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qucklecrabik
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mc_dataset

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train · 257k rows

conversations listlengths 2 2
[ { "from": "human", "value": "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, Heartburn and indigestion all day. Frequent belching. Gurgling in throat/ esophagus. Throat or esophagus is making a funny noise off and on for years sporadically. Diagnosed with Gerd and Larapharyngeal reflex. Clean endoscopy in 2 years back but esophagus is slightly twisted. Had dilation during procedure. Other endoscopies were fine. Is this classic signs of GERD? Saw ENT recently for other issues, throat looked good. Just never had the gurgling as much. Taking Gas x and Protonix and tums here and there. Also deal with allergies and post nasal drip. No vomiting or fever. Just uncomfortable." }, { "from": "gpt", "value": "Hello. Most of the symptoms such as burping, gurgling within esophagus and funny noise all can be encompassed in to one diagnosis, that is, GERD. But thing which make concerned, are-you have 3 endoscopies and all showling normal without signs of ulceration which is not usually a case in GERD patient unless they are on maximal acid suppressant medications and symptom free at the time of undergoing endoscopy. So endoscopy result has to be correlated with the timings and weather use of acid suppressant medication before making a diagnosis. Given some more interesting findings like dilated esophagus, and no ulceration at the time of endoscopy, with presence of persistent symptoms, suggest some other additional problem bystanding with GERD- such as motility disorder. Some time GERD is just a menifestation of motility disorders, because two disorders almost cause similar symptoms. Secondly for GERD, one must have PH-imepdence monitoring to confirm the diagnosis. And in case you have already gone through this, then you come in category of refractory GERD not responding to usual acid suppressant medications. For refractory GERD, the only single test that can confirm symptoms correlation index,-acid reflux causing the symptoms or non acid reflux causing symptoms, or no acid reflux at all; is PH-impedence test while person on acid suppressant medications. I can understand it must be very exhaustive and confusing for you to understand above things, but it can be very easy while investigation all these possibilities. I urge you to upload your previous reports and keep in touch with me, as I can suggest you how it is further be approached. Refractory GERD PH-impedence monitoring Motility disorder Functional heartburn Refractory GERD Suggest investigation You can follow up with me to discuss about how to approach this" } ]
[ { "from": "human", "value": "Hello doctor,This is an emergency. I underwent a medical abortion at eight weeks stage and everything was going fine but suddenly since yesterday, I have been bleeding very very heavily. It happens suddenly and there are large clots as well that passed out. I took the medical pills two weeks back. Please can you help me out?" }, { "from": "gpt", "value": "Hello. If you are having heavy bleeding then probably your abortion was not complete. You should immediately get an ultrasound scan to see if the uterus is empty or not. If the uterus is not empty then you have to get it resolved by removal of products of conception by using instruments. If you will neglect this it may lead to sepsis and adverse effects on your health." } ]
[ { "from": "human", "value": "Hi doctor, I have been diagnosed with central serous chorioretinopathy. What can I do to improve or cure or prevent reoccurrence? In terms of food, medicines, habits, etc." }, { "from": "gpt", "value": "Hello. Central serous retinopathy is a multifactorial disease. A few modifiable causes of CSR are: 1. Type A personality- a rolling stone, always on the move and stressed out person. 2. Steroid use- can be anything from prescription drugs to herbal medication know to reduce asthma. 3. Hypertension and heart disease. 4. Other medication such as stimulators and adrenergic drugs. So, please try to relax more (although easier said than, try your best). Stop any steroid medication, if you are using prescription steroid then ask your doctors to change the drugs. Get hypertension and heart problems examined and treated. In case you have any more specific questions or if you need any further information, please send me a scanned copy of your doctors reports and tests (OCT macula), I will do my best to help you." } ]
[ { "from": "human", "value": "Hello doctor, My father is suffering from intestinal cancer. It is a tumor and the tumor blocked his intestine. D2 is completely blocked and then today he had a surgery in which all the spreadings is removed. Stomach bypass is now done but the main tumor is not removed and they said it will be after chemotherapy but chemotherapy is very late and cancer cells will spread. Please tell us what all would be the consequences." }, { "from": "gpt", "value": "Hi. Welcome to icliniq.com. It was emergency surgery done to relieve the blockage, complete surgery will be done after chemotherapy because chemotherapy will further shrink the tumor and will make the surgery more feasible. Since surgery is done now, chemotherapy can be started only after healing of surgical wounds which takes 3 to 4 weeks. So, this is the only option. So we need to hope for best and tumor should not spread to distant sites." } ]
[ { "from": "human", "value": "Hi doctor, My son is five weeks old and has been having issues with eating. I was not producing enough breastmilk to satisfy him so we began supplementing with formula. We started him on Enfamil newborn which he did not take well. So our doctor switched him to Enfamil gentle ease and he was spitting that up a lot so she then changed him to Enfamil AR which helped a little with spit up. He still spits up a lot but not as much as the previous formulas but now he is extremely constipated to the point where he strains and screams for hours. I am not sure what I can do to help." }, { "from": "gpt", "value": "Hello. I got your concern. It is possible due to evening colic or reflux. Do proper burping after feeding. You can start tablet Junior Lanzol (15 mg) half tablet once a day. At present continue same formula feeds. Monitor his weight regularly. For constipation in infants less than six months: If they are passing stool 3 to 4 times a day or once in 3 to 5 days, it is normal. I hope that all his newborn screen is normal." } ]
[ { "from": "human", "value": "Hello doctor,I am 8 months and 10 days pregnant. I am having itching in my whole body from the last eight days. I also tried Aloe Vera lotion for it. Is taking Atarax tablets safe for me at this time?" }, { "from": "gpt", "value": "Hello. Do you have itching with rash or without rash? And do you have itching palms and soles as well? You may have obstetric cholestasis and you must see your obstetrician immediately and do not self treat the condition. You need liver function tests. Get checked to see if the liver is working properly because it is a serious condition in pregnant women and may have adverse effects on your baby as well if left untreated." } ]
[ { "from": "human", "value": "Hello doctor, I am a 37-year-old, healthy male. I have attached three views of my eyes. The top one is 13 years old, the middle one and the bottom one are from today. As you can see I always had a bit of droopy left eye lid and its prominence depends on the angle of the view. Do you think this is consistent with Horner syndrome? I have no neurological symptoms or health concerns." }, { "from": "gpt", "value": "Hello. Horner syndrome is characterized by myosis (small pupil) and enophthalmos (eye turned inside) besides ptosis. It is usually associated with other symptoms like severe headache, dizziness, etc. So, I definitely do not think that you have this syndrome. As you do not have any other symptoms, there is no reason to worry about. In my opinion, it could be a normal face asymmetry. If you have double vision, especially at the end of the day, or if the ptosis is more visible at the end of the day compared to the morning, I would recommend performing nerve conduction studies in order to investigate for myasthenia gravis." } ]
[ { "from": "human", "value": "Hi doctor, My wife is 38 weeks pregnant and in the 19th week, the doctor recommended for cervical cerclage and that was done at that time. What is the chance of having normal delivery rather than C-section as me and my wife are not willing to go for C-section and want the baby to be delivered normal and the cervical length in 34 weeks is 37 mm? Kindly let me know what are the chances for normal delivery." }, { "from": "gpt", "value": "Hi. As she is 38 weeks now, she should have cerclage removed and should have an examination by local treating gynecology doctor and mode of delivery should be discussed after having all details in front (fetal and maternal condition). At certain gestational age, cervical cerclage needs to be removed. After that, it is better to have a walk daily to help a proper path of labor to form. Post removal of cerclage, normal labor could be tried. Many factors interfere to finalize the mode of delivery like the size of the baby, any medical, obstetric complications. So, it is better to be checked and discussed around 36 weeks after removal of cerclage. Have regular antenatal visits and scans. A complete treatment of any health issue you have. Daily walk. Have recreational activities and quit recreational drugs." } ]
