conversations
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[
{
"from": "human",
"value": "Hello doctor, I have suspected abortion at 10 weeks and 6 days with heavy bleeding yesterday. I have my TVS ultrasound today and it shows heterogeneous endometrium. Is it fine?"
},
{
"from": "gpt",
"value": "Hello. I have seen the report attachments. (attachment removed to protect patient identity). Based on your dates, if your gestational age is 10+6weeks, and if you had heavy bleeding, most likely it indicates an abortion wherein the product of conception have been expelled already. The heterogeneous endometrium just indicated the thickened uterine lining which develops in pregnancy to support the embryo, which will take some time to become normal. I am assuming your bleeding would have stopped by now and your gynecologist would have advised you some antibiotics to prevent any infections. If not then please consider taking them. I hope this helps. Repeat the scan after two weeks. Avoid pregnancy for the next two to three months, evaluate and then plan a pregnancy. Evaluate yourself prior to planning a pregnancy in the view of recurrent miscarriages."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have got my wisdom teeth out yesterday and they have been bleeding for over 24 hours. Is this normal?"
},
{
"from": "gpt",
"value": "Hi. Yes, it is normal. You just keep a cold cotton pack for the next two hours at the socket. This will make the clot. Then start with saline water mouthrinses five times a day for the next whole week. Take a 1/4th teaspoon of salt in a cup of lukewarm water and do its rinses. It will heal up your socket fast. Stay happy and blessed."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had a wisdom tooth removed five days back. It was bleeding heavily until two days ago, but now the bleeding has mostly gone. But, it bleeds when I brush my teeth. Is there anything to do other than to put padded pressure on the void of the tooth?"
},
{
"from": "gpt",
"value": "Hi. I read your query and can understand your concern. Hope it helps. Regards. For more information consult a dentist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I just got my wisdom tooth removed. So, I was wondering if I can get a guidance of the do's and dont's. Like tips regarding eating or drinking to avoid problems."
},
{
"from": "gpt",
"value": "Hi. Take precautions for 24 hours if the wisdom tooth has been extracted non-surgically but, if the tooth has been removed by surgical intervention with sutures placed, then take precautions until the sutures are removed. Consult a dentist online for further help -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 30 year old woman. I was healthy and normal. But before two months, I was detected with a 2 cm x 1.8 cm x 2 cm submucosal fibroid in the uterus due to which I am feeling very dejected now. Please guide me."
},
{
"from": "gpt",
"value": "Hi. I can understand your concern. A lot of females are diagnosed with incidental fibroids and in most cases these can be resected easily. These does not pose serious risk to fertility and do not worry about it. The feeling of dejection can occur due to mild depression or rather I would call this as adjustment disorder. Try to remain relaxed. Discuss the prognosis with your gynaecologist and do not remain dejected. In some case, medicines like low dose SSRIs (selective serotonin reuptake inhibitor) as Fluoxetine or Sertraline can be used. These medicines will help to improve the mood and will help to give you positive mood. Do not remain worried. If there are no symptoms and fibroid is incidental then this would not cause any serious effects on your health. For further information consult a psychiatrist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor,About four hours ago, I had a tooth removed. It has started to bleed again, and I rinsed my mouth with water. I read online that you should not do that. My gum is really hurting. Am I going to be fine?"
},
{
"from": "gpt",
"value": "Hi. Hope this information helps. Regards. For more information consult a dentist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,My daughter is 6 years old. She is often prone to cold and fever during rainy and winter seasons. Our doctor says to improve her immunity through proper diet. We are vegetarians, but I am planning to give her eggs. Lots of people are telling lots of ideas, and I am confused. I need a proper diet plan to improve her immunity. Please help me with a good dietary plan for her. Also, shall we add millets in her routine diet?"
},
{
"from": "gpt",
"value": "Hi. I suggest the following diet for your daughter. The alternative foods are also mentioned below. For further information consult a nutritionist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am a 28 year old female, and today I went for an ultrasound scan of the abdomen, as advised by my family physician. My test report shows small hypoechoic lesion of 7 mm in the fundus myometrium. It is indicative of a fibroid, and my endometrial thickness is 7 mm. What is the meaning of this 7 mm lesion? How will it impact my health?"
},
{
"from": "gpt",
"value": "Hi. How are you doing? If I may suggest, just forget the report, let me explain why. Fibroids or myomas are harmless masses in the uterus, which are hormone dependent. It keeps growing as long as you have estrogen, so once your hormones stop after menopause, it will cease to grow and may regress. They never turn malignant. If you scan 100 ladies randomly, 50 to 70 % ladies will have fibroids of varying size. But they should never be treated unless they are causing some symptoms like excessive or intermittent bleeding during periods, excessive vaginal discharge, severe pain in the lower abdomen during periods, pressure symptoms on the bladder or bowel or back or kidney, or if the fibroid is interfering with the baby. We advise any fibroid of more than 5 cm should be removed, it grows at 1 to 2 mm per year, so you should have no problem. So just forget it, maybe have a scan again after 2 to 3 years or when trying for pregnancy. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 27-year-old female. Three years ago, I underwent myomectomy, and a large fibroid was removed. After that I was fine. For the past one month, I have bleeding with pain. Now the scan has shown more than three intramural fibroids. There is a fibroid which is large measuring 40 x 35 mm. My uterus is healthy in all the aspects. My thyroid test was also normal. Please suggest some Ayurvedic medicine to reduce my fibroids."
},
{
"from": "gpt",
"value": "Hi. The Siddha or Ayurvedic drugs can be taken as early as possible after diagnosing the fibroids. The herbal therapy will ensure the shrinkage of the fibroid with no more growth or new formation and also prepare the uterus for pregnancy. Follow these drugs which are advised to you. Take capsule Rasagandhi Mezhugu one in the morning and one in the evening after taking food. While consuming this capsule, drink one cup of buttermilk (curd with water). Take tablet Chithramoola kuligai or take tablet Tumowin (Carum copticum with Plumbago indica) one in the morning and one in the night after food. Take Van kumari legium one spoon (five gram) in the morning and one spoon in the evening before food. Take tablet M2 tone (Ashoka and Ashwagandha) two tablets in the morning and two tablets in the evening after meal. You can take a banana flower after cooking, and jamun fruits can be consumed more if the bleeding is more. If you can collect the bark of jamun tree, then its kashayam is the best one to stop the bleeding. Make it as small pieces of the bark. Take 20 grams of the cut barks, add 250 ml of water, and boil it in a mild flame. Once the water is reduced to 100 ml, then stop firing it. Filter it, and this is called as jamun bark kashayam. Drink this kashayam every morning. Similarly, prepare a new one every day and drink in the evening before taking food. You can make together in the morning itself. Continue these drugs for three months. Then, take an ultrasonogram of the abdomen to confirm the reduction in size."
}
] |
[
{
"from": "human",
"value": "Hi doctor,I have a fibroid of 9.6 × 6.9 cm. It is an intramural fibroid. I have heavy bleeding and back pain during my periods. I also have PCOS. I am taking Rasagandhi mezhugu. What medicine should I take along with Rasagandhi mezhugu for fibroid? Since the size of my fibroid is big, please give me some strong medicine to reduce the size of the fibroid. Also, because of this, my Hb level is low. My BP, sugar, cholesterol and thyroid are normal."
