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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": "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 35 years old and I had sex with my partner last month. My expected period date was a week later. Still, I did not get my periods. I have tried testing pregnancy strips the result was negative. I consumed Regestrone tablets for the past four days. We do not want to have a baby because of the family situation. I want to know if I am pregnant or not. If pregnant, how to start the abortion procedure?" }, { "from": "gpt", "value": "Hello. If the urine pregnancy test was done after eight days post missed menses was negative then you are not pregnant. However, to be double sure, you may opt for a serum beta hCG test, where if the hCG levels are less than 3 mIU, then you can be sure that you are not pregnant. As you have taken Regesterone for past four days now, so just continue for another day and then stop, if you intend to seek a withdrawal bleed. The bleed shall start in next 3 to 5 days post stoppage of Regesterone. Once the bleed starts, it will again indicate that you are pregnancy safe and you would be starting a fresh cycle. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well." }, { "from": "gpt", "value": "Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." } ]
[ { "from": "human", "value": "Hello doctor, I am having Kalarchi choornam for cysts in my ovary. Is it effective for a fimbrial block in fallopian tube as well? Is it possible for me to get pregnant going on this choornam?" }, { "from": "gpt", "value": "Hello. Kalarchi choornam is a Siddha medicine used to treat ovarian cysts. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Fimbrial blockage of fallopian tube mostly occurs due to ovarian cysts because of multiple large-sized ovarian cyst plugs in the fimbrial opening of the fallopian tube. Due to continuous use of this Kalarchi choornam, it reduces the size of the ovarian cyst and helps to remove blockage as well. So there is a hope to get conceived in future. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I am a 44 year old male. I have itching on the head of the penis and the foreskin. It started about 3-4 days back. But now it seems that I have symptoms of balanitis. I found white substance under the foreskin. There is also some minor tear which make it difficult for me to move my foreskin. I have applied Candid cream for that. Please guide me." }, { "from": "gpt", "value": "Hi. There is a difference between Candid cream and Candid B cream. This seems like you are having candidial balanitis. Please apply Onabet cream (Sertaconazole) twice daily for a week. Wear loose cotton underpants. Do not wash your foreskin everytime you use the bathroom. Keep the area dry. Also get a fasting blood sugar level done. After a week you can take a follow up consult with a dermatologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My wife is 25 years old and she had her period on the 14th of last month. On the 1st of this month, while having intercourse, unfortunately, the condom broke. She had taken I-pill within two hours. Can you please advise if the tablet will work or not?" }, { "from": "gpt", "value": "Hello. I have gone through your history and understand your concerns. As you had I-pill, the chances of pregnancy are not there in your case. Delayed menses, if any, are due to hormonal imbalance caused by I-pill. Just wait and watch for your menses. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Dear doctor,I would like to know if I can take kalarchi churna. I have PCOS with irregular periods and ovulation issues. I was on Clomid stimulation which was giving prompt follicle growth and ovulation but could not conceive. Now I am given FSH injectables for stimulation. Can I have kalachi churna when having these injections? Will they interfere with follicle growth? Also, my testosterone levels are high. What to take to control that?" }, { "from": "gpt", "value": "Hi. PCOS (polycystic ovarian syndrome) is not a single disease, it is a group of diseases. It occurs due to hormonal imbalance, development of immature ovum due to hormonal imbalance and converted into a fluid-filled cyst. It leads to irregular menstruation and raised level of androgen hormones. It can be managed through ayurvedic medicines and yoga practices. Kalarchi choornam is a Siddha medicine. It is widely used in PCOS. You can take this 2 g twice a day after meals. Do regular Kapalabhati and Mandukasana as well as pranayamas like Anuloma vilom, Nadi shodan and Bhramari. It helps to improve your metabolism. Avoid spicy and fried junk foods. Eat fibrous foods and fruits as well as green leafy vegetables. Drink plenty of water. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I need an urgent help. I was on my fifth day of my periods and I made out with my partner. I had my pants and my panty on and he had his penis out. He ejaculated on my pant, and I saw that some portion of my panty was wet as well. And I felt wet in the skin of the lower portion of abdomen, where the vagina does not actually start, where it is only the human skin. I was very scared of it and I took a pill within one hour. And, two weeks later, I had the dark brown fluid, which ended in three days but it is not a very heavy flow and sometimes the thin tissue-like red stuff came out while peeing (like what happens during periods). So I guess I am alright? And there is no chance of pregnancy right?" }, { "from": "gpt", "value": "Hello. How are you doing? I do not see any reason for you to worry. Let me start by giving few basic facts about the period. Usually, ovulation occurs on the 12th to the 16th day of periods and life of the egg is 24 hours. The life of the sperm is 72 hours. So there is no chance of the egg being available on day-5 of periods. The sperm will not survive until next ovulation. Just then, your period would have stopped, so even the inner lining of the uterus would have been so thin and unfavorable for a possible pregnancy. So, the pill was not needed, but what you did was absolutely right as had it been a week later you had a chance of pregnancy. The pill was taken at the right time. This pill is progesterone hormone in high dose. This suddenly increases the inner lining of the uterus and makes it unfavorable for a possible pregnancy. But being a single dose of the pill, the thickness will not stand, so it will break down and you will get periods within seven to 10 days. As there was already no inner lining, the bleeding you noticed was very less. Usually, the bleeding will be thick, dark with fleshy streaks, and slightly painful. There is absolutely no chance of pregnancy. The next period will be one month after this bleeding. So just relax, everything is fine. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am 39 years old. I got a master health checkup done last week. In the blood report, RBC smear shows mild anisopoikilocytosis with normochromic red cells mixed with microcytic, hypochromic red cells, and no hemoparasites. I am attaching my test report. What is the treatment for this?" }, { "from": "gpt", "value": "Hi. I have gone through your test report (attachment removed to protect patient identity). For more information consult a hematologist online -->" } ]
[ { "from": "human", "value": "Hello doctor,I have severe pain and swelling in the back side of the right knee. My MRI was inconclusive. Please explain." }, { "from": "gpt", "value": "Hello. I viewed the MRI of you knee (attachment removed to protect patient identity) and there are suspicious mild thinning of the articular cartilage in the bones of the knee and minimal fluid in the knee joint area. These changes are slight and not likely to cause any severe pain in the knee. The other causes of a severe pain surrounding the knee at your age can be due to changes in the blood flow in the arteries and veins. You may discuss with your doctors and get a right lower limb arterial and venous doppler test done. This will tell if there is any block in the vessels or a clot causing the pain. This kind of pain is felt in the muscles and soft tissues of the leg." } ]
