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qucklecrabik
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conversations listlengths 2 2
[ { "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 in the 13th week of my first pregnancy. I had two episodes of postcoital bleeding after which USG was done and showed low lying placenta (lower placenta is covering the os). I had been on bed rest and pelvic rest for the past one week and taking Susten 200 BD apart from Folvite. Is it fine for me to go to my work place (I am a pathologist have to sit for three to four hours only)? Any other precaution?" }, { "from": "gpt", "value": "Hi. If there is no active bleeding you can safely go to work provided the roads and all are smooth and if it is not a very long drive. Please avoid intercourse and vaginal douching. Repeat USG after six weeks for a level 2 scan and look for placental migration. Continue Susten (Progesterone tablet)." } ]
[ { "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 want to know your opinion. I have had two positive hepatitis C antigen tests and the doctor had a polymerase chain reaction test that was negative for hepatitis C. He said I was one of the lucky ones. He said he could repeat and I did and again negative. All blood was concerning liver normal for 20 years. I had my gallbladder out and the doctor said the liver is perfect. I had a ruptured ectopic pregnancy on Easter day 25 years back. Subsequently, nine IVF procedures and one exploratory surgery, one open surgery to tie the fallopian tube to prevent fluid washing out embryos. Necrotic ovary half removed 14 years back. A CT scan of organs all normal lately. All blood tests are normal except TSH thyroid and low vitamin D." }, { "from": "gpt", "value": "Hi. You had a history of laparotomy operation as a consequence of ruptured ectopic pregnancy. But none of the surgical management has been related to your low TSH level. TSH level can be altered in infective condition or sometimes temporary due to non-thyroid illness. I suggest you repeat your serum TSH estimation and serum free T4 estimation after few days and revert back with that report. For low vitamin D level, you need to take Cholecalciferol sachet once a week for eight weeks or tablet can be prescribed. You can rely on PCR testing for HCV as it can be considered superior testing." } ]
[ { "from": "human", "value": "Hello doctor, I just had my period and last night, I masturbated and this morning there was blood and it had a strong odor. What does that mean?" }, { "from": "gpt", "value": "Hello. Strong odor means you might be having a vaginal infection which may commonly occur in women due to lack of hygiene sometimes (during masturbation hand or sex toy if not sterilized properly) may lead to traveling of germs up inside the vagina and may result in infection and smelly vaginal discharge. I would suggest once wash your affected area as much as possible with plain water and avoid using any cosmetic products there and avoid tampon as well. Preferably use sanitary towels for periods and as soon you finish your periods get yourself assessed by a doctor to get the exact diagnosis of discharge and appropriate treatment." } ]
[ { "from": "human", "value": "Hi doctor, Among Nicotine gum, Bupron and Varenicline, which is better for quit smoking? Please suggest." }, { "from": "gpt", "value": "Hi. All three have different indications. Still Varenicline is best to control smoking. They are known to reduce craving. Bupropion is preferred, if associated depressive symptoms present. Nicotine gum or patch preferred, if person is not able to control desire by above these. It is a replacement therapy." } ]
[ { "from": "human", "value": "Hi doctor, My father is a kidney transplant patient. He had his transplant a year ago. Right now he is having wet cough and cold. It started yesterday. He is taking Pangraf 1.5 mg, Cellcept 500 mg, Septran and Wysolone daily. Which medicines should we give him for cough and cold?" }, { "from": "gpt", "value": "Hello. First of all, most of the cough and common cold are upper respiratory tract infection (URTI) issues, which are self-limiting and respond without antibiotics. But since he is on immunosupressants, he would be considered for antibiotics if he develops any high grade fever or severe coughing. For URTI, I advise to take an antibiotic like Azithromycin only in case he has persisting fever. Otherwise in most cases of URTI, it is due to viral infection and it gets better within 5 days. He can take an antiallergic like Levocetirizine which is available as OTC (over-the-counter) drug. He should do warm saline gargles at least 3-4 times a day and do steam inhalation. He should also take Paracetamol on as or when required basis for fever and body pains.Please share my opinion with your doctor, before acting upon it." } ]
[ { "from": "human", "value": "Hello doctor, I am a 35-year-old female. I am suffering from a vaginal infection. I want to get pregnant. Is it safe and possible for me after treatment?" }, { "from": "gpt", "value": "Hello. There are different kinds of vaginal infections. The most common are yeast infections and bacterial vaginosis. They are easy to treat most of the time and should not alter your ability to get pregnant. These types of infections can also occur during pregnancy and can safely be treated at that time as well. It is difficult to give more detailed information without knowing the type of infections and the treatment provided." } ]
[ { "from": "human", "value": "Hello doctor,My amazing 67-year-old dad who runs 10 miles a day just had his first TIA. The hospital did an array of tests and did not see any sign of it afterward but they are sure that is what it was. He and my mom are changing their diet and I am researching supplements. They are changing his blood thinning medication so I am not exactly sure what he will be on. But I read that one should be careful in taking turmeric and blood thinning medications.However, it would be great for him to be on turmeric because of the other benefits. What precautions would you recommend when it comes to this supplement and preventing a stroke? Any other supplements he should get on right away or talk to his doctor about?" }, { "from": "gpt", "value": "Hi. I would like to bring into your notice that he should avoid turmeric as well as Fenugreek seeds in diet, as they have blood thinning potential. However, the potential is low, but can get aggravated by blood thinner medicines. As far as diet is concerned, he should completely avoid fast food, oil, alcohol, and smoking. A regular walk should be done, but make sure it is not done during cold seasons. I do not recommend any supplements. You may ask your doctor to add Vitamin B12 and Vitamin D to his prescription. Make sure he takes his medications regularly and get his check-ups done regularly." } ]
[ { "from": "human", "value": "Hello doctor,My mother aged 64 is suffering from ILD for the past three years. Now the doctor suggested recently that she has developed nodules which are mostly sarcoids in nature. Recent CT scan report shows it. Is there any way to revive her lungs condition? Is stem cell therapy effective for her? She is now on 24 hours of oxygen support with three liters capacity. Please help us." }, { "from": "gpt", "value": "Hello. ILD (interstitial lung disease) has many different types. What was her type of ILD when diagnosed and what treatment was given? Development of new nodules which are suspicious of sarcoidosis is quite rare, nevertheless if her condition permits which need to be evaluated by biopsy of the lungs, which might help in tailoring the treatment regimen. Repeat sputum for AFB smears, gram stain, C/S and GeneXPERT MTB/Rif. 1. Apart from home care oxygen, only another thing which might change the course of your mother is exercise, which is called pulmonary rehabilitation. 2. Weekly three times intense pulmonary rehabilitation has to be given. 3. Nutrition is very important which needs to be tailored by getting dietician consultation. 4. Stem cell therapy in ILD is still in the research phases so I cannot advise that. 5. As a last resort, you can try for lung transplantation. Vaccinations if not done earlier." } ]
[ { "from": "human", "value": "Hello doctor, What ppm and percentage of fluoride are good for adults? I am trying to figure out what kind of toothpaste is good, but I hate mint, so I am trying to check the percentages of fluoride that is good for an adult." }, { "from": "gpt", "value": "Hello. Fluoride content can be around 1000 to 1200 ppm which is more than enough for the prevention of cavities. No need to go higher than that. More important is the proper brushing technique. Go for up-down or circular brushing technique without too much pressure onto the teeth to prevent wearing away of enamel in the long term due to abrasion." } ]
