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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, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide." }, { "from": "gpt", "value": "Hi. For further doubts consult a sexologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am terrified of preterm labor. I am obsessed with checking for signs that I will go into labor early. I am currently 24 weeks pregnant. I had my last cervix checked maybe three to four days ago through digital examination by a doctor. It was long, closed and thick. Does this mean I am in the clear at least for the next week or so? I also had a transvaginal ultrasound done on the 20th of last month, and my cervix was over 4 cm, with no funneling." }, { "from": "gpt", "value": "Hello. Do not worry. You have developed prepartum anxiety, no need to worry, and funneling is not there kindly go for regular prenatal checkups once in four weeks." } ]
[ { "from": "human", "value": "Hello doctor,I am 29 years unmarried man. My penis upper skin was tight so I did circumcision 50 days before. Before circumcision, I was not having any problem but after circumcision, I have lost the sensation and even if I watch porn, still sperm is not coming out. Could you please advice?" }, { "from": "gpt", "value": "Hi. I can understand your concern about your symptoms. It is post-surgical, I can give some time. Other reasons are such as: 1. Stress. 2.\tDepression. 3.\tFear of failure. 4.\tLow self-esteem (chronic masturbation). 5.\tHomosexuality. 6.\tReligious constraints. 7.\tLong term illness. 8.\tA negative attitude towards your partner. 9.\tHormonal issue. 10\tLong term drug usage. If you can answer these questions, we can work it out." } ]
[ { "from": "human", "value": "Hello doctor, For two years, I wake up in the night with dry throat and mouth and blocked sinuses. Back of mouth or throat is also coated with unpleasant, pale yellow scum on waking (during the day, I am fine). I saw ENT doctor a month ago, diagnosed inflamed sinuses and prescribed four months of steroid drops. These are not working and now I have blood flecks in mucus when I blow nose first thing on waking. This morning, blood streaks are also in the scum from throat which feels raw." }, { "from": "gpt", "value": "Hi. I think that you need to perform a CT scan for your nose and sinuses. There may be a surgical cause for your naso-sinal problems as polyps, deviated septum or hypertrophied turbinates. Perform the scan then show it to me. Do you have excessive sneezing or rhinorrhea? Do you have any allergies for any odors?" } ]
[ { "from": "human", "value": "Hello doctor, I am on my second week of birth control pill in my pack and I have not missed any pill since starting but last night I vomited 5 to 5 and a half hours after taking my pill. It was my 11th pill in the pack. Should I treat it as a missed pill and take another? I also had sex without a condom after the incident and I wanted to know if I am still protected and will I continue to be protected?" }, { "from": "gpt", "value": "Hello. I have read your concern. If you have been on a pill for more than a month and this is your second pack, you have nothing to worry if you just missed out one pill. Since most probably you have vomited out the pill, you can take another pill for today and then continue as once a day every day. You do not have to take a double pill. You will continue to be protected and just continue with the pack. The problem will only arise if you have not been consistently taking it, if you just missed it today because of the vomiting, it will not be too significant. For the vomiting, hydrate yourself and better to take Vitamin B and Advil for your hangover. Hangover. Gastroenteritis. Gastroenteritis secondary to alcohol intake. Hydration, continue with the pill." } ]
[ { "from": "human", "value": "Hello doctor, I am 47 years old. I am experiencing ED and PE. Five years back I had a seizure attack once because of high BP for which I have used Eptoin 100 mg daily for three years. Currently, I am on medication for BP using Telma 80 mg and Minipress XL 5 mg (for five years) and taking Insulin 12 units daily (one year). Please advice me on the treatment to get rid of ED and PE." }, { "from": "gpt", "value": "Hi. B-blocker like Minipress Excell is causing premature ejaculation and ED with the effect of Eptoin (attachment removed to protect patient identity). plus diabetes also a risk-factor of causing erectile dysfunction. Kindly tell us how is your diabetes and hypertension control. then I will tell how to manage this condition." } ]
[ { "from": "human", "value": "Hello doctor,My eye shape has started to differ than other one and looks droop." }, { "from": "gpt", "value": "Hello. From the photo attachment (attachment remove to protect patient identity), I can tell you that you have mild ptosis on your right eye. Ptosis is the technical term for the drooping of the upper lid. There are several ways in which ptosis can be corrected depending on the etiology. To get to the etiology a face to face consultation and examination is mandatory. I recommend that you visit an ophthalmologist preferably with experience in oculoplasty surgery. I also advise an urgent appointment in case you have the following: 1. Seeing double. 2. One side of the face or body (arms or legs) are feeling numb or do not move as well as the other or power is lesser. 3. In case you have been experiencing headache, severe vomiting, weight loss and problems seeing bright lights." } ]
[ { "from": "human", "value": "Hi doctor, I had sex four months back with using two condoms at a time and later I realized that using two condoms at a time is not safe. So, I have taken HIV tridot test two months back and fourth generation test last month and again tridot test this month. All are negative. So should I need to test again or these are enough? What is the window period for HIV fourth generation test? What is the window period for HIV tridot test?" }, { "from": "gpt", "value": "Hello. I will try to solve your query so that all your doubts are cleared. First, to get infected with HIV first your partner needs to be HIV positive. The chances of your partner being HIV positive depends on the type of partner. If your partner is a commercial sex worker the chances are increased as compared to others. Secondly, the use of any protection. If you are using condom definitely chances are lower. Thirdly, if there is a contact of your blood or fluid with the partners fluid. This means if you have any injuries prior or during sex and your blood get mixed with partners blood, there are higher chances. Lastly, even when all the previous points get fulfilled there my be a chance that you might not get infected. So by your explanation, you are at a lesser risk. Coming to your last queries. Tridot test has a window period of three months, that is, it gives HIV status of three months from present and not recent three months and fourth generation test has a window period of four weeks. So going by the chronology of events you are quite safe. I hope it solves your queries and I hope you become a little relaxed now. If you still have doubt I am always there to help you. I am also enabling a free query in case you need to speak to me again." } ]
[ { "from": "human", "value": "Hello doctor, I have two dark red circular spots under the tongue, on the duct area that has not gone away in months. Kindly help." }, { "from": "gpt", "value": "Hello. It seems to be a small blood clot which may have occurred at the soft tissue at the salivary duct area. The reason may be due to suction pressure which might have created a negative pressure inside mouth causing such minor blood clots. It is not a severe condition to get worried. Due to the soft tissue area, it takes too much time to go away. It will resolve on its own, and no action is needed, and definitely, nothing to be worried. Send a clear picture if possible." } ]
[ { "from": "human", "value": "Hello doctor, I had cryotherapy done to remove warts on my penis and looks like it is not healing well. My skin appears to be scarring and remains a light pink color after two weeks from treatment. Will this go away? Can I apply cream to help fade the scar?" }, { "from": "gpt", "value": "Hello. I need some pictures of the affected area to guide you through precisely." } ]
[ { "from": "human", "value": "Hello doctor, My son is 12 years old. Today in school another student threw a gift card (credit card size) which got stuck in his eye. He immediately experienced some internal eye bleeding and diplopia. He saw the urgent care MD who put dye in his eye and diagnosed a corneal abrasion and prescribed Erythromycin ointment four times daily. Should he consult an Ophthalmologist as well and what other treatment may be needed?" }, { "from": "gpt", "value": "Hello. I am very sorry to hear that your son is injured. But, rest assured that such things are quite common and corneal abrasions usually heal in about five to seven days without any further harm. I suggest that you continue with the Erythromycin ointment and make sure that your son does not go out in sunny, windy or dusty environments. If necessary dark goggles can be worn temporarily for extra protection. I recommend that you see an Ophthalmologist in case of the following: 1. If there are pain and watering that does not improve with the Erythromycin Ointment. 2. If the redness is not reducing. 3. If there is a drop in vision. I hope this helps you." } ]