[ { "from": "human", "value": "Hello doctor, I am a 38-year-old female. I have anxiety, stress, breathing difficulty, dizziness, and, loose stools. Also, I am not able to eat. Currently, I am not under any medication. But a few years back, I had a medicine called Typlin C. Kindly help." }, { "from": "gpt", "value": "Hello. Your symptoms could be related to a panic disorder. For this reason, I would recommend consulting with a psychologist or psychiatrist. Starting Typlin C again or another type of antidepressant (SSRI) may be necessary. I would also recommend checking thyroid hormone levels for possible thyroid gland dysfunction. In the meantime, I recommend avoiding coffee intake and start practicing yoga and meditation. Recreational sports can help too. I remain at your disposal for any further questions whenever you need." } ]
[ { "from": "human", "value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached." }, { "from": "gpt", "value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->" } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I have 27 days cycle. Last month 23rd was the first day of my periods. I had unprotected sex. There was no ejaculation, but it just touched my vagina. For safety measure, I took I-pill in two hours, so my periods continued for almost eight days. Today is my date of periods, but still, I did not get. I am a little nervous because I got my PMS also. Kindly help." }, { "from": "gpt", "value": "Hello. I have read your concern. It is a common side effect of I-pill to have prolonged menstruation and a delayed time for the next cycle. The emergency pill contains a high amount of hormone progesterone which prevents ovulation and at the same time hinders the usual period. If you want a regular cycle and not worry about getting pregnant, it is either you get birth control pills or have a copper IUD inserted. For now, you have to wait for your period. By the way, you will not get pregnant if it just touched the vagina." } ]
[ { "from": "human", "value": "Hello doctor, I have severe anxiety problems which cripple me. I feel trouble in concentrating on my studies and other daily activities. I have PCOS and suffering from depression. I am an introvert, and my body is swaying all the time. A feeling of constant motion present like a boat ride. What can I do to live a better and happy life? How do I get rid of the anxiety? Last time when I had anxiety and depression, I lost 15 kg weight. Also, my hemoglobin and other vitamins levels were reduced. I am currently under Shelcal 20 and Autrin. In the past, I was on Venla 25 g." }, { "from": "gpt", "value": "Hello. You should work on your weight loss. It will help you with both your PCOS and depression. Do the daily exercise for 30 to 45 minutes. Do meditation for 20 minutes daily. Avoid junk foods, eat healthy joint cooked foods. Take enough 6 to 7 hours of sleep. Spend quality time with family and friends. Spend time for creative hobbies like read good books, write journals, do paintings, etc. Live your life, do not just spend. Take a cold shower in the morning and drink enough plenty of water." } ]
[ { "from": "human", "value": "Hello doctor, I have taken EllaOne once as the condom has split. If I wanted to have sex again with a condom on, would I need to take another EllaOne pill?" }, { "from": "gpt", "value": "Hello. I can understand your concern. EllaOne (Ulipristal acetate 30 mg). It is rarely used as an immediate pill and you took it after condom split. Levonorgestrel is an instant pill. But there is no issue as both are potent drugs to prevent pregnancy. A second tablet is only needed if vomiting occurs within three hours. Seizure drugs will decrease its efficacy and 0.9 % to 2 % is the failure rate. Adverse effects are nausea, headache, and dysmenorrhea. Menstrual bleeding for the next period may be earlier or later than expected and you can use a condom for next time sex. There is no need for another EllaOne. I hope I have answered your query. If you have further doubts, I would be happy to help you." } ]
[ { "from": "human", "value": "Hello doctor, My vagina has cysts and a cut on the inside. I have PCOS and the cysts never hurt until now. I also never have a regular period. And I want to know how I can increase my chance of getting pregnant." }, { "from": "gpt", "value": "Hello. If you are planning to get pregnant at this time, you would need assistance from Ob-Gyn. She can give you pills like Progesterone to regulate your menses and have you bleed regularly. By doing this, timing interval when to appropriately have an intercourse would lead to better chance of conception. Once she has established your bleeding pattern, for a month or two, she can give you fertility pills. This are Clomiphene pils which will stimulate your ovaries to actually produce an egg or help you ovulate. Because you have to understand that PCOS patients have difficulty getting pregnant because they do not have regular periods and they do not ovulate." } ]
[ { "from": "human", "value": "Hello doctor, I would like to know, can cortisone help if taken before transferring an embryo? And if it can help so, in which way?" }, { "from": "gpt", "value": "Hello. Yes, cortisone can increase the chance of getting pregnant. It decreases ACTH production (adrenocorticotropic hormone) and increases pituitary gonadotropin release, thereby increasing the chance of pregnancy. If you have a doubt then get back to me." } ]
[ { "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": "Hello doctor, I am having hot and cold sensations in lower extremities for about a month. Chronic back pain for many years but more recently tingling in legs. I had MRI done today and saw this spot within one of the vertebral bodies that looks to be a calcific and circular lesion." }, { "from": "gpt", "value": "Hello. There are two to three hyperintense (white) areas in the L1, L3, and L4 vertebrae. There are likely hemangiomas and are benign findings and not causing your problem. This is not a calcified area and is a common finding in many individuals. This is not of concern. The real issues are due to the degenerative disc changes at L1-L2 to L5-S1 disc levels. The discs are hypointense (black), and there are disc desiccation and mild posterior disc bulge. You can observe that there is neural foramina compromise in L2-L3, L3-L4, L4-L5, and L5-S1 disc levels. There is pressure on the nerves, and that is the reason for your abnormal hot and cold sensations and the chronic low backache. There are mild osteophytes in the lumbar vertebrae and mild endplate degenerative changes in the opposing end plates at the level of L5-L1 disc level. There are changes in the bone due to lumbar spondylosis." } ]
[ { "from": "human", "value": "Hello doctor, I had inflammation inside the nose and ear clogged. I had water in the ear, and it went away, but I still feel some balance issue. I am currently under nasal steroid spray." }, { "from": "gpt", "value": "Hello. I need some details to understand the problem. Do you have postnasal discharge, if so what is the color of it? Do you have a nasal blockage? Do you feel better with corticosteroid spray? Please describe your imbalance. Does it look like spinning, a sensation of rotation, or just dizziness but you can still walk independently?" } ]
[ { "from": "human", "value": "Hello doctor, My 2-year-old baby has pus (photos attached) coming out from her eyes since morning. After cleaning the discharge, it comes back again in 30 to 40 minutes. She has no fever, and is playing and feeding well, except the irritation she is feeling in her eyes due to pus and rubs eyes occasionally. Kindly suggest is this a cause of concern. How should we proceed with the treatment?" }, { "from": "gpt", "value": "Hello. She has got an infection in her eyes, (attachment removed to protect patient identity) and she needs antibiotic eye drops. Start Tobrex (Tobramycin) eye drops, one drop four times a day after cleaning her eyes. Please wash your hands after touching and cleaning her eyes, use a separate towel for her to minimize the risk of infection spread to other members of the family. It is contagious (spreads from one person to others). So treat her with antibiotic drops and protect the rest of the family. It will start improving in a couple of days. You are most welcome for any queries. Tobrex eye drops, one drop four times a day. Protect others from infection spread." } ]
[ { "from": "human", "value": "Hello doctor, I have mango allergy, and I am wondering if mango concentrate can cause an allergic reaction. I had mango juice, and I did not break out at all, but last year I had an allergic reaction that was from mangoes or peal, that were hives and swelling. Before I turned 18, I was eating mangoes, but after I turned 18, I broke into an allergic reaction that consist of hives and swelling and my chest was tight." }, { "from": "gpt", "value": "Hello. You need to identify which part of the mango are you allergic to and avoid it. Is it the juice or for the peal? Also, any particular variety of mango needs to be identified like banganapalli, alphonso, etc. If recurring with all the variety of mangoes then try to avoid all mango varieties. Keep antihistamines tablet ready if you get an attack of the hive while having mangoes again. Also, the age-dependent development of allergy is difficult to explain. It might be you have become symptomatic after the period." } ]