[ { "from": "human", "value": "Hello doctor, I am 21 years old, and I have been struggling all my life with how to manage my hair and maintain a healthy hair texture. My hair used to be curly when I was younger but then became wavy over time and for the most part, it is wavy (I feel like it would be slightly more curled if it was healthy). I used to have a lot of insecurities with my hair growing up. To the point where I cry about it sometimes even now. It is always very dry and tangly and I used to straighten my hair a lot to be able to manage it. But I stopped straightening my hair over two years ago due to damage. I feel like hair products I use (like leave-in conditioners and sprays) only help my hair for a few weeks to a month, it almost seems like my hair gets used to it and adapts to fight me back. I have used hair masks like olive oil and coconut oil but not consistently. Lately, I only wash my hair once a week (it takes a lot for my hair to get oily, and I only wash it more than that if I am outside where there is a lot of dust or dirt). My diet is a lot of protein and carbohydrates (I workout 5 to 6 days a week) but very little greens (I am trying to work on eating that more). When I wash my hair once a week, I also lose a lot of hair, like 2 to 3 clumps, I do not have bald spots or anything, but I do get worried about my hair. I feel overall my hair is very fine, dry, and flat. It sits flat on top of my head with no body and it bothers me very much. I hate when other girls complain about their hair saying it is dead and they need a haircut, when their hair is way better than mine. I am going to have my hair for the rest of my life, I just want to know how to take good care of it and keep it healthy and put the right products so that I can feel happy, healthy, and confident." }, { "from": "gpt", "value": "Hi. I think your problem is very common and you should not feel so let down. Please get your blood tests for thyroid and iron profile. I hope your cycles are normal. If not then please get yourself checked from a gynecologist and follow a healthy diet like drinking lots of water. Eat lots of vegetables like broccoli and fruits like avocado. Please apply fresh aloe vera gel on the damaged root tips once or twice a week. Make a paste consisting of yogurt, almond oil, and vitamin E capsule and apply once or twice a week. Do not use any sulfate-based shampoo and use good serum oils on your root tips. Keep doing this and you will get results soon. Apart from that, wash your hair twice a week a least." } ]
[ { "from": "human", "value": "Hello doctor, I am currently on the Yaz contraceptive pill. I skipped my sugar pills for around four months and had a breakthrough period this month. I had my period last week, but I still have some residual brown discharge for about a week now. Additionally, I had sex a few days ago and bled during it. Nothing hurts or is sore, I just want to know how long I am going to have the brown discharge and if I should be worried or if I should do anything about it?" }, { "from": "gpt", "value": "Hello. The brown discharge should be temporary. I would recommend you have a period for the next couple of months and not skip the placebo pills temporarily to get back on track. If you have not missed any pills, pregnancy is very unlikely, but I would recommend a pregnancy test for added reassurance. If you have not had a recent test for STDs, like gonorrhea or chlamydia, I would also get tested for those, as these infections may have no symptoms and can cause spotting or bleeding after intercourse. If the problem continues, and no other cause can be found, you can consider changing to a different pill." } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I had sex with my fiance 10 days back and took the 72 pill on the next day but did not bleed. I had sex again a week later and took the 72 pill that very day. I began to bleed soon after taking it which lasted for two days and now I am having a slight lower stomach and back pains. Am I pregnant now?" }, { "from": "gpt", "value": "Hello. It can take up to 21 days to have bleeding after taking emergency contraception and although it is good that you took it very soon after unprotected intercourse, you should not use this as your primary method of birth control. It will cause cycle delays and unpredictability. Emergency contraception is not 100 % effective, even when taken as directed. There is always a chance of pregnancy when you have unprotected sex. A pregnancy test is advised and a reliable form of birth control in the future is strongly recommended." } ]
[ { "from": "human", "value": "Hello doctor, My fiancee has had a weird in-between period thing for about a week, and this just about a week ago. She had very slight bleeding for about a week with red to dark red to pink and sometimes brown. She had constant cramps for nine days during this as well. A week later her period is supposed to come on the 26th. She is fine and on birth control and tells me she feels good but her upper back has been hurting for the past four days and she is starting to get cramps on and off again. We had sex two days before her last period and I have a strong feeling that it is just the birth control doing this. I used a condom and made sure there were no holes. Before I finished I pulled out but the condom slipped off and it got stuck inside of her and she said nothing was coming out of her after this happened. Is birth control the cause of all of this?" }, { "from": "gpt", "value": "Hello. Any type of hormonal contraception may cause irregular bleeding that can be unpredictable in nature. If a birth control method is changed or if pills are missed, unscheduled bleeding can also occur. All birth control methods can fail, even with perfect use and unusual bleeding can also be a sign of pregnancy. A home pregnancy test is a good idea to make sure this is not the case. Upper back pain an unusual side effect of birth control, but cramping may be normal if it is during a period. Cramping or pelvic pain in the setting of abnormal or irregular bleeding could be caused by many things including ovarian cysts, early or abnormal pregnancy, urinary tract infections, sexually transmitted infections or PID (pelvic inflammatory disease). She would need an exam and further testing in order to confirm the exact cause of her symptoms." } ]
[ { "from": "human", "value": "Hello doctor, What will happen if someone eats Unwanted 72 without any reason? Will there be any withdrawal bleeding or not?. And what will be the situation of menses?" }, { "from": "gpt", "value": "Hello. Unwanted 72 results in delayed or earlier periods, and also may result in withdrawal bleeding and nothing harmful will happen if someone takes it for no reason. Hope it has helped you. If you require any further queries, please do not hesitate to contact me." } ]
[ { "from": "human", "value": "Hello doctor, I had two miscarriages one was in the fourth week. While taking the scan, the sac was not found and two-week delay in growth. Another one for almost seven weeks and two-week growth delay. Now I am pregnant after six months of the second miscarriage. Now I am in my third week. My doctor advised to take injections for Progestogen and Aspirin, and one more substance was there, and I do not remember the name. I need to take the injection every day until the fifth month of pregnancy. In the second pregnancy till sixth-week heartbeat was everything was fine. After the second miscarriage, I had a delay in my periods and took a scan at 12 days of my period, and my dominant follicle was smaller when compared to regular size 11.58. I would like to here second opinion for this. So please advice." }, { "from": "gpt", "value": "Hello. Probably the name of the third injection would be Heparin (blood thinning agent). Your doctor is right as antiphospholipid antibody syndrome (the most common cause of early miscarriages) would have been suspected, and this is the right treatment for this problem to ensure a healthy pregnancy. And there is no harm in taking these medicine in accordance to doctor advice. And it will be helpful for your pregnancy. Hope it has helped you. If you require any further queries, please do not hesitate to contact me." } ]
[ { "from": "human", "value": "Hi doctor, I am a 31 year old female diagnosed with osteoporosis. Is Teriparatide treatment recommended? Or vitamin D supplements and Calcium tablets sufficient?" }, { "from": "gpt", "value": "Hi. Teriparatide is an extreme treatment for osteoporosis and is always based on your DEXA scan (dual energy x-ray absorptiometry) report. Have you got your DEXA scan done? How have you been diagnosed with osteoporosis? Please specify. If DEXA scan has not been done, then just take Calcium and vitamin D supplement, it will suffice. If done then revert back to me with the blood reports and scan report so that I can advise accurately." } ]