[ { "from": "human", "value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached." }, { "from": "gpt", "value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->" } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My wife is two months pregnant. As she got pain and a little bleeding, we consulted a doctor. The doctor told that one is unhealthy, so she advised for abortion. We took one tablet and the next day she gave four pills. Two she inserted inside the vagina and two to take orally. After that, she got bleeding and severe stomach pain. Already 24 hours over but still the bleeding and pain have not stopped. When I informed this to our doctor, she advised us to get hospitalized for abortion. What can we do?" }, { "from": "gpt", "value": "Hello. Stomach pain is a usual side effect of abortion pills. For that, your wife can take simple pain killers such as the tablet Buscopan or Spasfon. Secondly, bleeding happens just like periods or maybe heavier and may last for 8 to 10 days sometimes. If you feel that she is bleeding heavily, then you might seek medical help, and get her admitted. Otherwise, you must wait for 2 to 3 days, and bleeding will become lighter by itself. I hope it has helped you. If you have any further queries, please do not hesitate to contact me." } ]
[ { "from": "human", "value": "Hello doctor, I am 18 years old. Nowadays I observe that I am losing my hair on the head and getting ball head. Is there any precaution to be followed? Kindly help." }, { "from": "gpt", "value": "Hello. 1. There are a lot of causes for hair loss including stress, lack of proper nutrition, scalp infection including dandruff, hormonal and genetic and seasonal and many more. 2. For routine, you should wash your scalp daily. 3. Do not apply hair oil as it can increase dandruff. 4. Take a diet rich in protein and vitamins which includes eggs, paneer, green vegetables, and fruits. As most of the time, it is dietary to take the tablet I am prescribing below for six weeks. Telogen effluvium. 1. Follihair 1 tablet daily for six weeks after meals." } ]
[ { "from": "human", "value": "Hello doctor, About six weeks ago, I started to have vision problems, and I had a migraine. So I went to my pediatrician and got an MRI because they thought I had a tumor. I then went to an ophthalmologist, and he said I have pseudotumor cerebrai. I got a spinal tap done, and all the results came back negative. The doctor told me that it might be due to the birth control I use. Kindly advice." }, { "from": "gpt", "value": "Hello. Birth control pills with estrogen are an established cause of such a condition. In pseudotumor, all investigations are normal, just like in your case. Hence it is called as \"pseudo\" tumor. The next important step is to meet with your obstetrician and change the type of birth control pills you are on. Your ophthalmologist or physician may start you on oral medications to reduce the swelling of your optic nerves. The other important measure to reduce the severity of your condition is to get your body mass index (BMI) within the normal range. BMI is a simple but effective tool to monitor how healthy your body is in terms of fat content. I hope this helps you." } ]
[ { "from": "human", "value": "Hello doctor, I have pain in my tooth. After the x-ray, the dentist said it is ok. But I still cannot chew food and drinks are painful. Kindly suggest me a second opinion." }, { "from": "gpt", "value": "Hello. As I can see in x-ray, (attachment removed to protect patient identity) nothing serious. But one thing I noticed a space between fifth, and sixth tooth and the space between the sixth and seventh tooth are wider than usual. I think there may be food lodgment occurred and you feel pain. I suggest you, please go for a professional dental cleaning and follow oral hygiene instructions. Use floss and interdental brush in that area." } ]
[ { "from": "human", "value": "Hello doctor, I hope you can help me with my anxiety. I am a 35-year-old female who has severe health anxiety and panic disorder with agoraphobia. I have been doing good until this past month. Then, I got sick and had a fever. My heart rate was high during the time of fever. I became extremely anxious about it and went out to buy pulse oxygen to keep an eye on it. WelI I think that was a bad idea. For example, when I am up around the house cleaning, it can hit 130. When I am walking into someplace I have anxiety it can get up to 140. And I feel it. Then I get more scared. I want to start walking with my mom. But I feel scared because it may increase my heart rate. I need some reassurance as I have stuck in this heart fear. Blood pressure generally runs 107/75 and resting heart rate is around 70. I weight 134 lbs (60 kg), and my height is 5'3. Seven years ago I had an echocardiogram when my anxiety first started, and I wore a 30 days Holter monitor. All was good except some PVCs. I also had a stress test without contrast during that time that was also fine. I have always been scared to exercise because of the fear of my heart rate and thinking it will make me have a heart attack or go into cardiac arrest. Please, can you give me some reassurance? I came to know that I can duplicate any chest pain by pressing on the spot then snap out of thinking I have a heart attack." }, { "from": "gpt", "value": "Hello. I passed carefully through your medical history. Considering your clinical symptoms and performed medical test I would explain as follows: Your heart rate increase recently is defined by your condition of high body temperature and systemic inflammation response. Usually, there is some degree of dehydration that may also further contribute to the matter. But the primary cause of the racing heart rate is your excessive anxiety. You need to fix and avoid it. The first step is to get rid of the oximeter. You should relax and go outside in nature. Yoga and aerobics are helpful in this regard. Hope to have been of some help to you." } ]
[ { "from": "human", "value": "Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well." }, { "from": "gpt", "value": "Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." } ]
[ { "from": "human", "value": "Hello doctor, I have acne, and my pharmacist said that it is dermatitis. I tried every homemade mask, but it does not work out. I have not tried any medication but have used some skincare products like face washes. And apart from that, I have a terrible uneven tone (tan) on my face, neck, and arms that I do not like. What should I do?" }, { "from": "gpt", "value": "Hello. 1. It seems that you have acne vulgaris grade 3. 2. Please do not touch or squeeze them. If you are scratch them, it will lead to the mark. 3. I have suggested the medicines below. Please consult your doctor, discuss my suggestion and take medication with consent. Acne. 1. Capsule Doxycycline 100 mg once a day. 2. Adapalene gel 0.1 apply at night in a tiny amount on pimples and do not rub it. 3. Use Benzoyl Peroxide face wash for 20 days." } ]
[ { "from": "human", "value": "Hello doctor, Can I get pregnant without having sperm released inside my vagina during the intercourse? How can I confirm if I maybe pregnant? If I am pregnant what should I do for abortion without surgical means?" }, { "from": "gpt", "value": "Hi. Until there is ejaculation in the vagina or precum, there is no chance of pregnancy. So relax and do not worry. However, if you have a doubt then take an emergency contraceptive pill within 72 hours of intercourse. There is no chance of pregnancy. However, if you have crossed 72 hours of intercourse then please do not take any medication without expert advice. If you happen to miss your period then get a urine pregnancy test done with an early morning urine sample to ensure that you are not pregnant. However, if you have a doubt then get back to me." } ]
[ { "from": "human", "value": "Hello doctor, I am 21 years old, I take Iron supplements for low iron and low ferritin levels and was on contraception pill for six years since four months back. I used a sex toy (dildo) this morning which is slightly bigger than my partner. After, which I noticed a bit of blood on the toy and a small amount came out afterward. I did not feel any pain during or after, I noticed it felt deeper than usual and a stretching sensation. Four hours later I noticed more blood coming out, I have continued to bleed what looks like my period. I have no other symptoms but more blood has come out, no mucous or clots either. I feel well. Could it be coincidental that my period has come back or could I have injured myself? What are the signs of injury and at what point should I get checked out? By the way of background, I have been waiting for my period since last year. I stopped taking the pill thinking my period would come but it never did. I had irregular periods prior to taking the pill (hence why I got on the pill). My periods were always relatively heavy. I also have had a number of ovarian cysts over the last two to three years which have caused me pain previously. I am not polycystic and have not undergone any treatment but for the removal of ovarian cysts three years back due to torsion." }, { "from": "gpt", "value": "Hello. As your history suggests that you experienced bleeding post insertion and usage of sex toy (dildo). There are two ways it can cause injury in women - one by frictional lesions experienced as stretching and vaginal wall tears leading to bleeding (reddish spotting to heavy) or presence of cervicitis or cervical erosions which can bleed after the act of insertion or intercourse (often darkish brown discharge to reddish spotting). This calls for a per speculum examination to rule out either -vaginal mucosal injury or cervicitis. Now that you have been amenorrhoeic (absence of mensuration) since last four months, there is all likelihood that post sexual act, due to orgasm and increased endorphins, your menses may have been initiated and have increased inflow in next few days without any discomfort. The chances of bleeding being menses and heavy is high considering there is no pain or fever and that you did not have your menses for the last four months. You should get an ultrasound pelvis done to check for endometrial blood collection which shall confirm menses and also a per speculum exam which shall rule out any cervicitis or vaginal mucous lesions. I hope I have answered your query in detail, Avoid use of sex toy till cause is ascertained and bleeding stops. Please consult your gynecologist." } ]