[ { "from": "human", "value": "Hello doctor, I had severe itching on the part of my scalp with some blackish color on the area during last month. I applied Eberclin M cream to get relief of the itching, although the cream was not supposed to be applied on the scalp. But after applying just for two days, all the hairs surrounding the area where I used the cream have gone. Surprisingly, the hairs of the main itching area where I applied the cream was not that affected. I consulted a local physician, and he told me that it might be due to the strong tendency of the cream which burnt the area or it might also be due to alopecia areata. He prescribed me a daily shampoo, R89 drops, B and T Zauberol Premium hair oil. For the past week, I am going with these medicines. However yesterday I noticed that one or two hairs here and there are regrowing in the area, but not all the hairs. I am also losing my hair on both sides of the front (forehead), in the last couple of years. Please suggest on both the matters and will it be possible to get back my hairs." }, { "from": "gpt", "value": "Hello. The side effects of the Eberclin M cream (Eberconazole+Mometasone) are skin thinning and dermatitis. Please do as I say. 1. Externally apply hibiscus flower oil to the scalp (or) rub the flower directly on the affected area daily, if possible. 2. Internally take homeopathic medicine, Graphites 30, two doses at bedtime, One today and second on the fourth day. One dose means ten pills. Just chew the medicine, no need to take water along with medication. Stop all other medication. Please inform me about your life next time. Are you under any stress or personal loss, etc? Alopecia areata. No combing on wet hair. Please inform me after seven days." } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help." }, { "from": "gpt", "value": "Hi. For further doubts consult a sexologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am an 18-year-old female. I am experiencing a brown discharge whenever I am aroused. This has been going on for about a week and a half. My partner and I always use condoms and I have the birth control implant. It might be wrong. I might have bacterial vaginitis. There is no odor or itching." }, { "from": "gpt", "value": "Hi. I can understand your concern. The brownish discharge you are having could be due to: 1. Side effect of implant leading to irregular spotting. 2. Local lesions like cervical erosion. 3. Rarely vaginal infection, etc. To find out the exact cause of the problem, please consult your gynecologist once and get examined. By clinical examination the possible cause of your problem can be identified and treatment can be taken accordingly. In case of side effect of implant, antifibrinolytics can help. In case of erosion or infection, you may need antibiotics." } ]
[ { "from": "human", "value": "Hello doctor, My 12 months old baby girl got high platelet in her anemia blood test. Hemoglobin and WBC are normal, her platelet was 1170. After three days we made a test again and got the result 960. What can I do now, baby is fine. No unusual symptoms. Sometimes, she gets cold and fever but that is normal I guess. Is there anything to worry?" }, { "from": "gpt", "value": "Hello. Your child's liver, spleen and lymph nodes should be palpated to check for any enlargement, if present. The thrombocytosis is usually considered reactive when decreasing with the time. Your child's platelet reduces in three days so mostly it will be reactive secondary high platelet for which no specific treatment needed. But you need to repeat your child's CBC again after one week. If after one week it remains high, then you should consult hematologist or pediatrician for detailed evaluation as per my opinion." } ]
[ { "from": "human", "value": "Hello doctor, My wife and I had some argument about my past. I had lied to her about the number of sex partners I had. That hurts her because she explained that her perception of me was built on the fact that she knew that I only had a few sex partners. We have been discussing this for months, but now after having these discussions and arguments, I realize that when we are to have sex, I get anxious. I will get an erection, but when its time to enter, it falls. I want to know, how to get my mind to a place of not over thinking so that I am not distracted. Kindly help." }, { "from": "gpt", "value": "Hello. I am happy that you did understand that the problem behind your erection is, the problem is related to stress and anxiety which is stemmed out of the differences between you and your partner. That itself is the first step of the problem solver. Now the remedial measures are, 1. Do not attempt to have sex when you have the thought and related stress in your mind. 2. Start relaxation breathing for 10 minutes at least once per day. 3. Start physical exercise for one hour daily 4. Write down the cause and effect of the problem you are now facing with all the details. Then clear it logically alongside what you wrote. You may have to write this for two weeks to get the desired result. Take care." } ]
[ { "from": "human", "value": "Hello doctor, Is it possible for implantation to take place after 14 days of conception? I had flow on the exact date of my period for three days, but it was lighter. I used three sanitary pads. But next month I missed my period. I do not have any pregnancy symptoms. My TSH is 10.5. Kindly help." }, { "from": "gpt", "value": "Hello. Usually, it would take seven to ten days before implantation happens. The fertilized egg (conception day) will have to develop first into blastocyst stage and travel down to implantation site. The actual duration cannot be exact, but it may extend to two to four days more. So the answer is yes, it is possible that the implantation may happen 14 days after conception. In your case, it may not automatically mean implantation since you also have elevated TSH which can mess up with your hormones. I suggest you take a pregnancy test and if it is negative, then the period delay is just secondary to thyroid hormones." } ]
[ { "from": "human", "value": "Hello doctor, I had chest pain very lightly in different areas of the chest. The pain was not continuous but occurs only sometimes during day or night but not in the sleep. I have taken an ECG and lipid profile test, but both are normal. My doctor advised me to take Ecosprin on daily basis life long. Kindly advise on this. I have a habit of smoking 7 to 8 cigarettes per day. Due to gastric problems, I felt this pain, but after taking gastric medicine, it will disappear. The gastric drug that I used was Atorva for cholesterol, but not now. My cholesterol level is in the normal range. Total cholestrol is 191 and triglycerides are 177." }, { "from": "gpt", "value": "Hello. For chest pain, I advise you to have treadmill test and exercise tolerance test (ETT), in which you have to walk and run on a treadmill and simultaneously your ECG and blood pressure recorded. If chest pain is due to heart, it will be confirmed. Keep taking Statin (atorvastatin) but no need of Ecosprin (aspirin) according to new guidelines. For on and off chest pain, take pain killers such as Paracetamol. Have an ETT done and send me the report so that further planning can be done." } ]
[ { "from": "human", "value": "Hello doctor, I am a 30-year-old married woman. I have got my last period before two months. I am having nausea for a few days. I have tested through pregnancy kit, and it is negative thrice during these two months. What should I do? Is there any blood test or other way I can check what is wrong?" }, { "from": "gpt", "value": "Hello. I can understand your concern. Irregular periods can occur due to many causes like stress and strain, dietary changes, etc., leading to hormonal imbalance. General conditions like anemia, thyroid abnormalities, etc., can also cause irregular periods. To find out the exact cause of the problem, please go for a blood test to check pregnancy which is more accurate than a urine test. If that gives negative result, pregnancy is almost ruled out. The other option is ultrasound, which helps in ruling out the pregnancy and also to find out other possible causes of irregular periods like PCOD, etc. Hope I have answered your query." } ]
