, mood variation, breast engorgement, endometrial hyperplasia, headache, stroke, high BP, stroke, endometrial hyperplasia, breast, and endometrial cancer as long-term. All side-effects cannot be for all patients so side effects differ from person to person. For removal of hairs or reduce their growth or for better skin better to have local treatment mostly natural and herbal remedies along with a reduction in weight, balanced diet (more fruits, vegetables, and water). Have waxing with honey and ginger paste. Have threading for face hairs, plucking for arms and forearms or electrical removal. You can have a mud mask to reduce oil production of face that is the main cause of acne. After some time, acne is supposed to be resolved after teenage actually. Have a balanced diet and try to avoid oil, spice, salt, and sugar. Have daily walk, exercise, yoga and try to have normal BMI. Try to change contraception frequently to reduce their side effects. For now, you can have injection Medroxyprogesterone for three months. Contraceptive with acne. Injection Medroxyprogesterone for 3+3 months, then change contraception mode. A balanced diet, weight, BMI. Waxing, threading, plucking of unwanted hair. Mud mask for face oil." } ]
[ { "from": "human", "value": "Hi doctor, I am 24 years old. I am not on any sort of birth control pills. I had a normal menstruation in the starting of this month and normal bleeding. After six to seven days, I started bleeding again. The bleeding was not very heavy, but lasted on and off for about six days. Now, after a gap of four days, I have got heavy bleeding again. It is not brown blood as I normally see during my period. It is dark red, much thinner and flows readily like a liquid. I feel pain in the lower abdomen whenever I get this bleeding. I also feel weak. There is no pain on urination or sex. I do not have a history of any infections. Also, I am not on any other regular medication. I am pretty sure that I am not pregnant. I have got a GP appointment in a week, but it is really worrying and painful sometimes. What could this be?" }, { "from": "gpt", "value": "Hello. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor,I have spotting but it is only when I wipe. It seems like it is stuck or something is there. My lower back hurts. Something is seriously wrong. Pease help. Currently, I took birth control pills." }, { "from": "gpt", "value": "Hi. I do not know how long you have been on contraceptive pills and which one these are? Either combined oral contraceptive pills or mini-pills have Progesterone only. Combined pills have lots of side effects especially for females with high BMI (body mass index) while Progesterone only pills show irregular bleeding. It depends on every individual females body (that how long and how much you get bleeding). Have some healthy lifestyle. Try to avoid long-term use of same contraceptives to avoid its side effects. Have some investigations and have proper treatment. Try to reduce BMI by having daily exercise and walk as this will help you to prevent side effects of many things. Try to change contraceptives. Have full treatment of any disease, if you have any. A healthy nutritious diet with recreational activities and avoidance of recreational drug if you are using occasionally. Have local examination by gynecologist doctor even hysteroscopy to exclude any local pathology. Get a transvaginal scan, colonoscopy clinic visit to exclude cervical pathology, complete blood count, thyroid function test, and high vaginal swab. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am 19 years old. I had sex four months before and ovulated on the second day after having sex. I got periods on the next month for four days, and after five days of my periods I got a Nexplanon birth control, and the doctor gave me a negative pregnancy test. I then had a period of 14 days in the next month and I am still spotting. I am just wondering if there is any way for me to be pregnant? I have not had sex since then. But I am paranoid that I am pregnant I cannot afford an abortion. Also, I cannot even afford to go to the doctor or have a way to buy a pregnancy test. For the past couple of days, I have felt movement, but it could be gas. I have also been having sharp pains in my lower abdomen for a while especially when sneezing or coughing hard. I always had very painful and heavy periods associated with sharp pains while pooping on period. The birth control has helped by stopping my period, but I still get the sharp pains randomly. Kindly advice." }, { "from": "gpt", "value": "Hello. No, you are not pregnant as your pregnancy test was negative at the time you got Nexplanon implant, and you did not have had sex afterward. So calm down now and give relief to yourself. Your periods have reduced due to the effect of Nexplanon as it is a contraceptive as well as it also reduces blood loss during periods and some women get reduced bleeding or absent bleeding in the very start of the implantation. Your periods will slowly return to normal. So do not have to worry about pregnancy now. And secondly all of the symptoms you told are pointing towards anxiety, and you need some stress reliever. The problem with passing stools may be due to the lack of fiber in your diet. You must drink plenty of water and increase the intake of fiber by eating more vegetables, and less junk food will help improve your bowels, and hopefully, this issue will be resolved soon. 