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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": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help." }, { "from": "gpt", "value": "Hi. For further doubts consult a sexologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am a female, 32. For the past several months I have had tingling that comes and goes in my left arm. My left leg followed some time after and in the past few days also on the left side of my face. Relevant information: 1. I have a slipped disc in the lower back but it always affected my right leg. 2. I have had a baby last year and I carry him on my left arm and hip. 3. I suffer from anxiety. No medication. 4. I have very low B12 and vitamin D." }, { "from": "gpt", "value": "Hi. Such tingling sensation is very common to see in people with vitamin B12 deficiency. Anxiety is also one of the reasons for such tingling. I would need to know if you have any thyroid related disorder? What all medicines in total you take, please name them." } ]
[ { "from": "human", "value": "Hello doctor, I had white spots on my face and it is increasing day by day. Currently, I am taking medicine of fungal allergy in the chest. I am a male, 23 years, 174 cm, 63 kg." }, { "from": "gpt", "value": "Hello. This looks to me like a mild form of seborrheic dermatitis. Avoid using oil on the scalp or face. It is also a type of fungal infection of the skin. Apply the shampoo I am writing here. AF-K shampoo thrice a week. Candid-KZ cream for local application twice a day. Tablet LCZ (Levocetirizine) 5 mg twice a day." } ]
[ { "from": "human", "value": "Hello doctor, Taking high BP medicine, Metosartan 50, Rosave 10. My ECG test shows QSR 126, other parameters are normal, BPM 90, PR interval 130, QSR 126, QT/ Qtc 346/421. Kindly suggest." }, { "from": "gpt", "value": "Hello. Your QRS is mildly prolonged and that to in limited leads. Otherwise no significant abnormalities. This borderline QRS prolongation is due to hypertension. These changes are not significant and irreversible. This cannot be reversed and needs no specific treatment. The only important thing is to keep BP under control and control other risk factors like lipid abnormalities. Have a healthy diet and regular exercises. It is better to obtain routine screening echo, just to see the current heart situation. So, there are minor hypertension related changes which are not worrisome, needs no treatment, but should control risk factors like hypertension, lipid abnormalities." } ]
[ { "from": "human", "value": "Hello doctor, I am suffering from migraine from my school time. Just before 2 years a neurologist suggested me Naproxen 500, which I am taking when I am getting an attack. But in the summer I am getting the attack twice a day and this is only the cure. But the headache is killing me. Please someone help me for precaution or any medicine which help me to prevent from the headache." }, { "from": "gpt", "value": "Hello. While for acute attacks Naproxen + Domperidone is fine, but to prevent the attacks from happening you should take migraine prophylaxis. You could try a beta-blocker (Metoprolol, Propranolol) extended-release tablets or use SSRI's (Amitryptiline, etc.). Also, Triptans are better if you have moderate to severe episodes of migraine. I would suggest you to chart your headache, maintain a diary of headaches, with the frequency of headaches per week or month and duration of the headache with or without medications, so that severity of migraine could be determined. On the basis of that only, the therapy can be modified." } ]
[ { "from": "human", "value": "Hello doctor,I am a uveitis patient. Although my uveitis is under control and vision is good. But from the last three days due to the climate change may be or may be due to the late night sleep and excessive use of laptop whatever cause is, I am having headache and redness along with little bit pain in my left eye. Maybe it is an allergy, kindly suggest me some kind of drops to get rid of this redness and headache and pain in eye." }, { "from": "gpt", "value": "Hello. For simple allergic conjunctivitis, you can use over-the-counter lubricants, like 0.5 % Carboxymethylcellulose acetate. They usually settle down on their own and will not cause any harm to the eyes. But an allergy on itself will not cause any pain. I recommend that you visit a doctor in case you develop increasing continuous pain, a drop in vision, non-resolution of symptoms within two days." } ]
[ { "from": "human", "value": "Hi doctor, Nothing seems to work for my acne. I have used Clindamycin and Surfaz but it did not work for long. How can you help?" }, { "from": "gpt", "value": "Hi. I have gone through your case. You need to understand acne is an ongoing process and you may experience frequent exacerbation due to stress or hormones. Clindamycin is fine. In the picture (attachment removed to protect patient identity), you are having closed comedones and open comedones and hyperpigmentation. Apply any sunblock regulary in serum form like those available in body shop product. Do not use any creams or lotion as it can aggravate your acne. Apply Adapalene gel only at night in very little amount (about the size of a pea) for two hours. If you take excessive you may have burning." } ]
[ { "from": "human", "value": "Hello doctor, I would like to know how to get stress relief from work." }, { "from": "gpt", "value": "Hello. I have gone through your question and I understand your concerns but it seems that the stress you are experiencing is affecting how you function during your daily life. This raises the possibility of getting into depression if it was not managed probably. Unfortunately most triggers stressful situations are things that we cannot control as work environment, However, it is possible to control how you feel and handle these triggers in order to keep your psychological health. First, try to identify these triggers and write them down. Mark those that can be avoided and try to avoid them. Mark the ones that cannot be avoided and start to apply cognitive thinking. In the meanwhile, try to start meditation or yoga and engage in social activities." } ]
[ { "from": "human", "value": "Hello doctor, I had an ectopic pregnancy. It was my first pregnancy. I am scared to get pregnant again. What kind of birth controls should I use? Can I get a normal pregnancy again?" }, { "from": "gpt", "value": "Hello. Ectopic pregnancy is a common condition in females of reproductive age group and there is no need to get anxious for getting pregnant as most of the women with previous one ectopic pregnancy contemplates successful pregnancies in the future. You can use any type of contraception which is suitable for your health but you must avoid intrauterine devices (coils) to avoid the risk associated with these as these coils slightly increase the risk of ectopic pregnancy." } ]
[ { "from": "human", "value": "Hi doctor, I am 31 years old, male. Since last 3 to 4 days I am having a headache on my left side of head above temporal randomly on irregular interval for 4 to 5 seconds. The pain feeling like knife pinch and intensity is mild. Apart from this there is no other symptom and not able to find any trigger for this pain. In past, I was treated for hypertension which is now well under control with medication. I am an anxious person and taking medicine for last two years for anxiety control. Also, I am a person who is working on the computer for long time. Medicine taken currently- Telma CT 80 12.5, Embeta XR 50, Es Nax plus (Clonazepam 0.5, Escitalopram 5). Can you suggest what is causing this pain and what is the remedy?" }, { "from": "gpt", "value": "Hi. As you told, you have hypertension and anxiety disorder, where both the conditions can cause a headache if uncontrolled and in your case pain is on temporal side unilateral, so you have to rule out temporal arteritis. Kindly follow the following instructions. Do CBC, ESR. Start any pain killer analgesic like Ibuprofen or Naproxen tablet. If not controlled with medicine and ESR is normal, go for CT head. Once visit an ophthalmologist to check fundus." } ]
[ { "from": "human", "value": "Hello doctor, I had an echo done yesterday, after having chest pains and palpitations for about a month. I looked up to my results and while my results mostly looked good, there was something very alarming in there. It said evidence of atrial septal aneurysm. I cannot get another appointment with my cardiologist until a month from now, and I am not sure I can live like this for a month. Please tell me everything I need to know about the atrial septal aneurysm. I am a 31-year-old female, 5'4\", 127 lbs." }, { "from": "gpt", "value": "Hello. Your symptoms are unlikely to be related to this. An isolated atrial septal aneurysm is a benign condition most of the times, but this may be associated with atrial septal defects which can cause symptoms. So, if you are just having an atrial septal aneurysm and since there is no history of stroke or TIAs in you, it is probably a benign condition. It is important that we look for ASD in you. If there is associated ASDs then it will need closure. So, further management depends on the presence or absence of ASD. So, try to contact the doctor and obtain a full report. However, in either case, it is not immediately life-threatening. So, nothing should happen to you due to this. So, just calm down and you can get some beta blockers like Metoprolol prescribed from the local physician for symptomatic relief. Also, it is better if you can attach your ECG if you have. So, your symptoms are may be due to associated ASD which is not mentioned in your report (attachment removed to protect patient identity) or probably related to anxiety if no other abnormalities seen in echo. So, either it is not immediately life-threatening. Also, this is seen in around 0.5 to 2 percent in normal individuals." } ]