[ { "from": "human", "value": "Hello doctor, My 2-year-old daughter has raspy breathing, and a rough cough followed with a runny nose for the past two days. Today started running a slight fever of 100.3 with green diarrhea that has turned yellow that smells very bad. She also keeps pointing to her belly as it hurts. Kindly advice." }, { "from": "gpt", "value": "Hello. I just got your concern. It is like a typical viral infection. Give more water, liquid, and homemade food. If she has a fever when measured with a thermometer kindly make a note of it. If her temperature is more than 100 Fahrenheit, give Paracetamol syrup with a dose of 15 mg per kg. Keep a gap of minimum six hours in between two treatments. For diarrhea, you can give ORS (oral rehydration therapy) as much as she wants and if she requires a need to start Zinc syrup. Is she pointing her belly and complaining that it is hurting it is possible then maybe some spasm? You can give Dicyclomine syrup. For cold and runny nose you can give Cetirizine syrup 2.5 mg one time a day. Look for breathing if she is having more cough and breathing then please visit the nearby pediatrician. If she is looking dull, not taking anything from the mouth and sleepy, then please go to the pediatrician. Stool routine. Dysentery. Viral gastroenteritis. Oral rehydration therapy, Paracetamol, Dicyclomine, Cetrizine and rest. Prevent dehydration. after two days." } ]
[ { "from": "human", "value": "Hello doctor, I am suffering from nightfall and weakness." }, { "from": "gpt", "value": "Hi. Night falls are called a nocturnal emission. It is a normal stance. If you had a high sexual urge and failed to ejaculate sperm or have sex, you can expect nocturnal emission. A person who masturbates or has sex at regular intervals and suddenly stops can have a nocturnal emission. These are the simple reason for NE. If you still have an issue, we can do blood and urine investigation to rule out infections." } ]
[ { "from": "human", "value": "Hello doctor, I had my last periods two months back. Last month, I and my fiance got intimate, though we did not have intercourse, he fingered me after touching himself, so to be safe I took I-pill next day. A week later, I had bleeding for three days. Since then I did not have my periods till date. I have taken six home pregnancy tests which were all negative. What can be the cause of delayed periods, can I still be pregnant? If not can I take Meprate tablets to start my periods?" }, { "from": "gpt", "value": "Hello, Welcome to iclinq.com. I have read your message. If it was just fingering then no chance of pregnancy at all. As you said that you had bleeding, the next period is expected to be around the same date of next month. Actually, with I-pill, periods get disturbed for 1 to 2 cycles. I would suggest you wait for 4 to 5 days, your periods will come. If you are still worried then do blood test serum BhCG. If its value is less than 5 then definitely you are not pregnant and you can simply wait for menses. You can take Meprate as well for periods to come if BhCG comes out negative." } ]
[ { "from": "human", "value": "Hello doctor, When I touch the tip of my middle finger I feel pain there as well as on the left side of my chest. It just started yesterday. Is this a sign of a heart problem?" }, { "from": "gpt", "value": "Hello. I am sorry to hear about your pain, please do not be worried. You will be fine. It is not a definite sign of heart disease. There are arthritis, angina, etc. Do you have a history of heart diseases in your family? Do you experience shortness of breath? Have you experienced dizziness or has the pain radiating to other parts of your body? What medications are you currently taking?" } ]
[ { "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 received some routine blood work (annual physical) and my results came in today. I noticed something that made my heart sank. HSV 1/ 2(IGG) type-spec AB tested positive with a reading of 33.10 H. What does this mean? Am I extremely contagious? I have never had a cold sore, nor do I now, and I have no symptoms." }, { "from": "gpt", "value": "Hello. 1. In general population, around 50 to 75 % have HSV antibodies in the blood which they might have acquired at some time in the past life due to clinical or subclinical herpes infection. 2. If you do not have any active lesions you do not require any active treatment and neither are you extremely contagious, just as much as those 75 % others. Nothing to worry if only tests are raised and no ulcer or vesicles." } ]
[ { "from": "human", "value": "Hello doctor, I have been experiencing what my mother says is a panic attack, but I am not sure because I only get racing thoughts, my heart races or beats really hard, and I feel shaky like I might cry (no other symptoms). I read that panic attacks peak at 10 minutes, but I feel this way for hours and it keeps me up at night. I have no previous problems with mental health, and I think it is only a fear of the dark keeping me up. What should I do?" }, { "from": "gpt", "value": "Hello. Your mother is probably right. You are describing anxiety and panic symptoms. Staying at a noisy Air BNB has probably accentuated your fears. How long have you been having these symptoms? If you are not having any problems during the day and no problems during other situations, then it possibly is just a fearful psychological reaction to an unfamiliar situation. If it is persistent and pervasive, it will be helpful to see your doctor for an assessment. Try these simple measures to manage your fear: 1. Breathing techniques. 2. Progressive muscle relaxation exercises. 3. Keep a light switched on in your room during sleep. Perhaps having some music at low volume can help. 4. Speak to your mother, friend regularly, if possible, you can share your room with a friend to make it less fearful. Remember that these fearful thoughts get better gradually with support. Take care." } ]
[ { "from": "human", "value": "Hello doctor,I am a 20-year-old female and I weigh 122. I understand that I have anxiety and that I have GERD acid reflux, so I am used to the throat feeling. But today it is different and I feel I have something stuck in my throat and chest near my throat. It does make it hard for me to swallow and I have a dry cough as well. Any advice on how to eat? I am afraid to choke on my food and I have not taken food all day." }, { "from": "gpt", "value": "Hi, Welcome back to icliniq.com. The condition of food getting stuck in the throat with a heaviness of chest are also symptoms of GERD. Hence, along with medication, I need you to change food pattern. 1. Reduce oil and cheese products. 2. Drink 4 liters of water per day. 3. Do not skip meals in a day. 4. Omeprazole is not a powerful antacid. Hence, I suggest you take a higher one." } ]
[ { "from": "human", "value": "Hi doctor, My skin on my legs feels dry after washing. I need to apply lotion immediately after I wash. However, after about an hour the skin feels tight and dry again. Is this dry or dehydrated skin? I am using Aveeno, could this be causing it? In the forearm, back of neck and underarms I have the same problem. They hurt at times. I am afraid that my skin or skin barrier is damaged. Please help." }, { "from": "gpt", "value": "Hello. I have read about your query. Dryness of the skin depends on the type of the skin individually. Since you are on moisturizer Aveeno, you can continue it with the following tips. Apply a moisturizer within three minutes of your bath because some amount of hydration should be present on the skin for the moisturizer to act fully.If you want to apply over noon and evenings, take some amount of lotion and add a few drops of water, mix and apply it. Please check that the moisturizer has humectants or not. If humectants are present, change the moisturizer with only an emollient content. Because, humectants will act only in humid climates and not in dry climates as it will draw water from the body itself in dry climates and make the skin more dry. 1. Thyroid profile. 2. Fasting blood Sugar. 1. Moisturizer. 2. If cracks and pain are present a mild steroid like Desonide can be mixed with the moisturizer and applied twice daily for two weeks." } ]
[ { "from": "human", "value": "Hi doctor, I am a 33 years old male. I weigh 84 kg and I am 5 feet 8 inches. I have high blood pressure. I am taking Triolmezest 40 mg and it is in control now. For the past 5 years I have cholesterol. I have attached my lipid profile report please refer. Should I start medication or lifestyle change will help? Also please let me know the side effects of medicine. Is my report bad?" }, { "from": "gpt", "value": "Hi. You have deranged lipid profile (attachment removed to protect patient identity). With such high level of LDL (Low density lipoprotein) treatment with drugs is necessary. I would suggest you to get fasting blood sugar, thyroid profile and ECG done. You should start on statins like Atorvastatin or Rosuvastatin. Lifestyle changes are necessary along with this, as medicine can be later discontinued and lifestyle changes can be adapted for natural control of cholesterol. I would advise you to: Get your lipid profile repeated after a month and get back with reports. This is my best opinion for you. You should discuss with your doctor before acting upon any advise. Stay healthy." } ]
[ { "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": "Hi doctor, I have been diagnosed with PCOS for more than 3 years. Recently I have been doing yoga and doing intermittent fasting for the past 2 months. Now I got my period twice in April and for may month it is spotting for the last 2 days. Please help me." }, { "from": "gpt", "value": "Hi. Treatment of women with PCOS should begin with lifestyle measures. For those who are obese, a combination of weight loss and exercise may stimulate ovulation. Intermittent fasting is wonderful lifestyle. What is your mode of intermittent fasting. Are you doing 16/8 or fast and feast? Have you tried 36 hours fasting? Please let me know. Also, low carbohydrates diet with no sugary juices and no added sugar is very beneficial. If the woman is not overweight or weight loss is ineffective then: taking into account potential adverse effects, ease and mode of use, the woman's BMI, and monitoring needed, Clomifene citrate or Metformin or a combination of the above. For women who are taking Clomifene citrate, I offer ultrasound monitoring during at least the first cycle of treatment to ensure that they are taking a dose that minimises the risk of multiple pregnancy. Women prescribed Metformin may know side effects such as nausea, vomiting and other gastrointestinal disturbances. If woman known to be resistant to Clomifene citrate, we can go for laparoscopic ovarian drilling or combined treatment with Clomifene citrate and Metformin if not already offered as first-line treatment or Gonadotrophins. So, there are plenty of options available and you are not alone we can together make a plan for management. Please give me more details if you have done investigations ultrasound and Harmone tests." } ]