[ { "from": "human", "value": "Hello doctor, I would like to know why my veins are so visible. I have fair skin which could be the reason, but I see a lot of white people whose veins are not noticeable. And I am talking about usual green or blue veins, not spider veins because I am only 20. Does it have to do anything with my health? Is there a treatment? Which doctor am I suppose to see?" }, { "from": "gpt", "value": "Hello. I have gone through your case (attachment removed to protect patient identity). Since you have not taken any treatment for any diseases and almost all veins are visible then you need not worry. This phenomenon is exaggerated in some individuals. Surely this will not do any harm to your health, as these are visible for a very long time and they will persist for your life. One more thing veins of feet are becoming more prominent because feet are dependent areas. When we stand we exert all pressure on feet. As a result blood flow to vessels here increases, and it becomes more prominent. You do not need to see any more doctor except reassurance." } ]
[ { "from": "human", "value": "Hello doctor, I have elevated optic disc with blurred edges only in the left eye, that was discovered on routine eye examination. I have developed headaches in the last few weeks. If this was papilledema would it be bilateral?" }, { "from": "gpt", "value": "Hello. Papilloedema is always bilateral. It is due to increased pressure in the brain. If it is unilateral, it is called papillitis, that is due to underlying inflammation." } ]
[ { "from": "human", "value": "Hello doctor, My mother is having black circular patches on her legs. What could be the reason? Someone said it could be due to improper circulation of blood in the lower part of the body. It usually happens when the blood becomes thick. Can you please help me to understand the reason behind this? My mother is suffering from a cervical problem also. Please share your valuable advice and opinion." }, { "from": "gpt", "value": "Hello. The most common cause is old age. In old age, small vessels become fragile and rupture, leading to blackish bruises, common in lower limbs but can occur anywhere in skin. Another cause is medicines. If a person is using drugs called steroids or anticoagulants or antiplatelets, then such bruises can occur. Another cause is trauma. In old age, an only minor injury can cause bruises as vessels are fragile. No relation to what you called thick blood or so. Rare causes are some disorders of the coagulation system, platelet function, etc. Is she suffering from any chronic disease or is she using some medicines? Please give a complete history and also send pictures of bruises so that I may guide you properly." } ]
[ { "from": "human", "value": "Hello doctor, I have an obsessive compulsive disorder. When I was taking Uvox for four years, it was all fine. Now it relapsed, and I am taking Uvox before I used to take Stalopam. Can I get back to my healthy life and go office rgularly where I have to do brain work for nine hours? Please let me know. When I will get my healthy life back?" }, { "from": "gpt", "value": "Hello. OCD responds well to medication (SSRIs - selective serotonin reuptake inhibitors) and psychological therapy (CBT - cognitive behavioral therapy). I presume you are on Fluvoxamine which is useful in OCD. You need to be monitored by your doctor to optimize the dose and monitor for any side effects. If there is no adequate response, alternative SSRI like Sertraline can be tried. Once your symptoms are under control, you can continue to work and function normally. There are lots of people with OCD who are on medication and continue to work well. Also, try to have CBT for OCD which will help to prevent relapse in the future." } ]
[ { "from": "human", "value": "Hi doctor, My wife is having swelling over the collarbone and back. Our doctor diagnosed rheumatism after blood test. Now, she has pain in ribs when she carries our 2 year old son or any weight. Our doctor had prescribed Bon-DK, Bon-K2, etc. How long will it take to recover? Is this a serious problem? Will this get cured? Please explain." }, { "from": "gpt", "value": "Hi. Anti-CCP, ANA and serum uric acid. 1. Rheumatoid arthritis. 2. Soft tissue rheumatism. 3. Seronegative arthritis. For further information consult an orthopaedician and traumatologist 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 an 18-year-old male who is around 5 feet 5 inches. My issue is that my penis does not hang down normally, it sticks out when flaccid. Also my testes do not hang down and I am not sure if I have testes at all." }, { "from": "gpt", "value": "Hi. I can understand your concern for your symptoms. Testes will be inside scrotum like small balls in small sack. Depending on blood supply and temperature, the scrotum hangs and constricts. If you have doubt, warm your hands and slowly massage to find out your testes or if you are still worried, then you can always do an ultrasound scrotum and find out the pathology." } ]
[ { "from": "human", "value": "Hello doctor, If a girl has sex 2 or 3 days before her periods without any precautions, should she be given preventives or would there be any fear of her being pregnant?" }, { "from": "gpt", "value": "Hello. If the woman is regularly menstruating, meaning she has regular monthly interval of 28 to 32 days, she will not get pregnant three days prior to having sex. Her ovulation would have happened midcycle and that would be her fertile cycle, it will be within days 10 to 20 days of the cycle. So assuming that she menstruated at day 28 interval, then her three days prior would be day 25, and if it is 32 day interval, it would be day 29. She will not get pregnant at that time." } ]
[ { "from": "human", "value": "Hi doctor, I am a 25 year old female with no allergies, smoking and drinking. I am suffering from anterior tibial tendinitis. I first began to feel the throbbing pain in my foot a month back. I was told that I have tendinitis. Last two weeks, I have worked for 12 hours a day with no day off was a big contribution for this medical condition. Anterior tibial tendinitis limits my activities by making it hard for me to walk or stand during long periods of time. I did not have any medical tests done. A physical examination of my right foot and ankle was done last week. I received a prescription for an anti-inflammatory pill called Naproxen. I was advised to take this 500 mg pill up to two times a day to help with pain but the pill must be taken before the pain begins. I was also advised to continue wearing supportive shoes, insoles, ankle supports and ice my foot for approximately 20 minutes whenever I feel the pain. I can do other activities that I do not put so much stress and strain on the foot. I was out a total of 3 days because of this condition. I did call my employer and let them know what was going. I also bought to their notice that I would be out for the next 2 days due to this medical condition. I did my research on this medical condition looked up information on the computer about tendinitis. When I looked up this information I was advised to cease the activity which caused tendinitis. I also looked up the short-term and long-term effects of this medical condition. I have documentation to prove that I do have this medical condition. Shall I apply for leave? Or should I quit my job?" }, { "from": "gpt", "value": "Hi. No, you need not have to quit your job. What you can do is that you can get an ultrasonography (USG) of the tendon done which will show you the inflammation and it will provide you with the documentation of anterior tibial tendinitis. With this documentation, you can apply for about 3 weeks of leave. The leave you got was only for the emergency department. You can visit the OPD (outpatient department) and do a USG scan, document it and apply for further leave. Meanwhile, you can use Naproxen as prescribed to you. Do hot fomentation now over the affected area thrice a day and limit your activity to give rest to the affected part. Also a removable walking cast is going to help you a great deal to recover from this condition sooner and present worsening of this condition which will lead to chronic anterior tibial tendinitis." } ]