[ { "from": "human", "value": "I am 18 years old my problem is that i cannot sleep at night but when i sleep i cannot get up for like 9 or 10 hours . when i cannot sleep i usually keep using my laptop . i am very overweighted like my weight is almost 94 kgs i dont know may be i think that this is because of stress." }, { "from": "gpt", "value": "Dear, Thanks for your query. I understand that you are facing sleeping disturbance due to unavoidable sleep patterns. Actually, everyone these days are going through these problems due to uncertainty around us, revised and changed work schedules and so on. Besides, yes stress plays a key role in this, when thought processes are going on, mind finds difficulty in shutting down. Regarding weight, yes it may disturb physical patterns as well but i think more than this stress plays a key role. I would suggest you to discuss your stress and find solutions to the issue. You are so young, and feeling sad is ok but it is important to talk about issues you are experiencing. Best Regards" } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am a 32-year-old woman. My latest pelvic IRM imaging showed that I have a 4 cm subserosal fibroid that is undergoing myxoid necrobiosis. My question is: Does this type of fibroid need to be removed? If yes, does the surgery have any risks for the uterine? Is it fine to get pregnant while having this fibroid?" }, { "from": "gpt", "value": "Hello. Fibroid in pregnancy may be increased in size and can hamper baby growth by occupying space. Subserosal fibroid does not affect conception but in your case, it is undergoing degeneration. This is a problematic part. Red degeneration is a fibroid degeneration in pregnancy which causes severe abdominal pain throughout pregnancy and surgery cannot be done. So I would suggest getting it removed. Subserosal fibroid removal has generally no effect on the uterus. But if it is deeply situated then uterus wall may become weak." } ]
[ { "from": "human", "value": "Hello doctor,I had a yeast infection weeks ago and I am starting to get the symptoms all over again but now I have a blister and soreness along the labia minora. I have a burning itching sensation and my vagina is sore. It burns a little when I pee and it hurts to wipe. My vagina looks red like it is irritated. I am afraid that it could be herpes." }, { "from": "gpt", "value": "Hello, Welcome back to icliniq.com. Herpes may present like small vesicles with clear fluid. If they rupture and have a red base. Also, the other possibilities like chlamydia or trichomonas infection, etc. Get these done: Vaginal secretions culture and microscopy. Use Candid B PV gel local application. Please consult your doctor he will examine and treat you accordingly. Take care." } ]
[ { "from": "human", "value": "Hello doctor, I am noticing slight blood drops while urinating since last 2 to 3 days and irritation in the vagina. I noticed rashes on the left wall of the vaginal opening and seems to pain slightly while urinating. Please suggest the remedy. I have been consuming cital syrup on suggestions by a pharmacist. Please suggest remedies." }, { "from": "gpt", "value": "Hello. If there is no burning sensation while urination or there is an increased frequency of urine accompanied with red urine then unlikely that you have a urinary tract infection, instead you are likely to be suffering from vaginitis. Please get a high vaginal swab and a urine culture to rule out infection first. If diagnosed then you can be prescribed a course of antibiotics accordingly. The presence of painful rashes at the vaginal opening on one side could be herpes zoster lesions. Please send a picture of the lesions for a possible diagnosis. Are you a sexually active lady?" } ]
[ { "from": "human", "value": "Hello doctor,I have a question regarding my lower front tooth. It was luxated and I when I visited my dentist, he said he could save the tooth and he put a splint on my lower six front teeth. He said I should wear it for six months and that, in time, would heal. It has been four months now but I still cannot chew anything with my tooth because it hurts on pressure. Is this normal and how long do I need to wait for it to heal completely?" }, { "from": "gpt", "value": "Hi. It would have become normal by the third month and in the next three months, it might become more firm. But, if you are still having pain and pressure then it indicates that it might not be saved and ultimately might go for extraction if luxation is grade 3. If luxation is minor grade 1 then you can get root canal treatment done of the tooth in question and get the bridge done in anterior teeth, then it might be covered under the bridge and will be saved in the arch. If mobility is greater then get it extracted. And yes, since the dentist has said for six months time period, do it. Meanwhile, keep doing saline water mouth rinses. Take a 1/4th teaspoon of salt in a cup of lukewarm water and do its rinses 3 to 4 times a day. It helps tooth to get firm in the gingiva. Keep doing it for the next two months. Miracle can definitely happen. If not, then I have told you already what should you opt for. Stay happy and blessed." } ]
[ { "from": "human", "value": "Hello doctor, I have noticed mole like spots in my eye and light colored yellow red patch. I do not have any problem in vision or itchiness. I noticed it two months back but I do not know when did it develop. I have attached the photograph of the eye. Is it a tumor?" }, { "from": "gpt", "value": "Hi. I have gone through the picture you sent (attachment removed to protect patient identity). It is totally normal. What you are mentioning as a mole is like spots. Those are normal melanin pigments deposited in the conjunctiva. They are not a tumor. You should be concerned only if you notice a sudden change in growth or color. Otherwise, it is totally normal to have different variations in eye color." } ]
[ { "from": "human", "value": "Hello doctor, I am feeling bloated (gas in the stomach), heaviness in the chest, feeling that there is phlegm in the throat. When burping or belching, I felt relieved and fine. But after a while, the above symptoms appear again. I am a 60-year-old female with hypertension and I am currently taking Twynsta 40/10, Bisoprolol 5 mg." }, { "from": "gpt", "value": "Hello. I guess you are on Twynsta 40/10 which is a combination of Telmisartan and Amlodipine and Bisoprolol 5 mg. So this is likely a gastric and reflux problem, however, sometimes symptoms of gastritis and heart disease overlap in elders with such symptoms. Electrocardiography (ECG) is recommended. Meanwhile, you should have antacids along with your current medications like tablet Pantoprazole DSR 40 mg or Rabeprazole DSR 20 mg before breakfast once daily for a week and later whenever needed. You should also avoid heavy meals. Have less oily, spicy and fatty foods. Have a walk for sometime after meals rather than resting immediately. Have light dinner. If you are having constipation then you should get it treated with laxatives like syrup Cremaffin plus. Regular sleep is also important. I hope this helps." } ]
[ { "from": "human", "value": "Hello doctor, I have high BP from last night 160/110 but I am not feeling anything wrong. I am 60 years. I have taken Amlodipine 5 mg one tablet last night but I have a sleepless night. Should l take the same medicine 10 mg now?" }, { "from": "gpt", "value": "Hello. Your blood pressure is high considering your age. Although you are asymptomatic you need to control blood pressure to avoid complications related to high blood pressure. If Amlodipine 5 mg cannot able to control blood pressure than combination antihypertensive medication or high dose of Amlodipine can be prescribed. For getting prescription, you need to consult a nearby physician." } ]
[ { "from": "human", "value": "Hello doctor,What are my chances of getting pregnant after taking the emergency pill within 24 hours of having sex?" }, { "from": "gpt", "value": "Hello. Your chances of getting pregnant after taking the morning pill are very low. But it also depends on what day of the cycle you had sex and how long is your cycle and was it the only episode of unprotected sex in this cycle. Your period might get delayed or you might experience spotting with morning pill." } ]