},
{
"from": "gpt",
"value": "Hi. To stop the bleeding, I suggest the following: Tablet Ashokadi vati - two in the morning after breakfast, two in the afternoon and two after dinner. Continue this till the bleeding stops. If you do not get the above tablet, buy Ashoka pattai (bark) choorna. Take 1 g thrice a day. Another option is Ashokarishta, mix 30 mL with 60 mLof warm water and take three times in a day as mentioned above. Aloes compounds two tablets in the morning and two tablets in the evening after food. Banana flower, it can be prepared as a fry, or vada or kashaya. It is a good food to stop excess bleeding. Jambu tree bark kashaya (50 g bark + 400 mL water to be boiled in mild flame to reduce it to 100 mL). This is at one time. Prepare three times in a day and drink it in empty stomach. It is also a good home remedy. All these drugs to be continued until the uterine bleeding stops. Simultaneously, you can have tablet Chithiramoola kuligai or tablet Tumowin one tablet in the morning and one in the evening after food. Continue this for one month. Then, leave a gap of 10 days and again start for one month. Like this, continue for six months. It is a drug to reduce the size of fibroid and PCOD. You continue Rasagandhi mezhugu for next six months. To increase Hemoglobin take tablet Haemwin two tablets in the morning, post lunch and dinner. If you get some other iron based ayurveda tablets in your place, that is also fine. Continue the tablet until your Hb becomes normal. Once your bleeding stopped, then you will be continuing the following drugs: Aloes compounds and Tablet Chithiramoola kuligai and Rasagandhi mezhugu. These are the three drugs for your fibroid and PCOD. If you can collect tender leaves from pipal tree, take two leaves and grind to make a paste. Mix with cow milk or buttermilk and consume it. It has to be taken for two times a day. It can be continued for six months. It is the natural remedy for a healthy uterus. For further information consult an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, My query is regarding the incompatibility of Quetiapine and Lamotrigine with other groups of drugs. Now I have to get treatment for an anaerobic infection. I was prescribed Azithromycin, Clindamycin, Metronidazole and Mycomax. However, I will be extremely grateful if you list me all groups of drugs incompatible with Quetiapine and Lamotrigine or just list the most important ones. Thank you."
},
{
"from": "gpt",
"value": "Hello. As such for Lamotrigine following drug interactions need to be considered as important. For Quetiapine, Cytochrome P450 (CYP450) enzyme inhibitors reduces clearance of Quetiapine hence raises Quetiapine levels, therefore dosage needs to be reduced. May increase effect of antihypertensive agents. Besides these interactions no other major interactions with any other group of drugs."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I was diagnosed with PCOS in January so my gynecologist prescribed me Ginette 35 for six months and Bonemac D3 for one month. But from March my periods are regular without taking medicines but there is sometimes slight pain in my lower abdomen and side abdomen. Should I continue medicines despite having normal and regular periods?"
},
{
"from": "gpt",
"value": "Hello. If you are having regular periods in terms of flow, duration and regularities and if you have already stopped taking Ginette since March, there is no need to resume its intake immediately unless you need contraception also at the same time or not wanting a pregnancy now. In that case, you need to use an alternative mode of contraception to avoid your pregnancy. Please attach your previous prescriptions blood test and ultrasound scan reports based upon which PCOS was diagnosed. Also, inform your height weight and whether there is excessive hair in the chin, upper lip, chest, and abdomen Follow up with reports again. Also, follow the lifestyle modifications described below. Blood for serum fasting insulin levels. Blood for serum vitamin D3 levels. USG (ultrasound) TVS (transvaginal scan) if not done in the past three months. Continue vitamin D. Avoid junk food spicy and dip fried foods. Low carbohydrates, fat restricted, gluten-free diet is recommended. Regular brisk cardio excercise like walking jogging cycling swimming for at least 30 minutes a day is a must. Take frequent small meals."
}
] |
[
{
"from": "human",
"value": "Hello doctor, What can be done for low calcium in a thyroid patient?"
},
{
"from": "gpt",
"value": "Hello. Is it possible you can do histopathology of thyroid gland to rule out? You have many metabolic disorders that you need correction (attachment removed to protect patient identity). Relative hypocalcemia Thyoid Disorder Histopatholgy of thyroid and parathyroid Gland MRI Thyroid Gland Collor Dopller Thyroid Gland Relative Hypocalcemia Thyroid Carcinomatous change Thyroiditis Tab Zecal MAX 1 Tab po od 1 month Salt added food Syp Potklor 10 ml Po bd with glass of juice Steroid Chemotherapy With report"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 2.5 months pregnant now. And I have developed gestational diabetes and consulted with a gynecologist in the nearby polyclinic and made HbA1c (blood sugar monitoring test) and the result is 6.4 % reference range normal up to 6%. Before pregnancy diabetes range used to be always in normal range. Nowadays blood sugar while fasting is 130. Do I need to start insulin? I need your advice. I am 24 years old. My height is 5.2 feet and weighs around 105 kg."
},
{
"from": "gpt",
"value": "Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned it appears that your blood sugar is not very high as to start insulin treatment as of now but you need to be closely monitored as regards to blood sugar, ultrasound fetal monitoring by an obstetrician and a dietitian for low carbohydrate diet consumption. Try to eat more vegetables like green leafy vegetables and not potatoes which contain high carbohydrates. You need to check 50 gm oral glucose tolerance test fasting and after 1 hour and 2 hours. If still high we need to assess the results and do further tests for the same and then decide whether to start insulin or not. Maintain blood sugar chart by checking it fasting, 2-hour post-meal, and before bedtime. Be in touch with a physician. Avoid rice, sweets, and sugary drinks. Take Folic acid 5 mg once daily. I hope this helps."
}
] |
[
{
"from": "human",
"value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance."
},
{
"from": "gpt",
"value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?"
},
{
"from": "gpt",
"value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect."
},
{
"from": "gpt",
"value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?"
},
{
"from": "gpt",
"value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?"
},
{
"from": "gpt",
"value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a regular alcoholic. The problem is that I have bad smell due to stomach problem. Suggest me how to cure bad smell. Thank you."
},
{
"from": "gpt",
"value": "Hello. With little changes in diet and lifestyle, it is possible to remove the bad smell."
}
] |
[
{
"from": "human",
"value": "Hi doctor, Few years ago, I had spasmodic dysphonia. My voice was husky and high pitched. I took medicines and speech therapy. There was slight improvement in my voice but after that my voice is high pitched. I want deeper voice that is manly voice. What should I do? Is there any way to get deeper voice, except surgery? Please suggest."
},
{
"from": "gpt",
"value": "Hi. Spasmodic dysphonia is one of the difficult conditions to treat and patient motivation is most important. Speech therapy is tried always and some benefit is there. Botox injection in spastic muscle will give best results, but speech therapy has to be followed. Botox has certain duration of action, so the results may last around 6-12 months. In that time, if the cause of spasms is known, that should be tried to be eliminated permanently."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have anger management issues and I am physically abusive in my relationship. I do not know how to control this and really need professional help. I cannot live without my girlfriend. I love her so much. Am I supposed to consult a psychologist or a psychiatrist? What am I supposed to do about this? Please help."
},
{
"from": "gpt",
"value": "Hello. What you are describing sounds like intermittent explosive disorder which is an impulse control disorder. In it, there are explosive anger outbursts during which your anger makes you do and utter things which you repent after the episode. It is treated with medicines, prescribed by psychiatrists, as well as anger management techniques learnt in therapy with psychologists. If it is frequent and you need immediate help to prevent complications in your relationship, then I would advise you to see a psychiatrist to begin medication and start therapy with a psychologist. If it is not frequent or severe, then you can start therapy with a psychologist first and consult a psychiatrist if required later on. Hope, my advice is pretty clear. The core elements of therapy for anger issues has three aspects:"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am on my fertile days. I got a stringy line during that. Is that a sign of pregnancy or it is normal to get that during fertile period and also the day before I got the stringy line, I got back pain and stomach pain and also cramping. I am unsure if that is a sign of early pregnancy or not."