[ { "from": "human", "value": "Hi doctor, 27 days ago I had protected sex with a girl, whom I knew only for 5 days and it was the first time. Also, we had oral sex also. During oral sex, I had no protection. Next day I started having pain on my testicles and my stomach. I was feeling weak the whole time, and after a week I gave urine and semen for culture. The urine culture was clean, and the semen culture with bacterium E. coli has been detected. It is worth mentioning that I am suffering from prostatitis and I have been diagnosed and treated for more than 3 years with almost the same bacterium, which I thought has been eliminated. Also on that day, we had sex 3 times within 5 hours and I am thinking whether the intensity of that might have brought back the E. coli or it was still there and it appears now. I do not know therefore this is my first question. Since the oral sex was not protected, can it be that she passed me the E. coli? Or is it due to my prostatitis? After my semen results, the doctor asked me to take Tavanic 500 mg once per day for one month. I am now on the first week, the pain is still there but comparatively less. I still feel pressure on the lower part of my stomach and also since the last 3 weeks I feel my stomach always full and not so comfortable. Can this be a side effect of the E. coli or something else? I had no fever since then, and I did not lose my appetite, but I am feeling full. Apart from the E. coli that I need to finish my treatment, now I do have a fear whether I have been infected with any other STDs. If yes, the semen and urine culture should have normally shown something abnormal. Also, I have a fear if because of the oral sex, I might have been infected with HIV, could this be possible? Should I do an HIV test? If yes which kind of HIV test can give me a fast indication. Thank you." }, { "from": "gpt", "value": "Hi. Frequency of sex has nothing to do with E. coli bacteria (Escherichia coli). Prostatitis is very resistant to treat, so it is not necessary that if you have taken treatment, it will not recur. Sometimes, you have to take 4 to 6 months of treatment for prostatitis. This is the main reason why you are still having the pain. Semen and culture usually do not cover all STDs (sexually transmitted diseases) and lower abdominal pain is a non-specific symptom and can be attributed to prostatitis. Yes, HIV (human immunodeficiency virus) can be transmitted through oral sex. So if you know the person, it is better to get her tested because if she is not HIV positive, then you need no testing. Nevertheless, you can go for HIV 1 and 2 antibody test by ELISA (enzyme-linked immunosorbent assay) method and HIV RT-PCR (reverse transcription polymerase chain reaction). I hope the above information is useful to you." } ]
[ { "from": "human", "value": "Hi doctor, My head feels heavy for the past three months, and I am having neck stiffness as well. I have consulted an orthopedist who gave me Stemetil MD, but was of no use. I consulted a neurologist and had Sibelium, Myoril, etc., but still the problem is not cured. In certain positions, I feel my head is spinning. Can it be due to loss of inner ear balance?" }, { "from": "gpt", "value": "Hi. Sensation of spinningor dizziness is usually due to improper functioning of balance system. It includes your inner ear, cerebellum (part of brain), peripheral sensory system and eyes. All must work together and synchronize with each other to maintain balance. Problem in any one of the system, will make you feel dizzy. In your case, for neck pain stress may be the cause. However, you need to provide with detail history to make diagnosis. When did this problem start? How was first episode begun? And how long it lasted?" } ]
[ { "from": "human", "value": "Hi doctor,I am 51 years being treated for coronary ectasia and hypertension. I am taking the following medicines now. Tablet Clopilet 75 mg, Warf 2.5 mg and Nebicard H. Can I take Viagra for erectile dysfunction?" }, { "from": "gpt", "value": "Hi. The drug Viagra (Sildenafil) can cause potential side effects alone and certainly in combination with the above drugs. It can cause hypertension and even the heart attack also. So it is not safe in the asked context." } ]
[ { "from": "human", "value": "Hello doctor, The patient is suffering from irritation in eyes for many days. It seems that some pollen is annoying and she rubs her eyes to remove it. She washes with water and uses rose water and Ciprofloxacin eye drops in her eyes. But she is not getting relief. Now her eyes have sticking tendency. Please advise." }, { "from": "gpt", "value": "Hello. Pollen has a notorious tendency to cause allergic conjunctivitis. The predominant symptom in allergic conjunctivitis is eye rubbing. When the patients rub their eyes, whatever dust or germs are there on their fingers go into their eyes. Thus setting up an infection. Such infection needs to be treated by a qualified ophthalmologist. In the meantime, please follow these instructions: 1. Continue Ciprofloxacin eye drops six times a day. 2. Wash the sticky discharge with clean running water. 3. Use tissues to wipe the spill rather than your handkerchief as you tend to rub the same infection again onto your eye with a scarf. 4. Avoid eye rubbing. I hope you get well soon." } ]
[ { "from": "human", "value": "Hello doctor, My sister had her aortic valve (tissue) replaced last week. The operations were uneventful, though she has been suffering from nausea and weakness. Each time she is given Beta-blockers to prevent atrial fibrillation. Before the operation, her heart rate was 100 beats per minute, which attributed to the stenosis. After the surgery, her heart rate has remained around 100 without Beta-blockers. The hospital staff has now reduced the Beta-blocker dosage from 10 to 2.5 mg, yet she still feels very weak. With Beta- blockers, her heart rate has descended to 86, but she feels terrible. My question is, If she feels fine without the Beta-blockers, could it be safe for her to discontinue using Beta-blockers to avoid the weakness or nausea? Or would this be a bad decision?" }, { "from": "gpt", "value": "Hello. I passed carefully through your concern and would like to explain that several components may maintain the patient heart rate at those levels (like pain due to surgery, local inflammation, potential fever, transient respiratory decreased capacity, relative anemia, relative hypovolemia, body immobility, psychological conditions, etc.). The causes mentioned above may at least partially contribute to her weakness and nausea, Beta-blockers may further deteriorate this clinical condition, especially in the case of relative hypotension and decreased overall cardiac performance. I would recommend monitoring her blood pressure values before taking her medications, and if the symptoms persist in withdrawing her Beta-blocker from therapy gradually. It is necessary to taper her daily Beta-blocker dose progressively to avoid the rebound effect of stopping Beta-blocker cold turkey. In such a case, the high heart rate would reappear again. So, discuss with her attending cardiologist to gradually stop the Beta-blocker by reducing the daily dose step by step. I hope to have been helpful to you. In case of any further questions, feel free to ask me again." } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I have been diagnosed with chronic hepatitis B since last five years. I have been going for follow ups and routine check ups in NIMR.I went for some tests in March,which I have been unable to get the results because of COVID-19.They are totally unresponsive to me. I have persistent symptoms, sharp pains in my upper right abdomen, weakness and tiredness,joint pains and loss of apettite. I am very scared and do not know what to do. I have not been placed on any drug so far. Please help me. I do not want to develop cirrhosis or liver cancer. What can I do? The pain is so much." }, { "from": "gpt", "value": "Hello. The pain you describe may be due to variety of causes. May be simply be due to gas trouble not necessarily the liver complication of hepatitis B infection. The cirrhosis and tumor in liver is a long period process does not occur in span of 3 months. To clearly answer your question I need to know when did you get your last ultrasound of liver done? And what were the findings? Now as a rule all people with hepatitis B infection are supposed to take antiviral treatment. I do not know whether you have been given those. I highly recommend you to get all these questions answered when you now meet with your physician. Or you can upload investigations and I can figure out for you how to deal hepatitis B in your case. Follow with investigation 7 days" } ]
[ { "from": "human", "value": "Hello doctor, My fiance was fingering me and when he finished, his hand was bloody. When I pee it burns and now it just hurts. What should I do? Never had a PAP test for discussable reasons. Never had sexual activity before." }, { "from": "gpt", "value": "Hello. There is nothing to worry as having sex for the first time (even fingering) may lead to mild bleeding due to breakage of the hymen and vaginal tissue. It may lead to burning sensation and slight discomfort which usually resolve in a few hours or may take a day or so. You just have to wash the area with plain water and also drink plenty fluid to relieve burning in pee. And you are only 18 years old. You are not in an appropriate age for PAP smear. PAP smear is usually recommended at or after 25 years of age." } ]