[ { "from": "human", "value": "Hi doctor,I am 20 years old, and since a couple of days, I am having difficulty passing stools as there is a subtle pain and when I checked there is a pea-sized, skin colored blister covering the anus. It is not that painful but there is a subtle pain. I do have constipation problems and I do take over-the-counter medications for constipation. Please tell me how to get rid of it or treat it as I am worried about what it can be." }, { "from": "gpt", "value": "Hi. I have seen the image (attachment removed to protect patient identity). This looks just like hemorrhoid typically that occurs with constipation and goes away on its own. The solution is to avoid constipation by drinking more than enough water and taking fiber-rich foods like raw leafy vegetables and green fruits. Also, avoid meats and non-vegetarian items currently as they aggravate this issue. You may continue the laxative that you are taking as well till your constipation is better but not more than two weeks. Take care and get well soon." } ]
[ { "from": "human", "value": "Hi doctor, My stomach makes a lot of loud noises even though I am not hungry. I have anemia and when I started to take Ferrous sulfate, my stomach noises begin again. I remember that eventually, I started to feel pain along with it. So my doctor adviced me to stop taking the medicine for a month until my stomach calms down and start taking the tablets again. I also switched to Ferrous fumarate but that does not help. I began taking the tablets again, at first I felt pain which eventually disappeared although the noises are back again and it is getting worse. It is also bothering me because it is loud especially when I am in the middle of the lecture in the university. Please help me." }, { "from": "gpt", "value": "Hi. Some people do have rumbling noise in the tummy. Is there any associated nausea or vomiting or abdominal distension? Have you lost weight? How is your appetite? You have not mentioned the reason for your taking Ferrous fumarate? What was the cause of your anemia? Was these cause related to any problem in your abdomen or intestines? Have you had any surgeries in the abdomen? If you are continuing to have symptoms and you think it is related to taking Ferrous fumarate, you can substitute it with parenteral Iron infusion, but that would need a new prescription and visit to the day-care hospital or GP surgery on regular intervals till your body iron stores are stable. If you have copies of any previous tests, please upload. It would be informative to guide me in giving a comprehensive opinion." } ]
[ { "from": "human", "value": "Hello doctor, I have had a cough with yellow mucus for a few weeks now along with what I presume a stuffy nose. A few days back I was given an antibiotic for it. The problem I am dealing with apart from the cough is night sweats. I have performed multiple tests today, results are attached but the summary is that total WBC, neutrophils and ESR values are raised above normal whereas lymphocytes have declined. The radiologist's X-ray report says that the chest is clear but the maxillary sinuses are hazy. What do these numbers mean? Should I be concerned? I would really appreciate a prompt reply, anxiety is killing me." }, { "from": "gpt", "value": "Hi. I read your symptoms and I also went through your laboratory investigations (attachment removed to protect patient identity). It shows increased neutrophil count and your hemoglobin looks normal. What I feel is that you are having sinusitis. So, in that infection of sinus people get similar symptoms that are what you have. So, coming to the management part, I would advise you to go for steam inhalation. You just have to inhale hot steam vapor from boiling water. I want you to take Fexofenadine 120 milligrams one side at night for five days and other medicines include Paracetamol 650 three times a day for five days, Amoxicillin-Clavulanate 650 twice daily for five days and the final medicine is Pantocid 40 milligram twice daily for five days. With these medications, we should feel better and the symptoms should subside. If you still continue to have the same symptoms, you should seek medical attention from ENT specialist." } ]
[ { "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 43 years old. I am having three children. Up to February, my menses cycles were at routine (monthly normally at 10-12 th of every month). My Hbp level is at 7+, but for the first time in the March I had no cycle, and in April I just had spotting. Now from the 1st May, I am having full bleeding, till today. The same case happens with my sister at the age of 41. She faced the same issue and on consulting the doctor, she was advised Progyluton tablet 2 mg / 0.5 mg for 21 days +TriHemic 600 tablet. Due to lockdown, I cannot contact my doctor, can you please guide me? Can I follow the prescription of my sister?" }, { "from": "gpt", "value": "Hi. I understand your concern. Normal age for menopause is 42 to 52 years during which menses become irregular with excessive bleeding sometimes. So in your case, you might be transiting into menopause. However, if you have excessive bleeding during menses then take tablet Pause MF (Tranexamic acid and Mefenamic acid) three times daily if bleeding is heavy. Also, women must take calcium supplement after 30 years. Please take tablet Calcimax once daily after food. If your bleeding does not subside with the above medication please get an ultrasound pelvis to rule out the other causes." } ]
[ { "from": "human", "value": "Hello doctor,I have stomach bloating problem with dry mouth and mild head pain. I am 41 years old, an average height of 5 feet 9 inches and 74 kg." }, { "from": "gpt", "value": "Hello. Symptoms are indicating candida infection of the gastrointestinal tract. Should determine by stool culture and sensitivity testing for candida. Plus, should run upper endoscopy to rule out acid reflux. For the moment, I advise taking probiotics to stabilize intestinal flora, Simethicone for bloating, have your meals regularly, avoid foods or drinks that would aggravate the symptoms." } ]
[ { "from": "human", "value": "Hello doctor, I am a diabetes patient. My sugar level in fasting is above 350 and I checked ketone in urine, it was found to be 4+. My height is 170 cm approximately and weight check found 62 kg. What can I do for ketone?" }, { "from": "gpt", "value": "Hello. Ketones usually develop more often in T1 diabetes. Especially when there is no adequate insulin and glucose levels are higher than 300 to 350 mg. It is necessary to take adequate water to eliminate those through urine. Avoid exercise when ketones are present. Try and maintain closer to normal glucose levels. Check glucose levels at home more often (every 3 to 4 hours). There is no mention of what is the treatment with the dosage of various drugs, PP glucose level, and HbA1c %. You have to bring glucose in better control to prevent ketones developing. If proper care is not taken, there can be a further complication of developing diabetic ketoacidosis, a medical emergency. If you have any questions please do come back. Plus it is necessary to look at your current treatment (drugs and dosage), diet pattern and extent of daily exercises." } ]
[ { "from": "human", "value": "Hello doctor, I feel a sharp pain in my vagina after urinating." }, { "from": "gpt", "value": "Hi. Get your urine routine and culture, high vaginal swab culture. If you are sexually active, then get partner's urine routine and his semen culture and sensitivity. At present, you can apply steroid with antibiotic and antifungal ointment for local application. You can also apply Lignocaine 2 % around the urinary opening. Drink a lot of water at least 4 to 5 liters of liquids daily. Wash with plain water only, do not use any vaginal douch formula." } ]
[ { "from": "human", "value": "Hi doctor, About 3 weeks ago, I was prescribed Retin-A 0.5% and Acticlate for an unusual breakout on my forehead by my dermatologist. The anaesthetician who also took a look at my face recommended Glytone PA chemical peel to help treat some discoloration that the acne had caused. I went in to see her today and the peel she did initially cause extreme burning. I left the office with a little edema under both my eyes and by the end of the night, now, my skin looks like I have 2nd to 3rd-degree burning. But, it does not hurt. When I reached out to her and sent pictures, she said it was normal. She said there was no need to and that my skin would peel and heal in about 7 days. I look horrible and I am so afraid that I have permanently damaged my skin. I made an appointment with a different doctor tomorrow. Your advice would be greatly appreciated." }, { "from": "gpt", "value": "Hi. She is right, and these are common post peel effect. By looking at your photos (attachment removed to protect patient identity), I can tell that in your condition medicines are very unlikely to effect and chemical peeling and lasers are the only options. Glycolic acid is considered a very safe peel. Ask her to use it from very low concentration and gradually increase the concentration so that the tolerance could develop against that peel. It requires three to four sessions at least to get the visible result. Always take post peel precautions like avoid sun exposure, sunscreen, and emollients, in rare cases use Hydrocortisone if there is a frank injury. Exfoliation of skin is a normal event after the procedure; that is why it is known as peeling. So, I would advise you to stick to the same doctor and follow his or her advice." } ]