},
{
"from": "gpt",
"value": "Hello, Welcome to iclinq.com. It is quite normal to have an increased amount of stringy discharge during and just prior to ovulation or your fertile days as you describe. Cramping and back pain can also be associated with ovulation, it is usually mild and temporary. 3 to 4 days before ovulation is the time to have intercourse every 1 to 2 days in order to maximize your chances of conceiving. If you miss your period, take a home pregnancy test. If it is positive, then you have your answer. If it is negative and you still have not started your cycle, repeat the pregnancy test."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My sister's age is 28, normal, sensitive skin. She is having brown spots on her face. Can you please suggest the best Vitamin C serums for removing brown spots on her face without any side effects? Is there any other options (simple and safe) for removing such brown spots?"
},
{
"from": "gpt",
"value": "Hi. There are many causes for brown spots on face, it could be: 1. Freckles. 2. DPN- Dermatosis papulosa nigra. 3. Melasma. 4. Post-inflammatory hyperpigmentation. Treatment is different for each, it is very difficult to suggest any treatment for you without seeing your pictures, I will have to see the pictures to make the diagnosis so that I can suggest you the most appropriate treatment options. Please attach your clinical pictures of the face taken in good daylight."
}
] |
[
{
"from": "human",
"value": "Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?"
},
{
"from": "gpt",
"value": "Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 39 years old and I miscarried last year at 14 weeks. I still have not conceived. Should I try a medication?"
},
{
"from": "gpt",
"value": "Hello. Was it a missed abortion or a spontaneous miscarriage? Do you have kids now or this was the first pregnancy?"
}
] |
[
{
"from": "human",
"value": "Hello doctor, The tooth has become black and feeling sensitivity while chewing and when having some cold and sweet feeling like it is due to the cavity. Can I reduce it naturally?"
},
{
"from": "gpt",
"value": "Hi. I had gone through your question and I can understand your concern. As per your history, it looks that you are having reversible pulpitis, that means there is a cavity in progression. If you will get it filled, sensitivity will go and there will be no further decay. If you left it as it may lead to your infection, then you have to get it root canaled or extracted. You can use desensitizing toothpaste but this is temporary. You can also avoid it by not taking hot or cold or sweet food but all these are temporary provision. My opinion is to visit a dentist and get it filled as soon as possible."
}
] |
[
{
"from": "human",
"value": "Hello doctor,My 2 year 9 months old daughter was tested and she has an egg white allergy. She ate scrambled eggs accidentally. Should I worry? Is it a problem if the egg is scrambled? Please, can you advise?"
},
{
"from": "gpt",
"value": "Hi. Do not worry. However, please watch for symptoms of allergy like hives and severe itching and in worst case scenario breathlessness. If breathlessness occurs, it is best to rush the child to the nearest hospital. The other symptoms are mostly controlled by syrup Allegra (3.5 ml) for two such doses spaced 12 hours apart. Steroids and Adrenaline may be required in the worst case scenarios."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have been experiencing pain in my urethra while urinating for weeks now. Also, have mild pain in my left testicle. Today morning when I woke up at 6 AM, I observed a milk-like liquid drop at the tip of my penis. Is it a sign of any kind of STD?"
},
{
"from": "gpt",
"value": "Hi. I can understand your concern for your symptoms. Yes, infection should be ruled out. If you had unprotected sex with someone, then we can think of STD. If yes, give more details for investigation. If not, it can be other bacterial infection. Retrograde ejaculation can also cause this kind of discharge. Do a urine complete investigation for better understanding and treatment regime."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am an IV drug user, street-level Fentanyl and Carfentanyl specifically and I am getting big deep scabby like sores all over my arms where I am using IV. Now I am noticing electrical currents shocking my arms both at exactly the same time, especially when I take deeper breaths I have noticed."
},
{
"from": "gpt",
"value": "Hello. I am really sorry to know that you are an IV drug user. I hope you will start quitting the drug, life is a beautiful gift, so do not throw it away like this. Get helped by family or friends or even by a specialist to be drug-free. You deserve a better life, but not like this. The problems with deep breathing electrical currents when injecting drug is due to drugs injected. Perhaps the dose was higher than normal or not injected inside the vein. Or injection speed was fast, in other words, is due to the drug injected. Plus, sores all over your arms are infected, need to keep well clean, wash with warm water and soap, rinse well, dry well. Then, apply alcoholic swab, plus Betadine on the sores followed by triple antibiotic ointment. If no improvement, you should consult further with your physician."
}
] |
[
{
"from": "human",
"value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance."
},
{
"from": "gpt",
"value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?"
},
{
"from": "gpt",
"value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect."
},
{
"from": "gpt",
"value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?"
},
{
"from": "gpt",
"value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?"
},
{
"from": "gpt",
"value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I work on the computer for over 10 hours daily. I have dry eyes and minus power of 1.75 in both eyes. However, of late I see light flashes in left eye followed by heat like sensation coming out from the eye. Please advise."
},
{
"from": "gpt",
"value": "Hello. Heat sensations are due to continuous computer work. 1. Always use a well light room. The light position should be behind your head not in front. 2. Screen height should be below eye level. 3. Every 20 minutes take your eyes off the screen and try to relax for 20 seconds try to see an object as far as possible for 20 seconds. 4. Every 45 minutes take a five minutes break. Use HD screen for your computer and mobile screen. 5. Use Refresh Tears eye drop six times a day. For light flashes, you need to get your fundus checked by a vitreoretinal specialist ophthalmologist to rule out any retinal lesion."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am a chronic hepatitis B patient, I have ulcer too. I did a blood work recently for urea, creatinine, AST (SGOT) and ALT (SGPT). The physician said the result was fine. I was given Omeprazole. A few days ago I noticed I have constant body itch, fever, back pain, pain on my right abdomen, just under my right breast, I get tired easily too."
},
{
"from": "gpt",
"value": "Hello. What is the status of your liver now? You are on treatment or not? Symptoms look like biliary pain. Kindly do an ultrasound, LFT, CBC, GGT. For hepatitis B we also need HBV DNA (quantitative), fibroscan, HBeAg, anti HBe."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am a 40-year-old male. I have been suffering from tonsillitis and fever for the last five days. I took antibiotics to treat my painful tonsillitis and fever and the antibiotic showed a very bad reaction. I developed skin rashes on my chest and around my nose. Whenever I have anything that has a cold base like coconut water (or coconut), curd, cardamom or any other fruits I develop tonsillitis. Last week, I ate cardamom by mistake, and all that broke loose for me the next day morning. And since then I am really suffering a lot. Could you please help me with my current situation of tonsillitis and fever? After the onset of tonsillitis, I started to cough also."
},
{
"from": "gpt",
"value": "Hello. Yes sure, you will be ok definitely. Take these medications, Sulfur 1m five pills one dose only. Belladonna 30 five pills in the morning, noon, evening and night. Biochemic combination 10 four tablets in the morning, noon, evening and night (in more pain you can repeat tablets at intervals of one to two hours also). Give follow up after one week along with medicines. Gargle with water add salt and turmeric powder five to six times a day. Drink warm water add turmeric powder if you like that taste. One spoon warm mixture of ginger juice, turmeric powder, honey three to four times a day. Warm milk with turmeric powder and ginger powder. Have a good day."