[ { "from": "human", "value": "Hello doctor, My 7-year-old daughter has 1.5 cylindrical power in the left eye only. She has no problem without glass. If she does not use spectacles will there be any problem in future?" }, { "from": "gpt", "value": "Hello. I understand your concerns. This power of 1.5 cylinders although relatively small, needs to be adequately corrected. You see, each part of our body is dependent on our users for its development. The part we use the most tends to develop more, and the area we do not use tends to under develop. The same situation is with our eyes, suppose during our developmental stages between 0 to 12 years, if there is a disease which causes us not to see far away objects, our brain, and optic nerves adapt to this and never develop the ability to see far away objects as clearly as ordinary people do. In spite of our best efforts at a later stage, she may never be able to improve. So please make sure that she always keeps her glasses on, apart from of course while sleeping. Also regularly follow up with your ophthalmologist (at least once a year). As she grows up, there are numerous ways she can avoid wearing glasses starting from contact lenses to refractive surgery. But for now, Please instruct her to keep her glasses on continuously. I hope this clarifies your doubts." } ]
[ { "from": "human", "value": "Hello doctor, Everytime I have sex I get a vaginal tear. I did not have sex or wear a tampon for 10 weeks to let it heal. I had sex again last night and it tore again. I do not have an issue with lubrication, so I am not sure what to do." }, { "from": "gpt", "value": "Hello. Vaginal tears after sex are mainly dependent on several causes like vaginal dryness, chronic skin conditions such as eczema, psoriasis or lichen planus, etc., and sometimes it may also be caused by the use of recreational medicine like Viagara by the partner. Vaginal tears could be superficial and deep. Superficial tears usually result after having sex and they usually heal by themselves in few hours to 1 to 2 days and then usually do not bleed heavily. Deeper cuts usually occur during childbirth. As you mentioned that it took 10 days to heal your previous tear then it sounds alarming. Was there any heavy bleeding or pus coming through it? And how long have you been facing this problem? Can I have a look at any picture of tear? I would suggest you that if you do not have any issues with lubrication (which is the most common cause of vaginal tear during sex) then you must get yourself assessed by the local doctor and get tear examined to determine the actual cause and appropriate treatment." } ]
[ { "from": "human", "value": "Hello doctor, I am 48 years old. A few months ago my ear was full of fluid, ringing, and infected. I took antibiotics which cleared up the infection. The fluid is gone, however, my ears still ring. Three weeks ago, I saw an ENT. He said that cells which had collected around the eardrum were impeding my hearing and causing the ringing. He said this collection would fall off and we did not need to do anything. If I wanted to speed up the process to use some mineral oil. 1. How long should I leave the mineral oil in my ear? 2. Could you explain a little more about what this collection of cells is called and the healing process from this?" }, { "from": "gpt", "value": "Hello. Whatever mineral oil or any oil you instill, will only act outside the eardrum. The cells that are outside the eardrum form cerumen or wax and these oils will be helpful. I can give you the dose and duration for that. But however, if there was fluid inside the ear, now resolved, the ringing should be due to that. The fluid we are talking about is the one inside the drum. In a scenario where the drum is intact, these oils are of no use to remove the cells which have got clumped inside the drum. Did the ENT do any test to confirm the presence of fluid inside the ear? Did he do an audiogram or a tympanogram? Can you share reports with me?" } ]
[ { "from": "human", "value": "Hello doctor, I currently am suffering nighttime upper back pain. It is only painful when laying down, I have been prescribed Co-codamol but have yet to get any tests or scans done. This pain wakes me every night to a point I cannot roll over or change sleeping postion. Last night bothered arms from the elbow down, went numb with pins and needles. Kindly advise." }, { "from": "gpt", "value": "Hello. As this sounds like the cervical radiculopathy, an MRI is suggested of the cervical spine. Also, I will advise you to use neck collar and continue the medicine. Once the pain level drops between 5 to 6 in the VAS pain scale of 0 to 10 where 0 is no pain and 10 is maximum pain, then you can begin neck strengthening exercises which will help stabilize the cervical spine. Also, shoulder stability exercises, inter-scapular muscle strengthening exercises are advised." } ]
[ { "from": "human", "value": "Hi doctor, I am 24 year old and I had an ultrasound for the first time today. My periods have been slightly irregular for last few months and hence I went for a checkup. I am attaching my scan reports for your reference. Kindly guide me. Thank you." }, { "from": "gpt", "value": "Hello. The ultrasound scan report (attachment removed to protect patient identity), which you have posted shows a single follicle dominant, may be in the right ovary. Also, please mention your details of menstrual cycles and dates for last three months to understand the pattern of bleeding. Revert back with the reports and detailed information to an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I have since I can remember, a runny nose, especially in the morning. Not uncommonly there are streaks of blood. Quite often also post-nasal drip. At times, I have itchy runny eyes. My doctor has prescribed an ointment Otocomb which sometimes help. In the past few months, I have noticed a sore in my inside of the left nostril. It feels like it runs neatly along the rise or cartilage. It sometimes forms a scab that I pick at. I am worried that it is not improving." }, { "from": "gpt", "value": "Hello. What you are explaining is consistent with chronic allergic rhinitis and chronic sinusitis. I wanted to know if you have ever tried a nasal spray and if yes for how long? Which one and did it help? Do you have pets? Did you have patch testing ever?" } ]
[ { "from": "human", "value": "Hello doctor, I recently have noticed a slight blurriness in my right eye. It is only noticeable when I close my left eye, and so I am not sure how long it has taken for this to develop. I am going to see an optometrist and doctor early next week but am currently on the road for work. My main question is that when I look out of the corner of my right eye the blurriness seems to subside and I can see usually. I am wondering if this is a good sign. I have been dealing with severe anxiety the past couple months, and I am worried that might have raised my blood pressure enough to hurt my eyesight. Eyesight when looking with both eyes seems to be normal. I have also noticed floaters in my eyes. Kindly help." }, { "from": "gpt", "value": "Hello. This kind of a picture of eyesight becoming better on looking at specific directions are related to astigmatism. It is a very prevalent and correctable condition. There is no need to be anxious about it. Different reasons cause floaters. A dilated retinal examination will be able to help us get to the cause. Most of the conditions causing floaters are benign (not severe), but a few are dangerous, but all are treatable. So, I recommend that you visit your optometrist and in case you need any further information or help with refractive surgery, please schedule a consultation. I hope this helps you." } ]
[ { "from": "human", "value": "Hello doctor, I suffered from loose motions due to navel displacement. My period date is the 10th of this month. My last menstrual period was the 14th of last month. My husband and I are planning for a baby. I am suffering from abdominal bloating, fatigue, constipation, and acidity. Can I conceive even after knowing about my naval displacement?" }, { "from": "gpt", "value": "Hello. First of all please make it clear that there is nothing like navel dislocation, or displacement exist in this world neither it is a medical problem or terminology. You might be suffering from loose motions because of any intestinal (small or large bowel) infections. So your first problem has been ruled out as you do not have any navel displacement. Secondly, as you said you are due date is 10th of this month, so this is the last week of your cycle. So there is no use of trying for pregnancy at this time as you are about to start periods soon. My advice would be to start working for pregnancy right after your period ends until the next ten days (8 to 18 days of cycle) on every alternate day to improve chances of pregnancy. Hope it works out for you. I wish you all the best. Any further queries, please do not hesitate to contact me." } ]
[ { "from": "human", "value": "Hello doctor, I met a gynecologist, and the doctor diagnosed that I have bacterial vaginosis. The doctor recommended antibiotics for a week or taking a dose of Solosec. For a minor infection, both of these options seem rather extreme for me, and I am wondering if there is a way to eliminate the disease naturally. I can find different online suggestions for probiotics and boric acid suppositories. I am expecting if there is a plan you can recommend. Kindly help." }, { "from": "gpt", "value": "Hello. Bacterial vaginosis (BV) is a general issue in women. It does not cause any serious problem, but it is irritating with abnormal vaginal discharges, itching, and odor. If you do not get treated in an early stage, then infections may spread to the uterus, fallopian tube, and ovaries which leads to infertility, pelvic inflammatory disorders or other complications. It may be associated with yeast or fungal infections. It can be managed naturally through Ayurvedic medicines and Yoga practices. Infection, unprotected and unhygienic intercourse, unhygienic undergarments and irregular cleaning of the vaginal area. Vaginal swab test and CBC (complete blood count). Internal hygiene is very important along with medications in such kind of issues. Wash your vaginal area regularly with Triphala Kwatha twice a day. Allow it to dry apply Himalaya Vgel and take the following oral medicines with the consent of your doctor. 1. Tablet Purim 1 tablet + Tablet Lukal 1 tablet + Tablet Gandhaka Rasayana 1 tablet thrice a day with warm water after meals. 2. M2 tone syrup 10 ml twice a day before food. Avoid spicy and fried junk foods. Maintain your internal hygiene. Use properly cleaned undergarments. Do these things and provide your valuable feedback after 15 days." } ]