[ { "from": "human", "value": "Hi doctor, I have a balancing problem. I have low blood pressure in change of posture. I am on Midodrine. During a neurological examination, I was asked to tap my toes. Every time when I did that my heel involuntarily tapped several times. What is the reason? I am being examined for possible MSA." }, { "from": "gpt", "value": "Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. I feel really sorry for the balance problems you have. I pray for the best of your health ahead. Yes, you have many symptoms that point my finger too towards the diagnosis of MSA (multiple system atrophy) although definitive studies are needed. Your age, balance and gait issues and postural hypotension all that concludes initially towards MSA. Your physician was actually examining the signs of cerebellar dysfunction and myoclonus (muscle twitching. Let me explain you the pathological meanings of MSA to understand more about your neurologist's intentions and your heel's presentation in doctor's office. MSA is a disease of old age. There is degeneration of neurons in brain that cause problem in relaying information passing to and from the brain and all those electrical circuits in brain's certain areas. Naming the areas of brain affected will be irrelevant here. But, it is worth mentioning that it is related to body's balance and gait controlling areas; areas that cause to keep our blood pressure normal in limits when we stand up and lie on the bed. The way your doctor tested you, he was finding the involuntary muscle contractions (specifically a group of muscles). This is then called MSA-C where C means cerebellar predominant. It is to differentiate diagnosis from MSA-P where P stands for Parkinsonism predominant type. You are taking Midodrine that is used to control postural hypotension. It means you have postural hypotension too, and this is also a feature of MSA. I need to ask some questions to assist you and prepare you more regarding knowledge about your disease, so that you may not be blank when you visit your doctor next time. You can discuss some important things with him. Please spare some time to give me details about: 1. Do you have ever felt tapping in head, palpitation or racing heart when you lie in your bed? 2. Do you have diabetes? Are you on any medications? 3. Have you felt dizzy and lightheaded ever after taking a meal? 4. Have you ever felt tremors in hands, muscle rigidity and any change in your handwriting? 5. Do you have sleep apnea diagnosed ever? Or I may ask do you get up from deep sleep due to lack of respiration and shortness of breath? 6. Do you have observed hoarseness of voice along with these gait problems?" } ]
[ { "from": "human", "value": "Hello doctor, I finished my MBBS and attempting to get a PG seat. I have the below mentioned problems for more than eight years and hence I am unable to get a PG seat. I am taking tablet Venlafaxine 300 mg for past seven months. Three weeks back, as I have few clinical symptoms of hypothyroid my physician suggested me to take tablet Thyroxine 25 mg. I feel 40% happy and better after using the tablet Venlafaxine. But that is not enough to crack the PG seat. My first issue is mental fatigue. When I study more than 4 hours or a new topic I feel more tired and have difficulty to wake up. I cannot squat or keep the hand raised or lift moderate weight for few seconds above the shoulder for some time. Lack of concentration or difficulty to mingle for some days after this attack. Back muscle ache and always seeking support for sit and do work. Easy propensity to go for sleep in morning hours during OP times. Also, afraid of PG due to this problem as sleep may attack while reading also. I get sleep while read and jump to some other topic in few seconds after coming out from that nap . If I read when I am alone then more tendency to go to sleep. Finally, more waste of time as I do not get sleep. If I go without sleep, more tiredness and severe discomfort. This fear gradually decreases over some days and again I will study and same steps are repeating. During morning times I hesitate to stand for some time and avoid those situations. Sometimes this becomes a problem as emergency patient needs my standing attention. If I read aloud less sleepy than when read inside but study rate is slow. Morning times feeling 40% weakness or loss of interest or loss of energy or sleepiness. Also if I stay alone the work or study productivity is not increasing. Sometimes somebody should stay with me to finish my tasks. Is this a kind of dyslexia? The second issue is physical fatigue and myalgia. Sometimes the body will be ready to meet the demands and work for more time, and I demand more work from staff at that time and other time I am in town and cannot ask others to work even too. Regarding neck pain, if I do any work on a laptop in my lap within 30 minutes, I am getting neck pain (last 5 years). Also, the same with a gold chain around the neck and legs in sitting position. Legs feeling so tired. So the fatigue, neck muscle strain, leg muscle ache while semi-stand or squat can give us the best guess to diagnose the problem. Burning of eyes is also observed during studies or excess physical work or excess protein content taken. I am suffering from on and off Plantar fascists of left foot from last 7 months. Why is it not decreasing fully?" }, { "from": "gpt", "value": "Hi. I understand what you are going through. First, keep calm and patience. Be positive in your approach. Keep all doors open for opportunity. Accept the fact that cracking PG (post graduation) seat is not only because of hard work but 90 % luck. I have gone through your problem and can guide you on experience. Please accept whatever and whichever branch you get because later you might not get this also. Understand the ratio of seats to students appearing. Look for other options like DNB, diploma, family medicine, hospital management, emergency medicine, etc. No branch is good or bad but the thinking makes it so. You can excel in any branch with hard work and dedication. In today's world with much exposure and vast health industry, any of the fields can get due respect and recognition. Get yourself investigated. Consult a doctor personally. Please do not take any medication like that unless and until the reports confirm the diagnosis. Take a second opinion of a specialist doctor. Do take out time from study schedule to relax your mind and body. Too much stress and exertion can only reduce the final outcome and result. Walk in the fresh air. Do regular exercise. Listen to music. Watch a movie once in a while. Catch up with friends for a coffee, movie, etc., that is, do whatever activities relax you from stress. It is more about retaining what you read rather than the number of pages of books completed. It is a blind game. You never know what comes and from where. Since there is no syllabus so it is dicey to rely on. Take a healthy balanced nutritional diet." } ]
[ { "from": "human", "value": "Hi doctor, My son is 13 months old and 8 kg weight. He is having loose motion over a week. I have given him Oflomac-M and Sporlac tablet twice a day. As he did not suffice, stopped giving him Amul milk and started Isomil. Later he was fine for the next 2 days and when I started back Amul milk since yesterday, again the stools are thin. As of now I am giving him Darolac twice a day. Should I give Zinc supplement for him? I am feeding him with tapioca water, curd rice, and rusk. Stopped biscuits also. He is absolutely fine and active. Was the medication sufficient? If not please suggest for his speedy recovery. Is this because of lactose intolerance? Do I need to stop feeding him on packaged milk? Currently we are using Amul. Thanks in advance for your response." }, { "from": "gpt", "value": "Hi. I have read your question in detail and I know that you are very concerned about your child but do not worry. By what you quote it seems that your child has probably got lactose intolerance, resistant stomach infection or worm infestation. I think you should do stool routine microscopy test and stool culture test to look for any infection and stool for reducing the sugar for lactose intolerance. It is seen in children that when they develop loose stools, sometimes the lactose intolerance may persist for 2 weeks. Continue Similac formula milk and stop Amul milk. Continue Darolac (Lactic Acid) for three days and Zinc syrup for a total of 14 days to increase gut immunity. No need to stop other foods or giving special items like tapioca water. Also, give deworming syrup like Bandy plus (Albendazole) 10 ml once at night before sleep." } ]
[ { "from": "human", "value": "Hello doctor, I am 60 female, having pain in both knee and ankle, swollen up, does not bend knee, the pain starts from upper thigh to knee." }, { "from": "gpt", "value": "Hi. I think you should get your blood test done for cholesterol, uric acid, and blood urea. Apart from this, you should always wear a knee cap. Put your feet in a bucket of warm water with salt and sit for half an hour daily. It will sooth down the pain and swelling. Please do the same exercises of the knees and legs so that the circulation does not stop. Take Shelcal 500 daily and Vitamin B12 also for boosting up the immunity." } ]