[ { "from": "human", "value": "Hi doctor, My father is 76 years old. He has been in ICU for two days as he was diagnosed with LRTI (CAP - community acquired pneumonia). Four years back he had TB. His vitals such as BP, temperature, renal and heart tests are fine. He is not responding to antibiotics and his condition is deteriorating. His saturation has dropped to 82% and put on oxygen. On the third day, he was given Amoxicillin 1000 IV and 5x nebulization and then switched to Piperacillin-tazobactam IV which I have read is for Pseudomonas. Pseudomonas aeruginosa is a commonly acquired hospital bacterium. Doctors admit they have not identified the bacteria yet from the sputum culture and told it will take more than 5 days to identify the bacteria. Please help." }, { "from": "gpt", "value": "Hello. Your father is suffering from acute exacerbation of COPD (chronic obstructive pulmonary disease) with CAP (community acquired pneumonia) and sepsis. Currently he is on appropriate antibiotics. But, he needs systemic steroids to cope up the exacerbation along with inhaled steroids. Though his x-ray (attachment removed to protect patient identity) appears normal, CT thorax is suggestive of bilateral consolidation. Sputum culture should ideally tell us the exact bacteria and sensitive antibiotics for it. Supportive treatment like nutrition, supplemental oxygen or noninvasive ventilation must be given. There is no worry as other vital organs are functioning normally. But, definitely he will take time to recover from this exacerbation. He also had tubercular effusion 5 years back, but now it does not seem to be a relapse of TB (tuberculosis). So, no anti-TB medicines are required at present. Definitely it is CAP with COPD exacerbation. Even after he gets well, he should take consultation from pulmonologist for inhaler treatment. Sputum culture report should be sought for at earliest or if not available, fiberoptic bronchoscopy can be performed for taking endobronchial sampling for cultures. Steroids should be tapered in appropriate doses. Bacterial Infection. Sputum culture or bronchoscopic sampling for culture. CAP with sepsis. COPD exacerbation." } ]
[ { "from": "human", "value": "Hello doctor, I got married 2 days before. My penis got erected while doing foreplay. However, after some time penis gets loosen and become small. So, could not penetrate my penis. Is there any issue in my health? Or is this due to first time fear? How to approach this? Please advice." }, { "from": "gpt", "value": "Hi. Since you got proper erection during foreplay and there is no history of difficulty in erection it was the result of performance anxiety. This generally occurs in first timers and especially in young age. I do not think you need to be concerned at this level as occasional failure is rule rather than exception. Almost all men report such problem in erection psychologically on certain occasions without suffering from any disorder." } ]
[ { "from": "human", "value": "Hi,Could you please review the attached photos and x-ray taken before treatment, post root canal and post temporary filing. Please let me know whether a post is required. Or is core filling with crown sufficient?" }, { "from": "gpt", "value": "Hi. For further information consult a dentist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My wife is 24 years old and her height is 4'10\" and weight is 61 kg. She is a bit overweight and also has PCOD problem. We got married 2 years back and she cannot get pregnant. Please send the diet chart to reduce her weight. What are all the foods that she can take to improve fertility? Thank you and looking forward for your reply." }, { "from": "gpt", "value": "Hello, Welcome back to icliniq.com. Thanks for your query. From your information, I got to know that she is obese. She needs to reduce approximately 6 kg. It is too much weight for her height but no worry she can reduce it by diet and some exercises. She needs very low calorie diet of about 1200 kilocalories a day. Rice intake has to be as low as 50 g as well as 50 g whole wheat. Carbohydrate group not more than 150 g. Only brown rice, brown breads, and more fiber containing products like whole grains to be taken. Take more vegetables from gourd family and 300 g fruits have to be taken. Reduce sugar intake to minimum 1 teaspoon per day or have less sweets. Avoid the following food items: She can take the following foods to reduce her weight: Should not sleep at daytime, maximum keep working and follow dynamic lifestyle. Yoga or mild home based exercises are very helpful. If she is not serious about her diet, activities and lifestyle then she would face more complications. Improper food habits and improper meal planning. 1. PCOD (polycystic ovarian disease). 2. Food habits. 1. Junk foods. 2. Foods containing high carbohydrate. 3. Wrong foodings. Very low cholesterol and a bland diet. Proper small but frequent balanced diet to be followed." } ]
[ { "from": "human", "value": "Hi doctor, I have very small red blisters on the glans and corona with lot of itching. For that I have used Acivir ointment. There is temporary relief but it reoccurs. Please help." }, { "from": "gpt", "value": "Hi. Small red blisters on the genitalia usually occur in herpes virus infection. But they are associated with pain and burning. You are complaining of itching which is unlikely for herpes infection. I would recommend you to upload the photographs of the blisters, so that I can have a clear picture of the condition and can guide you accordingly. What is the duration of the blisters? Are you sexually active? If yes, any similar history in your sexual partner? Do you have diabetes or any other ailment? Are you taking any medicine for some other ailment?" } ]
[ { "from": "human", "value": "Hello doctor,I am using Minoxidil for nine months now for the bald patches on my head. A little progress was seen between 3 to 4 months but no progress recorded afterwards. Can you suggest me what is wrong or if I should change my prescription?" }, { "from": "gpt", "value": "Hello. 1. You can use Minoxidil for androgenetic alopecia and it takes times in a few people to gain full results. Sometimes there can be shedding of hair in between but you will recover from it if you keep using it. So stick to it. 2. You can also add tablet Finasteride 1 mg daily which is the only approved oral medications for androgenetic alopecia." } ]
[ { "from": "human", "value": "Hello doctor, I am 33 years old, male. I am diagnosed with right adhesive otitis with left SOM. Already mastoidectomy was done in right ear nine years back and two myringotomies in right ear when I was 4 and 7 years of age. I have CT scan report, audiometry, impedance test results." }, { "from": "gpt", "value": "Hi, Welcome to iclinq.com. Can you upload audiometry report? What are the complaints now? Is there discharge or hearing deficit? Any pain or giddiness? Nose CT seems fine (attachment removed to protect patient identity). Ear shows mastoiditis. Have they done an ear under microscope examination? If it is a clearly diagnosed adhesive otitis media supported by audiometry it will need surgery. But which ear to be done first will depend on audiometry. Is there any nasal complaints?" } ]
[ { "from": "human", "value": "Hello doctor, We had unprotected sex and after that took an I-pill within an hour. After 6 to 7 days, she had spotting for 2 to 3 days. It is almost six days up. There is no clue for periods and she is also suffering from cramp, vomiting and nausea. But we have taken test for almost four times. It is always negative." }, { "from": "gpt", "value": "Hi. I can understand your concern. As she took emergency contraceptive pill within one hour, the possibility of pregnancy is less. The bleeding she got after 6 to 7 days could be withdrawal bleeding due to emergency contraceptive pill. As she disturbed natural cycle by taking pill, now it may some time for regularization of cycles. And next period may come after one month of spotting. Cramps, nausea may be due to some other causes like infection either vaginal or gastric, renal related, etc. Clinical examination and ultrasound will help in finding out the possible cause of the problem and treatment can be taken accordingly." } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, My friend is going to adopt a 6 months old female child. Certain routine tests were performed on the child. I have attached the reports for your reference. The Hb electrophoresis for thalassemia screening is showing an abnormal hemoglobin pattern. The treating pediatrician is not sure about the prognosis that is whether the child will be symptomatic and transfusion dependent. Presently, the child is asymptomatic except for mild splenomegaly. Please suggest about the future prognosis of the child to facilitate the further course of action." }, { "from": "gpt", "value": "Hi. Based on your query and attached report (attachment removed to protect patient identity), my opinion is as follows: For further information consult a hematologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I have been diagnosed with chicken pox. However, I am skeptical because not only the red bumps are not nearly as prolific as normally seen in chicken pox patients but they also are not itchy in the slightest. Could this just be an outbreak connected to spring allergies or is it just a mild form of the pox?" }, { "from": "gpt", "value": "Hi. I have gone through your case. Firstly, yes this is a mild form of chickenpox which occurs in those individuals who have very good immunity. But important thing in your history is that you already had chicken pox in your childhood. Once after getting chickenpox, it is extremely extremely rare to have it again in life. It can occur again but it occurs in severly immuno-compromised patient and presentation is very severe. However, you have described some mild diseases. In the end you are not having chicken pox but anything can be said after seeing your picture." } ]