[ { "from": "human", "value": "Hello doctor, I am 24 years old. I do not know what is wrong with me. I feel depressed all the time. I left home two years back because of my parent's behavior. They always use to make me feel I am worthless and not important for them, they also beat me several times and I was facing emotional trauma on a daily basis. Now I stay away from family alone but seems like things will never change. I am all alone here and people I trusted have backfired on me. My office situation is very pathetic my manager harasses me emotionally or I do not know if I overreact. I just do not know what is wrong? I do not have any friends to talk. I gave a lot of importance to one person in my life and that person did not understand me at all. I cry all day in my room and do not even step outside. I get super angry or emotional on little things. I always stay alone in the office or at home. I feel like there is nothing left for me in this life and I am worthless no one really needs me in there life. For whom am I alive. I do not know if I am depressed or not? I am just done with this life. (Just to add I am a PCOS patient for the past one year)." }, { "from": "gpt", "value": "Hi. The symptoms you have mentioned are symptoms of depression. You left home because of the behavior of your parents and then you are continuously feeling low because of ongoing things at office and at personal space. All these things are aggravating the depression in you. The feeling of worthlessness, emotional trauma, crying spells, emotional lability, anger outbursts, lack of interest in anything, etc are part of depression. But if these symptoms are persistent and are hampering your personal life and you have negative thoughts then yes, we can think that you have a depressive disorder. If the symptoms are not persistent then no need to get worried. You just have to change your lifestyle, try to not to expect anything from others. Just focus on your life and your things. If anyone hurts you then try to ignore the thoughts. This is difficult but in some days you will learn to suppress the thoughts and with the time you will be able to ignore any emotional trauma. No need to get worried. If you are not able to function properly then you can visit a psychiatrist in person and antidepressants can be started. Escitalopram is a good option in your case. The drug is safe and has great efficacy. This will help to make your mood better. Do you have any thoughts like killing or harming yourself? Any ongoing stress that is bothering you? Any relationship issue? PCOS (polycystic ovary syndrome) too is an independent factor that aggravated depression because of hormonal changes. Control of PCOS also helps in improving mood symptoms." } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I have an intrauterine device. I was checking for the strings, and I felt a lump. Not sure if it is normal or not. I got my period today. I had my last period over three months." }, { "from": "gpt", "value": "Hello. It is better to have one local examination by Gynecology specialist but better after periods. If vaginal irritation continues, then it is better to have a high vaginal swab, lump examination (may need biopsy or swab), cx (cervical smear)smear; You may have vaginal or pelvic or sexually transmitted infection along with cyst or abscess or infective lesion. Have complete treatment for any health issue you have. Have a balanced diet, weight, and BMI. have a daily walk, exercise, and yoga. Have recreational activities and quit recreational drugs. Follow strict hygiene. Use condoms to avoid sexually transmitted infection. Do sitz warm baths to prevent irritation and olive oil massage. After high vaginal swab, if pain, irritation or smelly or colored discharge persists then, you need proper antibiotics. If lump also continues, then there is a need to evaluate for appropriate management (marsupialization or drainage). Abcess or cyst and infection. HVS, local examination, biopsy, and a swab from vaginal and lump. May need antibiotics after HVS if symptoms persist, may need to remove abscess. As above. As per need." } ]
[ { "from": "human", "value": "Hello doctor, Sometimes when I use my laptop at work for too long, my vision gets a little blurry but clears up on its own. Lately, however, it has been happening more often, but it clears up when I blink. It happens when I wake up, during the day and at night it clears up when I blink. I have not been sleeping well, and I have been fatigued. I have also been using my phone and laptop a lot. I also noticed that I have dry eyelashes and most times it feels like there may be something physical in my eyes causing the blurriness. But it is happening a lot lately. My family has a history of glaucoma, and I checked my eye pressure a while back, and it was fine." }, { "from": "gpt", "value": "Hello. I understand your concerns. The symptoms you are suffering from are most suggestive of dry eye disease. It is quite common in computer users. The best initial treatment for this is firstly to blink your eyes more often and second the thing is the use of lubricants such as 0.5 % Carboxymethylcellulose acetate eyedrops (refresh tears eyedrops). With this, I am confident that you will improve. In case you have already been taking these measures, or if you have any further questions, please let me know. I will do my best to help you." } ]
[ { "from": "human", "value": "Hello doctor, I missed my period last month and after the first late day I took a pregnancy test and it said not pregnant. So I waited for a few more days to go by to take another and it said positive so from that day I scheduled a follow-up appointment and when I went to get an ultrasound they told me that there was nothing there. So she predicted that I may be early, so she used the camera and she still did not see anything. She told me to undergo a urine test and it came out negative meaning I am not pregnant. I left there and took another test at home and it said negative. It has been a whole month and I still do not have my period. What could be wrong with my body?" }, { "from": "gpt", "value": "Hi. Have you done the blood pregnancy test (hCG)? It could have been a chemical pregnancy meaning non-viable early pregnancy. You can take medicines for withdrawal bleeding like Norethisterone 5 mg twice a day for five days. You will get periods after you stop the medicine. The bleeding might start by 4 to 14 days. Did the radiologist mention the endometrial thickness?" } ]
[ { "from": "human", "value": "Hello doctor, I am a male, 33 years old, RTA- linear fracture of left frontal sinus, hemorrhagic collection. After 10 days, there is pain while eating in the left eyebrow. Please prescribe medication and conservation." }, { "from": "gpt", "value": "Hello. I have read your concern. Let me go over your CT report (attachment removed to protect patient identity) to make sure I do not miss a thing and will get back to you in a moment." } ]
[ { "from": "human", "value": "Hello doctor, I am suffering from fungal infection from the last two years, continuously used many ointments but no benefit observed such as Ketoform, Dermiform, Sertaconazole, Luliconazole, Ring ring , Btex, Ring Guard and currently using Dermex cream. Please give me appropriate medicine name or advice." }, { "from": "gpt", "value": "Hello. You have tinea corporis. The creams that you have used are steroids that are not to be given for fungal infection. Application of these creams has aggravated your situation. Topical treatment can be used for relief but you need to be started on oral medicines for complete relief. To start you on oral medicines, you first have to get LFT test done and then follow up with the report. Meanwhile, you can use the creams mentioned below for now. Tinea corporis. LFT. 1. Lulifin cream twice a day, Amlorofine cream twice a day. tablet Levocetirizine 5 mg twice a day for itching." } ]
[ { "from": "human", "value": "Hello doctor, I have had issues with my left ear for the past two months. I normally clean my ears with peroxide. After I added drops of peroxide back last month, I noticed that when people spoke to me loudly I would hear wind sound in my ears. Also, my ears felt plugged and I heard thumping (heartbeat sound) in my ear. Two days ago, I attempted to clean my ear with a home irrigation system. I was able to dislodge a large piece of dried, white wax. My ear felt the best in a long time. I was hearing clearly and the sounds in my ear went away. Yesterday, my ear felt plugged again. So I irrigated my ear and nothing came out. But the plugged feeling and sound went away. This morning my ear felt plugged again, and I irrigated my ear and nothing came out. But my ear felt clear and the plugged feeling and sound went away. What is causing this issue? Why does it keep coming back?" }, { "from": "gpt", "value": "Hi. It looks like your having a eustachian tube catarrh. This tube essentially ventilates both the ear and nose and in an event where this tube has got blocked, you might develop fullness and ringing sensation in the same ear. Self-cleaning your ear is the most dangerous thing you can ever do. Never introduce peroxide or any thing under doctor's advice as it can be disastrous considering the ear and it is related structures to be one the most sensitive regions in the body. Another possibility is that there could be some remnant wax in your ear which can be the reason for you developing this ringing sensation on a regular basis. You can consider using Soliwax ear drops three times a day for one week and then get the blob suctioned out by an ent specialist. Other than this, take tablet Sinarest (Acetaminophen, Chlorpheniramine, and pseudoephedrine) or its equivalent one tablet two times a day after food for the next 1 week. Otrivin nasal drops thrice daily for five days should help." } ]