[ { "from": "human", "value": "Hello doctor, I have a lot of scar tissue on my cervix and I have really heavy periods. Tried birth control, had very serious side effects, stopped the birth control. I have tried Provera. My legs got swollen, stopped taking that. She tried an IUD and due to a lot of scar tissue, she could not insert it all the way. I was wondering since I have a lot of scar tissue, can I get the Novasure ablation done?" }, { "from": "gpt", "value": "Hello. I have a feeling that your problem is of quite serious in nature as you are bleeding heavily and yes you can try for ablation but there is a chance of its failure as ablation devices may not enter into the scarred cervix and additionally associated with injuries like perforation and damage to other nearby organs. I would like to add into your knowledge that another option to control heavy bleeding is a hysterectomy (removal of womb) which is the definitive treatment and is suitable to those with other failed conservative measures. The latest technique is the use of uterine artery embolization to control heavy bleeding is becoming popular these days for those who do not want to undergo surgeries." } ]
[ { "from": "human", "value": "Hello doctor, Tell me the treatment of primary premature ejaculation. I am suffering from many years, facing from the beginning of sexual life. I did not consult with a doctor and did not take any medicine for this problem yet now. I have no other health or physical problems without this. No erectile dysfunction." }, { "from": "gpt", "value": "Hello. Premature ejaculation in most individuals occurs because of anxiety and psychological reasons. Lack of experience, less foreplay, stress, etc., result in rapid ejaculation. Relaxed mind helps to improve the time. Distraction during sexual intercourse helps to increase time. Try to divert mind away during sex and this will help. Drugs like SSRIs are the mainstay treatment for premature ejaculation. Dapoxetine is used commonly. The drug can be used on SOS basis and help to improve the time. It is safe to use. Please talk with a psychiatrist for the prescription." } ]
[ { "from": "human", "value": "Hello doctor, I have some problems with my eye and need some assistance. I have red eyes from a few months now and have tried some drops and it has reduced. But still, I have some redness in the eye. Adding to it, I have some headaches and can see a lot of eye floaters from a week now. Please help." }, { "from": "gpt", "value": "Hi. Here your symptoms look more in favor of allergic conjunctivitis. This may occur due to allergy to dust, grass, pollen, cosmetics, soap, etc. Allergic conjunctivitis may be seasonal type. Try to avoid the above allergens to get rid away from allergy. You may have frequent itching in your eyes. Please keep in mind not to rub your eyes by any means. Rubbing eye frequently may provoke developing allergic conjunctivitis which was once healed up. Dust, grass pollens, cosmetics, and soap. — Allergic conjunctivitis. Olopatadine 2% eye drops once a day (preferably at night), Loteprednol 0.5% eye drops three times a day. Put ice packs on closed lids which may give you instant relief. Use it minimum for 15 days. (Keep in mind you may get symptomatically relieved very soon but allergic conjunctivitis needs time to recover from the roots). 1. Stay away from the above mentioned allergens. 2. Try cooling goggles while going out. 3. Avoid rubbing eyes. After 15 days." } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I have a bad breath problem. I really feel a bad breath in my mouth when I wake up early in the morning." }, { "from": "gpt", "value": "Hi. I had gone through your question. I can understand your concern. There are two main general reasons for halitosis (bad breath) related to oral cavity or teeth and the second one is related to the stomach. For oral cavity related you need to check for any cavity, accumulation of plaque and any gum problem. If there is any such issue visit a dentist and get scaling done. If it does not help, you may need gastric consultation. Try to avoid smoking and do not keep your stomach empty for a longer period. Take plenty of fluids and you can use mouth freshener till the cause is eliminated." } ]
[ { "from": "human", "value": "Hi doctor,For the past two months, I am suffering from sore throat. After that, I took many antibiotics and eggs and warm water with honey and lemon daily three times. Now, there is a white furry coating on my tongue from the past 15 days and having loose stool. Do not know what to do. So please help me out of this situation." }, { "from": "gpt", "value": "Hi. The loose stools may be due to the antibiotics you took for the sore throat. So you may stop that antibiotic and milk too as it causes loose stools. Instead of that you may take tablet Vizilac twice daily for five days and tablet Metrogyl 400 mg twice daily for five days. Please apply Candid oral thrush ointment on the white part of the tongue. It may have happened due to the medicines. Do not worry you will be fine within a day or two after starting the dose." } ]
[ { "from": "human", "value": "Hello doctor, I am a 34-year-old male. I am having a BP medicine (Telma AM 40). I am having pain in left shoulder, upper chest, back side. I had done ECG, 2D echo and a TMT and all the tests are negative. My doctor said the pain is not related to cardio. The pain is not constant it comes and goes, usually it pains in the night, and the rest of the day it is fine. I used to smoke and I quit smoking from the past three years. Please advice." }, { "from": "gpt", "value": "Hello. The characteristics of your pain are not typical of cardiac pain. There are two possibilities in you, first is of a spinal cause like spondylosis or compression of nerves and other is costochondritis. Does this pain increases on neck movement, or any neck trauma, these may be the associated symptoms. You should get X-ray cervical spine AP or lateral view. You need to visit physiotherapist after X-ray and also orthopedician. Does this pain increase on pressure over the area, if yes then it suggests the possibility of costochondritis? You will need a Naproxen then." } ]
[ { "from": "human", "value": "Hello doctor, My 17 months old daughter booked in for grommets and adenoidectomy due to fluid in middle ear and recurrent ear infections. We are flying two weeks after the procedure. We will be visiting a place with bad air pollution. Will she be more at risk of respiratory infection with no adenoids?" }, { "from": "gpt", "value": "Hello. At a place with bad air pollution, one's respiratory mucosa tends to get excoriated and irritated due to the harmful contents in the air. This can make the area supple and raw and more prone to bacteria and viruses in the surroundings. Having removed adenoids does not make your kid very susceptible to respiratory infections although theoretically adenoids are supposed to help contain infection by acting as a portal of immunity for harmful organisms entering through nose and throat. But at two weeks post surgery, the area will still be slightly raw and healing would not be complete. Hence, that can cause more susceptibility to environmental pathogens. I suggest you take a good course of antibiotics post surgery and during the hospital stay. Take a course of antibiotics for the baby with you and start when you feel she is developing an infection during your trip. Take decongestant nasal drops sprays and Tylenol for fever relief. Avoid areas of frank dust and pollution. Stay away from direct cold winds and Aircon air. If feasible put a face mask for the baby. The mother also should stay healthy as much as possible and follow all precautions to not develop an infection or allergy." } ]
[ { "from": "human", "value": "Hello doctor, My 10-year-old daughter just found out she has grade 3 spondylolisthesis. I am assuming she is done ever playing sports again?" }, { "from": "gpt", "value": "Hi. I do not think there will be any problem in playing sports when she grows up if she takes adequate precautions. Spondylitis is not a disease. It is not curable. If she takes proper care and does some exercises she will definitely recover. You should also consult some physiotherapist for this problem. Also, she should take a good proper and balanced diet that is rich in Calcium, Proteins, Vitamins, and Minerals that provide adequate nutrition to the body and hence proper growth that can help in the curing of the problem." } ]