[ { "from": "human", "value": "Hello doctor, I am having a bunch of bumps on my dick. I think it is because I jerk off a lot but I am not exactly sure what it is. I have no discomfort, no itching, no discharge." }, { "from": "gpt", "value": "Hello Are you having any pain or burning sensation? These lesions look like herpes simplex virus infection. It may cause lesions on face and genitals also. Use Acivir cream (Acyclovir), and tablet Acivir 400 mg thrice a day for five days. If symptoms are not improved, please consult your doctor. He will examine and treat you accordingly. Take care." } ]
[ { "from": "human", "value": "Hi doctor, I got my nose injured around 9 years back while playing basketball. I got a deviated septum and sinus problem from that time. I got operated for both around 3.5 years back and I started feeling almost normal and cured. Recently 2 days back I had a moderate blow at the outer bone of the nose. Simultaneously I am also suffering from cold, nasal blockage, and sore throat. Now, this can be coincident as well. I wanted to know, can this be related to blow at the nose?" }, { "from": "gpt", "value": "Hi. Post-trauma deviation in the nose is expected, but not always does this lead to a sinus infection and recurrent sinusitis. You already had previous surgery for deviation. So it also depends on your previous surgery that was done." } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached." }, { "from": "gpt", "value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->" } ]
[ { "from": "human", "value": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help." }, { "from": "gpt", "value": "Hi. For further doubts consult a sexologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I am 63 years old. My height is 6 feet, and I weigh 165 lbs. Overall I have maintained good health with stable CAD, chronic sinusitis and very fit. My recent stress echo shows excellent exercise tolerance and no blood flow blockage in coronary arteries. I have been taking these medications Crestor, Amlodipine, Benazepril, Bystolic, and Zetia for many years. I have symptoms such as frequent hunger, and still, there is weight loss. Perhaps have lost 2 kg over past 3 months. I have constant body aches, constant low-grade headache, overall fatigue, feeling some sensation in both groin and armpits. Bowels work fine. This has been going on for several weeks. Consulted my physician who said the lymph nodes that he could palpate were fine. Did ultrasound of neck and axilla and chest x-ray both were unremarkable. I fear that I may have liquid cancer. Can you look at these two laboratory results and tell me if these results could indicate the presence of lymphoma or leukemia. If it is not cardiac arrest, then I am sure it will be figured out in time. There is no history of CA in my family. Please help." }, { "from": "gpt", "value": "Hi. Based on your query and attached reports (attachments removed to protect patient identity) my opinion is as follows: Based on your reports, there is no abnormality. No signs of any lymphoma or leukemia. Weight loss of 2 kg over 3 months is normal. Dehydration can cause up to 1-2 kg weight loss within a week and 2 kg should not be worrisome. Thyroid profile is good and there is no anemia. Regular moderate activity, protein-rich diet, good hydration (5-6 liters of water per day) should be helpful. Night sweats are usually a sign of cancer. However, the weight loss will be in the range of more than 10% within 2-3 months and additionally, for lymphoma, multiple groups of lymph nodes would be enlarged or in case of leukemia WBC (white blood cell), the differential would show a high number of blasts or immature cells. None of which are found. Additionally, there are no frequent new infections, indicating good bone marrow and immune function. There is no presence of any cancer of blood-forming cells. 1. Regular moderate activity. 2. Have good protein rich diet. 3. Keep yourself hydrated. Drink at least 5-6 liters of water per day." } ]
[ { "from": "human", "value": "Hello doctor, I had recently used MTP pills, and it is day 4. Day one I took 1 tablet of 200 mcg, the second day I took 2 tablets each 200 mcg. I did not take rest two pills, due to heavy bleeding. Also, I had got a lot of clotting, though it must be cleared now. On the fourth day, I did ultrasonography and found still a few clots were present. What is the best solution now? Will it clear automatically after a few weeks or should I take rest two pills now? Please help. Also day 4, the doctor suggested that I need to go for dilatation and curettage. I need your suggestion. Should I do it immediately? I am not in a position to do it now. Can I do dilatation and curettage after some time of around two months? Please suggest. I have attached my laboratory tests for your reference. Thank you." }, { "from": "gpt", "value": "Hello. Considering the USG (ultrasonography) scan report (attachment removed to protect patient identity), there are still retained products of conception inside the uterus with clots. Ideally, you can take the remaining two doses of tablet Misoprostol and allow the bleeding to continue further as with medical abortion the bleeding may last for at least 7-10 days. Repeat USG scan ideally after 2 weeks to check for retained products again. If the products are still retained then dilatation and curettage would have to be done without delaying it further as you said till 2 months. Delaying can lead to endometritis or uterine infection which can be harmful to future pregnancies." } ]
[ { "from": "human", "value": "Hi doctor, My baby is 3 weeks old. He is on both breastfeeding and formula preparation. What type of multivitamin can be recommended for him? Kindly suggest a few and enlighten what all are necessary for growth." }, { "from": "gpt", "value": "Hello. Neonates need exclusive breastfeeding and can supplement formula feed as needed. Usually, there is no need for multivitamin supplement at this age and would not recommend unless there is a need for one. For infant growth, all you need is timely feeds and breastfeeding. You start weaning at six months of age. Vaccines are important and make sure he gets all his vaccination on time through his pediatrician." } ]
[ { "from": "human", "value": "Hello doctor, I am a patient of PCOD. I had my last periods before nine days. I took tablet Letrozole 2.5 mg from the second day of my periods and continued for five days. My USG findings of today as after ten days is right ovary follicle is 23.4 mm, and ET is 6.7. I will be able to meet my husband only after three days. My query is when shall I take injection hCG, as I can afford to have intercourse only after three days. My second query is with such a background, is there a possibility of cyst formation?" }, { "from": "gpt", "value": "Hello. As the follicular size has already crossed 22 mm, there are high chances that you would ovulate in the next 24 hours naturally. However, by rule hCG dose is offered when the largest follicular size has crossed 20 mm, so you should be taking it today. After the injection, the ovulation is expected in the next 36 hours after the LH (luteinizing hormone) surge. So we advise intercourse from the very next day of hCG injection daily for the next three days to increase chances of conception. After ovulation, the egg is available for the next 24 hours when fertilization can occur as the egg starts to degenerate post 24 hours of ovulation. It has to be followed daily transvaginal ultrasound to watch for ovulation. If you ovulate by today night and see a ruptured follicle tomorrow then next 24 hours would be crucial for conception. In your case where sex is planned on three days from now if the follicle does not rupture naturally then you can take an hCG injection in the morning before the day of meeting your husband. And you expect egg after ovulation to be viable till that day and the next day when you can opt for frequent sex to increase chances of conception. All this provided follicle does not rupture until tomorrow evening." } ]
[ { "from": "human", "value": "Hello Doctor, Before five years I consulted an ayurvedic doctor. I was suffering from hyperthyroid back pain. Then had a concentration problem in all the aspects of life. So I asked the doctor to suggest me some ayurvedic medicine for that. The doctor asked me to take manasmitra vatakam from kotakkal arya vaidyasala, the dosage of one tablet twice a day. Till date, I am taking it. The doctor told me that it does not have any side effects. Till now, I have had no side effect because of this. I feel focused and less anxious. Just wanted to ask will it be done or I have to continue with these two tablets? Will it have any side effect on the long run? I am still taking the medicines from the same brand." }, { "from": "gpt", "value": "Hello. Manasmitra vatkam is a good product and has no side effects in general. But it is always advised to take it under supervision only, so if tapering off the medication is required or dose adjustment is required only your physician can do that. Also only for anxiety bouts, it is not advisable for long periods. I advise you to visit your ayurvedic physician who prescribed you to take it and ask for the complete clinical psychological examination and then take it accordingly. I hope you understand my point." } ]