}
] |
[
{
"from": "human",
"value": "Hello doctor, Male received protected oral and gave protected anal sex to a sex worker. She sat on his chest. It was a licensed establishment which claimed she had been tested regularly. Three days later ended up in the hospital with diarrhea (yellow with mucus) and intense fatigue like never before. They performed many tests and found nothing. Symptoms cleared. Ten days later did STI and STD tests which found nothing. After three weeks he started getting intermittent red spots on the penis. Now balls are very red with no itching."
},
{
"from": "gpt",
"value": "Hello. According to your description, it can be a bacterial infection (other than STD as tests are negative). An infection acquired through gastrointestinal tract can present like this. The antibiotic course was done for diarrhea or not? Yes, the skin of the scrotum is very red and inflamed (attachment removed to protect patient identity). And indeed requires the antibiotic course for it. Kindly follow this prescription. 1. Tablet Co-Amoxiclav 1 gm BD for one week. 2. Tablet Metronidazole 400 mg TDS for one week. 3. Apply Fusidic Acid ointment BD over the area. 4. Apply Vaseline (Petroleum Jelly) three times. 5. Maintain hygiene of the area. 6. Wash with mild soap and water. 7. Avoid irritants over the area."
}
] |
[
{
"from": "human",
"value": "Hi doctor, A fly bit on my neck around 2-3 days back. It has lead to red spot on that area and further the spots increased with time. I am not sure whether some of the spots have come as I shaved my beard at that time as well. But, such spots have never appeared due to shaving in the past. I have attached pictures of the same. Kindly guide me."
},
{
"from": "gpt",
"value": "Hi. I have gone through your complaints and seen the attached photographs (attachment removed to protect patient identity). According to me, the small spots are due to pseudofolliculitis which is because of inflammation caused by shaved hair. I would recommend you to apply steroid antibiotic combination like Mometasone and Fusidic acid combination on the affected area twice daily for 7-10 days. Also apply the same cream on the insect bite area. If these spots are itchy take tablet Levocetirizine 5 mg one tablet daily at bedtime. Inflammation due to shaved hair. Pseudofolliculitis. Avoid shaving for few days."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 55 year old female. I am a diabetic patient since last 10 years. I am taking Insulin, Panlipase, Shelcal, and Pantocid on regular basis. I had fever few days back and taking Calpol. The doctor suggested some tests. The reports are attached."
},
{
"from": "gpt",
"value": "Hi. We are here to help you. I have reviewed your reports (attachments removed to protect patient identity). The urine report indicates that the sample is either contaminated or you have urinary tract infection. Now, the fever could be viral, dengue or due to urine infection. Your widal test for typhoid is also positive. I would like to know, since when are you having the fever? How high is the fever? What is the current status?"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 29 year old male. I am suffering from fever for the last one week. Doctor told me that I am suffering with typhoid. He suggested me PECEF Duo 200, Penxo-D and Zall-XP. I have attached the reports. I have used these medicines for the last three days but still I have a temperature of 100 degrees. I request you to see the attached report and confirm my disease. Is it a curable one with the above medicine and diet?"
},
{
"from": "gpt",
"value": "Hi. Your reports (attachments removed to protect patient identity) do show high titers of Salmonella typhi O and H antigen. The treatment offered with antibiotic, Cefpodoxime 200 mg twice a day, is to be taken ideally for 10 days along with Pen-D (Pantoprazole and Domperidone). However, you should keep yourself well hydrated and also take tablet Combiflam (combination of Paracetamol and Ibuprofen) 500 mg twice a day for next five days plus capsule Becosules (multivitamin), one capsule twice a day for next 10 days. This will help to control the fever which shall settle down by fifth to seventh day. Eat homemade freshly cooked warm food with green leafy vegetables, rice and a cup of dal daily. You should take a cup of curd daily in the afternoon with the lunch. Weakness is a part of illness and hence keep yourself hydrated with lemon flavored Glucon-D, use thrice a day with 2 teaspoon in a glass of water. Take rest, which forms an important part of treatment along with clean water source, either RO (reverse osmosis) or boiled. Combiflam shall relieve your body ache and fever, so please take it as well."
}
] |
[
{
"from": "human",
"value": "Hi doctor, In two months, I am going to be 24. My weight is 52 kg and my height is 5 feet 3.5 inches. I want to lose some weight, especially belly fat and side fat. Please give me a solution. Thank you."
},
{
"from": "gpt",
"value": "Hello. Thanks for your question. I can see your BMI (body mass index) is 20.0. This is quite standard as per your weight and height are concerned. For losing weight, you should go for meal planning that is diet. Maintain disciplined lifestyle, rest and also daily few free hand exercises has to be practiced. You can go for complete diet chart. You can take green tea and lemon in the morning with rigorous exercises."
}
] |
[
{
"from": "human",
"value": "Hi doctor, My wife is suffering from urinary incontinence at the time of sleeping. She gave birth to two babies through operation, and now they are aged 9 and 5. After which she got her uterus removed through operation. Please help us."
},
{
"from": "gpt",
"value": "Hi. I have read and understood your problem. Urinary incontinence is a common complication after surgical removal of uterus. You should do her urine culture and sensitivity test, also blood sugar PP (postprandial). If the problem is only at night then she should stop taking water one hour before going to sleep and pass urine. If she has to get up many times during sleep then she may need mild tranquilizers."
}
] |
[
{
"from": "human",
"value": "Hello doctor, We are trying from past two years for a baby. I am facing an ED problem, and I am advised to take Penegra 50mg tablet. I also, have vitamin D deficiency and taking Eficent plus tablets. And taking Paternia tablets, for less sperm count. I have teratozoospermia. Kindly advice as we are planning for the second baby."
},
{
"from": "gpt",
"value": "Hello. Please share your semen analysis report as that would help evaluate your teratozoospermia and the degree of it. Unless teratozoospermia is treated the chances of pregnancy are limited."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached."
},
{
"from": "gpt",
"value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance."
},
{
"from": "gpt",
"value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?"
},
{
"from": "gpt",
"value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect."
},
{
"from": "gpt",
"value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?"
},
{
"from": "gpt",
"value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?"
},
{
"from": "gpt",
"value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, What is seasonal affective disorder and recommend products that can help people manage their symptoms?"
},
{
"from": "gpt",
"value": "Hello. Seasonal affective disorder (SAD) is a type of depression related to seasonal changes. I would like to call it winter mood changes as it often happens during the winter time. Mostly related to lack of sunshine. During the spring and summer, everything changes and the symptoms are not present. With regards to treatment, often advise increasing lightening of the place where the patient lives. Being in contact with people will help overcome the mood changes. No real cause, mostly related to lack of sunshine (winter). Should rule out other pathologies. Only increase lightening in the place the patient lives. And be involved in social activities."
}
] |
[
{
"from": "human",
"value": "Hello doctor, We are trying for baby from the past four years but we did not get any fruitful result even we took many medications. Can you please guide us?"
},
{
"from": "gpt",
"value": "Hello. There are often many reasons why a couple cannot conceive. I did not see a semen analysis in your query or laboratory results (attachment removed to protect patient identity). If this has not been done, that would be the next step. If this has been done and is normal, other likely causes could be the mild endometriosis noted on the attached operative report even though it is not causing any distortion of the pelvic anatomy. Most couples will try intrauterine insemination (IUI) if sperm count is normal, as this is usually the less expensive option. If IUI fails to achieve pregnancy, IVF (in vitro fertilization) is typically the next step. There is also a test to check for ovarian reserve or if quality oocytes are the present called AMH or anti-Mullerian hormone. I am uncertain if you and your partner have undergone any of these therapies or tests that I have mentioned, but based on the information given here these would be reasonable options to pursue."