[ { "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 a constipation problem. I think my constipation is due to calcigard retard 20 mg. Other medicines are Trental 400 mg twice daily for the past twenty years for Raynauds. Five years back I underwent surgery for CSF rhinorrhea. For BP, I am taking Telsartan 40 mg and Ecospirin 75 mg." }, { "from": "gpt", "value": "Hello. Since how long you have this issue of constipation? And how frequently do you pass stools per week? Is passing stools painful? Is there any blood in your stools? Do you strain while defecating? Does anything come out while defecating? Is there any abdominal pain associated with it? I will suggest laxatives to you but it will be better to consult your cardiologist too, for the shift of Calciguard retard to another drug because calcium channel blockers can frequently cause constipation. Drug-induced constipation? TSH (thyroid-stimulating hormone). Blood sugar. Serum calcium. Polyethylene glycol sachet in one glass of water once daily (you can increase the dose according to response). Ispaghol husk two teaspoons in a glass of water twice daily. Increase water intake. Daily exercise 20 - 30 minutes." } ]
[ { "from": "human", "value": "Hi doctor, I am 9 weeks pregnant as per my last period date. But in USS, it is showing only six weeks and six days old sac. No yolk sac found, but the decidual reaction is good. My periods were irregular. As the yolk sac is not developed, my doctor advised for abortion. Is there any hope in my case?" }, { "from": "gpt", "value": "Hello. If someone is having irregular periods then calculating the duration of pregnancy from the last date of the menstrual period is not correct. If ultrasound is showing six weeks then probably that is your right. Duration of pregnancy. I would suggest you repeat scan after a week and also go for two blood tests for pregnancy hormone 48 hours apart to see whether the pregnancy is viable or not. It will help you to determine what to do next." } ]
[ { "from": "human", "value": "Hello doctor, I had a tooth pulled a few days back. The pain started getting bad the next day. Pain medicines are not working, running a fever and vomiting every day since." }, { "from": "gpt", "value": "Hi. It can be the case of dry socket and your tooth area would be naked right now. Send a picture of the area if possible and radiograph if you have. I feel the doctor must have taken precautions as you are on contraceptives which are likely to induce it. Send your details further. I think you should do one thing. Ask the dentist if it is a case of dry socket and place ZOE pack for three days. Home remedies will not help. People stop using mouth gargles. After reading your case history I feel your problem got created because of lack of instructions after tooth removal. It is a case of carelessness on your part as well. You need not try mouthwashes, gargles. These things dislodge your clot and moreover, you are already high-risk patient due to contraceptives." } ]
[ { "from": "human", "value": "Hello doctor, I had unprotected sex with my wife and got the infection on my penis two weeks back. The head of the penis became red. I used Quadriderm but it is not helping." }, { "from": "gpt", "value": "Hi. It may be due to fungal infection. Clean the area with warm water twice daily. Apply Candid cream instead. Check whether your wife is having a fungal infection or white discharge. You can get back with clear photos of lesions and details for clarification." } ]
[ { "from": "human", "value": "Hello doctor, I was wondering why my tongue has a white and yellow coating? Do I have a yeast overgrowth? If so, when I take antimicrobial or anti-fungal herbs, it gets worse as well as when I take garlic or oregano, it gets worse which makes me think it is not a candida overgrowth. In fact when I eat Dextrose, it gets better, my stomach deflate and I do not have a nasty taste in my mouth. My hydrogen, methane breath test utilizing glucose nade lactulose showed virtually no hydrogen or methane in my breath. Should I continue the anti-microbial and anti-fungals? Thank you for your help. I have been through all the test, endoscopy, colonoscopy, gastric emptying, gastric mucosa, X-ray, CT scan but the only thing they have said I have is GERD and IBS constipation. Any help or advice would be greatly appreciated." }, { "from": "gpt", "value": "Hi. I have noted your concerns. Having had treated similarly presenting patients at my practice, I want to tell you that it is not a cause of worry. Most often this condition is seen in individuals who have a geographical tongue, or as an early sign of jaundice or some other liver disorder. It has been noted at times due to the collection of skin cells that bind herbal pigments as in smokers. Most of such patients do not need any treatment except for good oral hygiene. You only need to have your serum bilirubin levels checked and be cautious if such discoloration extends to the white portion of the eyes or other skin areas. For proper restoration of normal color, one may use Hydrogen peroxide solution in diluted form for rinses and a good tongue cleaner. Please be assured that your problem has a good probability of getting better with simple measures as the coating is piled up surface cells and need no treatment unless some other features like those listed above appear. You might consider eliminating any medication for this purpose." } ]
[ { "from": "human", "value": "Hello doctor, My 4 years old son fell in the play area and got his left arm fractured (ulna and radius). We went to ER and doctors did alignment and put him on cast and sling. I am attaching the X-rays before and after alignment. In the X-ray after alignment, one of the bones was not aligned properly. The doctor said that it is fine if it is aligned more than 20 % in kids. I am attaching both the X-rays. Can you please check and confirm if it is fine? Also, since he is 4 years old, he is not keeping the sling all time and while playing (with toys inside the home), the sling is getting loosened. My worry is that will it delay the healing process. Does the kid always need to be in a sling while in the cast. Please advise." }, { "from": "gpt", "value": "Hello. The reduction is not appropriate in this case, the bone might join in a 4-year-old child but this is certainly taking a risk. The child requires removal of the cast, reattempt at the closed reduction, application of slab for one week followed by checking of X-ray elbow with the forearm with wrist-anteroposterior and lateral view to confirm reduction is maintained or not. If the reduction is maintained, then to undergo cast immobilization. Children do not require sling at all times. Role of the sling is to prevent edema of the limb by keeping it elevated and gives support. The child can play with well-fitted cast provided there is no fall on the limb, the cast is not soft and broken. If there is anything else, feel free to discuss further." } ]
[ { "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, Two months ago my mother fell down on her knees but did not seem to complain. Recently, she did a bit of house work for a few days and her knee is in pain especially in the back where you bend your leg. Pain is also notable when she sits down for an hour or longer and gets up, and also when waking after sleep." }, { "from": "gpt", "value": "Hello. Your mother has osteoarthritis of the knee and the fall may have stirred this further. The pain that you describe is at the back of the knee this can come from the knee cap as well as the degenerative tear of the medial meniscus. As there are a very little mechanical symptom like locking and giving way not there is much of an effusion I feel that the pain is from the knee cap. The pain in such cases can be at the back of the knee, pain is worse in climbing stairs or coming down, worse after having sat down for any length of time. This condition is called patellofemoral compression syndrome and can be helped with regular exercise and patellar gaping and a course of anti-inflammatory medications like Diclofenac or Piroxicam. In addition, she can take Paracetamol and Tramadol combination for pain. She will need to do VMO, gluteal, core strengthening exercise, and hamstrings stretches, in addition, she needs to avoid squatting. The physiotherapist can in addition give IFT or TENs to help. it will take 3-6 months for the pain to settle down. MRI also shows an incarcerated needle tip under the patella have but I need to have this physically checked if this was recent and was it from the fall on to a sharp object." } ]
[ { "from": "human", "value": "Hello doctor, The patient is 62 years old, weight 41 kg. All test reports are normal. There is a boil problem in the upper half of the right leg above the knee. She is having a burning sensation due to the same. It is spreading. Is it due to insect bite?" }, { "from": "gpt", "value": "Hi. It is not boil (attachment removed to protect patient identity), it is a case of herpes zoster. How long she has been suffering from this? Is this her first episode? Diabetes? Burning and pain are there?" } ]
[ { "from": "human", "value": "Hello doctor, I believe I chipped my molar, but am just making sure that it is just a small chip. The molar was already calcified and has been sealed as a result of that. There is no sensitivity, pain, or any symptoms. Wondering if I would get it sealed again or just something to be cautious about. I practice good hygiene and visit the dentist every six months and have never had a cavity." }, { "from": "gpt", "value": "Hi. I checked the pictures (attachment removed to protect patient identity). The broken part seems to be a small part in the enamel layer, you do not have any pain or symptoms, so I believe this tooth is fine and it can be restored with composite filling to prevent any cavity forming over there. Also, we can use the help of periapical X-ray for that tooth just to make sure everything is alright. You can make an appointment with your dentist to make a filling for that tooth. Also, congratulations, keep on your good hygiene and regular checkups. Periapical X-ray." } ]