[ { "from": "human", "value": "Hello doctor,I have got some white spots inside my cheeks and some sores on my tongue and bottom lip." }, { "from": "gpt", "value": "Hello. I have gone through the photos you have provided and noted the sores and white spots inside your cheeks. There are a few explanations for those: 1. Eating or drinking hot foods, drinks, drinking carbonated drinks. 2. If you have experienced flu-like symptoms, it is due to acute viral infection. That might take a few more days to get completely healed. Avoid drinking too hot foods or drinks or carbonated drinks. Keep good oral hygiene. Apply oral antiseptic four times daily. Apply Glycerin of Borax on the sores. If they hurt, can apply Diclodent (Diclofenac) spray orally. If no improvement, then, should consult further with ENT specialist." } ]
[ { "from": "human", "value": "Hello doctor, I was taking cocaine and alcohol once a week for 20 years. On the first of this year, I started getting a cough and breathlessness. I continue to do my binge until four weeks ago when I was diagnosed with mild left ventricle dysfunction. I then had a chest CT scan and lungs come back clear. I had an X-ray another day, and I have got an enlarged heart. I have no family history of heart problems. I know this is done through cocaine. I have been clean for four weeks, but I am still experiencing breathlessness. Can you please tell me if this can get better? If so how long does it take? Because I have no improvement and I have been working out too for the last four weeks." }, { "from": "gpt", "value": "Hello. Your reports are showing mild LV dysfunction (left ventricle) with no lung disease (attachment removed to protect patient identity). LV dysfunction is likely to be related to drug abuse. Still, it will be useful if you provide your ECG and echo cardiography report. If you stop taking these drugs and take medicines as suggested your symptoms are likely to improve. Duration of improvement varies with each patient depending upon the damage to the heart and compliance of the patient to the prescribed medications." } ]
[ { "from": "human", "value": "Hello doctor, My finger had a drop of precum, and I touched my partner’s vagina indirectly through her cotton panties. Will she get pregnant?" }, { "from": "gpt", "value": "Hello. I can understand the concern. Precum or pre-ejaculatory fluid also contains sperm to make a female pregnant. If your sperm has reached inside her vagina by any probability, there are chances of pregnancy. Also to be noted she should be in her fertile period (10 to 15 days from her last menstrual period) to get pregnant. If you are anxious, and if it is within 24 hours you can go for an emergency contraceptive pill (I pill). I hope I have answered your query. If you have further doubts, I would be happy to help you." } ]
[ { "from": "human", "value": "Hello doctor, I m a 26-year-old. I do not have any job now. I worked for a project of a private company. Then I tried some other posts, but nothing worked. I was good at studies, so I decided to prepare for a government job. I have a fiance. He is too preparing for the government job. I do not know what my father needs? He always shouts and this the third time when he beat me. For no reason, he has his inner frustrations. My fiance says I cannot marry you until I get a government job. I like to paint sometimes. What should I do? If you can help, I will be very grateful to you." }, { "from": "gpt", "value": "Hello. You should try your freelancer if you can do. Create your own business, do not get worried about a job if you do not get it. Be hopeful and relax. Everything will be fine. Do exercise daily for 30 to 45 minutes and lose your weight which will help for even PCOD. Do meditation for 10 to 20 minutes. Spend time for your creative hobbies for 20 minutes like do painting as you enjoy. Do not overthink. Ask your father about his problem. Now you are not a child, talk openly and be assertive if you need to be. Do not be afraid of anyone in life. Live your life, not just spend. Do not think even about your marriage with your fiance. Just wait and watch. Do not be insecure. Make your self capable enough to do anything." } ]
[ { "from": "human", "value": "Hello doctor, I do not know where I should start. How will I tell you what exactly I feel? As I do not know either I was happy or sad, I cannot express what I think. I do not want to live, and I do not like to talk with my best friends, the family. They, ask me something about which I need to answer. I feel irritated and angry, and that makes me tired to reply to them. When I sleep at night, I sleep correctly on time, but I woke up daily at midnight at least 2 to 3 times at night daily. I fall asleep daily in the afternoon as well if I sleep midnight I woke at 11 am on the next day. And again at 2.30, I fall asleep. And the same problem is I woke up in the middle of my sleep. This becomes a routine, and I do not know why I hate myself? But I hate my face when I see myself in the mirror. Please help." }, { "from": "gpt", "value": "Hello. All problem you mentioned are core symptoms of depression are sadness, low mood, lethargy, disturbed sleep, low self-esteem, irritability, suicidal thoughts, decreased concentration. I think you should consult a psychiatrist, personally. Usually, there is insomnia in depression, but some time hypersomnia also possible in atypical depression. You do not need different medicine for all of your problem they will be solved just by antidepressant medication. No need to get panic and getting rid of depression is not so severe nowadays. Various new antidepressants and psychotherapies are present. If any stressors present try to remove it or decrease impact in life, improve your coping. Moderate exercise, yoga, meditation may help you. (rule out the medical cause by an investigation like CBC, TSH calcium B12, D3 level)." } ]
[ { "from": "human", "value": "Hello doctor, I have a toothache, and my mouth is swollen which I can feel it in my face. When I press my mouth, I noticed little pus coming out. Kindly help." }, { "from": "gpt", "value": "Hello. It is a case of acute alveolar abscess from a tooth infection. Let me check your attachments (attachment removed to protect patient identity), and I will advise and initiate treatment protocol accordingly. I checked your attachments. Your teeth are carious and grossly decayed, and due to that, you have developed an infection which resulted in swelling in the gum region and adjacent areas. Right now you take antibiotics Amoxycillin 500 mg three times eight hourly for five days and tablet of Paracetamol 500 mg, Acelofenac 100 mg Serrapeptase 15 mg or Zerodol SP (Aceclofenac, Serratiopeptidase, Paracetamol) twice daily for five days. You also add Pantoprazole 40 mg once daily for seven days. You also maintain good oral hygiene and try salt gargles three times but only if you are not hypertensive. However, the final solution lies with the extraction or removal of these teeth." } ]