[ { "from": "human", "value": "I am 29 years old, a mother of a 17months toddler. Two years ago I was suspected to have fibroadenoma on the right breast by a doctor who's only done the ultrasound, because I haven't accept to do the biopsy. On the report it is written by the doctor Ultrasonographic bilaterally dense glandular parenchyma, on the left side there are no signs of apathological echogenicity, on the right side is seen lobule hypohehogenic focus of 16mm suspected of fibroadenoma. Since then I haven't done any ultrasound at all, and haven't used any kind of medication because the doctor haventw prescribed me anhthing and recently I feel pain before the period and then after having the period I dont feel pain. But now that I am on the fertile days, I feel pain a lot when touching it, and I can feel that there is a thick lump near the nipple. Moreover, now I can feel I have lumps also on the left side when I touch it, and it's painful, but the right side is more painful, and this didn't happen to me before. Just to add that I am still breastfeeding. I want to do another ultrasound but until then I need your answer about these questions: 1. I don't have family history with breast cancer, except the aunt of my mother who had breast cancer. Is it possible this is cancer and not fibroadenoma? 2. What kind of a diet should I have to cure this disease? 3. I am afraid of biopsy, I've heard that it is dangerous because when you get a part of the lump removed,(and if that is cancer) the rest of it will be shared all over the body. Is it true? 4. Should I stop breastfeeding and can I plan for another baby after some months or I should better do a surgery before then? 5. Is it possible that I feel this pain these days because of the fertile days I am going through? Thank you a lot" }, { "from": "gpt", "value": "Hi, I have gone through your narration of symptoms. With the history of pain occuring around the periods time, it is more likely to be Fibroadenosis rather than Fibriadenoma.. I would like to assure you not worry about either of this conditions as both of them are only benign conditions and not cancerous.. It wont cause any dangerous harm.. There is nothing much specific help we could get drastically from diet modification for this condition.. Just maintain your ideal body weight.. But still you need to confirm it by a Biopsy.. Need not fear about biopsy.. As you described it is not removal of part of the lump.. It is just a pinch of the lump, a small bit from it with a small injection.. Sometimes your surgeon might decide to excise it as a whole and send for biopsy in which case, it is called Excision biopsy.. But that will serve you dually for diagnosis and also completion of treatment by total removal.. And it is only a minor surgery, not a major one.. So, just throw away your fears on that.. You can continue breastfeeding and plan for pregnancy. But I think, the lump may increase in size during pregnancy which I am not sure about.. You need to consult with a Gynaecologist rwgarding this.. Do the investigations as adviced below and review back CBC, RBS, SERUM LIPID PROFILE, FREE T4, TSH, USG BOTH BREASTS" } ]
[ { "from": "human", "value": "Hi doctor, My sister is 23 years old. She had unhygienic sex a couple of weeks ago. She started feeling itchy on her vagina. I am worried it might be herpes but I need confirmation from a specialist before we visit the doctor. It looks clustered and yellow. No hard lump under and it just looks inflamed. She does not complain of pain anywhere else. There is no pain inside the urethra, no burning sensation while urinating and the discharge is whitish-yellowish and watery. She does not have any sign of fever. She bought labia herpes cream yesterday. After application it changed the color today to darker yellow and some of it fell off. What could this be?" }, { "from": "gpt", "value": "Hi. I have reviewed the attached photographs (attachment removed to protect patient identity). The closely grouped fluid filled blisters and yellow crusted lesions seem to be most likely herpes infection. You do not have to apply Acyclovir cream as it will not be much effective in genital herpes. You should start with oral antiviral like tablet Acyclovir 400 mg thrice daily for a week and apply topical antibiotic like Mupirocin cream on the lesions twice daily. Do not use soap over the affected areas and wash only with plain water. Caused by herpes virus; either HSV1 or HSV2 (herpes simplex virus 1 or 2). Herpes genitalis. Avoid intercourse till the healing of lesions." } ]
[ { "from": "human", "value": "Hi doctor, About a year ago, I had nevus excision. Neither shaving nor laser, it was total excision. But two days ago I have realized that the nevus has come back there along the edges of the scar, the same shape of the scar. The biopsy report of the first one is compound nevus and there is nothing abnormal. There is no note as dysplastic or something like that. I visited my dermatologist today and he said we will follow it for the next 3 months. I have been becoming paranoiac. I need some advice. You please see the pictures of old and new ones. Thanks in advance." }, { "from": "gpt", "value": "Hi. I understand your complaint and gone through the photos (attachment removed to protect patient identity). Any nevus is a collection of melanocytes that are able to multiply violently. Hence, even if a small section is left it can potentially regrow. You can go for elliptical excision with at least 5 mm margin and then laser sessions to blow out the reminder." } ]
[ { "from": "human", "value": "Hi doctor, I am a thalassemia major patient. My spleen size is 21. How to reduce my spleen size? And also I want to increase my weight? My age is 21. How much percentage risk is present in the unrelated donor stem cell transplant? My ferritin is 1500 and weight is 48 kg. Please suggest some solution." }, { "from": "gpt", "value": "Hi. At present there is no way to reduce the spleen size. Diet for thalassemia major patient should include plenty of fruits and vegetables and protein rich diet. Taking vitamin C supplements will help to increase the immunity of the body. Bone marrow transplantation is a curative treatment for thalassemia major (symptoms of severe anemia from childhood). Bone marrow transplantation can be done if you do not have any long-term complication of thalassemia major. Adult thalassemia patients are higher risk patients for transplant-related toxicity due to an advanced phase of disease and have a cure rate of 60 to 70% with current treatment protocol. There is 90% long-term survival rate in patients with favorable characteristics such as young age, HLA (human leukocyte antigen) match and no organ dysfunction. I would suggest you to consult a hematologist who can guide you better." } ]
[ { "from": "human", "value": "Hi doctor, I have been having left shoulder pain and it really hurts. I have not had any injury in that shoulder. I had an injury on my right shoulder in the past where the bones had got separated. I had Ibuprofen once but it did not help. Please help." }, { "from": "gpt", "value": "Hello. Kindly let me know the full symptoms and their increasing or decreasing factors. Do you get pain while sleeping on the same side of the painful shoulder? Any specific movement that worsen it or any sound from inside the shoulder? You might have a rotator cuff tendinitis or mild impingement for which hot water fomentation and analgesic like tablet Ibuprofen 400 thrice a day for three days will help. If the pain does not improve, kindly consult your local orthopedic surgeon for further physical evaluation. 1. X-ray shoulder - AP (anteroposterior view). 2. True scapular lateral. 3. Ultrasound of shoulder." } ]
[ { "from": "human", "value": "Hello doctor, I have to go to urine a number of times especially in the night and that was beyond control. I am male, age 56." }, { "from": "gpt", "value": "Hi. Are you having diabetes? If sugar is high in blood, this complaint will be there. If the prostate is enlarged and inflammation of the prostate is there, then urination will be uncontrolled. Go for the following test: 1. Blood sugar fasting and post-prandial. 2. Urine analysis and culture and sensitivity. 3. Ultrasound abdomen to rule out enlarged prostate." } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I have reddish brown patches like hives on my ankle area of both feet, I am 24 years old." }, { "from": "gpt", "value": "Hello. 1. This condition is known as pigmented purpuric dermatosis. 2. It is seen in people who either have to stand for long times or sit with legs hanging for long, which leads to pooling of blood in these areas. 3. To keep blood pooling down keep your feet and high during sleep, put one pillow beneath feet. 4. Try to give rest to your legs when have to stand for long, in between. Use this cream for two weeks only, not more than that for pigmentation part: Momate (Hydrocortisone) cream twice a day." } ]