[ { "from": "human", "value": "Hello doctor, Whenever I have sex, it feels like my vulva and vagina start out well lubed and with no issue but within 4 or 5 minutes they both become swollen and irritated enough that I cannot continue to have sex." }, { "from": "gpt", "value": "Hi. As per your history, swelling is temporary so do not worry. It may occur due to an allergy to condoms, vaginal douches, ragged intercourse, infections, and less lubrication but you said you do not have any problem with lubrication. Allergy to condoms , vaginal douches, ragged intercourse, infections, and less lubrication. Urine routine examination, pelvic examinations and check for STI’s. If it is only temporary swelling means no need of treatment but if persists then let me know. Maintain good personal hygiene, allergy free barrier contraception, avoid allergic products and lubricants." } ]
[ { "from": "human", "value": "Hello doctor, Please, I need help. My daughter is 10 years old. And she has ichthyosis hystrix in her body's left section, many doctors said that creams are the only treatment for whole life. Please help." }, { "from": "gpt", "value": "Hello. Yes, it is ichthyosis hystrix. It is inherited condition and it is in her genes. Unfortunately, it cannot be reversed by any cream or oral medication. However, it can be improved with oral Retinoids and topical Emollients. The drug of choice is oral Acitretin. Apply Emollients like white soft Paraffin plus liquid Paraffin 4 to 5 times a day. The treatment is the same in all the countries. I can understand your concern." } ]
[ { "from": "human", "value": "Hello doctor, I am 18, and every year I have X-rays. I am in the 4 % that do not have wisdom teeth. Today, I was X-rayed and I suddenly have very small wisdom teeth. Every other X-ray, I did not have these teeth. I also have bone growths in my jaw. Is it normal to rapidly grow wisdom teeth?" }, { "from": "gpt", "value": "Hi. Wisdom teeth can erupt little late than usual. It depends on many factors. In some people it takes up to the age of 24, these teeth also can never erupt and stay impacted or half impacted inside the jaw bones. So for now if you do not have any complaint or problem it is normal, but I recommend you to check up and get X-ray every one year as usual for follow up and see the condition of your wisdom teeth. Also, do not forget, keep on good oral hygiene. Panoramic X-ray." } ]
[ { "from": "human", "value": "Hello doctor, I am having a bloating for the past three days, I never had one. I had my period around this month beginning. Is there any possibility that I am pregnant? Is it any sign of pregnancy? I am having Sibelium 10 mg for migraine." }, { "from": "gpt", "value": "Hi. Bloating sensation can be related to any sort of diet changes. Check if you incorporated anything new in your food habits. Any increased coffee or tea intake, sometimes physical or emotional stress can lead to acidity and bloating. Rule out all such things. Morning sickness is commonly associated with pregnancy, but it is too early to say about pregnancy. If you had an episode of unprotected intercourse, you can perform pregnancy test two weeks following that specific date. For now, you can take tablet Pan D (Pantoprazole with Domperidone) twice a day before meals for three days to relieve the bloating sensation." } ]
[ { "from": "human", "value": "Hello doctor, If you have an HIV test done and it is reactive but the antibodies test is negative, what does this mean?" }, { "from": "gpt", "value": "Hello. It might be due to the HIV test detecting the HIV antigen (p24), and the antibody test might still be in the window period (meaning, the antibodies against HIV have not been formed in the body yet). In any infection, the infection produces its antigen, and later when antigens are processed by our immune system, the body produces antibodies against the infection." } ]
[ { "from": "human", "value": "Hello doctor, Six weeks ago, I had tooth #2 pulled. The healing process has been normal as described by my dentist. I am now experiencing temperature sensitivity on tooth #4, which was previously asymptomatic. Even room-temperature liquid hurts. About eight weeks ago, I had the crown on tooth #4 replaced for cosmetic purposes. There was no pain with this and it did not hurt until this past week. Is there a chance my roots or nerves might be shifting due to the healing process of the extraction and causing the sensitivity? As a side note, tooth #3 in between the extraction and the one that hurts has had a root canal therapy years ago, which (I assume) is why I am not feeling pain in that one." }, { "from": "gpt", "value": "Hi. Yes, your tooth might be sensitive due to the extraction process that happened in the surrounding area. Keep doing saline water mouth rinses. Take a 1/4th teaspoon of salt in a cup of lukewarm water and do its rinses 3 to 4 times a day for a week. If sensitivity goes away, well and good. If symptoms remain same, and sensitivity to air and liquid increases, it means your root is now sensitive and you might need removal of the crown, get a root canal done of this tooth and get back the same crown on it. Give me followup after a week. Stay happy and blessed." } ]
[ { "from": "human", "value": "Hello doctor,My mother's ultrasound has been done. As the report says gall bladder is normally distended with normal wall thickness. Multiple tiny calculi are seen. CBD is of normal caliber. No intraluminal calculi noted. Impression: > Cholelithiasis > Hepatomegaly with moderate fatty changes in the liver. Can this problem be recovered with medicine? Or an operation has to be done? Please suggest me." }, { "from": "gpt", "value": "Hello. Cholelithiasis or gallstones are very common. It is something you should not lose sleep over. However, I would like to know why did your mother undergo an ultrasound? Did she have pain or post-meal dyspepsia? Whilst this condition cannot be treated with medicines, there is no reason to get it surgically removed immediately unless she is suffering from regular pain, is a known case of diabetes, or the stones have migrated to the CBD. That being said, it is always best to get it removed after discussing the risk Vs benefit of the surgery with your doctor. Kindly update about any other medical conditions your mother is suffering from and I will be happy to guide you further. Liver function test. Nonspicy, nongreasy meals." } ]
[ { "from": "human", "value": "Hello doctor, My father's heart rate was low and fainting, syncope occurs twice. The doctor suggested a permanent pacemaker for bradycardia. After pacemaker implantation, he was fine for 45 days but now his pulse rate increases and fluctuate from 70 to 100 rapidly and some chest pain for 1 or 2 minutes. The doctor has given Ivabradine and said he has some tachycardia. What could be the reason for these complications?" }, { "from": "gpt", "value": "Hello. This is likely a part of the syndrome called as a tachy-brady syndrome. Here, patients sometimes develop slow heart rate while sometimes a fast heart rate. Slow heart rate is taken care of by pacemaker and for high heart rate needs medicines like Ivabradine. So, usually not a worrisome issue, but needs to be on medications. If he is having these frequently then should have Holter monitoring or ECG during high heart rate so as to optimize medicines. Also, considering his age and chest pain, it is better to take some test to look for blockages as well like stress thallium or CT coronary angiography." } ]
[ { "from": "human", "value": "Hello, I have been a diabetic for about 20 years. My recent A1c is 6.4. From last few days, I have been noticing that my fasting sugar readings are really high like 140-180. There have been no changes in the diet. Interestingly enough, within 1-2 hours it goes up by another 20 points without doing anything. Another strange thing is before I go to bed, it is in the range of 110-130, but in the morning it is always > 140. Please help me understand this strange phenomen. I am taking 1000mcg Metformin twice a day." }, { "from": "gpt", "value": "Hi Thanks for your query It’s good to see ur sugars are good with HBA1c 6.4. Blood sugars go up and down not only with meals but there are many other factors associated as well like other Harmon levels in the body. For example if ur stressed mentally or excited ur cortisol and catecholamines also increase and thus may lead to increase sugar levels as well Same way if u will do exercise it will decrease ur sugar as well as use of alcohol. May be ur eating habits didn’t change much but other factors have something to do with these levels. Sleep is also important. Along with medications I always advise for intermittent fasting and low carbohydrates with least grains. Exercise even if it’s just walking 45 minutes daily is beneficial Thanks" } ]
