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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, I have some speech problem. I miss the word while talking and I am not conveying it properly. I have to stop and think for a while to continue the conversation. This happens many times a day. My current medication is tablet Vilazine 40. Please help me." }, { "from": "gpt", "value": "Hi. For further information consult a neurologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, Half part of my left eye became red and slightly swollen near the cornea. I tried Ciplox and Ceflox and Festive D, but these are not working. There is no pain or no blurred vision, I have itchiness and allergy. Please suggest some eye drop for red-eye and itchiness. I shall be highly thankful to you." }, { "from": "gpt", "value": "Hello. The main symptoms of allergy include itching and redness as you mentioned. Festive D drops will be more than enough to treat any eye allergy. Festive D can be used four times a day for 4 to 5 days. On the other hand, if you are having lots of sticky discharge from your eye, especially if your eyes stick together when you wake up after sleep, it suggests that there is an infection. In the latter case, seeing an ophthalmologist is best." } ]
[ { "from": "human", "value": "Hello doctor, I am a 53-year-old male. My symptoms began about three months ago and include the following: Numbness and burning at the base of the neck. Shooting pains and stingers in the upper back and near shoulder blades. Soreness in shoulders. Muscle twitching that comes and goes particularly in hands, fingers eyelids and ankles almost all at rest. Body temperature regulation issues causing damp collar of my T-shirt after waking from sleep and now some anhydrosis on exertion because I did notice I do not seem to be sweating and I feel like I am overheating after some exertion. Foggy head feeling, especially in the morning. Dry throat upon waking up and sometimes during the day that will not go away. Frequent urination some days that sends me to the bathroom every hour to an hour and a half. Tests my internist has conducted in the last month to investigate my symptoms: MRI of my cervical spine that showed some bulging discs but nothing significant. CAT scan of my neck to look at lymph nodes and all was normal. Chest X-ray which was normal. Blood work which showed all normal except vitamin D which was low. I am now taking a supplement. I am obviously very scared that I am developing MND such as Parkinsons or MSA." }, { "from": "gpt", "value": "Hello. I understand your concern and would explain that your symptoms could be related to low vitamin D levels. Anyway, I would also recommend performing further tests if you have not already performed yet: 1. Thyroid hormone levels for thyroid gland dysfunction. 2. Vitamin B12 levels for the possible deficiency. Nerve conduction studies would help investigate for neuropathy or motor neuron disease. Regarding Parkinson's, a DAT scan would help investigate for this disorder. Anyway, your symptoms are not typical of this disorder." } ]
[ { "from": "human", "value": "Hello doctor, I have a left tonsil that looks like a white build up with some veins on it. I recently was diagnosed with a jaw bone that was malaligned so I am wearing several appliances to get that back set in place. I recently went to an ENT and they put a scope down my nose and said my tonsils are even. He mentioned to come back in two months. Why is that? Why not just take a biospy now? Please help because I really hate waiting for two months just to be seen again." }, { "from": "gpt", "value": "Hi. The left tonsil seems mildly hypertrophied and unhealthy. But it does not have any active infection. Can you take a picture with both tonsils in view? Tonsils are normal structures and unless one is much bigger than the other we usually do not suspect anything. Do you have any symptoms with tonsils? Is there a post nasal drip or throat pain or soreness or foreign body sensation in the throat? The tonsils inside the nose or at the back of nose are called nasopharyngeal tonsils or the adenoids which usually regress by 10 years of age but in some, they remain. How old are you? What appliances are you wearing or using for jaw bone correction? Can you take a picture and send? The tonsillar biopsy is not as simple as biopsies at other locations. We do it under general anesthesia and we remove the entire tonsil. This is done at a particular position and probably your jaw condition does not let that position to be made on you. Do revert back with all the details so that we can help you." } ]
[ { "from": "human", "value": "Hello doctor, I had a crown in one of my teeth on the lower left bottom. The crown came off. I went to the dentist who suggested root canal even when I did not have any problem. The root canal was completed and the crown was placed. After a few days, my teeth used to pain only on consuming hot water. I went to the dentist and she performed RCT again and now she has left it open because now I have a constant pain which is there a from two weeks. The dentist said I might be allergic to calcium hydroxide and then she said it could be an infection. I am not sure what is happening. Kindly help. Pain is unbearable." }, { "from": "gpt", "value": "Hi. I had gone through your question I can understand your concern. The pain may be because of post RCT infection or because of the accessory canal in the root that becomes sometimes difficult to manage. In case it in infection you need to take antibiotics and that will help you. If you had antibiotics and pain still persist, please let me know about the name of antibiotics because you may be resistant to it. You can also upload the pictures of X-ray done during root canal treatment so that I can tell you, if RCT is done properly or not. An allergic reaction does not precipitate in the form of pain only there could be certain associated complications too." } ]
[ { "from": "human", "value": "Hello doctor, Posterior disc bulge at L4 to L5 intending thecal sac, narrowing bilateral neural foraminae and mild abutting bilateral exiting nerve root." }, { "from": "gpt", "value": "Hi. I just went through your scans and read about your symptoms. I would like to tell you about the problem you are facing. As the age progresses the spine undergoes degeneration leading to narrowing of the canal leading to your problems. I would like to know what are your symptoms like back pain, lower limbs pain, shooting pain, numbness, unable to walk for long, difficult to sleep. The scans which you have sent does not show much of the disease. So, physiotherapy- back strengthening exercises like tablet Zerodol P twice daily, tablet Pan 40 mg twice daily, tablet Pregabalin 75 mg daily night. Have a good day. Degeneration. Lumbar canal stenosis. Lumbar radiculopathy. Physiotherapy." } ]
[ { "from": "human", "value": "Hello doctor,MRI results say small hyperintense focus subcortical white matter of right frontal lobe is seen, right parasagittal in position, this measures no more than 3 mm and is found in isolation. A gliotic focus is favored. I have an appointment with a neurologist but in three months. Please help me understand what this means and what are the possible diagnoses." }, { "from": "gpt", "value": "Hi. See this report needs clinical co-relation (attachment removed to protect patient identity). So, I would need to know that for what basic symptoms were this MRI performed?" } ]