}
] |
[
{
"from": "human",
"value": "Hello doctor, About 16 days ago I started getting dryness in my left nostril only. Mucus felt like super glue. I chalked it up to season change but it did not go away. So I went to my primary care doctor, they chalked it up to seasonal and could not see anything with the limited view of the tools they had other than irritation on the left side. I scheduled another appointment about a week later when the symptoms still had not gone away. I realized when I used a Q-Tip to clean my nose in that nostril that I would get blood (not a nosebleed). It was on the inside of the Q-Tip only so it was a specific area in the back of my nose. I was getting an aching pain on that side of my face. The doctor gave me Amox and Flonase, I took the Amoxicillin for five days and am still using the Flonase. The congestion has definitely improved, but I am still getting inconsistent blood when I touch that area, light aching that is inconsistent or when I cough that I can feel in the left sinus. Left nostril still feels sticky. I am 35 years old, I smoked off an on for about 6 to 7 years (have not touched a cigarette in about four years). I used oral tobacco for about 3 to 4 years (have not used in two years now) and I vaped for about two years (stopped about 14 days ago). There is no history of sinus or head cancer in my family other than my grandmother who had skin cancer on the flap of her right nostril. She was a lifetime smoker, it was removed. I am not experiencing any weight loss (the opposite actually), I am not fatigued, I am not getting headaches, my sense of smell and appetite is intact. I just want to know why I am having these symptoms. It does not really get cold here. Even when it has I have never had reactions to season change."
},
{
"from": "gpt",
"value": "Hi. Do not worry at all. It does not look like cancer at all. All the symptoms you have seem to be for chronic sinusitis. The antibiotic you had is not bad but according to my opinion it is not enough to treat sinus infections in adults, so I recommend Medofloxine 750 mg once daily for 10 days. Medofloxine is a Fluoroquinolone. In case you cannot find it in your country you can use Moxifloxacin 400 mg for ten days which is a Fluoroquinolone too. Also, you need to add a mucolytic to liquify the mucus inside your sinus. Continue the Flonase. After 10 days of treatment if no improvement, you have to perform a CT scan for your nose and sinuses to see what is the shape of the pathology inside your sinus. As the infection can be fungal, not bacterial but fungal infection is rare although it is a far possibility."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I want to know a few things about the clitoris. 1. How does the clitoris work and how it helps women orgasm? 2. What kind of signals does it send to the brain? 3. What are the psychological effects it might have? 4. Why people tend to misunderstand the most about it?"
},
{
"from": "gpt",
"value": "Hello. The clitoris is a substitute for the male organ in the female. It has some tissues similar to that of male organ but not that much active. It has receptors that can be stimulated by touch on having sex, especially at foreplay. During foreplay, these receptors when get stimulated can initiate local lubrication and prepare the vagina for better sex by having secretions locally. In a few women, the clitoris is too sensitive while in some it is less. But it is sensitive to touch, increase lubrication in the process of orgasm to have penetrative sex. Some women feel this process like masturbation."
}
] |
[
{
"from": "human",
"value": "Hello doctor,My 2 years old little girl is beating us the moment she wakes up. So whenever she sleeps after some time she starts waking up and starts beating and after some time she is fine but with no past memory. She also says something while she is asleep. She is doing this every day."
},
{
"from": "gpt",
"value": "Hi. As reported by you that your 2-year-old is hitting you, scratching her face and banging her head, it seems like your daughter is engaging in self-harm behaviors. It is the way of children to cope up with their negative emotions. I would like to know about the speech of your daughter. Is she able to express her need? Sometimes your child's needs remain unmet due to lack of understanding by the caregivers or due to lack of speech so they end up engaging in self-harm behaviors. 1. Do not pay attention to her actions by punishing her as this would reinforce the behavior. 2. Focus on the child's feeling. 3. Help your child in calming down. 4. In the daytime try to spend quality time with her engaging in games and other play that your daughter likes. 5. Consult a psychologist to help her learn self-soothing strategies and also the psychologist would facilitate you in dealing with this complex behavior."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well."
},
{
"from": "gpt",
"value": "Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help."
}
] |
[
{
"from": "human",
"value": "Hello doctor, 1. What are some health issues that can crop up during the period? Please explain why this might occur, and if there is anything to prevent it? 2. What specific health issues might be more common during the period? How to keep healthier during this time of the month?"
},
{
"from": "gpt",
"value": "Hello. Usually, periods are associated with abdominal pain, nausea, vomiting, body pains, headaches, irritability, lack of concentration, mood swings, susceptibility to allergies, cold. All these symptoms are because of the hormonal changes. Yoga, lifestyle modifications, deep breathing exercises, plenty of oral fluids, fiber-rich diet, Multivitamin supplements will help you get relief from the symptoms. Avoid smoking, alcohol, caffeine intake, junk, and spicy foods."
}
] |
[
{
"from": "human",
"value": "Hello doctor, Are nightshades vegetables harmful? Please comment on nightshade vegetables. Do they cause inflammation? And if so, do we have to avoid them?"
},
{
"from": "gpt",
"value": "Hello. Except for tobacco, all other nightshade vegetables can be taken in the recommended amount. Though they contain some chemicals, they are mostly in a very minute amount and are beneficial for health. The side-effect documented is a personal account and no research has concluded any harmful effects of these vegetables."
}
] |
[
{
"from": "human",
"value": "Hello doctor, Can I drink coffee during pregnancy and why? Please help."
},
{
"from": "gpt",
"value": "Hi. It is safe to drink coffee when you are pregnant. Yes, but hold the refills. The American College of Obstetricians and Gynecologists recommends limiting your caffeine consumption to fewer than 200 milligrams (mg) per day. You can still enjoy a mug of coffee every now and then during your pregnancy. That is about two mugs of instant coffee or one mug of filter coffee. If caffeine intake is more than 200 mg per day, there are chances of low birth weight. Take care."
}
] |
[
{
"from": "human",
"value": "Hello doctor, Why more mothers are choosing to exclusively pump their breast milk? How does it work for them? Kindly explain."
},
{
"from": "gpt",
"value": "Hi. Mostly breast pumps are used by mothers who need to prepare for the child in advance due to their business. Most of the working ladies are using breast pumps to empty the breast in advance and to have milk as per need. Breast pump helps to maintain breast production by emptying breast if used properly. Emptying of breast even if the baby does not need at present but after some time helps to maintain milk production and also can be managed in hectic routine of working ladies. Some time sick babies are unable to suck, so in those timings, breast pump helps fully for mother to empty breast as engorged breast can give her symptoms as well. Babies taken care by maids can be well fed by breast milk even in a tough working schedule of the mother with the help of a breast pump."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I do not know what happened to my scalp. A transparent fluid releases from my scalp and because of this, my scalp becomes hard. I am unable to comb my hair. After scratching it feels like burning. Can this problem arise due to lice in the head? Kindly help."
},
{
"from": "gpt",
"value": "Hello. Yes, this is happening due to excessive scratching of the scalp that is rupturing the membrane of the scalp, and thus a white discharge is coming out. Please do not scratch so much. Please wash your hair daily with some anti-lice shampoo or neem water. You may also use some anti-dandruff shampoo also that should be mild because scratching can happen due to dandruff also. Apply Aloe Vera gel on the scalp to give you a soothing effect and heal the injury naturally. You have to keep your scalp clean by washing your hair daily for a few days, and lice will diminish."