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 a 37-year-old male. I had brief nausea before five months. I visited a general physician who suspected GERD and put me on Motilium for GIT and later Pan 40 then Ranitidine for three months. I vomited only once but had been having a burning sensation in my chest. The burning chest has long stopped. I even had an OGD done which was normal. The pain, however, moved to my throat, and I had a feeling of something in my throat ever since though I have no swallowing problems. I have this persistent pricking pain in my throat that does not go away, and also the back of my tongue on the right side feels kind of inflamed (not sure about this. But the tongue feels sore-ish). Throat pain and tongue discomfort are always present. My general physician later recommended to do a neck MRI which I did and was told looked fine. So I am stuck on what exactly could be wrong with me. I do exercise (treadmill and gym) regularly, I am an active person though I must admit I worry too much about my health and it stresses me." }, { "from": "gpt", "value": "Hello. I viewed your MRI images of the neck and chest area (attachment removed to protect patient identity). Neck findings, there are few small mucosal cysts in the right maxillary sinus. There is a small lobulated cyst like area anteriorly in the floor of the mouth to the left of the midline and is a benign lesion. The findings are incidental and not of any serious cause. The oropharynx, hypopharynx, and cervical esophagus are normal. There is no luminal obstruction. Chest MRI findings, there is no significant abnormal findings in the chest. It is sometimes possible for anxiety to cause soreness of the tongue. You can have a follow-up visit with your doctor after a month if the soreness is still there. I agree that finding a serious cause can make you stress-free. However, you are lucky to have no serious findings in the images and can continue to be in good health. Please avoid alcohol or any food that can irritate the oral cavity for a few days." } ]
[ { "from": "human", "value": "Hello doctor, I have doubts regarding indigestion, severe hair fall, acne with irregular and short menstrual cycles, which is lasting from a few days. Are these interrelated? I am suffering from PCOS, as the latest lower abdomen test shows a cyst in the lower ovary. Also, my menstrual cycles are getting reduced to one to two days with severe pain and indigestion during periods. For the past one month, I have started taking Shatavari gulam. Sometimes I also observe the cracking of bones in my legs. Please suggest me the treatment plan." }, { "from": "gpt", "value": "Hello. I came to know from your complaints that you have PCOS with hair fall, indigestion, and reduced menstrual flow. Yes, your doubt is right, it is all related. As per Ayurveda PCOS is caused by eating excessive sweet, fatty foods which increase kapha (mucus) in the body. When kapha increases, it reduces the digestive power and patient complaints of indigestion. That is your main problem that I understand. Due to improper diet and physical activities, vata (pacifying foods) also get aggravated in PCOS. Hence the digestion is not proper, and the rasa dhatu is not formed properly affects the menstrual blood (rakta dhatu) and that cause more kapha and medas, and this is why some PCOS patients will gain more weight. The undigested food is called ama. This ama will produce hormonal imbalance that causes changes in menstrual flow. Some patients will complaint heavy flow once in three months, or some complaints less flow that lasts for one or two days. The energy responsible for transformation is called as pitta. In PCOS, pitta is also getting vitiated and patient complaints of hair loss, pimples, painful menstruation sometimes with clots. The movement of follicles from ovum to fallopian tubules is controlled by vata. When vata is impaired producing scanty menstruation with pain, the cracking of bones in legs happens due to aggravated vata. Hence treatment will include all steps to reduce vitiated vata, pitta, and kapha. Treatment plan. Kindly consult your doctor, discuss the suggestion and take the treatment with consent. 1. The first step is to improve digestion through Ashta choornam or Vaishwanara choornam or Hinguvacadi choornam or Amruthotharam kashayam. 2. Next step is to pacify the increased vata through intake of Narayana thailam one teaspoon in kashayam which I am going to explain in the third step or simply oil in hot water. 3. Pacify pitta and kapha through Varanadi kashayam, Kulathadi kashayam, and Kumaryasavam. 4. Raja pravartini vati is also effective. 5. Regular intake of sesame seeds (black) with jaggery is also a natural remedy for menstrual problems. 6. Garlic roasted in ghee is very effective for painful menstruation. Garlic should be taken three weeks before to menstruation. 7. Avoid junk, spicy, oily and fast food. Try to reduce the intake of pickles which produce water retention and cause pain during menstruation. 8. Proper sleep and stress reduction are also important. I saw in your report that you have a cyst in the left ovary (26*26 mm) which is not dangerous and it is a simple cyst that can be managed with medication (attachment removed to protect patient identity). I think my reply will help you. If you have any doubts or complaints, please contact me. For better results, please follow the medications for one month and contact me later." } ]
[ { "from": "human", "value": "Hello doctor, My son is 11 months and 25 days old. He has some gas problem for last one week. And he is not eating properly, breastfeeding is done during night and one to two times in the afternoon. He does one potty a day, sometimes four potty, and watery potties also. He releases gas very often. Potty smells very bad sometimes. Can I give Enterogermina respules twice a day for two to three days? Our pediatric doctor prescribed it before two months and also before four months. He mostly has this type of gas problem. Is any medicine available for daily medication purpose to get rid of it?He is not gaining weight for about the last three months. He is always between 7.4 to 7.6 for the last four months. Pediatric suggest Hemsi-D drops twice a day. We are giving it for the last two months but not getting results. Kindly advice." }, { "from": "gpt", "value": "Hello. I got your concern. No need to give Entrogermina (Bacillus Clausii) and Hemsi-D is tonic, is not for weight gain. At this age, he is more active than before so weight gain will be slower. Monitor his weight regularly give home food and breastfeeding. Give Albendazole, and do one stool report. Indigestion. Stool routine report. Syrup Albendazole (200/5) 5 ml stat at night. Follow-up after a week." } ]
[ { "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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