[ { "from": "human", "value": "Hello doctor, I had a tooth extraction done nine days ago top left #14 and my gums are still swollen. It looks like a white blister around the extraction site. My dentist will not listen to me and the pain I am in. Is it something I should worry about? It is causing pain too." }, { "from": "gpt", "value": "Hello. Your swollen gum and white blister on extraction site can be a canker sore (small and shallow ulcer) which can be treated with medicine and oral hygiene. This could have happened due to improper oral hygiene and using some pointed object (toothpick, etc.) to the extraction site. Grave disease supports mouth ulcer as well. This can also be a dry socket (open socket in gum) because of major trauma during extraction. Dry socket may lead to swollen gum and pain at the extraction site. In a few of the studies, we have seen that hypothyroidism also reduces the rate of wound healing. You are already taking Motrin 800 for pain management, please share the dosage. Alternatively, you can take Naproxen which is an extended-release tablet can help you to subside pain for a longer duration. You are also suggested to take semi-solid food, do not chew from the left side and brush carefully. Gargle with warm salt water. Requesting to share the picture of the extraction site to differentiate between canker sore and dry socket. Which will help me to suggest the proper treatment and medicines? Also, requesting to share radiograph (if possible) IOPAR of 13, 14, 15 for a better understanding of the case. Disturbing extraction site, infection at the site. IOPAR of 13, 14, 15. Dry socket. Canker sore. Medicine and visiting dentist (can only be confirmed after further information). Take semi-solid food, do not chew from the left side and brush carefully. Gargle with warm salt water." } ]
[ { "from": "human", "value": "Hello doctor, I was born with two different color eyelashes. On my left eye is black and on my right eye is blonde. Also, I have blonde hair streaks on my right side and half of my eyebrow is blonde. What could be causing that?" }, { "from": "gpt", "value": "Hello. This condition is called poliosis. This may be due to: 1. Wardenburg syndrome. 2. Tuberculosis. 3. Piebaldism, etc. 4. Thyroid problems. 5. Vogt-Koyanagi-Harada disease. Until examination and investigation are done, it is difficult to treat what is the cause. Usually treated with medical or laser therapy or hair transplantation. Take care." } ]
[ { "from": "human", "value": "Hi doctor, I have a constant problem with my calves whenever I do exercise, or even walk up the stairs. I am a keen field hockey player and can run very fast in short bursts, however, within five or so minutes my calves burn even though I do not feel tired. When I massage my calves, they also hurt a bit and plantar, flexing my foot also hurts, my tibialis anterior. I was wondering how I can prevent this; am I running incorrectly, are my calves tight, etc." }, { "from": "gpt", "value": "Hello. As you mentioned about the calf muscle pain, this should be related to the footwear you been using. Are you having a flat foot? Also, what type of shoe you are using. As any shoe being used in sports should be flexible and also should be having good material. The harder the shoe sole the harder the pain can be due to quick impact. I would like to know if you have a flat foot or any ligament sprain in the past which went unnoticed and untreated. For now, as you mentioned the pain in the calf, I will advise you to do balance board training which should activate the muscles of the lower limbs and do correction of the muscle imbalances. A good sports rehabilitation should give maximum output in the game. Also, consume more fluids to avoid fluid loss and leading to fatigue induced pain. Try doing balance board training and let me know after 10 days how the pain is. Sports injury. Ligament injury. Muscle weakness. Balance board training." } ]
[ { "from": "human", "value": "Hello doctor, What complications could arise from breast cancer treatment (surgery, chemo, radiation, hormone therapy) if the patient is secretly using Methamphetamine? Can and should a DR refuse treatment if they know of a patient’s Meth use?" }, { "from": "gpt", "value": "Hello. Methamphetamine is CNS stimulant, it can have a lot of own side effects, if the doctor is not aware of drug use, many of the side effects of drugs will be difficult to interpret for doctor, drug use can have interaction with chemo drugs and can increase toxicity of drug or under the effect of drug. It is a personal choice of doctor, he should refuse treatment or not." } ]
[ { "from": "human", "value": "Hi doctor, I had Doppler MCA. The report showed MCA-PSV value of 0.79 MoM. What does it indicate? Please explain." }, { "from": "gpt", "value": "Hello. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, My wife is 28 years old. She is suffering from shoulder and arm pain. She has more pain during night-time and not able to get good sleep. First we consulted a doctor; he gave some multivitamin and Calcium tablets. Also advised her to do some exercise, but there is no effect. Then we consulted another doctor and he advised for a blood test. The result came back as hemoglobin 10.5 and serum uric acid 5.98. I have attached the medical prescription given by then for 20 days. He also told to avoid pillows. My wife started avoiding milk, milk products, meat, pulses etc. She is feeling fine now. After 20 days when she went for consultation some new doctor was there. He told that the uric acid is in range and no need to continue these medicines. Now again pain is there. Please tell us what test we need to do now to find the problem. Please tell the medicines which would be helpful in this case. Thanks in advance." }, { "from": "gpt", "value": "Hi. For further doubts consult a general practitioner online -->" } ]
[ { "from": "human", "value": "Hi doctor, For the past four months, I am suffering from neck stiffness especially when turning to the left. Also, I am suffering from heaviness of head, trembling of the head in certain neck position and shortness of breath, especially on moving to the chest level. When I wake up in the morning after sound sleep of 6 hours I do not feel bad. But, as the day progresses my problem gets increased. In the office, I have to work for 8 hours and my commuting time is 3 hours. So the problem increases while in office and when I travel by car where I have to sit for a long time. Also, it is not possible for me to quit my job. My echocardiogram and brain MRI are normal. My cervical spine MRI shows mild scoliosis with convexity to right, a small central posterior disc bulge at C5/C6 level indenting the thecal sac. There is no cord compression or central canal stenosis. Is my problem life threatening? Can the above problems be cured through exercise? Can I lead a normal life?" }, { "from": "gpt", "value": "Hi. As you have very well explained your symptoms, I am so thankful to you. I would have appreciated if MRl image too available. Scoliosis can give rise to spasm of paraspinal muscles of the affected area, and in your case neck, this explains your neck stiffness. Does trembling of head on bending correspond with your pulse? If yes, then it is a normal phenomenon. If no, then during pain and stiffness there is reduced strength of muscles which sometimes leading to trembling. Your condition improves with rest and worsens with exertion, clearly implying mechanical cause to your symptoms. Shortness of breath on bending neck forward is not a routine orthopedic symptom. Do you have any swelling in the neck? Do you have any cardiac or heart condition or chest disease? Your condition is not life-threatening You need a course of muscle relaxant with painkillers. Take rest for some time along with physiotherapy and once the pain subsides, start with isometric cervical exercises to strengthen neck muscles. Change your postural habit of sitting while at work and while relaxing. These changes in your lifestyle will help you immensely. The degree of scoliosis, its progression, pressure on cord or nerve roots and the current level of your symptoms will define the need for surgery." } ]