[ { "from": "human", "value": "Hello doctor, I am on rebound congestion because of misuse of the nasal spray. I have used it seven days not knowing that will cause me rebound effect. My ENT doctor says to continue my spray due to my dry nasal congestion I think. Now I went back to him saying that, I had rebound congestion and my turbinates are swelling, he advised me to stop the spray, and he replaced it with Mometsone Furoate two sprays once a day. He also gave me Methylprednisolone two times a day for seven days and an antihistamine. I am now on my sixth day of withdrawal, the steroid spray works and also the oral he gave me relief. But I do not think that it reduces my turbinates." }, { "from": "gpt", "value": "Hello. Why do you feel the turbinates are not getting reduced? Is it because you see those big in the mirror? Is there any symptomatic improvement in nose block after the use of Mometasone? Turbinates usually increase and decrease in their size a few times a day. Additionally, the nasal cavities also have congestion decongestion cycles normally. The rebound congestion that occurs due to decongestant nasal sprays is a temporary phenomenon. What might have happened in your case is rhinitis medicamentosa. But that occurs after months of usage of the decongestant spray and not by a week. We do frequently give decongestant drops for a week or ten days as indicated. I suggest you to continue with the steroid sprays. You may use a plain saline nasal douching couple of times a day. Make sure that you do it before using Mometasone and not after using as then it would wash away the Mometasone. Nasal douching helps keep the mucosa clear and supple. It helps to improve the ciliary action of cells lining the mucosa and clear the mucus better. That way you appreciate the better movement of air inside the nasal cavities. Do revert back to me with more details. If possible click a picture of the turbinates and get back to me. For now, if you were to come to me for a second opinion, I would continue with the medications you are on." } ]
[ { "from": "human", "value": "Hello doctor, Looking to get an evaluation of brain MRI. Sensory overstimulation, suspecting temporal lobe epilepsy. Why is gray matter volume so high and white matter volume so low (atrophy reports)? Why are nucleus accumbens and caudate volume so low? Are there any signs of Huntington's disease? Are there any signs of hippocampal sclerosis? Are there any other issues that stand out or seem abnormal? I am currently taking Depakote ER, 2,000 mg per day. Kindly advice." }, { "from": "gpt", "value": "Hello. For evaluation of juvenile Huntington's disease, the ratio of frontal horn width or inter caudate distance is 2.52 (normal 2.2 to 2.6). The ratio of inter caudate distance or inner table width is 0.11 (normal 0.09 to 0.12). Therefore you do not have features of Huntington's disease. The asymmetry in nucleus accumbens and the left nucleus accumbens being smaller in size can be due to changes in the dopamine system. And it is related to neurobiochemistry factors. The grey matter percentile is on the higher side for you, and this area is still under research to assess the changes in brain grey-white matter and neurodegenerative changes. There are no apparent features of mesial temporal sclerosis and hippocampus atrophy changes." } ]
[ { "from": "human", "value": "Hello doctor, I am 41 years old. My office colleague is giving me mental trauma by gossiping about my childhood physical abuse. Sometimes suicidal thoughts come to my mind. How should I tackle it?" }, { "from": "gpt", "value": "Hello. The first thing that you have to fix in your mind is you have done nothing wrong in that abuse episode, it is a matter of shame for that person who had done it and to those who are making fun of this. Be confident and set in your mind that you will never get disheartened, say to your own mind that you have fought very well with the circumstances and done your best to overcome that. Suicide can never be a solution to anything. Do people stop gossiping after you? They will keep talking, no matter or anyone else .one more thing, rule out other features of depression. If present consultant a psychiatrist. For the current situation try to talk with them and ask them if the same event had happened with someone to their relative or close one, will they keep talking like this? Do regular yoga and meditation. Take a healthy diet, proper sleep. Try to involve yourself in other activities and be happy." } ]
[ { "from": "human", "value": "Hello doctor, I have issues with pain on top of the penis. On the left side of the glans penis, there is a stinging sensation when rubbed against (example boxers). Not sure if it is a nerve issue. Currently taking Clotrimazole-Betamethasone for it. I have done blood and urine test. Kindly advice." }, { "from": "gpt", "value": "Hello. This is surely not related to any nerve issue." } ]
[ { "from": "human", "value": "Hello doctor, 1. What are some health issues or lifestyle habits that can cause someone to be a light sleeper, or wake up often during the night? Please explain. 2. Is it a body's way of trying to say something? And is it possible to overcome?" }, { "from": "gpt", "value": "Hello. We must delve more into light sleeping and its aspects. Some sleep lighter than others and wake up easily for mild sounds or disturbances. Some need a particular ambiance to get proper sleep. It might well be our body's way of telling us that something is wrong somewhere. It may also be due to stress and tiredness. Erratic (irregular) dietary and sleep habits can contribute to the problem. Sedentary lifestyle and spending long hours in front of the computer can worsen the same." } ]
[ { "from": "human", "value": "Hello doctor,My father's age is 60 years and is a patient of type 2 DM. He is also a patient of hypertension with an abnormal lipid profile. His RBS is now 360 mg/dl. He is suffering from extreme fatigue although BP is controlled by anti-hypertensive drugs. In this condition, how can we manage fatigue although he is taking Metformin regularly?" }, { "from": "gpt", "value": "Hello. Looking at RBG given (360 mg/100 ml), he has totally uncontrolled diabetes. When this happens there is a lot of glucose lost through urine, leading to excess urination, excess thirst and excess hunger. Plus there is unexplained weight loss and severe tiredness. The remedy for that is to achieve strict glucose control. Ideally, in a well-controlled patient, fasting glucose should be less than 100 mg, PP 150 to 170 mg and HbA1c % less than 6.8. For his age, it can be around 7 %. It is clear that his current treatment is totally inadequate. There is a need to upgrade the same. Some additional drug or drugs are required. Plus we will have to give a closer look at his present diet, weight, the extent of daily exercise. It is also necessary to check lipid profile, serum creatinine, and urea as well as microalbuminuria. Therefore, it is necessary to consult your local physician and get the necessary treatment initiated. If you are looking for online help, then please come back with all the above details for a consultation. Then I will be able to give specific guidance and even prescribe necessary medication. But please do not neglect. Such high glucose is an invitation for long term complications associated with diabetes. I hope you understand the situation." } ]
[ { "from": "human", "value": "Hello doctor, I have heartburn and gas problem. I have burning pain in between chest and stomach. I have feeling of something stuck on throat. I am facing difficulty with continuous burping." }, { "from": "gpt", "value": "Hello. According to your complaints, you are having GERD- gastroesophageal reflux disease. You can undergo endoscopy examination to rule out any upper GI problems. Try the following medicines and review: 1. Tablet PAN D 1 BID before food. 2. Tablet Libarex 1 BID after food. 3. Tablet Alprax 0.5. 4. Liquid Sucralfate 10 ml BID after food for 10 days." } ]
[ { "from": "human", "value": "Hello doctor, My wife aged 52 have type 2 diabetes according to doctors and is undergoing treatment. Diabetes started a year back and she is taking the following medicines. Janumet 50 mg/1000 mg one tablet in the morning and one at night. Neurobion tablet Vitamin B group (B1, B6, B12) one tablet in the morning. Her sugar level always in fasting reaches 127 to 130 and after food level is fine which is less than 180. Recently we consulted a doctor and replaced the tablet as below mentioned. Isryl- M2 one tablet in the morning and night one before food. Neurobion B complex tablet one in the morning, Calcium DailyCal one tablet in the morning. After taking the new medicines the blood sugar level has increased from 150 to 160 in fasting. We did a blood test a month back and the sugar level in fasting is 127. Also, the HbA1c result is 7.9 %. Average blood sugar level is 179 mg%. Please advise if the dosage has to be increased with a new medicine or a new replacement required. Kindly advice if required new medicine." }, { "from": "gpt", "value": "Hello. I think the dosage is less for complete control of the sugar levels. Let her take one tablet at morning and 1.5 tablets at night and let me know her sugar levels. This new medicine has less dosage in comparison to the one she was taking earlier. Hence it must have lead to changes in her blood sugars. Also, I would like to ask if she is following a diabetic diet and does she exercise regularly? It is equally important as her medicines and would also make the medicines more effective. Let me know her readings post this change. So I can advise accordingly further ahead." } ]