[ { "from": "human", "value": "Hello doctor, I had a chest x-ray and chest ct scan done. And they both came back normal. If I had emphysema would it have shown up on one of those two tests?" }, { "from": "gpt", "value": "Hello. Significant emphysema in the lungs would have been visualized in the x-rays. Early stages of emphysema are difficult to see on x-ray and are visualized only on HRCT (high-resolution computerized tomography) chest scan. If X-rays are normal then more likely that you do not have lung emphysema." } ]
[ { "from": "human", "value": "Hello doctor, Two weeks ago I had 10 positive home urine pregnancy tests. I consulted with my obstetrician and they sent me for two blood tests 48 hours apart. The blood test showed my hCG level more than doubled within 48 hours which the obstetrician said was great. Well because I have irregular periods I did not know the date of my last period, so my obstetrician scheduled me for a vaginal ultrasound today and the ultrasound showed a gestational sac but no fetus in it. My obstetrician asked me to get another blood drawn in which results came out good and normal. she has asked me to come and do another ultrasound in two weeks to see if they can see the baby. Is it normal to not see the fetus and just the gestational sac in early pregnancy? I have been so nervous and going nuts since my obstetrician did an ultrasound this morning. It is driving me insane. Please send me any information if you can. Thanks so much." }, { "from": "gpt", "value": "Hello. In early pregnancy, by six weeks of gestation, the gestational sac is often not seen and only decidual reaction can be appreciated in the uterus, but as the hCG levels are doubling, there is definitely a viable ongoing pregnancy either inside or outside uterus, so a repeat ultrasound after two weeks shall establish the location and presence of a sac, considering that it would grow to a recognizable size in next two weeks. My concern with you is that you have been on the Adderall tablet, which is a pregnancy category C drug and not to be used before or during pregnancy as it has been known to cause congenital defects in fetuses." } ]
[ { "from": "human", "value": "Hello doctor, I am suffering from sweaty palms. It is very difficult for me to work in an office or shake hands during business meetings.Please kindly suggest a remedy." }, { "from": "gpt", "value": "Hello Welcome to icliniq.com. 1. Your condition is called palmoplantar hyperhidrosis (sweat glands of palms and soles secrete inappropriately large quantities of sweat). 2. Apply the lotion I am prescribing you below. 3. Another more long-lasting and more effective treatment is Botox injections given in the palmar skin only. The effect lasts for six months. Palmar hyperhidrosis. 1. Aldry or Nosweat lotion apply once at night for four weeks." } ]
[ { "from": "human", "value": "Hello doctor, I have G6PD deficiency since childhood. Presently I am married. And soon planning to conceive. Will I have any complications in the future? How much and till what extent? Is it true that I can never become a mother if I have G6PD? Are there chances or percentage of having a healthy child?" }, { "from": "gpt", "value": "Hello. Yes, G6PD deficiency certainly has effects on pregnancy. It is an X-linked recessive disorder, male babies may be affected and female babies may be carriers. Chances of inheritance vary with your partner karyotype also. The severity of symptoms varies depends on your lifestyle and food intake. Complications are anemia, jaundice, urinary tract infections, preeclampsia (raised blood pressure, loss of protein in your body), spontaneous miscarriage, low birth weight, fetal anemia, infections, and newborn jaundice. Avoid infections, soya beans, and stress, avoid Aspirin and unnecessary drugs. Maintain a healthy lifestyle iron rich and protein-rich diet, iron supplements and folic acid tablets daily." } ]
[ { "from": "human", "value": "Hello doctor, I am suicidal. I feel so manipulated and exploited. My parents never listen to what I say and indirectly or directly cause some very unpleasant memories. Maybe I just want to be an ordinary kid, I want to play computer games and stuff, maybe I do not need to do academic stuff all the time, but they will not listen, instead, they push me down to a bottomless hole and they drive me crazy." }, { "from": "gpt", "value": "Hi. Suicide is not a solution to any problem. There is no problem in the world which does not have any solution. Just we have to see from a different view. Take a break in your life. Think about what you want to do in the future. If you are not interested in the study, leave it but what you want to do to survive in this world, think about it. If you have something fruitful to do except study than talk about it with your parents. Make sure that they believe in your plan. Strictly stay away from any form of recreational drugs or alcohol. Stay away from social media or limit the use of it. Do not live a virtual life, come to the reality of life and the world. If your parents do not listen then someone elder who believe in you and then ask that elder to talk with your parents. Ask your parents what they want from you and why they want it. Talk politely with parents. Do not do any unnecessary argument. It is a very tender age and do not take any decisions in a hurry. Relax and think. Life is very beautiful. Enjoy it." } ]
[ { "from": "human", "value": "Right arm joint upto the shoulder neck pain for the last few days it increased from yesterday evening having difficulty moving 490yrs Male" }, { "from": "gpt", "value": "Hello, I read your concern. In my opinion it could be due to some nerve irritation following neck spasm due to facet joint irritation. Nothing to worry. As of now I would advise you to If irritation reduces, try to Maintain neck in mild arching by placing hand on the chin while lying down over stomach. Hold this for atleast 5 mins.. During this you should not experience any pain in shoulder.. There will be pain in the back of neck. Hope this is helpful for you Kindly revert back to me to let me know your status. Bad posture Facet joint arthropathy Wry neck Rice and mobilisation Avoid aggravating postures After a day.." } ]
[ { "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 would like to know the best treatment for advanced keratoconus after using scleral lenses as well. Will there be a condition, where I do not have to use lenses like ever?" }, { "from": "gpt", "value": "Hello. I understand your concern. There are a number of different treatments for keratoconus based on the corneal topographical measures and your visual needs. The best to halt progression is corneal collagen cross-linking (C3R). This procedure causes the development of a lot of chemical bonds inside your cornea stabilizing it, thus preventing it from bulging out further. This procedure can only bring stabilization and will not improve your vision. For vision, we have a number of surgeries and implants, which can improve vision after corneal collagen cross-linking. In case you need more information regarding the specific treatment suitable for your eyes, please send me a scanned copy for your topography reports along with your present glass power and doctors reports. I will do my best to explain the pros and cons and guide you regarding the best course of action." } ]
[ { "from": "human", "value": "Hello doctor, I went to my dentist a few days back with the discovery of an abscess which was connected to a broken tooth. It then spread to my cheek and got swollen. I am on Amoxicillin and Flagyl for five days. Today is my last day. Unfortunately, the swelling has not entirely decreased, I am still left with a small hard sack of presumable pus. How can this be removed or will it go away naturally in a few days?" }, { "from": "gpt", "value": "Hi. I had gone through your question and I can understand your concern. It looks like the infection is over if there is no pus and pain anymore. The swelling if hard remains there is called antibioma and it may take some time to get fully over and will not need any further antibiotic medication. In case the swelling is tender on touch, there is a pain still, you may need medication for two more days." } ]
[ { "from": "human", "value": "Hello doctor, This query is about a healthy, happy boy who has poor concentration and cannot stop biting his nails. My 11-year-old son has had a nailbiting habit on and off since toddler years. We recently moved and started school (was homeschooled before). He has always been easily distracted when doing written sit-down work. He enjoys his new school and is making friends, he can read and listens and recalls story details, good in math. Not hyperactive, just spaces out, daydreaming. Other seemingly unrelated issues: Occasional headaches, outdoor allergies with sinus infections yearly (better since the move). We are a vegetarian family but eat eggs and dairy. He is a very social person, likes building and creating things, enjoys music and dancing." }, { "from": "gpt", "value": "Hello. This needs medication which I will be prescribing." } ]