[ { "from": "human", "value": "Hi doctor, I am 53 years old and have been gaining weight steadily even though I eat fairly small portions and very healthy. I run 2 to 3 times a week and drink plenty of water. I do not have any health problems, however, I do not sleep very well. According to my doctor, my thyroid function is normal. What would you recommend?" }, { "from": "gpt", "value": "Hello. I have gone through your reports (attachment removed to protect patient identity), they are completely perfect, no need to worry. Change your exercise at some days interval, as the body is habitat to the same exercise so you have to challenge your body strength by changing exercise. Yoga is good for weight loss and even for mental calmness. There are many asanas to perform for good sleep and to lose weight. Along with above lifestyle changes you can start Phytolacca berry two tablets in the morning, noon, and night. Passiflora mother tincture 10 drops in half cup of water in morning and night. To decide further medication and duration of treatment, I need to follow up and details. Have a good day." } ]
[ { "from": "human", "value": "Hello doctor, My 16-year-old has not grown in height in 2.5 to 3 years and has not started her period and is delayed in puberty. Seems to be a late bloomer. She is small (short) for her age and underweight but eats normally. Her bloodwork only shows low prolactin. Everything else is normal. Is there a way to increase prolactin? What should we do next?" }, { "from": "gpt", "value": "Hello. Prolactin deficiency can cause delayed puberty. Few studies have shown that this delayed puberty is due to prolactin deficiency. Also, check for other possibilities, genetic factors, growth hormone deficiency, etc. In a few cases, supplementation of prolactin may be useful. Please consult your endocrinologist. He will examine and treat you accordingly. Take care." } ]
[ { "from": "human", "value": "Hi doctor, I have a small area of redness and tenderness above and around the top of my left nipple. It is painful to touch and has a small bump under the skin (not a superficial, but a few layers under). The lump is quite hard. We were recently swimming in freshwater rivers and ocean, and hiking in rainforests. This began after we returned, about three days ago." }, { "from": "gpt", "value": "Hi. It looks like erysipelas, that is called the superficial skin infection. It would be helpful if you have had any recent laboratory investigations, complete blood count analysis ESR CRP that would be very helpful. I will advise you to apply Mupirocin ointment twice daily on the nipple so that will control the current infection from spreading anywhere. For pain, take Tylenol. If you need any further information, please write me back and at the same time I would also like to know about your medical history and surgical history. If you are a smoker or have a social history as well." } ]
[ { "from": "human", "value": "Hi doctor, I had an annual checkup. Please have a look at the reports and advise if everything seems fine and healthy." }, { "from": "gpt", "value": "Hi. For further information consult a general practitioner online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am 24 years old. I started having a sharp pain in my right arm shoulder which probably originates from the right back of my chest. Also, my bowel movements have not been clear since some time. I took a Pantoprazole with Domperidone, guessing that this might be due to gas." }, { "from": "gpt", "value": "Hi. It looks like a simple musculoskeletal pain and then you have been taking this Pantoprazole and Domperidone medicines and that could give some symptomatic relief but this looks like a musculoskeletal pain. Maybe you could have tried taking some muscle relaxant like Myoril (Thiocolchicoside) 8 milligram twice daily for three days. In addition, I want you to get Vitamin D and serum uric acid blood test and the complete blood count. With that, I will be able to have a better idea of your blood investigations. Try not smoking and in regards to drinking alcohol, keep it low." } ]
[ { "from": "human", "value": "Hello doctor, I did my ICL surgery six months back. Now my right eye is burning. What can be the cause of that?" }, { "from": "gpt", "value": "Hello. A burning sensation is the chief complaint of patients with dry eyes. The causes of dry eye are several in number and ICL surgery by itself rarely causes dry eye. Although there are innumerable causes of dry eyes, the treatment is purely based on the severity of symptoms and usually starts with carboxymethylcellulose acetate 0.5 % eye drops. In case you do want to find out the exact cause of your dry eyes, you would need to get a thorough eye exam with or without eye or blood tests. In case you have any further questions, kindly send me a scanned copy of your doctors report, test reports. I will do my best to help you." } ]
[ { "from": "human", "value": "Hello doctor, I am 35 years old and I started dieting early last year. But it seems like my weight plateaued. I have been eating a low carb diet during weekdays and on Sundays, I eat the carbs that I want to eat. I work out 3 to 4 times a week. I sometimes sleep late. I have been on this schedule for the past 10 months. So for now, I am frustrated and worried why am I not losing weight." }, { "from": "gpt", "value": "Hello. Well, eating only low carbohydrate will not help. Follow a protein-rich, low carbohydrate, a fiber-rich diet that will fulfill the purpose. Have three small meals per day with lots of water. You can cheat sometimes with healthy junks. Exercise regularly with walk in the morning, at least for 30 minutes. Have low fat or skimmed milk in the morning, with brown bread. Avoid spices. Can have vegetable soup in the evening. Chicken and vegetable salad can work. Can start pilates, which works wonder for shaping up the body. Meditation before going to bed to bring positivity in mind and calmness. Warm lemon water early in the morning is also beneficial." } ]
[ { "from": "human", "value": "Hi doctor, I had prolonged spotting for one month followed by bleeding for 2 to 3 weeks. I took Meprate twice a day for three days, followed by one tablet each day. Bleeding stopped, but while I was taking Meprate on eighth day I did heavy workout and spotting started again. What shall I do? When should I take next Meprate dose." }, { "from": "gpt", "value": "Hello. Meprate is not the treatment for bleeding. It is a Progesterone and the dose is fixed, you cannot reduce it on your own as you would start getting withdrawal bleed once dosage is reduced, which is what has happened in your case. Once you stop Meprate, you shall again get at the bleed in next 3 to 5 days and may be heavy, as it would be a withdrawal bleed post-Progesterone intake." } ]
[ { "from": "human", "value": "Hello doctor, I am a female, 71 years old, hypothyroid. Question: I have an epithelial defect secondary to dry eye causing increasing blurred vision. Past three months I had an amniotic transplant but not successful followed by current tarsorrhaphy. I have been given little hope of better visual results when the sutures are removed next week. What, if any, is the next intervention here to regain visual acuity?" }, { "from": "gpt", "value": "Hello. I am very sorry to hear about your condition. Usually, such a picture suggests quite a severe disease. So, there is no such clear cut fix to your problems. The main thing to understand is that dry eye which is this severe is usually caused by some secondary diseases which need to be treated first. A few other treatments which can be done in your case can be autologous serum eye drops, limbal stem cell graft, humifying goggles. Once again, as I mentioned before there is no straightforward fix. But these are a few genuine treatment measures which can be taken." } ]