[ { "from": "human", "value": "Hello doctor, I am a 20-year-old male. For the past several years my heart rate is as low as 48 while lying in bed. I have no symptoms. I am not an athlete. Should I be concerned? During the day it is around 70 bpm and with exercise, it gets to 160. It just gets to the 40s while I am in bed. Should I be worried about this?" }, { "from": "gpt", "value": "Hi. Your heart rate is normal and this variation in heart rate during exercise and rest shows a healthy heart. Just keep your heart healthy for the rest of life by moderate exercise, avoid alcohol and tobacco, avoid stress and fatty meals. By following these measures you can enjoy a healthy life even in your 80s. This perfect healthy happy heart is a precious gift. Please protect your heart as heart will protect you too." } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I cannot concentrate on my studies. I am getting distracted like anything. I do not know why. I am losing my temper often, anxious." }, { "from": "gpt", "value": "Hi. Do not get disheartened. Most probably all of your symptoms are related to performance anxiety, (have to rule out all medical cause for anxiety-like thyroid, hypertension, serum calcium). The most important thing is to have faith in yourself, what you have done in whole year will reflect in your exam results, do your best right now otherwise hard work which you have done in whole year will be wasted because of your current anxiety. Do not be afraid of thoughts of failure in the exam, if not succeded in this year, do more hard effort again. Have faith in God, everything will be fine. A few people advise medicine like Betacap (Propranolol) for such problems but I do not think so. Yoga and meditation are also better options for you as remedies." } ]
[ { "from": "human", "value": "Hello doctor, For the past few weeks, my mother aged 65 is experiencing chest pain or slight discomfort only when she walked for a while. We consulted the medicine doctor and he recommended the stress echo test which we got done. The test comes out to be positive but not strongly positive. We need another opinion on the report that comes out." }, { "from": "gpt", "value": "Hello. If she is having consistent chest pain or heaviness or discomfort on exertion, then it suggests the possibility of blockages. And stress echo additionally supports this possibility. It shows hypokinesia with stress which is suggestive of blockages in heart vessels. So, she should be on medicines like Aspirin, statins like Atorvastatin and nitrates, and these medicines are the most important part of her management. And she should also undergo angiography for confirmation of blockages and further treatment. So she should at least have medicines regularly till angiography is done." } ]
[ { "from": "human", "value": "Hello doctor, I have had sex without any contraceptive. I told him not to cum inside me but because of excitement he accidentally came inside me. Then I immediately run into the bathroom to take a pee. And then took tablets of Yasmin. Then the following day I took another two pills and then after 12 hours, I took again another two. Is it possible that I can get pregnant? And I also have hypothyroidism? Please help me." }, { "from": "gpt", "value": "Hello. It is possible to get pregnant after unprotected intercourse, but it also depends on where you are in your menstrual cycle and if they are regular. You are most likely to get pregnancy about two weeks before your period starts. The fact that you immediately took a high dose of hormonal contraception lowers your chances, although that is an off-label use for Yasmin. Depending on where you live, emergency contraception can be purchased over-the-counter and taken within 72 hours of unprotected sex, some women have this on hand just in case. Another effective way to prevent pregnancy after unprotected sex is to have an intrauterine device (IUD) inserted within five days. The IUD can then be left in place for very effective, long term birth control. Your period may be delayed since you used Yasmin in such a high dose. I would advise a pregnancy test if your period does not start in 21 days." } ]
[ { "from": "human", "value": "Hello doctor, I have a smelly penis issue, and erection problems, no interest in sex, and that happened two years back. The doctors just checked for all UTIs but found nothing. I wonder if the issue is related to fungus infection. All checks are done even bladder and MRI nothing is showing, but the smell is there like the inside of bicycle tires rubber 24*7. It never goes away. And the doctors are beginning to think I am hypochondriac. Which is not the case. I have had a strong depression two years back due to difficult master program, from that time, my sex drive dropped in half and I do not find that I need sex anymore, it is more planned, I started to use Viagra, and I feel sex is more duty towards my wife and not something I really want. Please help." }, { "from": "gpt", "value": "Hi. Every male has a typical pheromone causing smell characteristic of each male. Are you circumcised? Any urinary symptoms except occasional dysuria. How many times do you get up at night to void? Microscopic hematuria on how many occasions? Kindly share the urine R/M report. Can you achieve an erection on sexual stimulation or early morning?" } ]
[ { "from": "human", "value": "Hi doctor, I am suffering from severe brain fog to the point where I cannot leave the house or go to work. I also have a dull, numb feeling on the top of my head. It almost feels like not enough blood is going to my brain. I have a feeling of derealization constantly. I have suffered from a feeling of derealization since I was about 15 years old but only in the last two years has it become debilitating. I have tried adding Potassium, Magnesium, Sea salt, B vitamins to my diet but nothing has worked. I am now trying the gluten diet and I am on day one. When I was 18 I took Ecstasy tablets most weekends for one year. But I have not taken them since then. I am 32 years old, 83 kg in weight, 5 feet 10 inches in height." }, { "from": "gpt", "value": "Hi. To help you better I need the following details: 1. Have you got your thyroid checked ever? 2. How is your sleep? 3. Do you dream a lot in the night? 4. Do you feel tired the whole day? 5. Any anxiety related issues? Revert with the asked details for a better help." } ]
[ { "from": "human", "value": "Goodevening, I am having headache which got severe nowadays . And so i just checked my blood and saw my platelets are increasing in a series of tests,.in the last test platelets wbc nd rbc are slightly increased . Body has itching problems usually at night .Eyes are blurry nowadays and more than am so much tired .feels like sleeping always . I lost my apetite but hv not lost my weight or gained weight.my face is full of pimple like marks which fades in between nd again comes I have severe periods pain and my peeiods blood are clotted thick . Nowadays my joint are aching and having leg and hand pain. Would like to what it is" }, { "from": "gpt", "value": "Hi, I see you are worried by many symptoms Your platelet levels are not soo high to worry about.. It is only slightly elevated.. Doesnot cause any significant harm.. Need not worry about that.. Most of your symptoms relate towards hypothyroidism and your TSH level is also high.. But only mildly elevated TSH (Subclinical Hypothyroidism) doesnot satisfy to start on thyroid supplements unless its value is more than 10 (Overt hypothyroidism), though we can start when a person is presenting with the symptoms So I need you to retest with Free T3 & T4 levels instead of Total T3 & T4 and review to see the baseline Free T4 levels and decide better on starting the supplements And I dont see any report showing the cholesterol levels.. Kindly upload the picture of the same.. If you have not checked your sugars, please check that also before next review RBS SubClinical Hypothyroidism" } ]
[ { "from": "human", "value": "Hi doctor, I am a 51 year old man and my wife is 28 year old. I would like to have a baby. I have normal sex life. I have been having diabetes for the last 8 years (hereditary). No BP or heart problem. Occasionally, I have kidney stone issue. I do not smoke or drink. I have a few questions: What are the tests to be conducted for checking the quality of sperm for having baby? Any effective medicine for increasing the quality and motility of sperm? Is there any chance that my diabetes will affect my baby? If so, can I have any medicine or treatment by which the diabetes does not affect my baby? Please advise" }, { "from": "gpt", "value": "Hello. Thanks for posting your query. See if you have a normal erection and ejaculating normally, then I do not recommend any tests unless you have been trying for a baby for the past one year and there has been no result. In that case first get semen analysis with culture test and revert back with report. If this test shows abnormality then you need to undergo further tests which I shall recommend if needed. Yes there are effective medications to improve sperm condition but let me see your report first. Diabetes can be due to both hereditary and nonhereditary. Nothing can prevent your child if it gets as hereditary. A good lifestyle can definitely delay the onset of diabetes. Do not worry about that." } ]