[ { "from": "human", "value": "Hi doctor, I am seeking insight from a psychological professional on how awards affect us. Why we give them? Why we deny them to others? And what impact it causes to the one who is receiving them or not has on one's career? Please explain both from the recipient or non-recipient perspective and from an employer mindset." }, { "from": "gpt", "value": "Hello. The topic of effects of awards is complex. The awards act as positive reinforcement to any individual and thus the probability of repetition of behavior increases. If we consider it from a psychological point, then if an individual is given award then it acts as an operant conditioner and the individual tends to seek another award. All this increase the probability of repetition of desired behavior. If an individual is showing desired behavior but is not given reward then with time the occurrence of desired behavior decreases. So, reward acts as a method to get positive results, if we consider it in a company or in an organization. If we consider it on the basis of a physiological point of view, then reward stimulates corticolimbic pathways. This cause release of Dopamine which helps in the feeling of pleasure. This pleasure results in repetition of behavior and increased work efficiency." } ]
[ { "from": "human", "value": "Hello doctor, I had vaginal sexual intercourse two weeks ago. A week later I experienced some on and off itching sensation on the glans of the penis and have been experiencing a mild burning sensation and feeling tender on the glans in the last few days. Yesterday I noticed a tiny red spot on the glans. It did not hurt, but it is hardly noticeable. Could this be a mild symptom of herpes? Is herpes IgM active when diagnosing herpes? Have heard it only gets positive in half of the recently infected people. I also got cold four days after intercourse with a mild fever, sore throat, and runny nose." }, { "from": "gpt", "value": "Hello. I can understand your concern about your symptoms. Yes, you may be suffering from a sexually transmitted disease. And your picture says (attachment removed to protect patient identity) there is an infection, and I presume that you had unprotected sex. Cold can be of different reason, so we can think that aside if you worry about that too. Regarding cold with sore throat, fever, headache, chest pain, running nose if you can be able to review with blood reports then it will be easy for proper explanation and treatment. Regarding your penis, lab test- HIV rapid 4th generation (after two weeks do this test) and a swab from your infected region for herpes PCR (polymerase chain reaction). Hope I have answered your query. If you have further doubts, I would be happy to help you." } ]
[ { "from": "human", "value": "Hello doctor, I have an infection in my private part. Kindly help." }, { "from": "gpt", "value": "Hello. What are the symptoms in it? How long has it been there? Any recent unsafe sexual exposure?" } ]
[ { "from": "human", "value": "Hello doctor, I want to lose my weight which is 98.5 kg right now and my height is 5 feet and 8 inches. So kindly advice me a proper diet plan." }, { "from": "gpt", "value": "Hello. Problem list: 1. Your body mass index is 33.27 kg/m2; that means obesity type 1. 2. Infertility (vague description: How long? The type? What investigations were carried out so far? Reports of your husband? On what fertility treatment you are currently on?). 3. On medications (for what?). Management plan: 1. Need to carry out following investigations (at least) fasting blood sugar, serum lipid profile, thyroid function test. 2. The first line diet plan that would specifically work for people with PCOS (poly-cystic ovarian syndrome) is cutting down carbohydrates to 25 % or at least 33 % of your diet. 3. As you have multiple issues, a personalized diet plan could only be prescribed after a successful consultation. If you are a long term sub-fertile couple and have been stuck in a depressive vicious cycle of infertility, you also have to go through brief cognitive behavior therapy." } ]
[ { "from": "human", "value": "Hello doctor, Suffering from vertigo from past two years. Diffuse narrowing of basilar arteries. Bilateral ear loss 60 percent." }, { "from": "gpt", "value": "Hello. I understand your concern and would explain that your symptoms could be related to an inner ear disorder. When did you perform the brain MRI? Your symptoms are not suggestive of stroke, but if you have not performed a brain MRI recently, I recommend performing it. Regarding your therapy, I would recommend using Mannitol IV for a short period of time, to help with vertigo. It is also important for taking daily baby Aspirin to prevent stroke and continue Stugeron for vertigo. I would also recommend performing a cervical spine MRI study in order to exclude possible bulging discs in the vertebral column, which may trigger your symptoms. I remain at your disposal for any further questions whenever you need. Brain and cervical spine MRI, ENT consult." } ]
[ { "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 started taking Vitamin D and calcium more than I should have in the beginning of the year. Later on, I started to feel weak and dizzy at work, my feet and hands tingle and would go pale and my neck in the thyroid area started to hurt. I have been to the doctor to have blood work, but they say there is nothing significant enough to be concerned, but I still have the same symptoms. What to do?" }, { "from": "gpt", "value": "Hi. In your attached Hb electrophoresis report (attachment removed to protect patient identity), abnormal hemoglobin is not present. So you are not having any abnormal hemoglobinopathy. Your main complaint is weakness, dizziness, and tingling. So anemia, B12 deficiency, thyroid issue, liver disease, renal disease, vitamin D deficiency and peripheral neuropathy should be ruled out. I suggest you investigate with serum B12 estimation, CBC (complete blood count), serum TSH (thyroid-stimulating hormone) estimation, SGPT (serum glutamic pyruvic transaminase), SGOT (serum glutamic oxaloacetic transaminase), serum urea and creatinine estimation for further work up. To rule out peripheral neuropathy, your neurological physical examination should be done. According to cause specific treatment can be given. I suggest you rule out diabetes as well by random blood sugar estimation. Meanwhile, you can be prescribed Riconia forte like multivitamin tablet for your problem." } ]
[ { "from": "human", "value": "Hello doctor, For the last two months, a few symptoms are there in me like a frequent fever. And just after the fever, loose motion. But since yesterday, after fever, stomachache started." }, { "from": "gpt", "value": "Hi. There is one issue. What about your appetite and weight in the last two months. If there is a loss of appetite and decreased weight then we will consider a chronic infectious or inflammatory disease. If not, then we will look for acute gastroenteritis causes. For diarrhea part, you take prescribed medicines. We will do some investigations, revert back with reports. CBC, LFT, KFT, stool routine and microscopic examination. Tablet Norflox-TZ one tablet two times a day for five days." } ]
[ { "from": "human", "value": "Hi doctor, My husband aged 35 years had a moderate to severe stomach pain last morning which lasted for about seven hours and he had a mild headache as well. I gave him Topcid and Eno to drink in the morning suspecting it might be gas and he also had a Saridon for headache. The pain is now gone but he had a loose motion before sleeping and then one in the morning. Is it something threatening or was it just simple gas pain?" }, { "from": "gpt", "value": "Hi. Most probably it is indigestion and probably some poisoning of food. Give him plenty of fluids. Avoid spicy oily foods, alcohol and smoke. Give him Eno symptomatically and let him take Pantoprazole 40 mg one tablet twice daily half an hour before meals for a week. Do let me know the progress. Warning symptoms are worsening pain, acute excruciating pain, fever, vomiting, blood in stool, etc." } ]
[ { "from": "human", "value": "Hello doctor, I have uploaded my recent MRI results for my spine. I had been suffering from upper back pain which restricts the mobility of my right hand. I can feel a slight lump around or near my rhomboid muscle on the right side. Please review my MRI scans and provide a diagnosis." }, { "from": "gpt", "value": "Hello. 1. Observations (attachment removed to protect patient identity): Cervical spine: There is mild straightening of the cervical vertebrae. Vertebral bodies are showing mild osteophytes and are otherwise normal. No evidence of collapse or bony destruction. Atlantoaxial articulation appears normal. No features suggestive of basilar invagination or Chiari malformation. Neural arches appear normal. There is mild disc desiccation in multiple cervical disc levels. There is mild posterior longitudinal ligament thickening and disc osteophyte complex in C4-C5, C5-C6 and C6-C7 disc levels and causing a mild posterior thecal indentation. There are a mild right and minimal neural foraminal compromise in C5-C6 and C6-C7 cervical disc levels. There is no spinal canal stenosis. Pre or paravertebral soft tissues appear normal. Dorsal spine: Dorsal vertebral bodies are showing mild osteophytes and otherwise, appear normal. No collapse or bone destruction. Dorsal kyphosis is maintained. No spondylolisthesis. Posterior elements appear normal. The dimensions of the thoracic spinal canal are normal. The dorsal intervertebral discs are showing mild disc desiccation changes. Height is maintained. No significant disc bulge. There is mild thickening of the posterior longitudinal ligament in the thoracic disc and vertebrae levels and causing a minimal posterior thecal indentation. There is no spinal canal stenosis. The rest of the thoracic spinal cord is normal without abnormal signal intensity alterations. The perivertebral soft tissues are unremarkable. 2. Impression: There is mild posterior longitudinal ligament thickening and disc osteophyte complex in C4-C5, C5-C6 and C6-C7 disc levels and causing a mild posterior thecal indentation. There are mild right and minimal neural foraminal compromise in C5-C6 and C6-C7 cervical disc levels. There is no spinal canal stenosis. Mild cervical spondylosis. Mild thoracic spondylosis. There is a limited visualization of the right rhomboid muscle and there is no obvious abnormal lesion in the right rhomboid muscle area in the given images." } ]