[ { "from": "human", "value": "Hello doctor, I am a 30-year-old male. I work with computer eight hours per day, I was wearing contact lenses for 15 years, glasses for eight years prior to that. I go to yearly checkups with my optician and physician. I eat healthy foods and exercise daily. I have healthy BMI, no known diseases, no known allergies, and no medications. Eye diseases in my family: Retinal detachment, glaucoma. And my brother had frequent episodes of ocular migraines in his youth with migraine plus visual pattern. Before five months, I had an episode with my eyes. I was watching TV in the evening, suddenly I could not read the subtitles on the screen. They were blurred. I checked my phone and I could not focus my eyes to read my screen. I felt partially blinded. I also noticed I lacked some part of my viewing field. I looked at my arms while waving them up and down, and I could not see my right hand in my right eye in a certain position at about 3 feet distance. I would summarize it saying I had partial loss of vision in parts of my right eye and I was blinded like by a camera flash in both eyes. This lasted for 20 minutes. I was worried it might be something serious, so after talking to my doctor I ended up at the hospital. They took an MRI scan, had an eye doctor check my eyes and they used ultrasound on my neck. They could not find anything. I told them early that my younger brother had experienced ocular migraines when he was younger, so the doctors gave me the same diagnoses after the tests could not give any other answers. I will also add that prior to this episode I had for a while dry eyes and polyps on my right eyelid. I have never had this before. I have always been health conscious, so after this incident, I read a lot about this and implemented several things. I always sleep a minimum of 8 hours. I do not skip meals, eat foods. I have read that these are beneficial for eyes: Meditation and exercise to reduce stress. For the past two weeks, I have been experiencing almost every evening that my eyes are irritated by all screens. It has not been too bad, so it has just been in the back of my mind. But this weekend it got so bad I was blinded like by the flash of a camera for 24 hours straight. During this time, it was extremely sensitive to any lights, from screens to candles. I went to the general practitioner early today to have his opinion. I woke up with this same blinding flash disturbance and had it while I was at the doctor. He seemed clueless because these symptoms during this past week do not go that well with the diagnosis of ocular migraines that typically last 20 minutes to an hour. Also, I never have migraines. I just have the vision disturbance. My doctor has referred me back to the hospital and the eye doctors there. I wait for them to schedule it. My question is if you know what this could be and what I can do to limit these episodes. I am at a point now that this disturbs my work and I struggle to find the advice. I need to go forward. The eye doctor at the hospital, my general practitioner and my optician all say screen use has nothing to do with this. But none of them can give me advice on what to do." }, { "from": "gpt", "value": "Hello. I understand your concern. There are not many conditions which can give rise to the feeling of being blinded by a camera flash for 24 hours. A few of the conditions which can give rise to periodic flashes of light are retinal detachment, posterior vitreous detachment, ocular migraine and aura of migraine. None of these conditions can cause a flash of blinding light for 24 hours. But in case you are referring to episodic blindness, there are several causes like prodromal stages of retinal blood vessel disorder, migraine, Raynaud's disease, intermittent glaucoma and carotid artery stenosis (for which the ultrasound neck is done). I feel that the cause may be neurological and related to the blood supply. In case you need further information, please send me a scanned copy of your doctors records or tests reports. I will do my best to help you." } ]
[ { "from": "human", "value": "Hello doctor, My wife is 24 weeks pregnant. I am having doubts regarding her daily diet during pregnancy. She is taking one banana early morning, coconut water daily once and milk thrice a day. My doubt is, is it safe to take banana and coconut when pregnant? And is it safe to take milk thrice a day? Four months back, her hemoglobin test was done in the laboratory report 8.0 g% is noted. What are the precautions to be taken to increase the hemoglobin?" }, { "from": "gpt", "value": "Hi. I have read and understood your problem. If her blood pressure is normal, then there is no harm in taking one banana and coconut water once daily and milk thrice a day. Diet during pregnancy must contain green leafy vegetables in it. Her hemoglobin is low, she should take Iron and Folic acid tablets. Only food will not increase her hemoglobin. Also, do her TSH test, sometimes thyroid problem also causes low hemoglobin." } ]
[ { "from": "human", "value": "My father has been having sciantica on lower left leg and back pains. This have continuously happened for last 5 months. In the past 2 years it only pains periodically. What are the best options (1) without surgery or (2) minimal invasive surgery? I would be able to share further on the MRI scans once I have established a link to upload or email." }, { "from": "gpt", "value": "Hello, Sorry to hear this. The MRI does show degenerative disease of the lumbar spine mainly at L45 L5S1 level. The main indications for surgery are as follows Thus the decision for surgery is generally based on both patient perception as well as thorough clinical examination. He needs to visit a surgeon for examination. Generally speaking, the surgeon usually recommends a non surgical treatment first if there are no neurological deficits. These may include rest, activity modifications, medications,physiotherapy, combination of nerve blocks and/or facet blocks etc. Wishing him a speedy recovery. Best wishes." } ]
[ { "from": "human", "value": "Hi doctor, I am a 41 year old woman and started having severe lower back pain and nausea about a week ago. Went to the ER, had a CT scan, diagnosed with a 6.5 mm kidney stone in my right ureter with mild hydronephrosis. I was given Percocet and sent home with instructions to see a urologist. I was not able to get an appointment until yesterday. Two days after my ER visit, I began having severe chills and running fever as high as 101.5. The urologist did a UA yesterday and said I did not have an infection. And also he did a KUB, which showed my stone had not moved at all. He scheduled me for lithotripsy next Tuesday. I continue to have severe chills and fever. I called his office today and he says I probably have flu. Is it possible that I have an infection in my right kidney? Because the stone is blocking the ureter. But, urine I am passing is clear and uninfected. Please help." }, { "from": "gpt", "value": "Hello. High fever and chill are indicative of infection indeed and as we have a cause rightly evident there are chances that you may be developing hydronephrosis (accumulation of urine in swollen kidney) in the right kidney and a secondary infection following stasis of urine (stoppage or reduced flow of urine) in the kidney leading to nephritis. Though urine culture generally picks up an infection in the bladder, nephritis is more of clinical diagnosis with pain and tenderness in the renal angle and high-grade fever accompanying it. Ideally, you should be started on prophylactic antibiotics to control the infection sooner before septic features or septicemia may occur.I think you should take a second opinion from another urologist too." } ]
[ { "from": "human", "value": "Hello doctor, I have a question about my skin condition. I have developed a really itchy and dry skin after I dyed my hair. Here are the symptoms. I do not know what the condition is as my appointment is months away. Can I attach pictures?" }, { "from": "gpt", "value": "Hi. I have seen your query and examined your given picture (attachment removed to protect patient identity). It seems you have developed allergic contact dermatitis to hair dye. Though you may not have had this on your previous exposure, now onwards you may have a severe reaction to the dye. You can use topical 1 % Hydrocortisone cream local application twice daily and take tablet Levocetirizine once daily for one week after consulting your dermatologist. For more information consult a dermatologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I have a sore at the middle of my penile shaft. I believe this was due to excessive masturbation and having sex when it was sore and hurting, to begin with. It seems like it is healing up, but I want to make sure. There has not been pus, discharge or pain from peeing. Just the irritated spot has been sore. The skin has turned dark there as it is healing I presume? I have been having sex with the same person for over two years so I do not think it is anything she gave to me as she is clean. I am just hoping this is not some sort of STI." }, { "from": "gpt", "value": "Hello Welcome to icliniq.com. Usually, whenever soreness is present over the penis we have to rule out herpes or syphilis. But I have seen attached image (attachment removed to protect patient identity). It does not look like any sexually transmitted illness. For a few days, it is advisable to stop masturbation and you can apply topical antibiotic cream over that. If no improvement, then you have to consult a dermatologist for detailed evaluation." } ]
[ { "from": "human", "value": "Hello doctor, Recently, I noticed a visible gum recession. Ignore black triangles. Got it after orthodontist told me that is due to my nature of teeth shape. I had braces two years ago. I realized the recession when flossing and brushing my teeth. I am wondering if I have overflossed and hurt my gums because it bleeds sometimes too and worried if it is gingivitis. Does mouth wash help? I am considering getting it." }, { "from": "gpt", "value": "Hello. Gum recession is caused due to multiple reasons and one of them is gingivitis or periodontitis. The amount of recession as I see in your pictures (attachment removed to protect patient identity) is very less and you need not to worry about it at all unless you experience sensitivity issues. There is no sign of any inflammation or infection in your gums and that is not the cause for recession. The probable cause for this in your case is a faulty tooth brushing which causes constant trauma to the teeth and gums. Applying excessive pressure on your toothbrush while brushing is the most common reason as people usually think this will make the teeth whiter but in fact, it only causes more harm. Following proper tooth brushing techniques will prevent further recession. Black triangles are caused usually due to deposits in the interdental areas. You can visit a periodontist to get this treated. We have a few options such as laser therapy for papilla regeneration and a few other minor surgical procedures to regrow the lost gums in between the tooth. To correct gum recession also you may ask the periodontist for the treatment options. They are commonly gum grafts, coronally advanced flap therapy, etc., which will bring you back your esthetics. These procedures are not majorly invasive and need not hesitate to get it done. However, if it does not cause you any trouble you need not get any procedures done other than regular scaling and maintaining hygiene. Also, remember to use only a soft toothbrush as hard bristles can cause more trauma and result in a further recession." } ]