[ { "from": "human", "value": "Hi doctor, My baby is four months old. He has white patches on his forehead and around his eyes. They are flaky and little skin peels off. I am much worried. Please help." }, { "from": "gpt", "value": "Hi. It may be due to seborrheic dermatitis (itchy red rash with flaky scales) or atopic dermatitis or simple dryness. Please consult a dermatologist for examination and management. Use mild soap or cleanser for face wash. You can also use a moisturizer." } ]
[ { "from": "human", "value": "Hi doctor, I am 39 years old. My weight is 73 kg. I have been taking L-Pride (Levosulpiride), Nuanxit (Flupenthixol), Rabefit (Rabeprazole) and Rabifast-DSR (Rabeprazole sodium and Domperidone) since last 15 days. After taking these medicines, I am experiencing low sex drive and problem in erection. Do these medicines have something to do with these symptoms? If no, then what may be the possible causes of that? Can I use Sildenafil citrate? If yes, what amount and with what name it is available?" }, { "from": "gpt", "value": "Hi. I have read and understood your problem. Levosulpiride and Flupenthixol can cause problem with erection. This is the cause of erectile dysfunction in your case. Sildenafil citrate (Viagra) is usually prescribed at a dose of 50 mg three hours before sex. But, should be taken after clinical checkup including blood pressure." } ]
[ { "from": "human", "value": "Hi doctor, When I go to bed, my eyes start watering, mainly the left one. When I get out of my bed and look myself in the mirror, my eyes are red and my eyelids swollen. When I wake up in the morning, I have the same problem of tearing eyes, redness and eyelid swelling. I sleep on the left side, and the left eye is more affected than the right. After I get out of bed, the redness and swelling clears in half an hour to 2 hours, and I keep fine the entire day. I have had 3 conjunctivitis in the left eye in the last 6 months, confirmed by a general doctor all the three times. I have been diagnosed with Xanthelasma on the upper eyelid on the left eye by a general doctor 4-5 years ago. Please help." }, { "from": "gpt", "value": "Hi. Xanthelasma is nothing to do with your problems. It is due to high cholesterol levels. Your watering problem may be related to previous conjunctivitis attacks. Do you have irritation during watering or blurring of vision after conjunctivitis? This is more common in viral conjunctivitis. You can use artificial tear drops during watering. It may take its own time to complete normalization. However, it is not a serious problem. You can send pictures of your eyes and old records for more clear diagnosis and treatment. Do follow-up for any doubts." } ]
[ { "from": "human", "value": "Hello doctor, I have a question. My uncle had pterygium excision with conjunctival autograft surgery on his right eye. He was given Ofloxacin ophthalmic solution 0.3% drops for eyes. After using the drop 4 times a day for 4 days, things did not seem right. After peeling the label of the bottle he saw, he was given Ofloxacin otic solution 0.3% for ears only. I am wondering if this could have caused the issues. He is currently having a feeling as though his eyelid is thick, heavy as well as very dry. And also he is feeling as though there is a film over his eye. Do you think this could have caused permanent damage? Presently he is taking medicines for high blood pressure and cholesterol. Please help." }, { "from": "gpt", "value": "Hi. The cause for his present complaint is due to the surgical trauma induced by the surgery. In pterygium surgery, the mass of tissue is cut and scraped off and then a graft is placed to cover the defect. Our eyes are so sensitive, that even when an eyelash accidentally falls in the eye, it becomes so uncomfortable. Now a whole area has been actually cut and the graft sutured, so definitely, until the healing is completed the symptoms of heaviness, dryness will continue. This usually takes about a month to heal. Regarding the eye drop, I do not think it should matter much. If you can change it easily for any ophthalmic drop, then it will be better." } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My mother is 57 years old and she is a cardiac patient. She is having skin infection around his face, neck, and ear area. For the past two days she is taking the following medicines for this infection: 1. Surfaz- SN ointment (Clotrimazole, Beclomethasone Dipropionate, and Neomycin sulfate cream). 2. Zenflox- OZ (Ofloxacin and Ornidazole). 3. Allegra 120 mg. Please suggest." }, { "from": "gpt", "value": "Hello. I have seen the picture. (attachment removed to protect patient identity). This is herpes zoster. The following medicines are required for this condition. Tablet Valcivir 1 g thrice daily for seven days, Fusidic acid cream twice daily, and tablet Dolo 650 mg (as required for pain). Is there any hearing loss or ringing voices inside that side of ear? Any face palsy? (for this you can send front facing a picture of your face with both eyes wide open)." } ]
[ { "from": "human", "value": "Hi doctor, I want to ask a question about my hair loss. I am a teenager and I have a problem with my hormone since last years which means my period stops entirely for six months because of my poor diet. Everything went well after I stopped the restrictive diet. A week later my appetite increases drastically. I crave sugar and carbs and notice that I have gained a pound. I binging nonstop. I honestly became bulimic myself. Then I notice a severe hair loss that my hair can be pulled out so easily. I grew panic when I saw a bald spot. So I bought a product named Audace hair reactive and hairfall control tonic. I actually was very curious about this product because of some bad reviews. I just got my period back earlier after taking a medicine. Is it safe to use this tonic and what should I do to stop my hair from falling out?" }, { "from": "gpt", "value": "Hello. 1. Your condition is known as telogen effluvium in which large amount of hair falls after body being in sudden stress due to surgery, any illness, street or crash dieting as in your case. 2. In telogen effluvium hair loss may continue for a few weeks to up to six months. 3. The good thing is that all hair regrow once you remove the precipitating factors in your case dietary improvement and when hair fall stops subsequently. 4. These serums will not harm you if not help. The only thing you need right now is good protein rich diet and fruits and vegetables and milk. Eat well basically." } ]
[ { "from": "human", "value": "Hello doctor, I am very much feeling depressed due to some health issues. I am having a constant headache due to abuse." }, { "from": "gpt", "value": "Hi. Please provide details regarding your headache and abuse. Also, provide details about your current symptoms and like how they started and how they progress over time. What are the medications you are taking currently and for how long? Once I receive this information, I will be able to help you." } ]
[ { "from": "human", "value": "Hello doctor, My 4-year-old child has caries on teeth. Since one year we observed pus in the gums above the front tooth. This pus frequently appears with mild pain and disappears within no time. We consulted a doctor who prescribed antibiotic Mox Kid for a week. After using this, again pus was found in the next 10 days. It is in the same place frequently observed. Please advise." }, { "from": "gpt", "value": "Hello. I can see in attached pictures (attachment removed to protect patient identity), actually, there are multiple apical infections. I suggest you please ask your dentist for dental X-ray, to find out the number of injected teeth and I think you need root canal treatment followed by gum treatment. Please do not worry it is common in early childhood and known as rampant caries. Generally occurs due to bottle feeding, more sugar-containing food, poor oral hygiene. Root canal (pulpectomy in child patient) is an effective way of draining out root infection. Prolonged use of antibiotic is not good for child health, a dental procedure done in dental office and medication is the best way to treat this type of problem. Pedodontist is a specialist for child dental problem so I suggest you please see an experienced pedodontist for your baby. Get well soon." } ]