[ { "from": "human", "value": "Hello doctor, I am having some internal pain on the penis and it is a bit stronger when I have erection. No bruises, or pus during urinating. I am male, 34, 1.72 m and 80 kg." }, { "from": "gpt", "value": "Hi. I can understand your concern for your symptoms. Pain during erection can be due to: 1. Infection - common cause is urinary tract infection, other sexually transmitted infection. 2. Balanitis - inflammation of gland penis, tip of your penis can be due to allergy of infection. 3. Prostatitis - inflammation of prostate gland due to infection or injury or inflammation. 4. Urethritis - inflammation or infection of urethra. 5. Renal calculi can cause painful erection. 6. Peyronie's disease - scar tissue inside the penis causing painful erection. 7. Neuropathy due to diabetes. Kindly share more details regarding above information and we can work on your treatment." } ]
[ { "from": "human", "value": "Hello doctor, I am a 19-year-old. I have never had acne problems. Recently I can see acne around one side of my mouth. It has been going on for a few months. I have tried every face wash, creams, toners, etc. I have an extremely irregular period. I am not on any medications. Does it have anything to do with my periods?" }, { "from": "gpt", "value": "Hello. 1. Yes, it can be related to your irregular cycles also. 2. For that, you should consult a gynecologist. I am writing you the medications for this for now. A. Capsule Doxycycline 100 mg once a day. B. Adapalene and Clindamycin gel apply once at night on acne, do not rub it and wash after one hour. Do this for 15 days." } ]
[ { "from": "human", "value": "Hi doctor, I have been suffering from fatigue for more than two years now. I am a 34-year-old otherwise healthy male, all blood, hormone, vitamin tests have come back perfect. However, it started after a long and intense panic disorder, which lasted for months and almost drove me to suicide. What saved me was a medicine called Clonazepam. It helped immediately. I used it for a month and then tapered off without any side effects. So I was wondering that could prolonged intense stress like that induce some damage to the brain or nervous system which can result in chronic fatigue? If so, what are the things I could try to solve this problem?" }, { "from": "gpt", "value": "Hello. I can understand and empathize you. During a panic attack or any stress, our adrenaline level is so high. This is the hormone for fight and flight and to relieve from this condition, Clonazepam acts as a relaxing agent. This is normal for any person and this medicine cannot affect the brain. Due to chronic stress, our serotonin level goes down so that some medicine maintain that level. No anatomical changes occur during stress in the brain. There is no damage in the nervous system. During depression and stress, fatigue is common. So do not bother about that. Start medicine. You will get relief soon." } ]
[ { "from": "human", "value": "Hi doctor, My voice is very low. I am not able to scold or intimidate anyone. When my friends abuse me, I am not able to reply them. They take advantage of me. They never heed my words. Sometimes, I feel much worried about it. I also hesitate and vibrate while talking. People keep me down with their voice. I am not able to cope with them. My friends suggest me to increase my pitch. Sometimes, I am not audible to my friends also. I have this problem since my childhood. I am having some fear to speak to people and even my friends. Give me some tips to improve my speech and articulation skills." }, { "from": "gpt", "value": "Hello. For further doubts consult a speech therapist 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 have itching all over the body and different part itch at different time. And whenever it itches skin becomes pink like you can see in the photo attached. Also whenever skin itches I have some pain or movement in the stomach, I also have pain during bowel movements. What is the cause and medication for this and how to prevent it in the future?" }, { "from": "gpt", "value": "Hello. Your history and clinical images are more in favor of acute urticaria. It is an immediate kind of skin allergy, and once it starts, it usually tends to last 4 to 6 weeks if appropriately treated. You could even try to identify any possible exacerbating factor. The usual ones are pain killers, flowering plants, pet animals, artificial colored food items, nuts, seafood, cement dust, etc. You can start taking tablet Allegra 180 mg (Fexofenadine) once daily in the morning, and tablet Teczine 5 mg (Cetirizine) once daily in the evening for three weeks regularly. You can apply Calosoft lotion at sites of itch." } ]
[ { "from": "human", "value": "Hello doctor, I have shortness of breath on exertion and episodic mild muscle weakness for about one year. It worsens with fatigue and particularly ptosis. Kindly help." }, { "from": "gpt", "value": "Hello I saw the chest x-ray posteroanterior and lateral views (attachment removed to protect patient identity). The findings are, 1. There are mildly prominent lung markings in the bilateral mid and lower zones. The upper zones are clear bilaterally. 2. There is no pleural effusion. 3. The cardiac size is normal. 4. The retrosternal space is normal. 5. The posterior costophrenic recess is free. The above findings can be due to mildly hyperactive airways. HRCT chest scan may be done if there are abnormalities in lung function tests. Please avoid any pollution area or dust exposure. For muscle weakness and ptosis, please get tested to know if you are having myasthenia gravis, the most common cause for ptosis and muscle weakness." } ]
[ { "from": "human", "value": "Hello doctor, I have been experiencing anxiety for a few years now. It started with a few random anxiety attacks, and soon it spread. I find it hard to leave the house on my own due to this. I feel ashamed, and my self-esteem is very low. I am usually a proud person, very independent, determined and self-sufficient, but this issue has impacted my life negatively. I find it hard to socialize now due to shame about the anxiety symptoms showing up and this led to shyness. I feel depressed and have low energy. I do not enjoy the things I used to enjoy anymore. I had some significant losses and failures in my life in the past few years, and I think this might also be the cause for all this. The anxiety symptoms are pretty much like panic. I get heart palpitations, cold hands and lots of muscle tension, especially in the neck, face, and eyes. If I feel very nervous, my neck gets so tense that it twitches. I also experience lots of self-criticism and guilt because of this. I have high expectations of myself and consider this problem to be unacceptable. I tried many of the common homeopathic remedies for this (such as Ignatia, Staphysagria, Arsenicum, Sulphur, Graphites, Pulsatilla, Calc Carb) and nothing seems to help except for Aconite 200. The problem is that Aconite only helps temporarily. I need something that works more long-term. Is this something you can help me?" }, { "from": "gpt", "value": "Hello. After Going through the details, I could narrow down to three medicines namely, Ambra Grisea. Hyoscyamus. Baryta Carb. I suggest you start with Ambra Grisea 1 M one dose and wait for 7 to 8 days. If you feel a change, then you can wait and repeat the medicine only when required. Also if it helped and then stopped working, then you can go for higher potency like 10 M. If it does not help then go to the Hyoscyamus and then Baryta Carb the same way as the first one. If in case it helps. I would surely like to know the follow-up. With regular follow-ups and it can be managed more efficiently. Some losses in the past few years. None advised. Ambra Grisea, Hyoscyamus, Baryta Carb. Regular follow-ups about the action of the medicine are appreciated for at least at 10-15 days." } ]
[ { "from": "human", "value": "Hello doctor, I am a 33 year old male. I am having regular water retention problem, specially on the abdomen region. It fluctuates quite a bit and so does my weight on the scale. Sometimes there is a lot of discomfort to even wear normal trousers on certain days. This however is most prominent on the days after consuming alcohol the previous night. This has been there for the past 3-4 years, but recently I have observed that this swollen abdomen region remains for couple of days. I have had a thyroid test last month which was normal and general health checkup every year including ECG has always been normal. I am not under any medication and no known ailments. I should also add that my LFT test was done about a year back and that was normal as well. It is just too uncomfortable on certain days to wear the usual clothes (trousers) and I would like seek a permanent solution to this problem. Kindly advise. Thank you." }, { "from": "gpt", "value": "Hello. First of all we have to find the cause for this. If no cause is found then we would call it idiopathic. I would recommend you following investigations: You should avoid alcohol, take low salt diet and do regular exercises." } ]