[ { "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 just found out that I am pregnant from the home pregnancy test kits. This may sound weird as I am not sure about the date of conception was. My last period was on the 17th of last month. I had sex on the 14th of last month and also on the 4th of this month. I have a 38 day cycle. Is there a way to tell which date the pregnancy has come from without the ultrasound?" }, { "from": "gpt", "value": "Hi. For further doubts consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor,My son who is one-year-old is having watery right eye since yesterday morning. It is not watering continuously. It is like that yesterday morning after waking up today morning after waking up and today evening. Sometimes, along with watery eyes, runny nose is also there. Along with watering the eye is becoming red. Please suggest what to do." }, { "from": "gpt", "value": "Hello. Just follow advice. Clean eye from inside to outside with clean cotton or cloth. Instill Tobramycin eye drops one drop in each eye three times a day. Start syrup Cetirizine 5 ml once a day for five days. It may be due to some allergy or infection but it is still early to comment on a specific term. Wash eyes with clean water. Give follow up after two days." } ]
[ { "from": "human", "value": "Hi doctor, Actually I had my periods two months back. 15 days later, I had unprotected sex but I took the I-pill on the same day. I took a pregnancy homekit test after 10 days and it came negative. Then I got bleeding for a week which I considered my periods. So, I thought I was supposed to get my periods on the same date this month but did not have any sign of them. I took the homekit pregnancy test a week back and it was negative. Why are my periods late? Can I be pregnant? Should I be worried?" }, { "from": "gpt", "value": "Hello. With I-pill, sometimes periods gets irregular for 2 to 3 cycles. If there is any history of sexual intercourse after last month periods, then you can do blood test serum hCG. If it is negative then no chance of pregnancy at all. You can simply wait for 1 to 2 weeks for periods. Even after 1 to 2 weeks you do not get periods, then medicine can be given for withdrawal bleeding. But if bhCG is positive then pregnancy is there. And treatment will be accordingly." } ]
[ { "from": "human", "value": "Hello doctor, I am 27 years old, male, pursuing PG. This is the dissertation writing time for me. For that, I have to rely on a laptop most of the time. It makes my eyes uncomfortable (red and dry). So, would be glad to have suggestions. Any glasses that I could use while working on a laptop?" }, { "from": "gpt", "value": "Hi. People who spend much time in front of digital screens like a laptop, mobiles, etc., are at higher risk of developing dry eyes also called computer eye syndrome. Usually, we blink 8 to 12 times per minute but while using digital devices blink rate is decreased 2 to 3 times per minute. That is why tear film is disturbed and eyes get dry. So keep using Refresh Tears and try to modify the habits like blinking every 10 to 15 seconds during laptop use and try to avoid any humid environment. I hope these simple things will help you a lot." } ]
[ { "from": "human", "value": "Hello doctor, I am 28 years of age and 24 weeks pregnant with my first baby. I have had two miscarriages in the past. I am experiencing severe anxiety from the past three months. I developed this problem four years back, and I was put on a few medications which are in the attachment. I took them for around two months and felt better. But now it has returned, and I am feeling completely helpless. I stay in a remote place with my husband. I am scared of everything. I feel detached from the environment. I am restless with intrusive thoughts. Now I am not attached to my baby too. I do not have any future plans. I love my husband, but I am scared to live with him. I am not on any medication as I am pregnant. I will sit on the internet to find some solution but reading horror stories about anxiety making me crazy. Please help me" }, { "from": "gpt", "value": "Hi. We understand your problem. The symptoms that you have told fit into generalized anxiety disorder with depressive symptoms. You had treatment in the past, and you were better with that. This time because of your pregnancy, things are not that straightforward. Still in my opinion, after evaluating risk and benefit, you should have both medications and psychotherapy. Initially, you can try tablet Clonazepam (Clonotril 0.25 mg twice daily). It is low dose only and safer after 3 months of pregnancy. Also, you should have your thyroid function and CBC test done. You can take an appointment for sessions, in which we can have detailed evaluation and management. Just remember you became better last time and this time also you will be better soon." } ]
[ { "from": "human", "value": "Hello doctor, I am a 48-year-old female. I am 5'11\" and I weigh 145 lbs. I have been generally healthy my whole life other than some minor chronic conditions (IBS, sinusitis). I had a hysterectomy two years back and appendectomy four years back. I was recently diagnosed with a sliding hiatal hernia and GERD by endoscopy. I have been suffering from reflux symptoms (without realizing it was reflux) for a few years. My main symptoms were inner ear pain or dizziness, sore throat, chronic cough. It was my ENT who discovered the acid in my esophagus. I have been on a strict low FODMAPs diet customized for reflux for three weeks. I was prescribed Dexilant and started taking 30 mg first thing in the morning four days ago. (On an empty stomach, 30 minutes before food. My symptoms are worsening and now I have chest pain with shortness of breath). Question 1: My doctor told me the Dexilant would start working in two days. Is it possible that it takes longer? Is it possible it can worsen reflux symptoms? Question 2: Could the chest pain or shortness of breath be caused by acid aspirated into the lungs? If so, how is that diagnosed? I am in a lot of pain and really need symptom relief." }, { "from": "gpt", "value": "Hello. Thank you for that detailed history and uploaded EGD report (attachment removed to protect patient identity). Reflux esophagitis does sometimes cause symptoms of inner ear pain, sore throat, and chronic cough, but it is much more common to have symptoms of choking during the night time and heartburn. You have been diagnosed on endoscopy with a 2 cm sliding hiatus hernia (which is comparatively small size), grade A (LA classification) esophagitis. The polyp from fundus is usually benign (fundic gland polyp). A few biopsies were taken from esophagus, apparently to rule out eosinophilic esophagitis together with biopsies from duodenum and stomach. I guess you are awaiting the results. To answer your questions: 1. Yes, Dexilant (Dexlansoprazole) mostly improves the symptom in two days. Dexlansoprazole will act immediately but relieving of symptoms may take some time because it depends on mucosal healing. Dexlansoprazole can cause minor side effects like nausea, vomiting, diarrhea, dizziness, etc. You should continue Gaviscon for a few more days. Avoid liquid diet, take more solids or semisolids, do not go immediately to bed after food, keep head end little elevated. 2. Esophagitis and reflux can cause breathing difficulty, but it happens usually if the symptoms have been persisting for a very long time and have been left unaddressed, so as of now I do not think you have any significant lung issues other than the probable occasional reflux of gastric content causing some symptoms. To improve your current symptoms, my suggestion would be to add Gaviscon tablets after every major meal for a week, simultaneously continuing with your Dexilant, which I believe you are taking 30 minutes before breakfast. The other lifestyle modification advice would be to restrict coffee and tea to 2 to 3 small sized cups for a couple of weeks, to not lie down at least for two hours after a major meal. Avoid wearing very tight fitting trousers or belts over the abdomen. Elevate the head end of the cot (or there are a special type of pillows which has a slant) by at least 6 to 8 inches. Avoid citrus fruits and sour food for a few weeks. Restrict smoking and alcohol." } ]