[ { "from": "human", "value": "Hello doctor,I am about to have sex for the first time, are there any suggestions on what to do? And how to do it? I want to know more before it happens. Kindly advice." }, { "from": "gpt", "value": "Hello. I can understand your concern, 1. Make sure your partner is STD (sexually transmitted disease) free. 2. Use a condom if you do not want to get pregnant. 3. 1st-time sex will be painful. Make sure your partner understands it and go slow on you. 4. Do not try rough sex. 5. Having sex can change your hormonal level, so expect changes in your body too. 6. Virgin is not an important thing in life, no need to make a big deal about your hymen. 7. Real sex will not be like a porn movie, in reality, it smells, tired, sweat, no background music, do not expect light effects, do not expect two hours duration usually it will be few minutes, no continuous erotic sounds from partners. 8. Post sex people feel guilty and weird. 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 am 18 years old, and I have rapid mood swings, and I space out a lot like I have no awareness of what is going on around me. When someone tries to snap me out of it, I lash out. I think about suicide a lot, and I have a history of self-harm, and I have started to drink alcohol to feel normal. What is wrong with me?" }, { "from": "gpt", "value": "Hello. You are reporting mood problems, history of self-harm and suicidal ideation. When you say you are spacing out, you are possibly describing dissociation which can be a result of high-stress levels. You will benefit by talking to your doctor or a counsellor to clarify the nature and extent of your symptoms and factors which could have contributed to your problems. The symptoms you report can happen in different conditions in adolescents. The common theme is high-stress levels and difficulty coping with the situation. With appropriate support, you will gradually get better. Have you discussed these issues with your parents or a trusted family member? I will strongly advise to talk to a trusted elder so that you can access further help. You can also talk to your school teacher or pastoral support. Be open and honest about your feelings. If talking is difficult, you can write down your feelings in a paper and share it with them. You can access support by seeing a counsellor at school or be referred by your doctor. Avoid alcohol. It will make your symptoms worse and more difficult to manage. Try positive coping strategies like exercise, learning martial arts, etc. I will recommend sharing this query to your parents so that they can support you. It is important to remember that you are not alone. Talk to others. At any time if you feel like you are not able to cope and keep yourself safe, you should talk to a family member or trusted elders. Take care." } ]
[ { "from": "human", "value": "Hello doctor, I am 25 years female. My HB level is reduced to 9 grams percent from 10 grams percent. I have a habit of eating raw rice and cardamom. I feel giddiness and headache and blackout of vision and my periods are delayed by one month and 20 days. And I am not pregnant." }, { "from": "gpt", "value": "Hello. You are anemic which can cause headache and blackouts in your vision. The consumption of those food products could be a sign of pica which is common in people with iron deficiency. It can take many weeks to build your iron levels back up with oral iron. If you are not pregnant, the delay in your menses is likely due to not ovulating with your previous cycle. I would advise further evaluation with laboratory work and to follow up your primary physician for the other symptoms you are having." } ]
[ { "from": "human", "value": "Hello doctor, What ingredients or products can trigger migraines, and why this is the case? Some common foods or ingredients I have heard of are alcohol, aged cheese, chocolate, nitrates, MSG, and artificial sweeteners. Is there any truth to these? Are there any substances in common household products (like cleaning products) that might trigger migraines?" }, { "from": "gpt", "value": "Hello. Yes, it is true that all these types of food may trigger migraine headaches. It depends on individual properties because not all individuals are sensitive to these substances. The underlying mechanism is thought to be vessel constriction and dilation, which is part of the physiopathology of migraine headaches. Other substances contained in cleaning products or cooking can trigger migraine too, depending on individual sensitivity. Other triggering factors are bright lights, sunlight, cold weather, etc." } ]
[ { "from": "human", "value": "Hello doctor, Does economic stress affect a person's health? Is there a link between financial stress, poverty and poor overall health? Do people who worry about their financial status have higher risk levels for certain types of diseases or illnesses? Can lowering stress levels improve overall physical health?" }, { "from": "gpt", "value": "Hello. Yes, financial stress, poverty, and poor overall health are all linked. Because financial stress and poverty lead to deficient nutritional status hence affect physical health, worry about it lead to impaired mental health. Poverty is seen in researches that poverty leads to poor mental health and poverty again is a significant risk factor for mental illnesses. Yes, physical health and mental health both are interlinked. A healthy mind has a healthy body, and vice versa one cannot achieve complete health without being mentally healthy." } ]
[ { "from": "human", "value": "Hello doctor, I have a sore throat for a month now. It is mostly on one side with pain on the right side. I also have a white bump on the same side on the tongue. It is white and soft to touch. I took antibiotics and also did throat culture but only commensals were reported. Before this, I had body pain and intermittent fever for almost months and heat rash on the skin." }, { "from": "gpt", "value": "Hi. It looks like oropharyngitis, but one month is a prolonged phase, so we have to rule out other cause. Kindly tell if you have any history of diabetes or oral ulcer, or prolonged fever." } ]
[ { "from": "human", "value": "Hi doctor, I have had the headache issue for more than 12 years now and seems to be getting worse. The onset of this headache starts with like a pressure getting built up in my head, like stress for no reason and all of a sudden and then the headache starts at the back of the head and within minutes it gets severe. If I have to describe the location, it is above the base of the skull and below the top of the skull. The pain is so severe that I have to take a pain killer else it will not subside. There are no other symptoms like vomiting, dizziness, nausea, speech imbalance nothing. The pain is pulsating or throbbing and it increases with any movement or applying pressure. This headache also comes on while having alcohol and on a very rare occasion at the time of ejaculation while having sex with my partner (once in a blue moon scenario). I got my cervical spine CT scan done and the reports were normal. The onset of headache has to do something with the time as well, for example, if today it has started in the evening then for the next few days it will happen around the same time. If I think a lot or involved in any discussion (intense or involves me getting anxious or excited) it triggers. It also gets triggered sometimes, if I am washing dishes or cooking food which requires a bit of focus. I do not know what the pattern is but all I know is it is ruining my quality of life. The frequency of these headaches are very frequent and consuming pain killers has started to affect my digestive system. I want to get rid of this problem. Please suggest." }, { "from": "gpt", "value": "Hi. Your headache most likely is migraine since it has been going on for the last 12 years. Another less likely possibility is occipital neuralgia. One thing that is not clear from your description is whether the pain is localized to one side or occurs on either side. Nevertheless, I would recommend the following: 1. MRI of the brain to rule out structural abnormalities that could be causing the headache. 2. Start on tablet Topiramate 25 mg twice a day and build up to 50 mg twice a day. 3. Maintain a headache diary- note the time, duration and character of pain in a diary each time you have pain. 4. Consider tablet Pregabalin 75 mg twice a day if Topiramate is not effective. Migraine or occipital neuralgia. Migraine or occipital neuralgia." } ]
[ { "from": "human", "value": "Hello doctor, I have been taking steroids on and off for the past three years. I got artial fibrallation a year ago (never again since then). My blood pressure was quite high 152/90 at the doctor. LV is normal and LVEDD is 53 mm, normal systolic function, no regional wall movement abnormalities. LVH - 14 mm and beginning diastolic dysfunction (E/A=1, E/E‘ 8-15), LA 21 cm^2. I already lost 24 kg and now I am weighing 110 kg at 194 cm, my goal is 93 kg. I also stopped steroids and now my blood pressure is 123/75. Will my diastolic function recover once I managed to reverse the LVH?" }, { "from": "gpt", "value": "Hello. I have gone through your query. Can I know why were you on steroids? Was there any particular disease that was diagnosed and started you with steroids? As there are many determinants causing diastolic dysfunction, one of the common cause is hypertension. And yes, diastolic dysfunction is reversible in the majority of the cases over a period of time if you properly control your BP, obesity, and start doing regular exercise, consume a healthy diet, and lifestyle modification. You should also stop any addictions like smoking or alcohol if any. Also, get your blood sugar levels and thyroid profile checked. Get back with details about your disease and indication for steroids for further discussion and management." } ]