}
] |
[
{
"from": "human",
"value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance."
},
{
"from": "gpt",
"value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?"
},
{
"from": "gpt",
"value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect."
},
{
"from": "gpt",
"value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?"
},
{
"from": "gpt",
"value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?"
},
{
"from": "gpt",
"value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am 50 year old. My height is 179 cm and weight 85 kg. Recently, I have tested for free testosterone and vitamin D. Both are on lower side. I am also taking Thyronorm 75 mg since last 7-8 years. I have attached my medical file of past health issues. After 7 PM, I feel very low and confused. My sex drive has also been affected. I am doing exercise for about 1 to 1.5 hours daily, and still I am gaining weight. I have also persisting heel pain. I am partially bald. 14 years ago TRT was done. The report and medication are attached. My doctor has prescribed Arachitol 6 lakhs units once a month for three months. Please suggest some medicine for my condition. I would also like to know whether the TRT is required again. Thanks."
},
{
"from": "gpt",
"value": "Hi. Well, for your low testosterone and low vitamin D you need to take supplements. For vitamin D, I recommend Cholecalciferol sachets or tablets 60000 units weekly once for three months. Also take Calcium supplements every night. For testosterone, you need to get Testosterone injections once in 15 days. But neither low vitamin D nor low testosterone can explain your forgetfulness or confusion. It needs further evaluation to know the cause of forgetfulness or confusion. In that regard, I recommend the following tests to you. Serum vitamin B12, serum sodium, and serum cortisol (8 AM and 4 PM). Regarding your inability to lose weight, you need to increase the intensity of your exercise and go on a low-calorie diet."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am planning to go for liposuction to lose weight. My weight is 78 kg and height is 5'3\". Kindly suggest."
},
{
"from": "gpt",
"value": "Hi. Your calculated body mass index (BMI) is 30.4 kg/m2. Generally we perform bariatric surgery to achieve permanent weight loss for any patient whose BMI is 30 kg/m2 or above. Liposuction is not a treatment option for weight loss. It is a cosmetic procedure for body shaping. There is a set point for fat storage for everyone. This is not altered by liposuction. Weight loss by liposuction, diet control, exercise, naturopathy, amway, herbalife, etc., is temporary, as all these methods do not have any effect on set point for fat storage. So, any fat that is removed in liposuction will reaccumulate over a period of 6 months to two years. Those who can reduce weight by diet control and exercise does not need liposuction and those who cannot reduce weight by above methods will not reduce even after liposuction. Bariatric surgery provides permanent weight loss as it lowers set point for fat storage. If you are looking for permanent weight loss then bariatric surgery is the only scientifically proven method for that."
}
] |
[
{
"from": "human",
"value": "Hi doctor, Over the past 3 months, my periods have become irregular. It was regular throughout my life. I faced spotting between periods and had been detected with a submucosal fibroid of 2 cm. For the past 3 months, I feel in the morning after passing bowels, that my bowel has not cleared. This feeling of incomplete evacuation of bowel remains till noon. I drink nearly 2 liters of water in the morning to noon. With more water, I feel bowel pressure, but do not need to pass it always. My usual bowel movement is one time a day and on some days it is twice."
},
{
"from": "gpt",
"value": "Hi. I understand that your periods are irregular and you have a feeling of incomplete evacuation of bowel. This type of combination is seen in hypothyroidism. So you need to check your thyroid function after consulting a physician. These two problems can also be totally unrelated in that case you need to consult a gynecologist for periods problem. For bowel, you can take high-fiber diets, specifically diet rich in fruits and green leafy vegetables. Regular timing of food and a good healthy breakfast are also very important. If the problem persistents, you may need medication. Initially, medicated fibers like Isabgol also known as Ispaghula and others after consulting physician or gastroenterologist."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am just done with HIV-1 and HIV-2 test. Can you help me understand the report? Result is 0.03. Notes given regarding this test are this is a chemiluminescent enzyme (CLIA) for simultaneous qualitative detection of antibodies to HIV 1 and 2. A negative result does not exclude the possibility of exposure to or infection with HIV 1 and 2. A positive result is not a diagnosis of AIDS. Supplemental testing such as immunoblot should be done for confirmation. Specimens containing mouse monoclonal antibodies or heterophile antibodies can give falsely elevated or depressed values."
},
{
"from": "gpt",
"value": "Hi. In CLIA (Clinical Laboratory Improvement Assessment) test result, a value greater than 1 is considered reactive (positive). Your result is 0.03, which is less than 1. Hence, it is non-reactive (negative). In HIV (Human immunodeficiency virus) testing, it is very important to know how long it has been since your suspected exposure to infection.It can take up to 3 months from the time of exposure, for the virus to be detected in blood. If it has been more than 3 months since your suspected exposure, your result confirms that you do not have HIV infection. In case it is less than 3 months since suspected exposure, I advise you to repeat the test after 3 months of exposure."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I had thrush a few weeks ago due to antibiotics. It subsided on taking cream and a pessary after which I stopped the cream in three to four days. After a few days, the thrush again appeared on my vagina (labia). Nurse in a walk said still there is thrush and advised to take Fluconazole and cream. So took one pill of Fluconazole and took cream for a week. However, the painful cuts are still there and itchy. I have got some pictures attached. Wiping hurts a lot because it is sensitive to the touch. I also have some similar cut near my butt hole."
},
{
"from": "gpt",
"value": "Hello. These are definitely (attachment removed to protect patient identity) old thrush lesions which have become inflamed and red, due to possible frequent scratching following itching over the region. The scratching has possibly led to abrasions or knife-like cuts. They are likely to be painful and oozing increases if scratching continues. Instead of using Plan Canesten cream, use cream Canesten-s (which contains Clotrimazole 1 % with Beclomethasone 0.025 % w/v) and apply it overall knife cut lesions thrice a day for the next three days. Beclomethasone is a steroid which blocks the production of certain chemical messengers (prostaglandins) that make the skin red, swollen and itchy (often following scratching- vicious cycle). Clotrimazole is an antifungal which stops the growth of fungi on the surface by preventing them from forming their protective covering. Keep the local area as dry as possible throughout the day, especially post micturition, use soft cotton towels to dry (clean sheets regularly and use a fresh one each time as tissues can cause further abrasions. So do not wipe, just pat and dry). After that, you may apply an antifungal dusting powder (Canesten dusting powder) after application of the cream, over both vulval and peri-anal region which shall help local moisture in check and allow lesions to heal. Please wear loose cotton undergarments to avoid any further frictional injury."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My cousin, a newborn baby, was born four days before, male, 51 cm and 3.1 kg. He is crying, and we think that he cannot poop. He drinks breast milk. And every time he farts he cries and, we thought he has a hard time getting it out. I would also like to ask if he is allowed to drink water and if we can do mixed feeding (alternate drinking of breast milk and formula milk)."
},
{
"from": "gpt",
"value": "Hello. Please note that a child may cry either because he is hungry, has passed urine or stool, or wants to seek attention. Take note of the same. Other than that whatever you have described is normal and it persists till the age of six months. Hence do not worry. Giving water is not required as milk already contains water. However, giving boiled and cooled clean water is harmless. You can mix feeds and give. It is not an issue."