[ { "from": "human", "value": "Hello doctor, I have white discharge problem since 3 to 4 years. I tested vaginal swab and my reports showed staphylococcus aureus isolated. I have weight loss and pimples problems also." }, { "from": "gpt", "value": "Hi. White discharge is a common problem among sexually active females and there are a few things to be kept in mind. 1. Do not take extra care for your private parts by using intimate washes, perfumes, and douches. They wash away your normal protective vaginal flora. Just wash the area with water during bath time. 2. Have yogurt every day to incorporate probiotics in the diet. 3. Use cotton undergarments. 4. Avoid oral sex if the partner has dental issues. 5. Rule out latex allergy and change to pads if using tampons. 6. Have proper sleep, maintain a regime. 7. Avoid stress. 8. Eat healthy and drink water in adequate amounts." } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My partner is having a lot of pain in his wisdom tooth. I guess he is getting it but his whole mouth got swelling and he is not even able to talk. He is having fever also now and the pain is not bearable. What should we do right now as none of the doctors are available?" }, { "from": "gpt", "value": "Hi. Your wisdom tooth got infection, so there is pain and swelling. The infection is spreading that is why you have restricted mouth opening and facial swelling. Better start with high dose antibiotics and pain killer temporarily. It will be easier for me to give correct treatment if you send an image of your face and involved teeth." } ]
[ { "from": "human", "value": "Hello doctor,I completed my acne treatment one year ago and my skin is clear after some period of time. My scalp and face get excessively oily. So I went to another dermatologist and he says that the treatment is under weight. My weight is 55 kg. I take Isotretinoin 20 mg for four months, 10 mg for four months. So please advise me who is correct for me to treat my skin." }, { "from": "gpt", "value": "Hello. What you have told is correct. To prevent relapse of acne one needs to complete a total dose of 120 mg/kg of Isotretinoin. As your weight is 55 kg you should be taking a total of 6600 mg of Isotretinoin to prevent relapse. That comes out to be 330 days of 20 mg per day of Isotretinoin. That is almost 11 months of 20 mg Isotretinoin. This dose is recommended to prevent relapse of acne." } ]
[ { "from": "human", "value": "Hi doctor, I am 36 years old female, who is 6 weeks and 4 days pregnant. I take Gestofit 300 once daily and Fertigyn 5000 twice a week. I am on complete bed rest. I get a slight amount of brown discharge occasionally. Should I panic about miscarriage? I am afraid because I had two miscarriages, one at 7 weeks and the other at 11 weeks last year. Please help." }, { "from": "gpt", "value": "Hi. At 6 weeks 4 days, you can have a scan, if it is still not done, to confirm the fetal heartbeat, as the baby's heartbeat only can confirm the health of the baby and to see the decidual reaction. Brown discharge only means that it is old blood and implantation bleeding. When the embryo bores into the decidual lining of the uterus, it causes few drops of blood to come out. This blood comes out of uterus a few days later as brown discharge. It is normal and nothing to worry. Do not worry about the history of miscarriages, the chances of repeated miscarriages are only 3 %, which means 97 % chances of healthy pregnancy. For your information, bed rest is not needed. No matter what history you had, the baby does not get attached to uterus mechanically, rather by chemical attachment. So, whatever you do, the baby will stay attached to the uterus. Pregnancy is not an illness, so enjoy every moment of pregnancy with good health and lots of prayers. Baby will do fine. Medicines are fine, Gestofit (Progesterone) makes the uterus relaxed and reduces the likelihood of bleeding from the decidual layer. The best method would be to insert the capsule Gestofit 200 mg or 300 mg vaginally twice a day, as the dose reaching the uterus will be the highest with no side effects of the hormone. Injection Fertigyn (Human chorionic gonadotropin) improves the decidual implantation of the embryo. If you already had a scan and health of pregnancy has been confirmed, I suggest you try Proluton depot (Hydroxyprogesterone caproate) 500 mg injection, intramuscularly once in every two weeks until 12 weeks of gestation. It will not allow any further bleeding from the uterus. Consult your specialist doctor, discuss with him or her and take medicine with their consent. Hope I have clarified your doubt, do write back if you have any more queries. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My last period was on 24th last month and it went for a regular five days. I had sex on that Friday after my period was over, had Ipill the next day. Again had sex on Wednesday, had Ipill on Thursday and from Thursday, I am getting a brown discharge, a little bit of cramps. Am I pregnant? Because he did not discharge inside me, so I cannot be pregnant but I am scared of pre-cum, but I took Ipill. Still I am getting a brown discharge, please help. When can I expect my next period (on the date or delayed)?" }, { "from": "gpt", "value": "Hello. You have taken Ipill after sexual relation. So the chance of getting pregnant is very less. The brown discharge could be due to the frequent use of Ipill. The excess Ipill intake is not advisable for health. You can use precaution next time. Your next period might be delayed for a week as Ipill contains high dose Progesterone. If your next period gets delayed for more than a week then rule out pregnancy by urine hCG card test." } ]
[ { "from": "human", "value": "Hi doctor, I have an external pile for the past four days. I use Ibuprofen for pain and also use a tube of Scheriproct. There has been no improvement in four days. Should I get worried or does it take time to clear?" }, { "from": "gpt", "value": "Hi. If you are using Sheriproct (Prednisolone), there should be at least some improvement because it contains a steroid and it helps clear up the piles within seven days. I hope you are using it correctly. I hate to tell you this but if there is no improvement with topical treatment, you may need to go to the doctor for sclerotherapy. They will use a sclerosing agent as an injection which can effectively cause shrinkage of the hemorrhoids. My advice would be to not delay in seeking proper treatment, which in your case would be sclerotherapy. If the topical is not working at all, delaying it further might make it worse and then you might require surgery. I do not mean to scare you, I hope you understand. If there has been at least slight improvement with Sheriproct, then continue it for three more days and see what happens. If no significant improvement, go for sclerotherapy. Eat plenty of fiber rich food like fruits and green leafy vegetables, drink plenty of water, avoid carbonated drinks, avoid constipation and straining." } ]
[ { "from": "human", "value": "Hello doctor, I am having pus, acne on my cheeks from a long time but I used to squeeze them off and they will not even leave a single scar, but from the past two months, I am having severe pus, acne, and even I do not touch or squeeze them. They leave a scar and the redness has increased a lot. I am using Clindamycin gel at night time but I cannot see the results. Please help." }, { "from": "gpt", "value": "Hello, Welcome to iclinq.com. 1. Your acne seems quite inflammatory that is they are very red and with pus formation. 2. You will need oral antibiotics along with topical gels applications. 3. Do not squeeze them, they can leave bigger scars. Check the prescription below and follow it. Acne vulgaris. 1. Capsule Doxycycline 100 mg once a day. 2. Minoz-BPO gel 0.1 %. Apply tiny amount once at night on acne. 3. Benzoyl Peroxide face wash. 1. Avoid too much sun exposure. 2. Avoid full cream milk, chocolates. 3. No hair oil. 4. Do not squeeze the acne." } ]
[ { "from": "human", "value": "Hi doctor, I have recently developed something that looks like a stye but is not where most are positioned. The stye is on the center of the eyelid just above the pupil area when the eye is closed. I was wondering how to get rid of it as it is disturbing my vision every often. The eye is dry all the time and aches once in a while but the stye is not painful at all. If there is any help or advise you could give to attend this matter, that would be highly appreciated." }, { "from": "gpt", "value": "Hello. I have gone through your photo attachments (attachment removed to protect patient identity) and understand your concerns. Since the swelling is not at the eyelid margin, it could be an internal type of the stye called hordeolum internum. A stye is expected to have symptoms such as pain, redness and watering and frequently goes away with treatment in a few days. Suppose the swelling has been present since a few weeks and has no pain, it might have progressed from a stye to a chalazion, this stage needs surgical treatment. There also is the possibility that the swelling may not be a stye. It could a cystic or fibrous swelling. A simple eye examination will be able to diagnose these lesions. So, I advise you to continue with the eye ointment and give hot fomentation with a clean cloth or some cotton. This will help for both stye and chalazion. If the swelling shows no signs of reduction, I suggest that you meet with an ophthalmologist." } ]