[ { "from": "human", "value": "Hi doctor, I have undergone preventive blood test. There is abnormality in cholesterol level. I have enclosed the reports for your reference. Kindly advise what to do based on my reports. Thank you." }, { "from": "gpt", "value": "Hi. I have read through your query in detail. Based on your report (attachment removed to protect patient identity) these are my observations: Diabetes screening, chloride content, pancreatic amylase, iron levels, liver function test, thyroid function test, kidney function test and digestive enzyme lipase are all normal. Slight variation is observed in blood cells. Calcium content is slightly low. Cholesterol is in borderline and triglycerides are high. I would like to give you few suggestions:" } ]
[ { "from": "human", "value": "Hi doctor, My son is 14 months old and a normal baby. He has developed white patches or spot behind ear and back of the neck. According to my knowledge, it is present since birth or from the time he was three months old. My father has eczema in his leg. The patches do not spread but with time, they seem to enlarge. I am much worried. I want to know what is that patch. Is it curable? Are there any chances of it spreading and becoming a permanent patch? Is there any way to cure? I have attached the pictures for your reference. Please help." }, { "from": "gpt", "value": "Hello. Thanks for sharing the photographs (attachment removed to protect patient identity). I can notice the patches are forming lines. They are identified as birth marks. Just the way there are black moles present, similarly white moles are there. These birth marks do not cause any health problem. They do not have any symptoms and will remain forever. Since it is not present on face, it will not affect cosmetically. Keep a record of photographs taken regularly and observe the change in size and color of the patch. For better analysis, get it checked with a dermatologist." } ]
[ { "from": "human", "value": "Hello doctor, My son is 3.5 years old; studying in kindergarten. He has been diagnosed with benign childhood epilepsy. There is an epileptic form discharge of 8 Hz spikes from his right occipital lobe. His MRI and CT scan reports came normal. He feels involuntary movements in his left leg when he is in a conscious state. At times when the epileptic form discharge gets severe, he loses balance and falls down. This tends to happen once in a week. With medication he is fine. We consulted a neurologist and epileptologist. Doctor has prescribed him tablet Topamac 50 mg to be taken twice a day and tablet Lobazam 10 mg for a period of three months. Will there be any side effects with long-term use of tablet Lobazam? I am very concerned. Please guide me." }, { "from": "gpt", "value": "Hi. It is good to know that your child's seizures are under control with medication. Tablet Clobazam is mainly used to control acute seizures and used for a short duration. The main drawback with long term use of Clobazam is physical dependence. It is observed that, if the drug is used for a long-term and suddenly withdrawn, it will cause withdrawal seizures along with other symptoms. Kindly discuss regarding this with your neurologist." } ]
[ { "from": "human", "value": "Hi doctor, It is about two months that I have pain in the L5/S1 region. I also have a red patch at this region. The picture of which I have attached. It is a localized pain. When I bend forward or sit down it increases. But, when I bend backward I do not have any problem. The red patch does not itch. I have frequent urination, burning sensation before or after urination and occasional pelvic pain. I do not know whether the two problems are related or not. Currently, I focused on my back pain problem. I am waiting for an MRI which will be one month later. I have some questions to you as an expert in the field. What is the red patch at L5/S1 region? What can be the cause? What could be the source of pain at L5/S1 region? I am pleased for your advice." }, { "from": "gpt", "value": "Hi. I have read your query. I have seen the attached photographs (attachment removed to protect patient identity) also. I understand your concern. The possibilities for the red patch on your back are lichen simplex chronicus and tinea corporis. Lichen simplex chronicus is characterized by hyperpigmented patch with roughened skin. Tinea corporis is a fungal infection of skin and characterized by red colored scaly rash. Treatment depends on the diagnosis: For back pain you visit an internal medicine specialist in person for physical evaluation." } ]
[ { "from": "human", "value": "Hello doctor, I was diagnosed with a 9 mm diffusely calcified meningioma and have been having symptoms such as dizziness, loss of balance, ringing in ears and more frequent headaches. I was told it was a big nothing. But I am not sure. Six months back I went to the ER with a pain in my head around right ear and back of the skull, no one could touch it or me. I had never experienced such pain." }, { "from": "gpt", "value": "Hello. I have reviewed your CT scan and it showed a meningioma at the right cerebropontine angle (attachment removed to protect patient identity). This tumor is small however if this cause you dizziness. The best way to approach it is to take medication like Betahistine 16 mg tablet twice a day. It is wiser to observe this tumor if it is not causing harm like compression on the brainstem and cranial nerves. Contemplating on surgery is not a choice at this moment because it is not guaranteed that you will preserve your hearing after the surgery. Waiting for tumor growth outweighs surgery at this time, but if you are worried about it, you can seek to consult with a neurosurgeon and discuss gamma knife surgery wherein it halts the progression of growth. This should help you as your guide." } ]
[ { "from": "human", "value": "Hi doctor, My mother-in-law is suffering from hearing loss for the last 10 days. There is no pain in the ear, but sudden hearing loss. She can hear, but hearing capacity reduced by more than 30%. Please tell me some solution for this. Thank you." }, { "from": "gpt", "value": "Hello. For further information consult an internal medicine physician online -->" } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I had a cold sore appear on my mouth which I very rarely get (I have had them, although pretty rare since I was young). My partner also gets cold sores, however, he gets them quite frequently, and has been since he was young. When I saw mine appear a few days back, I was wondering if it is possible to get a cold sore from giving oral. If that is the case, does that mean that my partner should get checked for STD? If my partner needs to get checked for STD, how could he have caught an STD?" }, { "from": "gpt", "value": "Hi. Most of the cold sores are due to HSV-1. If it is associated with genital lesions then more chances of STDs are there. If only cold sores, it is due to less immunity. Giving oral may or may not be the cause. As prevention, you both check for STDs but they are unlikely to be positive in your case. If one has cold sores, the partner gets it easily. Apply Zovirax (Acyclovir) ointment." } ]