[ { "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 non-diabetic 52 years old male. I was diagnosed with Afib one year ago and since then I have been taking Metocard-XL 100 mg od, Pradaxa 150 mg twice daily, Valzaar SM for hypertension. I have been taking various medicines for BP over the last 10 years. After taking Metocard for about a month my symptoms vanished, but still I am continuing with the medicines over 11 months now. Please see my Holter reports both old and recent and give your opinion if I need to be on Metoprolol and Pradaxa lifelong. I think my heart has returned sinus rhythm on its own and may be the drugs can we weaned off." }, { "from": "gpt", "value": "Hi. I have read your query and seen the reports (attachment removed to protect patient identity). For further information consult a cardiologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I and my fiancee became physical last week. Now we are in doubt that she might be pregnant. We need some help and suggestions regarding this." }, { "from": "gpt", "value": "Hi. There is no contraceptive that will work now as it has been a week now. Emergency contraceptive works only within 72 hours. I suggest you wait for her period and if it gets delayed by a week do a pregnancy test and check. If positive we can handle the issue as per your need. All the best." } ]
[ { "from": "human", "value": "Hi doctor, Can the adult palate narrow or change shape due to age or stress or hormonal factors?" }, { "from": "gpt", "value": "Hi. Yes, definitely. Age changes occur in all our body, including our bone shape and density changes. The bone depth and density decrease with age in our jaws, causing gaps in our teeth, exposing more of our root part of teeth sometimes and it includes narrowing of the palate too. This is troublesome for patients wearing dentures as denture size alters by deepening of the palate. Stay happy and blessed. Take care." } ]
[ { "from": "human", "value": "Hello doctor, Fear and anxiety since last four week. First four days took Alprax 25 mg. No improvements. Then Olanzapine 5 mg for four days but cause strange behavior. MRI of the brain indicates everything normal. Then after changing the doctor, another doctor prescribed Clonazepam 0.25 mg twice daily for eight days. A lot of improvements. So, I thought everything is normal. But after one day again symptoms appear. Then he prescribed Fludac 20 mg in the morning and Clonazepam 0.25 mg daily. I am taking medicines but insomnia is occurring for the last three days." }, { "from": "gpt", "value": "Hello. I can understand and empathize you. Fear and anxiety do not come without any reason. You mentioned the duration as one month. So any situations or conditions that provoke your anxiety? Medicines will give you symptomatic relief if the cause is present there. For insomnia, you can take Clonazepam 0.5 or 1 mg SOS." } ]
[ { "from": "human", "value": "Hello doctor, My mom has swollen ankles in her lower feet. The skin is stretchy and tight. When you touch it, it is warm. Does she have edema?" }, { "from": "gpt", "value": "Hello. Yes, she has a sort of edema. It is fluid retention in the ankles. Take less of salts and a low sodium diet. Please get all the investigations done like heart echo and blood tests, kidney tests. You may take a course of antibiotics and anti-inflammatory as well as it may be infectious too but it certainly is due to some circulation disturbance in the body. Also, you may get her feet elevated when she lies on the bed and do not allow her feet in the upright postion for a longer period of time. Get her thyroid, BP and fasting blood sugar also checked." } ]
[ { "from": "human", "value": "Hello I feel pain at my lower left side of abdomen,, Also It’s hard to pee ( feeling burning) the symptoms looks like I have Urolithiasis. I need to make sure" }, { "from": "gpt", "value": "Hi, I understand your concerns. You are finding it difficult to pee and there is a burning sensation. These may be due to urinary tract infection (more likely) or stones. In your urine report there are a few microorganisms and red blood cells are also present -these are suggestive of urinary tract infection. Please get an urine culture sensitivity report and an ultrasound of kidney,ureter and urinary bladder. Plenty of fluids is advisable and antibiotics have to be taken on basis of your culture report. Signs and symptoms of kidney stones can include severe pain, nausea, vomiting, fever, chills and blood in your urine. Diagnosis of stones is based on urinalysis and radiologic imaging, usually noncontrast helical CT. Treatment is with analgesics, antibiotics for infection, medical expulsive therapy, and, sometimes, shock wave lithotripsy or endoscopic procedures. Hope this helps. UTI UTI Urine Culture sensitivity Ultrasound of kidney,ureter and urinary bladder. Urolothiasis UTI Plenty of fluids And antibiotics according to urine culture report. Plenty of fluids,genital hygeine." } ]
[ { "from": "human", "value": "Hello doctor, I have pain in my right feet and on the right side of my feet. It started on its own. I did not have any sprain or injury. If I press my feet from right side little bit also it pains like too much and I can scream. Can it be nerve pain ? I am diagnosed with diabtetes and my HbA1c is 7.4. Also can it be due to nerve damage? I keep getting these kind of pain almost every month now. I used to think uric acid and took Febustat. It looks like a sprain but I had no injury or accident." }, { "from": "gpt", "value": "Hello. Pain in the foot in diabetic patients may be due to plantar fasciitis or peripheral neuropathy or charcots joints or peripheral vascular disease or gouty arthritis or cellulitis, etc. Please get an X-ray of foot and ankle, get it done color doppler and nerve conduction study. Elevate the limb during resting position. Use Tramadol with Paracetamol twice a day for five days. If symptoms are not improved please consult your physician. he will examine and treat you accordingly. Take care." } ]
[ { "from": "human", "value": "Hello doctor, I am 22. I had an intercourse two months back. I got my period on 13th of last month and I did not get in this month. What should I do? Need your help." }, { "from": "gpt", "value": "Hi. Please do not worry. Get a urine pregnancy test done. If it is positive we will opt for medical termination of pregnancy. If it is negative we will give withdrawal. Please note that medicines to induce periods is different in case of pregnancy test being positive and negative. Kindly review with a pregnancy test. UPT." } ]
[ { "from": "human", "value": "Hello doctor, I have eaten lemons all my life and now have no enamel on my front two teeth. It is not painful but it looks awful and feels bumpy and I am scared they will eventually corrode." }, { "from": "gpt", "value": "Hi. Please quit your habit of eating lemon to prevent further erosion of enamel in other teeth. Rinse your mouth after taking an acidic beverage. Get IOPAR of 11, 12, 21, 22 (if upper jaw teeth are involved) or 31, 32, 41, 42 (if lower jaw front teeth are involved). Treatment for eroded teeth will be composite veneer or RCT followed with capping. Habit of taking citrus food. IOPAR of 11, 12, 21, 22 (if upper jaw tooth involved) or 31, 32, 41, 42 (if lower jaw front tooth involved). Abrasion, chemical erosion. Erosion. Treatment for an eroded tooth will be composite veneer or RCT followed with capping. After taking an acidic beverage, please rinse your mouth." } ]
[ { "from": "human", "value": "Hi doctor, I have a sore throat, fever, runny nose, and black stool. Is there anything serious?" }, { "from": "gpt", "value": "Hello. You are suffering from probably acute viral rhinopharyngitis with black stools. Black stools may be due to GI bleeding or Iron tablets consumption or infection, etc. Until examination is done it is difficult to say what it is. Use water vapor inhalation and salt water gargling thrice a day for five days. Use tablet Paracetamol thrice a day for five days, tablet Pantaprazole before breakfast for one week. If the symptoms are not improved, please consult your physician he will examine and treat you accordingly. Take care." } ]
[ { "from": "human", "value": "Hello doctor, I am 22 weeks 5 days pregnant. Yesterday I started feeling hot, sweating and started getting black spots in my vision. Then I felt like I was gonna pass out. I was at work during this and went to sit down. I had water and I felt better. I have a slight lightheaded feeling today and I checked my blood pressure and it has been normal." }, { "from": "gpt", "value": "Hello. Getting dizzy in a second trimester (after 20 weeks) of pregnancy is a normal phenomenon as pregnancy hormones especially Progesterone results in vasodilation of blood vessels and pooling of blood in lower limbs after prolonged standing or sitting. So do not worry about that. The only thing you can do is to keep yourself well hydrated and keep your legs moving while long standing or sitting and do not stand up immediately if you are lying down in bed." } ]
[ { "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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