[ { "from": "human", "value": "Hello doctor, I had a STD panel done HSV 1 greater than 62.2 and HSV 2, have a history of chicken pox." }, { "from": "gpt", "value": "Hello. I understand from the reports you have sent me that stating HSV 1 serology is positive (attachment removed to protect patient identity). I will need a bit more information before I can advise you how to proceed further. A. Is this HSV 1 IgG or IgM serology? B. Do you have a history of recurrent oral or genital painful vesicles or ulcers? C. If yes, how many episodes and how frequently do you have those episodes? If only the serology of HSV 1 is positive without any clinical symptoms before, you do not require any treatment as it can happen in any past clinical or subclinical herpes infection. HSV 1 serology has no relation with varicella (chicken pox). They are caused by different viruses. HSV 1 serology. No active intervention is required for now." } ]
[ { "from": "human", "value": "Hi doctor, I am suffering from typhoid from the last 10 days. Now, I have completed my seven days course. I want to ask when to report again that I am typhoid free. And I eat banana, wheat bread, milk, peanut butter, and do 30 minutes workout. Is it fine for after cardio and will this diet cause my liver to swell?" }, { "from": "gpt", "value": "Hi. You finished typhoid fever medicine course, but you see typhoid fever otherwise called enteric fever, so the main infection pathology is in our intestine wall gland. So intestine will be inflamed and weak so better take easily digestible food. Do not strain too much with your work-outs for some more days. Otherwise, typhoid will relapse." } ]
[ { "from": "human", "value": "Hi doctor,I am 54 and passed by menopause. Recently, I had done my lower ultrasound due to heavy back pain, and ultrasound shows pelvic inflammatory disease. Suggest me what to do, pain is not bearable. I am already taking BP and cholesterol medicine on a regular basis. Kindly suggest." }, { "from": "gpt", "value": "Hi. You said severe lower abdominal pain and the ultrasound report came as pelvic infection disease. Are you having any white discharge per vagina or high color urine?" } ]
[ { "from": "human", "value": "Hello doctor, I have has an internal stye in my bottom eyelid for over a year. It is about 5 mm in diameter and it is not painful but it is very noticeable. Can my GP drain it, or do I have to wait for a hospital appointment? I have done the warm compresses several times daily (not for the whole duration but for a week and nothing has happened) but it is not going away." }, { "from": "gpt", "value": "Hello. I understand your concern and have seen your photo attachments (attachment removed to protect patient identity). I feel that you may be suffering from a chalazion than a stye, given that the swelling has been there for a year. Chalazia (plural of chalazion), are painless and stony hard in consistency. They usually do not disappear with warm compresses and need surgery to treat. Most GPs have the equipment to drain such swelling, but it is always best to inquire before setting up an appointment. I suggest that you continue giving warm compresses and see your GP or an ophthalmologist." } ]
[ { "from": "human", "value": "Hello doctor, I went to the doctors with four bouts of chest pain. Lasted under a minute each time. The pain went into the left arm. The doctor ordered ECG. No breathlessness, unless exercising. Can you please review and provide feedback on a recent ECG?" }, { "from": "gpt", "value": "Hi. Significant findings in ECG are: 1. Early repolarization in V5 and V6. This is a normal finding at your age. 2. Deep S wave in lead V3. This can suggest left ventricular hypertrophy (by Cornell voltage criteria). However, there are no other changes in ECG to suggest LVH and deep S wave can sometimes be seen normally in young people. You can get echocardiography to remove any doubt regarding LVH (left ventricular hypertrophy). Echocardiography." } ]
[ { "from": "human", "value": "Hello doctor, I need advice about a person who just fainted and bumped her head hard on concrete. Should she go to the emergency room?" }, { "from": "gpt", "value": "Hello. I would like to know her age, other medical conditions, and present medicines. Fainting needs to be evaluated as it can recur and cause serious problems. If she is still feeling unwell, or having giddiness (a tendency to fall), or lost consciousness, you should get her to the emergency room. In the emergency room, they will be able to check your blood pressure, heart rate, and basic blood tests. If you are back to normal, then you can meet your primary care physician in the clinic at the earliest. You can also call your primary care physician office to check with them as they will be aware of your previous medical issues and current medicines. I hope this helps." } ]
[ { "from": "human", "value": "Hello doctor, My father had a valve replacement last year, and he is currently taking Sintrom. He recently got prescribed Nystatin for oral candidiasis. He would like to know if he swallows it or by accident swallows a bit, can it interact with his medication or cause him a cardiac problem or a valve problem?" }, { "from": "gpt", "value": "Hello, I passed carefully through your concern and would like to explain that Sintrom (Acenocoumarol) Nystatin do not show any adverse interaction when taken in the same patient concomitantly. Nystatin taken orally has poor intestinal absorption and could not reach the circulating blood in sufficient amount potentially interact and produce adverse effects. No cardiac issues will arise from that. I hope to have clarified your concern." } ]
[ { "from": "human", "value": "Dark Red and Purple lines in inner thigh. No symptoms experienced. Age 28, Weight 58kg Height 4'11\"" }, { "from": "gpt", "value": "Dear, Please send few more photographs.. Regards" } ]
[ { "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 a 42-year-old man, active in sports. Recently about five days back, while playing football on a concrete floor, I slipped and fell on my lower back (coccyx area) and injured myself. I, however, can carry on my daily activities at slightly slower speed now, and there is slight pain on bending forward. Since two days, a big boil has appeared near my rectal opening. It is dark yellow in color, may be filled with pus, not sure. It is painful whenever I pull in my pelvic or butt muscles. Stools are normal, luckily the boil is above the rectal opening, so no problem in passing stools, but while washing, I can feel the boil and it is painful. I have pain also while walking. I have three questions. 1. Did the fall I had lead to the boil? Or are these two independent problems? 2. What is the reason for the boil? 3. How to treat it quickly?" }, { "from": "gpt", "value": "Hello. 1. This is most likely a bacterial infection affecting either hair follicle or perianal glands. 2. It does not seem likely that it is related to your lower back injury. 3. The causative agent is mostly the bacterium known as Staphylococcus aureus. 4. The pus has to be drained, for the immediate relief. 5. Most of the patients get better with antibiotics and anti-inflammatory drugs in a few days time. 6. So I will prescribe you the medications for five days and it is likely that it will get better. Bacterial infection Not required right now Furuncle, perianal abscess Furuncle, perianal abscess 1. Capsule Augmentin 625 mg(amoxicillin+potassium clavulanate)thrice a day. 2. Capsule Bifilac 1 once a day. 3. Tablet Flexing twice a day. All after meals for 5 days." } ]
[ { "from": "human", "value": "Hello doctor, My body is getting severe itching after taking a bath or while sweating. Initially, it used to happen only in winter 4 to 5 years back and then gradually started in rainy days also. Now in summer also while sweating. It is so irritating like that I am going to be mad. I have stopped using soap and also took Clonafit 0.25 mg and Betonix- 10 prescribed by a dermatologist but there is no improvement. Please help me out of this." }, { "from": "gpt", "value": "Hello. 1. It looks like you are suffering from aquagenic pruritus. 2. Take the tablet I am prescribing and show me again after 15 days. 3. Get the investigation mentioned below done. Aquagenic pruritus. CBC. Aquagenic pruritus. Aquagenic pruritus. 1. Tablet Teczine-M (Monteleukast and Levocetirizine) 10 mg bd for 15 days." } ]
[ { "from": "human", "value": "Hi doctor,I am 34 years facing early ejaculation problem as well as thin semen. I want stronger erection with maximum delay time. Please help me." }, { "from": "gpt", "value": "Hello. It is called premature ejaculation. The 3 to 7 minutes of intercourse with reaching up to climax can be considered normal duration. To increase duration and achieve climax you can practice Master and Johnson start and stop technique. You can take the help of a psychiatrist in learning this technique. Performance anxiety is a common cause of premature ejaculation. If the anxiety problem is present then Fluoxetine like medication can be prescribed. Behavioral counseling and yoga are helpful in such a situation. You can consult a psychiatrist for detailed evaluation." } ]
[ { "from": "human", "value": "Hello doctor, I had my first cataract surgery in the right eye four years back. Now again this year, I just had cataract surgery in the left eye. Just today, after three days of my second cataract surgery in the left eye, the vision in my right eye is not clear. When I am seeing contact names on my phone from close, it is appearing blurry. I am not getting it as to why my unoperated right eye has become like this, after the recent surgery in my left eye. In both the eyes, I have Toric IOL lens, and the surgery is phacoemulsification in both. Please advice me." }, { "from": "gpt", "value": "Hello. I understand your concern and want to assure you that it is usually just a benign increase in tearing in both eyes after surgery that causes such a picture. It settles down on its own and will not need any further treatment than your post-operative medication. In case, you are experiencing problems only in your right and do not have any problems with the left and there is no tearing, then please bring up this issue with the operating surgeons during your post-surgery follow up. It needs further examination and tests, especially if there is a retinal problem. In case you need any further information, please send me a scanned copy of your doctors records and surgical notes, I will do my best to help you." } ]