[ { "from": "human", "value": "Hello doctor, I have had a swollen eyelid for over five years, in one eye only, and it is more bulged than the other eye. The swelling is constant, it rarely disappears for a few hours, and it is affecting my look." }, { "from": "gpt", "value": "Hello. I have gone through your photo attachment and can infer a swelling of the right lower eyelid (attachment removed to protect patient identity). It can be caused by a number of different conditions. The commonest non-painful swelling being a chalazion, it starts off as a painful swelling accompanied with eye rubbing and irritation. In case, these do not heal adequately they become painless and hardened chalazion. The other causes including swelling due to hormonal fluctuations, swellings due to tumors and due to conjunctivitis. I recommend that you visit an ophthalmologist for an examination to see what exactly this is. In case you feel that it could be a chalazion, giving hot fomentation with cotton or a clean cloth can help and the swelling may subside on its own, although some do require surgical treatment." } ]
[ { "from": "human", "value": "Hello doctor, I have had excruciating lower back pain for over two weeks. I am a 38-year-old slightly overweight male. Got this while wrestling with brother. I am fine when sitting down but cannot put any weight on left leg and have sciatic to left knee. Ibuprofen, muscle relaxants, and steroids have not touched the pain. I have not slept for a few days because of constant pain while laying down. I was told that there may possibilities of SI joint injury. Do you know how long this typically lasts? what can I do to help with the pain?" }, { "from": "gpt", "value": "Hello. I would like to know some further details about your pain: 1. Do you also have any paresthesias (pins and needle sensations or tingling in left foot or leg)? 2. Do you have any difficulty in holding slippers in left foot or weakness in the left leg? 3. Does your pain also increase while coughing or sneezing or defecating? What medications and in what doses you tried already? Have you any other medical illness? Or taking medications of some other problem? Radicular pain. MRI lumbosacral spine, serum vitamin B12. PIVD. Tablet Pregabalin 75mg HS, Tablet Duloxetine 20 mg BD, Tablet Tolperisone 150mg TDS, Use Lumbar belt or corset in daytime. Avoid weight lifting, Avoid forward bending, Sleep in hard bed or mattress. Review with further details (as asked above) and MRI results." } ]
[ { "from": "human", "value": "Hello doctor, I am a 43-year-old female and have been suffering from gum bleeding and recently had episodes of posterior choanal bleeding, I was examined by a dentist and ENT surgeon and they could not find any abnormality. I am a hypothyroid patient and I had to stop taking medicine for it due to low TSH level. I have also been suffering from thrombocytopenia for long. I am post-menopausal for the past seven years. Please advise me what I should do." }, { "from": "gpt", "value": "Hello. First, from what I see from the results (attachment removed to protect patient identity) is the presence of low T3 and T4 levels with elevated TSH at the same time. It means that your thyroid function is deprived again and you need to re-start hormone replacement therapy. The fact that your lipid levels are elevated speaks in favor of slowed metabolism and can be attributed to the current hypothyroid state. Second, your platelets are borderline. At this time they are sufficient enough in quantity to exert anti-bleeding properties, so if you had bleeding at this moment, most probably it was not due to their count. But if your hypothyroidism is autoimmune in nature, the reason for which you did not mention, then there is a high chance that you have immune thrombocytopenia as well. Usually, one autoimmune disorder goes together with another. But even if you have immune thrombocytopenia, at the current platelet count it would not require any treatment. The hypothyroidism requires though. You have a slight increase in eosinophils. Again, they are borderline, but nevertheless, this prompts investigation for parasites such as echinococcosis, leishmaniasis, toxocariasis are the ones that are more frequent in your region. Next, do you take any medications that could potentially inhibit platelet function? Such as Aspirin, Clopidogrel or do you eat a lot of garlic? Then, if there is no drug substance causing dysfunction of platelets, you will need to check your coagulation with conventional tests such as APTT, PT, and INR. Last, but not the least, this could be a case of inherited plate dysfunction, but that you should have had since early childhood. And finally, I assume you had your differential manually checked by a laboratory specialist and they did not found any abnormal cells on the smear. You also have not mentioned whether the dentist reported on gum hypertrophy, but I assume there is none. You can take some Vitamin C, you might be lacking it, and Rutascorbin to prevent capillary fragility. Hashimoto thyroiditis. Parasitologic tests, coagulation tests: APTT, INR, PT. Platelet dysfunction. Ascorbic acid (Vitamin C) 500 mg daily for two weeks, Rutoside (Rutascorbine) 20 mg twice daily." } ]
[ { "from": "human", "value": "Hello doctor, I am having a pricking sensation (worsens if I am walking) in my genitals, and very infrequently in my armpits. No itching, only either pricky feeling or like a cut when touched. The dermatologist could not see any infection but another doctor told that it is Fordyce. This has been for the past 18 months. Now it has been reduced significantly for the past 7 to 15 days. The antifungal powder and cream I was using provide only temporary relief." }, { "from": "gpt", "value": "Hello. Looking at your photographs (attachment removed to protect patient identity), I can see the follicular prominences (the tiny raised bumps around hair) on scrotal skin. They look more like Fordyce spots which usually do not itch. But itching can be due to secondary xerosis, friction, sweating or intertrigo (infection of the folds). You need to understand there is another disease known as Fox Fordyce's disease but that has severe itching, not infrequent and more common in the axilla. It does not seem you have that right now. It looks to me as Fordyce's spots along with intertrigo and xerosis. Follow the medication I am writing below. Treatment: 1. Cetaphil cream apply twice a day. 2. Oilatum soap for bath. 3. Tablet Teczine M ( levocetirizine and montelukast) 10 mg once at night. 4. Tablet Ivermectin 12 mg once a week for two weeks." } ]
[ { "from": "human", "value": "Hi doctor, I am 34 weeks pregnant and my baby's choroid plexus cysts did not clear. We did the genetic testing in the early stage of pregnancy and it was negative for trisomy 18 and 21. We had four growth ultrasounds, but no one reported anything else wrong with the baby. I am scared that they did not look well enough. Now we are moving to a different state and the doctor there said that they would have done additional screenings (amniocentesis, talk to a specialist for cysts), but that it is too late now to change anything. She said two cysts (one on each side) are more characteristic of Down syndrome. I have pictures that they gave me from the ultrasounds. Is there anything specific that I can look for on those ultrasound pictures that would indicate trisomy 18 and 21?" }, { "from": "gpt", "value": "Hello. I was able to see the images and reports. (attachment removed to protect patient identity). Apart from the cysts they have not reported any frank worrying features. The nasal bone and face profile images are not very clear. In Down's, the nasal bone may be absent or hypoplastic. The other direct features associated with Down’s are hypertelorism or widely spaced eyes which is not seen in your scans. There is no neck fold thickening. Therefore at this stage of pregnancy, I would ask you not to stress out. Just make sure that on your next scan the sonographer is aware of the choroid plexus cysts finding and includes cardiac evaluation and facial evaluation in detail. Take care." } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, My 3.5 month old baby is suffering from slight cold and cough for the past 15 days. The doctor suggested antibiotic syrup 3 ml twice daily. Xpect PD cough syrup 2.5 ml twice daily and Sinarest AF 10 drop twice daily. His weight is 7 kg now. When I am trying to give him cough syrup he is vomiting and not taking it. Also the amount of antibiotic prescribed is too high I hope. What shall I do now? Please guide me." }, { "from": "gpt", "value": "Hi. For infants with cough and cold, antibiotics are fine to give. As per AAP (American Academy of Pediatrics) guidelines, Sinarest (combination of Chlorpheniramine maleate, Phenylephrine hydrochloride, Sodium citrate, and Menthol) and cough syrup are not indicated in this age, as they may cause more harm than benefit. I am not able to comment without the name of antibiotic. I would appreciate if you could provide me with the generic name of the medicine you are giving her. This would help to provide proper guidance and dosage. If the child has any respiratory distress such as chest retraction, increased respiratory rate or nasal flaring then should get a chest x-ray to make sure there is no pneumonia and get treated appropriately." } ]