}
] |
[
{
"from": "human",
"value": "Hello doctor, Due to masturbation, my penis has no sense in it. It is not erecting also even if sexual thought comes in my mind. Kindly help."
},
{
"from": "gpt",
"value": "Hello. Masturbation is usual. It does not cause physical or sexual problems. Also, do not give any importance to the advertisement that mentions masturbation cause health problems or destroys life, and it does not require any treatment. Masturbation is a maintenance procedure. It keeps the penis well and regular turnover of fresh semen or sperm. If you want to reduce it, you should involve yourself in studies, games, and hobbies. Also, try not to remain alone most of the time and avoid porn. Erection problem can be due to stress or anxiety or due to a physical cause. For the physical reason, you need to do blood tests Hb (hemoglobin), TC (total cell count), DC (differential cell count), fasting sugar, prolactin, TSH (thyroid stimulating hormone), testosterone. Please upload the reports. Depending on the results treatment can be decided."
}
] |
[
{
"from": "human",
"value": "Hello doctor, Kindly tell me: 1. What are some foods that are great to eat when you are sick? 2. How can these foods boost your immune system or promote healing, etc.? 3. Is it important to eat a variety of foods when you are sick, or more important to stick to a few highly nutritious staples? 4. Is there anything else someone should know about choosing foods when they are sick?"
},
{
"from": "gpt",
"value": "Hello. I just read your query. Yes, food is always important especially when you are sick. Because if you take proper food you will not require medicine. When you are sick you need to take food which should be easy to digest, healthy, maintain fluid and electrolytes balance and have various nutrients. Food items include soups, khichadi (porridge made up of rice and skinned splitmung gram), daliya (cracked wheat), oatmeal, fruits (may vary from condition to condition), coconut water, herbal tea, yogurt, and dairy products (may vary in some condition). As these foods are a source of nutrients and provide fluids and electrolytes so they help in healing from sickness and also improves immunity and provide us energy. You can shuffle food items but it is important to take nutritious food daily. Selection of food items varies from one problem to another like if a diabetic patient will get sick his food regimen will be different from a hypertensive patient or from an otherwise healthy person."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am a 34-year-old male. My right hip pains when moving the leg in specific positions (best explained in a few photos). Need help in identifying what muscle or tendons are affected so I can move forward with a correct stretching. I suspect a few problems but need an expert opinion. I do not feel any pain in my daily life, and I can play tennis or squash without feeling any pain, but the problem can worsen after exercise and yoga. I have a history of not stretching, and my body is relatively tight, especially hip flexors and leg muscles. I have no history of severe hip, leg or spine injuries. To my recollection, the problem first started a few years back while running down a staircase the pain disappeared after a few weeks. Symptoms began again a few months ago while doing yoga and other exercises. I had a bad habit of putting my right foot under my left thigh while sitting on my office chair (basically sitting on my foot). I do not feel any pain while doing this but could be a factor to my current problems."
},
{
"from": "gpt",
"value": "Hello. Based on my clinical experience and the pictures (attachment removed to protect patient identity), you are more than likely dealing with hypertonic muscles. Based on my views the top three muscles would be the TFL (tensor fasciae latae), glute medius, and piriformis. I commonly see these muscle tight in practice. To treat them, or to at least know if they might be an issue, I would recommend getting a lacrosse ball and stretching them out. You will find a sore spot and hold it for three to five seconds. Roll off and find a new place. Do this three to four times a day. I advise against using it based on the picture and clinical description of your problem. I would also recommend seeing a licensed provider for an actual physical examination for proper treatment and care. I hope this helps you."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My wife is 36-year-old with a height of 5.6 and weight 69.1 kg. She had NT or NB scan and double marker test in obstetrical ultrasound. The nuchal thickness is 1.0 mm. Presence of nasal bone. DV flow is normal, but in double marker test, free beta hCG is 46.20 and PAPP-A is 2.58. Trisomy 21 -screen positive cut off 1: 250. Mother's cut off free beta hCG is greater than or equal to 1.98 PAPP-A."
},
{
"from": "gpt",
"value": "Hello. 1 in 250 means that if we take 250 women of the same results as your wife had then only one will have a baby with Down syndrome. So this is the explanation of the calculated risk of down syndrome. Secondly, NT (nuchal translucency) and blood tests which she underwent are screening tests. Screening tests are not diagnostic. They only detect who is at risk. If they become positive, that does not mean that particular is at risk. It just says that specific condition may or may not be there which is then confirmed by diagnostic tests. In your case, CVS (chorionic villus sampling, taking a sample from the baby) will diagnose if the Down syndrome is there or not which you will be offered at 12 to 13 weeks most probably. I hope it has helped you. If you require any further queries, please do not hesitate to contact me."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I was diagnosed with fatty liver grade 2 before two years, prior to that I had a cough for almost two years and felt nauseated. I felt like vomiting for four months, that is when I got worried and consulted a doctor. I also suffer from severe anxiety and that has led to binge eating disorder and that is one of the reasons for the fatty liver too. I followed the doctor's advice sincerely and lost weight in a few months and improved my diet. I sincerely followed it for a year but then gradually again my diet started going haywire and now again I am at the same stage where I was before. I was given Pantocid 40 mg twice a day, Lesuride once daily and Ulgel. During the second consultation after a month, I was given Pantocid DSR, vitamin E oil and asked to walk an hour a day with low-calorie diet. I feel like vomiting and cough after drinking a glass water or eating a meal."
},
{
"from": "gpt",
"value": "Hello. I have calculated your ideal body weight which is 66.5 kg. However, your weight at the moment is not way beyond limits. If you just do what you were doing already such as low caloric intake and regular exercise that is more than anything. Your doctor gave you vitamin E oil that seems to be good. Since up to now FDA (food and drug administration) has not approved any medication for fatty liver except weight reduction. So taking Vitamin E 400 mg twice daily for six months would control your liver function tests. But I want you to check for other causes for deranged liver function tests such as chronic hepatitis. Do you take alcohol? If not then fine. If yes, how much and how frequently? The blood tests are within normal limits except your vitamin D. You just take one dose of injection Indrop 2 lac units by mouth. Just break the vial and take it by mouth. And try to take milk almost every day. The rest of your symptoms like nausea and vomiting seems to be secondary to anxiety. The anxiety and stress have to do a lot with someone's gastrointenstinal tract. There are certain medication which can control your GI (gastrointestinal) upset as well as anxiety but they are frequently adherent with side effects. I want you to take the following medication for now and let me know if symptom persists. I may consider you giving some medication for that. For now, take the following medications and get these blood tests. I can understand it might be upsetting for you to have a lot many blood tests but I really want to help you. Fatty liver disease. Functional GI problem. HBsAg (hepatitis B surface antigen). Anti HB core total. Anti HCV (hepatitis C virus). Antinuclear antibody profile including ANA, ASMA, and AMA. Overlapping hepatitis Fatty liver disease. Functional GI problem One dose of injection Indrop 2 lac units by mouth, tablet Rifxamin 200 mg thrice daily for three weeks. This is a safe antibiotic, it will balance your gas production within gut. Abnormal gas production is a process in play in your case. Tablet Digestine 40 mg daily before meals to promote your gut motility. You may continue Pantoacid for now and syrup Gaviscon 15 ml four times daily after meals instead of antacid syrup Ulgel. Let me know in two weeks how you respond."
}
] |
[
{
"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 having tartar buildup on her teeth. She already had scaling done two times by a dentist. This has made her teeth loose and fall out. Please suggest some solution as another cleaning might harm her teeth even further."