[ { "from": "human", "value": "Hello doctor, For almost a week now I have had recurring random pain just behind both of my ear lobes. It has been almost three weeks since I stopped Lyrica, Pregabalin completely for back pain. For the last week I have been experiencing something different which can be best described as random pressure or light pain almost behind both the ear lobes, sometimes the feeling is localized just there other times it travels towards the neck, occasionally towards the mastoid bone or it extends towards the lower jawline. I have been crazily searching to see if this is a result of any swollen lymph node fearing cancer but I could not find anything out of the ordinary on the body. Very rarely I feel this pressure going upwards to the ear and even more rarely a sudden pain arises inside the ear too but I hear no ringing or sounds. The weirdest thing is today I woke up with this sensation and I could feel heaviness behind my ears. This has come after an acute sinus infection, cough, night sweats (for which I had to take antibiotics) that hit me when I started tapering off Lyrica last month. I have had chronic sinus issues in the past too but this one was different, never had it progress to this level. I have uploaded an image of where exactly the pain or pressure originates but right now the pain or pressure is pretty spread out randomly across the neck. Can you please tell me what is going on and what could be the cause of this pain or pressure? Medicines: Although the sinus problem seems to be resolved now I am still taking Loratadine D, Xynosine nasal spray and Librax for IBS related issues." }, { "from": "gpt", "value": "Hello. Pain may be due to mastoiditis seen in chronic allergy or middle ear infection or eustachian tube block patients. Get it done CT brain or X-ray of the mastoid. Avoid cool drinks and freeze water. Use water vapor inhalation and salt water gargling thrice a day for five days. You may use Montelukast and Levocetirizine once a day for five days. If symptoms are not improved please consult your ENT specialist, he will examine and treat you accordingly. Take care." } ]
[ { "from": "human", "value": "Hello doctor, Sometimes I see flashes of light as kind of line in the side vision. That too where more light focus is there on the walls, etc. That too if I observe clearly." }, { "from": "gpt", "value": "Hello. Such flashes of light can be seen in a number of different conditions. A retinal examination will be able to rule out the more dangerous ocular cause-retinal detachment. Usually, such flashes can be seen in posterior vitreous detachment, which is a benign age-related condition and does not require any treatment. The last possibility is of fortification spectra seen in migraine. These are usually immediately followed by a migrainous headache. To put all of this in a nutshell, in case you have any drop in vision, a sensation of multiple floating objects or non-seeing areas in your field of vision, I advise you to get a second opinion. In case you have flashes accompanied by headaches, meet with a neurologist. In case you just have flashes and no other problems, given that you have a normal retina, I suggest that you just observe your condition for a while and get back to your ophthalmologist in case of any changes in symptoms." } ]
[ { "from": "human", "value": "Hello doctor, I had taken a pill and got bleeding. I thought it was periods because I had little cramps but that bleeding was so light and it lasted for three to four days. After that I had protected sex two weeks back but to be complete sure I took another pill two days later and my periods was due a few days back and now I am not having any bleeding. That bleeding was my periods or what? And when next I am going to have my periods?" }, { "from": "gpt", "value": "Hello. I-pill is emergency contraception. It should be taken not more than once or twice in a year. It has many serious side effects. Secondly, you took I-pill twice in one month would definitely create some hormonal imbalance which might take a couple of weeks to settle. It is difficult to tell whether earlier was your normal menses or withdrawal bleeding. Chances of pregnancy cannot be excluded without a blood test, you need to do a blood test to rule out pregnancy." } ]
[ { "from": "human", "value": "Hello doctor, Absolutely nothing is wrong with my baby. We went to the hospital and nothing is wrong. It is just that she is seven months and she has been eating foods. So now she does not like how her formula taste. We have tried every brand and every kind of formula and she just does not want it any more. What is something else that I could give her?" }, { "from": "gpt", "value": "Hello. I just got your concern. Relax. I am here to help you. Follow advice. Just give her some time to accept the taste of the new formula. Do not rush to introduce many things at a time. By offering multiple tastes at the time you are confusing her so she is frustrated. Give one taste or formula at a time and try it at least a week. Meanwhile, you continue breastfeeding. Do not force her to feed. Offer her just twice or thrice. If she does not want then fine. Wait for her appetite. Give her when she asks. Monitor her growth and development. During weaning time consult your GP if he prescribes some Iron, Multivitamin syrup to bridge the nutritional gap." } ]
[ { "from": "human", "value": "Hi doctor, When I was using Q-tips to clean my ears, I slipped and I may have gone a little too deep with one. I felt a little discomfort in my ear. That was three days ago and I still feel a little weird in that area. Could I have ruptured or punctured my eardrum? Is it important to go to an ear doctor immediately?" }, { "from": "gpt", "value": "Hi. For further information consult an audiologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I had an injury to my eyes seven months back. I got metal shavings in both and had to remove and left scars on my retina. Since then everything is blurry and went to the eye doctor last month. My prescription has not changed. They say I have dry eye and starting of cataracts. Can the injury be a result of those things? I did not have a problem before." }, { "from": "gpt", "value": "Hi. Blurred vision may be due to a corneal problem, cataract or retinal scars. After trauma, all these complications can occur. Dry eyes will improve with artificial tears and cornea will get normal. But any corneal scar or opacity will remain and can hinder in vision. Cataract may be age-related or due to trauma. So if it is visually significant it is treated by surgical removal and intraocular lens implantation and your doctor will guide you when it needs to remove. The retinal scar can cause decrease vision significantly if they involve a central part of the retina called macula responsible for sharpest vision. But we can do much to treat retinal scars. So things to do are treat dry eyes and cataract (if surgery needed). I would suggest you visit your eye doctor and he will guide you accordingly." } ]
[ { "from": "human", "value": "Hello doctor, The top skin of my penis is not coming back while masturbation or sex. It is not fully closed from the top but still, it is painful to push it back. If I try it forcefully then after some hours, it gets swollen from the top and some white hard substance comes from inside." }, { "from": "gpt", "value": "Hi. The white hard substance is actually the cause of the problem. It is called smegma and is formed of dead cells, bacteria and secretions. It collects under the foreskin if you do not keep good genital hygiene. You should daily retract your foreskin and wash it thoroughly. If you do not do it, the smegma will keep on collecting and cause inflammation and fibrosis of the foreskin and as a result, it becomes inflexible and inelastic. Now you should better get rid of the foreskin by surgically removing it. That will not only keep your penis clean but also reduce the risk of sexually transmitted diseases and cancer of the penis." } ]
[ { "from": "human", "value": "Hello doctor, My daughter was born a week back. Upon leaving the hospital her jaundice levels were at 10.2. The follow-up appointment was yesterday and after doing a bilirubin test it went up to 11.2. The doctor stated I should start supplementing with formula as I am breastfeeding. However, she was having 6 to 8 diapers a day with breastfeeding. Please guide." }, { "from": "gpt", "value": "Hello. You need to check the weight of the child and the hydration status of the child to comment on the reason for icterus. Also the blood group of the baby and mother should be known along with G6PD status. Another important factor that comes to play is breast milk jaundice which may be caused due to breast milk itself in some children. All the above problems (except the G6PD, blood group mismatch) are tackled easily without any issues when top feeds are given (temporarily). Hence, the doctor may have advised you for top feeds." } ]