[ { "from": "human", "value": "Hello doctor, Please advise me a permanent solution of postnasal drip. I have been suffering for a long time that causes continuous pharyngeal irritation and coughing." }, { "from": "gpt", "value": "Hello. Postnasal drip occurs due to rhinosinusitis or nasopharyngitis and is rightly said to be allergic which is exacerbated by infections. Treating the underlying cause helps in mitigating (making less severe) these symptoms. Allergic rhinitis or rhinosinusitis can be difficult to treat. One important part is avoiding the allergens of which particularly important is house dust. Use of antihistamines and nasal spray should be judiciously done as and when required. You may try clearing your nose and sinuses by using a neti pot or nasal douching as required." } ]
[ { "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": "Hi doctor, I am a 34 year old female. I am having a long-standing history of severe depression episodes on and off for 20 years. Despite everything, I have a degree, full-time job and home of my own. I have done really well last few years too after CBT. I have stayed well and even been promoted at work. This year I have gone off track gradually more and more though. What started as stress over work demands, turned into extreme anxiety with disabling effects. Then we found that my mother is suffering from cancer after five years of my dad's death. I had a breakdown but did not tell my family how I had been all this while. I recovered and returned to work, but I have sunk into a deep depression now. I am unable to eat. I do not want to go out or even dress. I stay in bed when I can. The last couple of weeks, I have had strong urges to harm and even kill myself. I am also so agitated at times. My thoughts go on to overdrive. I have been home this week but have to go back to work tomorrow and stress are high there. I am somehow dealing with it. I have been given some tranquilizers on top of my antidepressants, and these have helped quite a bit, but they make me sedated so not good when I am working. I feel so alone too as I cannot tell anyone this stuff. I have also been bloodletting with needles directly into a vein. It relieves pain and suicidal ideas. What can I do? My past psychiatrist has been alerted and wanted me to go to the hospital. I refused, and fortunately, he said he could not force me at present, but that could change. I just want my mind and my life back as this year has been like being tortured. My mother is going to be fine but still undergoing treatment. Sure she knows that I am not well but cannot talk about it. Why cannot I come out of this long dark tunnel and get a grip? I have attached my list of medicines for your reference. Please help." }, { "from": "gpt", "value": "Hello. I can understand your concerns. You should be able to distinguish between disappointment and depression. Disappointment also brings on symptoms identical to depression but they are short lived. You had multiple disappointing episodes and some of them were so deep. You feel depressed because you feel so. Many people feel depressed when their near and dear one expire. But they come back unscathed mainly because there is no other alternative. You also did the same. You came back without any problem, but you feel you are depressed. You are having antidepressants and anti-anxiety drugs. Clinical depression and anxiety are usually treated with a combination of psychiatric medicines, psychotherapy, lifestyle changes, meditation and exercise. I suggest you to get a cognitive behavior therapy. Please consult a psychologist for the same. Also kindly continue the present psychiatrist treatment." } ]
[ { "from": "human", "value": "Hi doctor, My son aged 4 years and 4 months is premature by birth at 34 weeks. His current weight is 15.5 kg. He always used to get a cough and sometimes fever in an interval of every two to three months, especially since last one year. However, there is no other visible physical or mental problem because of his preterm birth. Recently doctor has diagnosed, based on his stethoscope examination and repeated illness, mild intermittent asthma. However, we do not have any family history of asthma. His last 6 months illness history and medication are attached here. Kindly go through it and reply to my queries. Based on the symptoms and background, can it be confirmed that my son is suffering from asthma? If it is asthma, is it the right course of medication in the initial stage? Do we need any other test for reconfirmation and start with essential medicines? Is it permanently curable? What are the dietary do and do not for asthmatic patients? Is there any other better means of treatment in ayurveda or homeopathy for complete treatment? Earlier he was advised 1 mL of Kidrich D3 (multivitamin) for 3 months. Can we continue this along with present medicines? What about routine vaccinations like polio drop, etc? Thanks and regards for your valuable advice." }, { "from": "gpt", "value": "Hi. Though your son is premature, it does not matter with the present illness. Let me first clear you that he is suffering from bronchial asthma. And anyone can have asthma without any family history. So, it is not necessary to be always run in families. To confirm the diagnosis we do spirometry test in children over 6 years of age. But as your son is too young, he will not be able to perform the spirometry. So, we have to make diagnosis on clinical basis. There is no other way to confirm. Now, we have made a firm diagnosis of asthma.Regarding the treatment, nebulization medications are only to be used in emergency. Also, it is not advisable to use steroids syrup on long-term basis. The best treatment for asthma to your son is using inhaler medicines with spacer. You start him on Budecort inhaler (Budesonide) 100 two puffs twice daily with Zerostat VT spacer. Both medicines are from Cipla company. Ask him to gargle after each use of inhaler. Multivitamin and cough syrup can be used as required. But stop Syrup Omnacortil (Prednisolone) by tapering the dose. Use Asthalin nebulizer (Salbutamol) when required in emergency only and not daily. You can give him his vaccines even polio drops while on inhaler treatment. There is no problem in it. Last thing to clear you is that asthma is a life-long disease. We can only control the symptoms of asthma by taking inhaler medicines. It is an incurable disease. In many children, asthma disappears as they grow, in many it remains the same and in some cases it gets worse with increasing age.At this step, no one can predict what will happen to his asthma ahead. So for time being, we must continue with the inhaler medicines.I have tried to give you overall idea about asthma as much possible after carefully reading the history. Please get back if you have any doubts. Allergy to anything. 1. Inhaler medicines like Budecort 100 MDI (metered dose inhaler) 2 puffs twice daily with Zerostat-VT Spacer. 2. Asthalin MDI to be used as required. Avoid dusts, cold liquids or ice creams." } ]
[ { "from": "human", "value": "Hi doctor, I heard that in nephrotic syndrome the filtering unit of kidney becomes larger and so protein comes in urine. I am a patient of cortisone dependent nephrotic syndrome over 15 years. Doctor says that about 95 percent of children will get cured at the age of 18. I am 17 years old now. When a child grows, does the filtering unit become smaller? And what happens to the remaining 5 percent? I have anemia, but otherwise normal. Only albumin comes in urine. I also heard that kidney biopsy is done for nephrotic syndrome. But no doctor advised me for biopsy. Do I have minimal change disease?" }, { "from": "gpt", "value": "Hi. Yes, you have heard the things right. Due to increased pore there is protein in urine. The best treatment remains the Cortisone. In cases where there is no response to Cortisone as evidenced by persistence of albumin in urine, we need to shift those patients on Cyclophosphamide and Azathioprine. Renal biopsy can be performed but since you are on steroids the reports may be altered. You need to get C3 (complement component 3), C4 (complement component 4), ANA (antinuclear antibody), ANCA (antineutrophil cytoplasmic antibody) and urine protein to creatinine ratio." } ]
[ { "from": "human", "value": "Hi doctor, I have redness around my breast and it feels itchy. The itching is heavy when I wear a bra. It is under tolerable level if I apply Candid B lotion. Also, I have the same itching in my abdomen, bums and under thighs. There is redness over these areas as well. These areas are extremely itchy if I wear anything tight or if I do not apply Candid B lotion. It gives me only temporary relief. If I do not apply it then the itching and redness become severe and gets spread. What is my problem?" }, { "from": "gpt", "value": "Hi. I have reviewed the attached photograph (attachment removed to protect patient identity). According to your history and the attached photograph you are suffering from ringworm infection. It is a fungal infection which has a tendency to spread. You are probably having the same infection over your abdomen, thighs, buttocks and left nipple. I would recommend you to start oral as well as topical antifungal. Fungal infection. Tinea corporis." } ]
[ { "from": "human", "value": "Hi doctor, I am 28 year old. My sugar level is normal, TSH is 2.91 and cholesterol is 203. I am facing a problem with my pulse rate. It is between 115-120 when I walk or do any activity. But when I am in rest, it ranges between 80-100. I feel lightheadedness when I walk. Is it normal?" }, { "from": "gpt", "value": "Hello. Cholesterol is in upper borderline. It will come down with low cholesterol diet and exercise daily. Heart rate more than 100 while walking is fine. From your history lightheadedness is the only problem. Is this lightheadedness significant? Do you feel like falling or black out? Monitor your BP (blood pressure) while feeling lightheaded. Measure your BP while sitting followed by standing after three minutes. Sometimes people have positional hypotension. Also, do a Holter monitoring (24 hour ECG) with normal activity whole day. So, we can see your heart rhythm pattern while lightheadedness and rapid heart rate." } ]
[ { "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 -->" } ]

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