},
{
"from": "gpt",
"value": "Hello. This time get your mother's teeth cleaned by the dentist and then ask her to brush twice daily. Cleaning by the dentist does not make the teeth fall off, this is a pure myth. The teeth which are weakened by tartar gets damaged from inside so they feel like loose after cleaning and scaling. They fall out due to removing tartar that is supporting them. We must clean them after the dentist has done his work. Also, ask her to follow all instructions properly and place artificial teeth in the place of missing teeth as soon as possible else she might lose other teeth too. I wish you good health and happiness. Keep me updated with the improvements."
}
] |
[
{
"from": "human",
"value": "Hi doctor, My nephew is 3 and a half years old. He fell from the bed and hurt his nose around 7 or 8 months back. Now, as the doctors have said, his bone there is moving in the wrong direction, that is towards inside. What is the best course of action for him? Should he go under the knife? I am pleased for your advice."
},
{
"from": "gpt",
"value": "Hi. He has got his nasal septal cartilage fractured and due to that there is misalignment of the septum. You need to consult an otorhinolaryngologist for evaluation or you may also go for plastic and reconstructive cosmetic surgeon for better results. It is not like going under the knife. It is very sophisticated procedure and is done with an endoscope and is very successfully done in a matter of minutes with minimum cut and patient can come home after 40 minutes of surgery."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have been suffering from acne since one month, mainly it is cystic acne. I have always had this issue on and off, but this time it is painful and new acne keeps coming. The scar too takes long time to go. I have been using the over-the-counter Benzoyl peroxide face wash, Benzoyl peroxide 10%, and Tretinoin 0.025%, for the past 3 weeks. Doctor suggested me to take Aldactone oral medicine. Can the acne get treated with topical medicine or oral medicine or both? Also, please let me know the medicines."
},
{
"from": "gpt",
"value": "Hi. I have gone through your history and seen the attached photographs (attachments removed to protect patient identity). According to me, you need both oral as well as topical medication to treat acne. Continue with the face wash but Benzoyl peroxide 10 percent is too strong for the face. Instead use Benzoyl peroxide 2.5 percent gel on the pimples in the morning and Adapalene gel on the pimples at night. Along with this take a course of Azithromycin 500 mg daily on 3 consecutive days in a week for at least 4-6 weeks. This is the mildest oral drug used in acne treatment and hope it works in your case. I do not know whether these drugs will be available over-the-counter in your country. Besides this keep your face dry, avoid applying cream or moisturizer, avoid oiling of the scalp and reduce the intake of sugary foods. You can continue this treatment for six weeks and then revert back to me. Wish you speedy recovery. 1. Seborrhea. 2. Hormonal imbalance. Acne vulgaris."
}
] |
[
{
"from": "human",
"value": "Hi doctor, What are the causes of pain in the first metatarsal that radiate to the entire forefoot?"
},
{
"from": "gpt",
"value": "Hi. It will be better if your age, other conditions, profession, recreation, alcohol intake and dietary pattern are known. The causes can be divided into two major groups."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My gynecologist said that I should opt for a C-section because of the following reasons: Low HB level (9.6 now), low amniotic fluid, fibroids which is at the cervix, age factor."
},
{
"from": "gpt",
"value": "Hello. I could not see the fibroid in the cervix in this report (attachment removed to protect patient identity). It says fibroid in anterior uterine wall and size is very small. I do not see any of the above-mentioned reasons to go for a C-section as none of them is an indication to opt straight for operation without giving a trial of labor. Age is not at all a factor to consider for a C-section straightaway neither low HB. As the operation will result in even higher bleeding as compared to normal delivery. I feel vaginal delivery would be a safer option too if everything remains fine."
}
] |
[
{
"from": "human",
"value": "Hello doctor, Having severe pain in rightside back lower body with rashes. I will attach photos."
},
{
"from": "gpt",
"value": "Hi. You have got herpes zoster (attachment removed to protect patient identity). It is caused by Varicella zoster virus. Very painful blisters will be there. Must be started on antivirals at earliest. Tablet Acyclovir 800 mg 5 times a day or other equivalent. For pain Paracetamol, apply Calamine lotion to the spots. If not available OTC please meet your doctor. Take care. Do not break the blisters."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have severe rashes in my scrotum area. It has become hard and dry with red bumps all over the scrotum area and the penis too. I usually use Dettol soap and also I have shaved my groin area. Is that the reason for this? Please tell any medicines. I have chronic urticaria since last year."
},
{
"from": "gpt",
"value": "Hello. Yes, Dettol is an irritant. It can make skin dry and cause bumps over it. Dettol should not be used. Kindly follow this prescription. 1. Apply Hydrocortisone plus Gentamicin combination cream. 2. Apply Vaseline (Petroleum Jelly) 4 to 5 times a day. 3. Take Loratidine 10 mg OD. 4. Wash with mild soap and water. 5. Avoid Dettol and other irritants. Follow up at three weeks."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My father is suffering from osteoarthritis. He has stiffness in knees. Please, advice some good medicine for him."
},
{
"from": "gpt",
"value": "Hello. I just read your query. Take capsule Shallaki and give two tablets two times a day with water after food for ten days. Along with that visit a nearby Panchkarma center and ask for the procedure Janu Basti. It is also helpful in this problem. Consult a nearby Ayurveda physician after ten days regarding improvement and for further management. I hope you understand my point. For more queries, you can consult me at icliniq. Age-related changes. X-ray knee if needed."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I experienced difficulty in retracting the foreskin and pulling it down over the penis head (mild phimosis). With difficulty, I manage in 10 minutes. Do this fornightly to clean the penis. I wish to avoid circumcision and understand the application of Lignocaine gel will help. Should I apply it on penis gland or head or on top of the foreskin?"
},
{
"from": "gpt",
"value": "Hi. I can understand your concern about your symptoms. The application is a local anesthetic. Wherever you have pain when you retract foreskin (mostly skin will have pain). You can apply Lignocaine. You cannot apply Lignocaine inside of your foreskin since you have phimosis. So the external application is only possible. Considering your age, kindly rule our other causes of phimosis. Keep blood sugar under control and take antibiotics and apply the local moisturizing gel."
}
] |
[
{
"from": "human",
"value": "Hi doctor, My 2 months old baby is on Dexolac Premium from 1 month. The growth is good, but he is constipated. Can I switch to Nan Pro or kindly advise any other good brand."
},
{
"from": "gpt",
"value": "Hi. I can understand your concerns. If child is constipated on Dexolac premium, then you can switch to Nan Pro 1, lactogen 1 or similar advance. All are equally good. Nan Pro 1 is more preferred."
}
] |
[
{
"from": "human",
"value": "Hi doctor, Four days ago, boiling water burnt my buttocks. I had pain only on the first day. I am using sterile gauze Silver sulfadiazine and Bacitracin antibiotic cream or spray. Today it started paining while changing the dressing. What is the level of burn? I have attached photo for your reference. What is the best treatment?"
},
{
"from": "gpt",
"value": "Hi. It is a first degree burn as you can see the eroded skin (attachment removed to protect patient identity). Systemic antibiotic is needed along with topical and daily dressing. Stop Bacitracin, as it can cause sensitization in many individuals. Continue Silver sulfadiazine thrice daily. Daily dressing and cleaning with Betadine lotion is a must. Following injections should be taken: Drink at least 5 liters of water daily, otherwise you may need injectable fluid also. Take healthy proteinaceous diet and drink lot of coconut water as it contains minerals."
}
] |
[
{
"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 -->"
}
] |
Subsets and Splits