[ { "from": "human", "value": "Hello doctor,I am a 41-year-old female, 143 lbs. I currently take Lisdexamfetamine 50 mg for ADHD. I have been experiencing bladder discomfort off and on for three months now. It was quite intense for two weeks, then went away for several weeks, and now is present again although less intense. It just feels like I have a tight bladder all the time and need to use the toilet more often. There is no pain or difficulty when urinating. I have had two negative UTI tests and a normal ultrasound. I have had a completely normal cervical exam as well. I have been taking Dexamfetamine since last six months, and the symptoms arose two months later. I am wondering if the medication is causing bladder irritation, or tightening, or if the medication is turning my urine more acidic and that is the problem? It has been suggested that I use an alkalizing agent, but that seems to be contraindicated with the Lisdexamfetamine. I also have learned that Amphetamine products can liberate Histamine, and that might cause bladder irritation? Can you advise what might be the issue if the medication is contributing and how I might best address it? I do not have a better option for ADHD treatment and would like to deal with this symptom rather than change my medication." }, { "from": "gpt", "value": "Hi. If you are having increased frequency of urination, night-time frequency, the urgency of urination, it may be an overactive bladder. It can occur spontaneously or be precipitated by UTI episodes, stone disease, medications, etc. In your case, the medicine may not be responsible. But anyway, we cannot change the medicine. You need to restrict your fluid intake to about 2 to 2.5 liters per day, limit intake of carbonated beverages, coke, tea, coffee. You have to avoid constipation. You may also get a urine test done for sugar to rule out diabetes. If frequency persists, you may take an anticholinergic like Tolterodine or Darifenacin after consulting your doctor. Take care." } ]
[ { "from": "human", "value": "Hello doctor, I am 37 years old man. As per an ultrasound report, some problems are traced. A thickened spermatic code on both sides. Trace hydrocele on both sides. Early varicocele on both sides." }, { "from": "gpt", "value": "Hi. I can understand your concern. I have gone through the ultrasound report you have attached (attachment removed to protect patient identity). Please let me know what are your symptoms? Do you have lower abdominal pain? Please reply me answers of above-asked questions, so that I can guide you better. I will be happy to help you 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": "Hi doctor, My aunt has colon cancer for the past three years. She has a tumor of 8 cm. As all other organs are not compromised, she stopped with the chemotherapy like one year ago. Now, she has peritoneal pseudomyxoma and ascites. In the hospital, the doctors say that the liquid in her abdominal cavity cannot be drained with normal methods because of the density of it. They sent her home to die slowly without any treatment. What can be done to get that thing out of her? I have attached her clinical history for your reference. Please help." }, { "from": "gpt", "value": "Hello. For further information consult an internal medicine physician online -->" } ]
[ { "from": "human", "value": "Hello doctor, My son is (2 years old) and his poop has a large mucoid wrapped around his stool. It stopped for two days and I noticed it again today. He has not been on any medication. No obvious blood stains and he has been active with no abdominal pain. Please, I would like to know if this is a thing of concern, could it be something from his diet? I am so scared and worried." }, { "from": "gpt", "value": "Hello. Yes, I got your concern. Let me help you. From all these available information what I can say is that if he is active, playful, and eating well then just do not worry. Some toddlers have such kind of problems. If he continues to do so then will do stool routine report if anything is there. Give him home food only, monitor his weight. If he develops tummy pain, vomiting, bleeding or fever, go for the nearby medical facility. Meanwhile, check it if he has been deworming Albendazole or not? If not then give tablet Albendazole 200 mg at night and repeat the same dose after a week." } ]
[ { "from": "human", "value": "Hello doctor, We are a serodiscordant couple and we want our child. Please suggest to us what has to be done. I am an HIV positive man and my wife is HIV negative. I take my ART medicine regularly. We want a healthy child without infecting my wife and my child. Is it possible with natural process otherwise sperm washing process? Please give me information about that if you can help me please respond to me." }, { "from": "gpt", "value": "Hi. You have three options. IVF, sperm washing, using pre-exposure prophylaxis. First two are safe but very costly considering technique and your status. Last option is cheap but is a little bit risky and need compliance from your wife. Your wife needs to use medicine regularly and you should be on treatment to reduce viral load. If your viral load is undetectable, and your wife on PrEP, then there is a very good chance of pregnancy without being infected." } ]
[ { "from": "human", "value": "Hello doctor, I am suffering from some allergic symptom on my foot. First this was like a pimple with forming pus. After it burst, and started itching and it started forming in that place also. What is this? What is the medicine for this?" }, { "from": "gpt", "value": "Hi. With the information given and photos provided, I assume that you are most probably having eczema. Eczema commonly presents like these morphology associated with itching. Please apply Excel-G cream [Clobetasol with Gentamycin] twice daily for 10 days and Deslor Desloratadine tablet once before sleep for 10 days. If you do not find any improvement, kindly review back to me for further advice. Tinea Pedis Excel-G cream twice daily for 10 days or tablet Desloratidine once daily for 10 days." } ]
[ { "from": "human", "value": "Hello doctor, I had a sinus operation last week but have developed a pain in a tooth that needs a root canal treatment. It is extremely painful. Is there anything that can be done?" }, { "from": "gpt", "value": "Hi. Get an appointment as soon as possible. And take painkiller tablet Brufen 400 mg six hourly if you are having really severe pain, otherwise eight hourly like three times a day for three days. Do not lay down straight at bed at night. It aggravates the pain. Put some cushions and high pillows, raise your back while sleeping. If pain still gets aggravated then you need to go in an emergency room and get chamber of root canal tooth opened in the emergency so that pressure of infection gets released and then you continue with root canal at regular visits later. Stay happy and blessed." } ]
[ { "from": "human", "value": "Hello doctor,I feel very tired all the time. My muscles are always sore that makes me sleepy. I feel very lethargic and tired even after a small bit of physical activity. I am a case of hypothyroidism using Thyronorm 50." }, { "from": "gpt", "value": "Hello. Hypothyroidism itself causes generalized weakness or other possibilities like anemia or electrolyte imbalance or infection or chronic fatigue syndrome, etc., may present like this. Until examination is done it is difficult to say what it is. Take green leafy vegetables and fruits. Use tablet Evion LC twice a day for five days. If symptoms are not improved, please consult your doctor. He will examine and treat you accordingly. Take care." } ]