[ { "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,Why more mothers are choosing to exclusively breastfeed? Why does it work for them?" }, { "from": "gpt", "value": "Hi. Breastfeeding is actually easy if mother has the required amount of milk to fulfill the baby's requirements. Breastfeeding transfer immunity to the baby, prepare his or her body to resist against disease and is sterile as well means no need to prepare it and any arrangements required to prepare it. It has all the necessary ingredients that are easily digestible by just developing a newborn digestive system. Many enzymes and hormones in early days of life are not established to digest food and even just Cow's milk so in this phase breast milk is the best option for a healthy baby as easily digestible and available. Breast milk does not need to prepare and to have arrangements for sterile bottles, boiled water as powder mill requires. Breast emptying is necessary to increase milk production and avoid infection or breast engorgement that is why mothers need emptying both breasts properly. Breastfeeding is a natural way of mother and child bonding that is enjoyed by the mother as well as the baby." } ]
[ { "from": "human", "value": "Hello doctor, I am working on a story about fertility throughout 20s, 30s, and 40s. I would like to break down how age affects fertility, male fertility issues at various ages. How can you increase your chances of getting pregnant, treatment options recommended at each decade?" }, { "from": "gpt", "value": "Hi. As age advances, there are hormonal changes which alter the chances of pregnancy. Stress, anxiety, work pressures, change of place, change in climate alter fertility. Smoking, alcohol, caffeine intake, inactive lifestyle add to it further. Improper hygiene, recurrent infection and inaccurate treatment also play a major role. Maintain personal hygiene and take plenty of fluids, fiber-rich diet, exercise, yoga, lifestyle modifications, dietary modifications, Multivitamin supplements will help you improve your fertility. Avoid alcohol, smoking, and addiction. Have a regular health check with your doctor or health worker." } ]
[ { "from": "human", "value": "Hello doctor, How eating habits or certain foods impact sleep? How much should men be stretching at 25, 30, 35, 40, 45? Does the need to be flexible vary by age?" }, { "from": "gpt", "value": "Hi. Eating late heavy dinners will certainly affect sleep and also missing the meal altogether. Should avoid fatty meal especially at dinner time. Meals taken with lots of fluids are to be avoided too. Men should try and remain as flexible as possible, really more stiff, you are more likelihood of osteoarthritis setting in, more likelihood of injuries. Aim to continue with stretches for as long as possible." } ]
[ { "from": "human", "value": "Hello doctor, There is irregular bleeding from the vagina in varying amount. Before that, there were no periods for six months. Kindly help." }, { "from": "gpt", "value": "Hello. You have to go for an ultrasound and some blood test in two to three days. If you are sexually active then vaginal examination must also be done." } ]
[ { "from": "human", "value": "Hello doctor, I had my period from the 31st of last month to 6th of this month. However, when the bleeding stopped on the 6th I continued to spot from then until now (10th). I started using Moringa leaf extract for the first time three weeks ago and was drinking the tea almost every day. Also, I was partially fasting (I consumed water, fruits, vegetables) no solid foods for the past three weeks." }, { "from": "gpt", "value": "Hello. Moringa leaf extract does not contain any hormonal active ingredients that I can see from my research, just very high in vitamins and nutrients. This particular compound is not well studied as far as its effect on the menstrual cycle, so it is difficult to relate the changes in your cycle and bleeding pattern to that alone. The most likely cause of the spotting is that you did not ovulate this cycle and the lining of the uterus did not stabilize like it does after ovulation, which is why you are having light spotting. The partial three week fast likely put some stress on your body and may have contributed to the change in your cycle. If you are sexually active and not using birth control, a pregnancy test would be prudent." } ]
[ { "from": "human", "value": "Hi doctor, I am a 29-year-old female. Lifestyle is healthy with exercise and good food mostly. Since last year, on both sides of my cheeks especially on the right cheek, there are three to four pimples. They produce the white head dries off leaves a red scar and again another erupts. I have slightly oily skin and stops applying all the serums. Please help." }, { "from": "gpt", "value": "Hello. Thank you for providing the information. If possible provide me photographs of the affected areas which will help me for a better understanding of your skin problem and proper treatment plan." } ]
[ { "from": "human", "value": "Hello doctor, I am 24 years old and I have a combination skin type. I have minimal breakouts basically during my periods but these pimples leave a lot of marks. Please suggest me a tablet or a treatment on how to remove these marks. Also, I do not want to take any medicines containing steroids or apply any cream having steroids. Please help. Also, please tell me what to do to make my skin better? Not only my faces but also my body." }, { "from": "gpt", "value": "Hi. I have gone through your case. First, you need to understand acne is common and you may experience frequent exacerbation due to stress or periods as you already told. Moreover, steroids should never be used in acne skin. In fact, this aggravates acne. Please apply Clindamycin gel two times a day on pimples. Apply Vitamin C serum on dark lesion for three months twice daily. Use Cetaphil cleanser." } ]
[ { "from": "human", "value": "Hi doctor,I am 38 years old. I did not get my last month period. After 15 days of missed period, my beta hCG value is 5.73. What is the chance of pregnancy? Do I have any issue? Please guide me." }, { "from": "gpt", "value": "Hi. Revert after two days with the report to an obstetrician and gynecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I have been itching on my tip of the penis, which also becomes red due to itch. Is it safe to apply any antifungal cream on the tip of the penis? Please suggest some good antifungal cream." }, { "from": "gpt", "value": "Hi. I have read your query in detail and do understand your concern. This could be due to fungal infection or due to dermatitis. You may safely apply antifungal cream over this lesion. I suggest Sertaconazole cream, an antifungal cream, which can be applied over this infection. Consult your doctor, discuss with him or her and apply with consent. Revert back after one week to a dermatologist online --->" } ]
[ { "from": "human", "value": "Hi doctor, I am 32 years old. I am on PEP that has to be taken for 28 days. I got my first dose around 40 hours of being contracted to HIV. PEP is not 100 % secure. My question is if I am lucky and the result shows HIV negative after the therapy, how often do I need to get antibody tested if luck showers on me and each time the result says negative? And if PEP does not work properly and I am tested positive, how long can be my lifespan if I stay on medications?" }, { "from": "gpt", "value": "Hi. The answers to your queries are: For PEP (post-exposure prophylaxis) efficacy, adherence to the medications prescribed for PEP is the most important thing. PEP is really efficacious, To the best of my clinical practice, I have not seen any case of a patient who has completed PEP with complete adherence and then turned positive. There are recommendations to test at four weeks, three months and then at six months of last exposure. You need not be tested in between and if negative, no further test is required." } ]
[ { "from": "human", "value": "Hello doctor, Please tell me what are the things that can happen when you eat expired food." }, { "from": "gpt", "value": "Hello. If we eat food that is expired, the efficiency of the preservative is lost. So some organisms if present can multiply and can send some endotoxins. Also, the taste and odor can be altered. The food has a shelf life. If this is crossed some people can have diarrhea or acidity in the stomach. This can be due to the chemical nature of the food." } ]
[ { "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 -->" } ]

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