[ { "from": "human", "value": "Hi doctor, I have a big problem in terms of loosening of upper and lower eyelids. Please check the attached pictures. I have been wearing rings on my fingers which have created pressure on my eyes and l believe have led to my condition. I am extremely worried as nonverbal communication is affected and I am having staring look. My confidence level goes down with this. I have shown to ophthalmologist for sight since the last six months and they have been prescribing drops such as Fusion, Systane ultra, anti-inflammatory eye drops and tablets but my condition is not improving. I have been using cold and hot compress as well and changed my diet. Please advise." }, { "from": "gpt", "value": "Hello. I have gone through the pictures (attachments removed to protect patient identity) of your eyes. As I can see, there is nothing abnormal with your eyes. Cosmetically, there are some fat deposits around the upper and lower eyelids. This condition is not in need of treatment now. If you want to improve appearance, cosmetic surgery can be done to correct the fat deposition. Fusion (combination of Sodium hyaluronate, Carboxymethylcellulose and Glycerin), Systane ultra, anti-inflammatory eyes drops or any other treatment will not help you in any way. Wearing rings is no way related to your eye appearance." } ]
[ { "from": "human", "value": "Hello doctor, I am a 43-year-old male. I have spots and discomfort on the penis head. It has been coming and going for a while. Now some of the spots are more visible if I squeeze the head and it looks like dark specks under the skin. I am using Butenafine hydrochloride, and Cortisone 1%." }, { "from": "gpt", "value": "Hi. Reviewing your history and pictures showed (attachment removed to protect patient identity), there might be skin irritation which can be from repeated frictions like masturbation or reaction to the substance used it also can be due to vitamin deficiency or a skin condition like psoriasis, etc. Fungal infection is rare and it does not present as a spot usually it is whitish material and happens in people who are immune compromised like diabetics or people who have HIV infections. Since it is not itchy or painful you should not worry about it and you should not use Cortisone cream as it makes things worse. Keep good hygiene area should be dry and clean. Use nonchemical lubricant like olive oil if you masturbate. If you have changed your soap or shower gel it might be the cause. Take vitamin E and vitamin A to replace your vitamin deficiency. If you are known to have psoriasis then treatment can be by Methoteraxate cream (but only for people who are known to have psoriasis). Follow up is important and please keep me updated for any further queries." } ]
[ { "from": "human", "value": "Hi doctor, I am a 46 year old male. My weight is 74 kg and I am having an excellent physical shape. I think I have some sleep issue. I did not get proper sleep for any days and hence, I feel tired and irritable at times. I am very active professionally and leading very engaging life. I am not suffering from any depression or mental issues. I get a little bit of anxiety at times, but nothing serious that I can feel. What could be the reason for this? What are the remedies? Please suggest me." }, { "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": "Hi doctor, My wife who is 27 years old having cold since 3-4 days. Right now she is having severe earache. I have already given her painkiller like Combiflam and Nicip. Also gave her cough syrup Benadryl. The earache is very severe and she is not able to bear it. Can you recommend some medicine? Thank you." }, { "from": "gpt", "value": "Hi. I have thoroughly gone through your case and can well understand your genuine concern. Your wife might be having throat infection which has spread to the internal ear. This infection is causing congestion and severe ear pain. As you have already given her oral analgesic drugs they will take some time to act. I suggest you to use any of the analgesic (pain reliever) ear drops like Otic ear drops (Ofloxacin) which acts internally in the ear and will bring down her pain. Otic ear drops application:" } ]
[ { "from": "human", "value": "Hi doctor, My daughter born 7 days back is suffering from meconium aspiration syndrome (MAS). I would like to know, how we measure her growth of lung capacity." }, { "from": "gpt", "value": "Hi. In newborns measurement of lung capacity is not as useful as in adults. Important clinical signs of respiratory effort, respiratory rate and the x-rays that had showed the meconium aspiration syndrome (MAS) and also the general condition of baby. These are the important parameters that show the improvement rather than just lung capacity." } ]
[ { "from": "human", "value": "Hi doctor, This is about my elder sister who is 37 years old. She is diabetic since 4 years. I have attached the report and prescription of the same. Please check and give suggestion. Now she is suffering from swollen face. Is there any problem in kidney due to high sugar level?" }, { "from": "gpt", "value": "Hello. Thanks for the query to this platform. Your sister is a known case of hypothyroidism with uncontrolled type 2 diabetes mellitus. Her sugar is constantly raised throughout the last 5-6 months as shown in the reports. She is on oral diabetic drugs and her blood sugar is not controlled. According to me, she needs to be started on insulin. Insulin is just the replacement for the insulin in the body which our body is unable to make.She is overweight which needs to be looked into. She needs to reduce her weight gradually by going for walk, avoiding lifts, avoid fatty foods, rice and chicken or mutton. As far as her kidneys are concerned, her creatinine and urea are within normal range. Her urine microalbumin is raised which points towards heart and kidney function. She needs to be started on statins after consulting her physician. Kidneys get affected in diabetic patients. Keep repeating her creatinine regularly which will show her kidney function. For now she is on diuretics which will subside her swelling in face. Diabetes. 1. High density lipoprotein (HDL). 2. Low -density lipoprotein (LDL). 3. Very low density lipoprotein (VLDL). 4. Cholesterol. 5. Fundus examination. 6. Two-dimensional echocardiogram (2D echo). Diabetes mellitus with hypothyroidism. Start on insulin with statins. 1. Avoid fatty foods, rice, chicken and mutton. 2. Start regular walking and avoid lifts." } ]
[ { "from": "human", "value": "Hello doctor, My husband was given Zuclopenthixol injections during his stay at a psychiatric hospital and now he feels he has been done lobotomy and a part of his brain is missing. Like his intelligence, sharpness, cleverness, energy levels, etc. he feels the doctor should have diagnosed his mental state before concluding that he needs such level of treatment. His problems were stress-related. And now he feels he cannot get his brain back like before and feels like there is no point living. Kindly suggest what measures can be taken to help him?" }, { "from": "gpt", "value": "Hello. Zuclopenthixol is an antipsychotic medication prescribed to a psychotic patient or patient of severe depression with psychotic features. It is commonly used to control aggressive behavior of the patient. A decline in cognitive features, slowly are possible with Zuclopenthixol. One thing I want to clarify whether he is sure that lobotomy was done on him or not? You have also mentioned that previously he was prescribed Risperidone. So I think he might have psychosis. A patient of psychosis can have a depressive episode. If currently, he can tolerate Zuclopenthixol depot you can ask about Olanzapine depot which is second-generation antipsychotics and has a less side effect." } ]
[ { "from": "human", "value": "Hello doctor, I have eye allergy from the past 15 years due to vernal conjunctivitis. I am under Cromolyn 0.4 % for it. Kindly advice." }, { "from": "gpt", "value": "Hello. Along with Cromolyn, start Moxifloxacin plus Loteprednol eye drop four times a day for three days. Taper it to two times a day for the next five days. Then taper to once at bedtime for the next five days. Also, start Refresh tears eye drop every two hours continuously for a month" } ]
[ { "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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