[ { "from": "human", "value": "Hello doctor, I am an 18-year-old girl and I have been having weird sensations in my head over the last four months, it is a really weird feeling as if my head is burning and sometimes I feel a cold spot over my head with tingling. I do not even know if I can identify it as pain but it is driving me nuts. It is not constantly in one place but it kind of goes over my head and sometimes over my eyes and I can feel it in my temples too. Sometimes, it feels as if I have electricity in my head. It gets so much worse when I lack sleep and whenever it hurts too much I cannot really sleep. I went to a neurologist and had an MRI section and it was all good. I have a very sound and healthy brain. The doctor said it is anxiety and gave me anti-depressants but honestly, I am not anxious at all. It is my head that is making me so and all the medications are doing nothing but make me pity myself more and the pain is not going away at all. I do not know what to do and no one is believing that I am actually feeling so they all think I am doing it for attention but I cannot really take it anymore. Please help." }, { "from": "gpt", "value": "Hello. You are having this complaint only for the past four months. While having a headache, are you feeling nauseous or vomiting? Any double vision? If it is, it may be a migraine headache. You can try my simple prescription and get psychiatrist opinion. Psychiatrist counseling. Ophthalmic opinion for any refractive error. Migraine. Tablet Stemetil 5 mg two times daily, tablet Pantaprazole 40 mg two times daily, tablet Dolo 650 (Paracetamol) two times daily for five days and review. Avoid continuously using the computer, TV, cell phone, headphones." } ]
[ { "from": "human", "value": "Hello doctor, My son is suffering from Sandhoff disease. Please give a solution." }, { "from": "gpt", "value": "Hello. I have read your concern. Your son will develop a seizure and you need anticonvulsants for it. This can range from Valproic acid to Levetiracetam to control it. It usually is controlled with medications alone. However, I am sorry to tell that the Sandhoff disease is progressive and you cannot halt it from progressing but you can control the symptoms of seizures. Keep him healthy of infection because most common complication of this disease is a respiratory infection that leads to their problem." } ]
[ { "from": "human", "value": "Hi doctor, This morning I got sudden knee pain. Since then I am having difficulty walking or moving my knee. I did not get my knee hurt. Please suggest some solution." }, { "from": "gpt", "value": "Hello. Thanks for writing to this platform. You have written sudden onset pain in the knee region since morning with no history of any injury to the knee. Also, I want to actually know whether there are any associated signs or symptoms of any inflammation like skin redness, swelling, local warmth, etc? If it is just a localized knee pain with no associated symptoms, my advice to you will be: Do not hesitate to contact me should you need any further information/SOS (as necessary)." } ]
[ { "from": "human", "value": "Hi doctor, I am a student, and I stay in a highly polluted area. I got shifted here five months ago. Early in the morning as soon as I wake up for five to ten minutes, my eyes start paining and irritating. Few times it also turns red. Due to this I could not wake up on time and also feel uncomfortable. When I study I feel some dryness in my eyes. Please help me out with some suggestion." }, { "from": "gpt", "value": "Hi. By your description, it looks like a condition called vernal keratoconjunctivitis. It is a type of allergic condition. It increases in summer and dusty polluted environment. I suggest you wash your eyes with cold filter water twice a day. Also, use Pataday eye drops (Olopatadine hydrochloride ophthalmic solution) twice a day regularly for as long as you have symptoms. When itching is severe you can use Moxigram LX (combination of Moxifloxacin and Loteprednol etabonate) eye drops 2 hourly or as frequently as itching occurs." } ]
[ { "from": "human", "value": "Mild asthma, cough since 2 weeks, and covid-19 patient. I am currently taking Benzo 200mg, famotidine 20mg, and albuterol as needed." }, { "from": "gpt", "value": "hello thanx for the query. I can understand ur concern. according to ur statement u have been suffering from cough which is dry in nature and Covid-19.ur past history of having mild asthma and anxiety. ur treatment depends on severity. if albuterol is not able to ur cough then u can corticosteroid inhaler. u should monitor ur oxygen saturation rate by pulse oximetry.it will determine where u need oxygen support or not.as u a patient of Covid-19,so u must be isolated from ur family and friends at least for 14days. gurgle with salt mixed luke warm water 3-4 times daily.u should strictly maintain ur temperature chart. can u provide me the details history like what is the problem now u r facing or what type of advice and help do u need?if u provide me the details history then I will be able to treat u further . if albuterol is not able to control ur cough then u can use corticosteroid inhaler." } ]
[ { "from": "human", "value": "Hello doctor, My tooth hurts anytime I eat or drink. It feels hot. I feel hot, it is sharp pain that does not go away. My gums are swollen." }, { "from": "gpt", "value": "Hello. Your tooth has sharp pain due to tooth sensitivity (due to enamel erosion) once you get it treated pain will subside. If erosion has not involved the pulp then only restoration can help you, or when the pulp is involved, then root canal treatment will be a solution. Please share pictures and radiograph of your affected tooth. Tooth sensitivity. IOPAR related to affected teeth. Restoration or RCT of the affected tooth." } ]
[ { "from": "human", "value": "Hey doctor, In previous one year my right eye is looking bigger than other and it is paining sometime. Why does it happen and the solution for it?" }, { "from": "gpt", "value": "Hello. The two common causes of such a presentation could be that either: 1. One of your eyes is either big in size. 2. That the eyelids of your other eye have swollen up or one is pushed out or one eye has a squint, giving an apparent prominence of the other. Both causes are dangerous in that, they both can hamper your vision in several forms. Rare instances of life-threatening tumors are also reported, I have run into patients with such problems. Given that you have pain, I guess that it could be one of the latter causes. I recommend that you see an ophthalmologist for your issue. In case you need more help, please send me a picture of your eyes, pointing to where exactly it pains, I will do my best to help." } ]
[ { "from": "human", "value": "Hello doctor, I have skin issues. My head is a little bit oily but my cheeks are dry. My complexion is fair but white layer occurs on my cheeks after the bath. No cream suits on my face. Please suggest me some tips." }, { "from": "gpt", "value": "Hello. For you oily scalp skin, first of all, you need to wash your scalp daily. I will prescribe one shampoo which you can use on alternate days with your normal shampoo. Getting whiteness after washing face is a symptom of dryness. Try avoiding harsh facewash or soap. I will write a face wash and a moisturizing cream for the same Xerosis plus seborrhea. 1. Silkin shampoo for the scalp. 2. Max rich cream after face wash. 3. Moisturex clenz face cleanser for face wash." } ]
[ { "from": "human", "value": "Hello doctor, I am 35 years old male. I cannot see things that are far away from me. As far back as I can remember, l became aware I had an eye problem at a very young age. I was forced to sit in front of the class to see better. After that, I have been taken to the clinic and hospital but it yielded nothing. The doctors did some test, gave me some letters to read and some drugs too but it never became better. In all of these, no one told me what my condition was or gave me a name for my problem. I just knew that I was short-sighted and no glasses works on me. Until now, letters and faces of people are blurry when far from me. Please help me." }, { "from": "gpt", "value": "Hello. There are a number of different conditions that can cause a drop in vision. Some of these can be corrected by glasses, these are called refractive errors. While others cannot be improved with glasses and will need eye surgery or special medication. A simple test to see if your eyesight can improve with glasses is to use the pin-hole test. For this, take any piece of paper. Poke a hole in it with the tip of a ballpoint pen and try to see far away objects with it. If in case you see better through the hole, then your condition can improve with glasses. If not, then you need to see an Ophthalmologist to find out what is the cause of the problem and if it can be corrected. In case you need more information, please send me a scanned copy of all your doctors reports and I will do my best to help you." } ]
[ { "from": "human", "value": "Hello doctor, My left eyes touched the wall and became red and when trying to close the eyes, I feel a little pain in the left corner of the eye. Please advise me what kind of medicine I can take now." }, { "from": "gpt", "value": "Hello. I understand your concern. I advise you again wash your eyes in running water for around 15 to 20 minutes. Over-the-counter medication which can be used is 0.5 % Carboxymethylcellulose acetate (refresh tears eyedrops). I advise you to visit an ophthalmologist if you develop 1. Drop in vision. 2. Pain and watering. 3. Not responding or becoming worse." } ]
[ { "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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