[ { "from": "human", "value": "Hello doctor, Since the last two weeks, I am finding blood in stool when stool is hard and when I find hard to pass stool. It starts when I eat ginger or drink turmeric milk. Please suggest to me." }, { "from": "gpt", "value": "Hello. You may be suffering from constipation with internal hemorrhoids or fissure in ano. You have to avoid spicy food, low fiber diet. Use high fiber diet with plenty of liquids. Use Metamucil or Benefiber for stool bulk formation. Do regular exercise and yoga. If symptoms not improved you may use syrup Lactulose 30 ml after dinner for five days if necessary. If symptoms do not improve or develop an allergy to the above drug, please consult your physician. He will examine and treat you accordingly. Take care." } ]
[ { "from": "human", "value": "Hello doctor, My 15 months old son fell from a queen size bed and landed on his face. His lips swole up. He cried and seemed hard to calm down. He is now sleeping. This all occurred about one hour ago. He is responding to touch. He seeme very sleepy. But I do not know if it is because of falling or because it is late. I am afraid." }, { "from": "gpt", "value": "Hi. I can understand your situation. It is good that at present she is stable. Let me give you some information about it. He may be tired so he slept. It is possible that lip swelling can cause pain so need to give pain killer like Paracetamol. Sometimes in small baby like him it is possible that due to some trauma there may be some brain injury or inside bleeding. It is a very rare chance that your son has it but watch for some symptoms like persistent vomiting, seizure (fits), extremely irritability, prolonged sleeping, abnormal behavior or if you feel that he is not looking normal then rush to the nearest medical facility. Sometimes, these kinds of symptoms can take some time to appear. So be vigilant. I am giving this information not to panic you but to be more proactive. Make all child safety measures now onwards." } ]
[ { "from": "human", "value": "Hello doctor, I and my fiancee had sex. I did not have a condom. I penetrated her and we had sex for a good five minutes. I pulled out way before I ejaculation. The day before she said that she was in her period. She also said that she does take the pill but it is only for her breakouts on her face. And I do not know if this matters but I do masturbate a lot like at least every day. So what is the likelyhood that she is pregnant?" }, { "from": "gpt", "value": "Hello. The fact that she had her menses the day before the episode, so the chances of pregnancy are minimal. However, unprotected intercourse can often allow even the precum to cause pregnancy in spite of having ejaculated outside as it is known to contain live active sperms. So the chances of her being pregnant would have been good if she would not have menstruated or if she would have just spotted. The earliest and the best way to rule out pregnancy would be to get a serum beta hCG test done after eight days post intercourse. If the hCG levels are less than 3 mIU then she is surely not pregnant and her bleed is definitely that of her menses. I hope I have answered your query." } ]
[ { "from": "human", "value": "Hi doctor, I went for a trip. There I had naked body to body massage along with blow job using condom and even touched the private parts. But, we did not involve in intercourse. Later, I kissed and had intercourse using condom, but with a different girl. Yesterday, my doctor forcefully pushed my penis skin back and found a small red rash inside the foreskin. He advised me to get few tests done and prescribed tablet Doxycycline 500 mg and tablet Valvir 500 mg. What are my chances of getting STD? I felt very uncomfortable, when the doctor pushed my penis skin back. He prescribed a lotion and asked me to regularly push the penis skin back and to clean it with water and apply the lotion. I got back home and tried to do the same, but could not do so. I saw something on my penis tip that was very sensitive to touch. Is this natural? Did the doctor teared my skin tissue by pushing my penis skin back? I am having weird pain in my penis. Please help. Thank you in advance." }, { "from": "gpt", "value": "Hello. I can understand your concern. The doctor pulled the skin back forcefully which means you has phimosis. Phimosis is a normal condition, where an individual failed to pull his penis foreskin back. If the skin was pulled back during childhood itself, it could have resulted in good retraction. Try to remove the skin or keep retracting the skin repeatedly. If you are not able to remove and retract the skin back, then I would suggest you to get a circumcision done. This will help to clean the penis with ease. As you did not have unprotected intercourse, the chance for STD (sexually transmitted diseases) is very less. The rash on penis can occur in case of urinary tract infection too. Take the antibiotics advised by your doctor." } ]
[ { "from": "human", "value": "Hi doctor, I got a stroke but I do not know how to explain it. Twice I was bleeding along with the stroke. One type of bleeding was chronic and the other one was acute. I would like to know which type of bleeding is dangerous? And also explain the reason for the same." }, { "from": "gpt", "value": "Hi. An acute hemorrhage is for a short duration but very dangerous. The reason being a sudden build up of pressure in the brain. In case of chronic bleeding it is not so dangerous but it will remain for a long period. In this case there is a gradual increase of pressure in the brain. Patient goes to a doctor only when the bleeding is significant in case of stroke. I would like to have a look of your MRI brain scan to get a detailed view of your bleeding. If you are feeling better then no need to worry." } ]
[ { "from": "human", "value": "Hello doctor, I am a 26-year-old female. I have joint pain in widespread bilaterally in elbows, knees, and ankles. I also have muscle tenderness on my neck and shoulders and back pain from a herniated disc. I take Diclofenac 75 mg PRN for pain. I have had laboratory work done and I have seen a rheumatologist. My initial labs: ANA positive 1:160 speckled. CRP was elevated. My anti-DS DNA, CCP and RA factor were all negative. Secondary lab work through ELISA showed negative ANA and all other autoimmune laboratories were negative except for positive anti-phosphatidylserine/Prothrombim A at 44 units. Slightly low vitamin D but I take supplements. I eat a plant based diet and exercise twice a week. My other medical history includes depression and anxiety for which I take medication. My question is despite my labs being negative, why do I still have joint pain and muscles aches?" }, { "from": "gpt", "value": "Hi. I would like to ask you a few more queries: 1. Is your sleep pattern fine? Morning fatigue? 2. How frequently are you taking Diclofenac? 3. Any hair fall/oral ulcers/dry eyes/dry mouth? 4. Any recent irritability or forgetfulness? 5. How much was the level of CRP you had mentioned? 6. A personal question: But is there a particular reason for the depression? Any family history for endogenous depression? There can be many reasons of pain. We need to distinguish if it is inflammatory or non inflammatory. Alone ANA positive may not imply much here. We have to see if it is impacting your system as well." } ]
[ { "from": "human", "value": "Hi doctor, I am a 25 year old male. My weight is 100 kg and height is 5'5\". My current medications are as follows. Atorvastatin 10 mg on alternate days for hyperlipidemia, Allopurinol 100 mg three times a day for hyperuricemia and LABA plus steroid inhaler for asthma. Today, my BP is 139/98 mmHg on routine measurement. I am thinking to join a gym this week. Please suggest me." }, { "from": "gpt", "value": "Hi. For further information consult a general medicine physician online -->" } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I chipped my front tooth two days ago. I saved the broken tooth piece in a cup of milk in the refrigerator. The piece is fairly small (bottom corner chipped off). What are my options to get my tooth fixed? It does not hurt but it is a little sharp to the touch." }, { "from": "gpt", "value": "Hi. That is good that you saved the part of the tooth. But actually little chipped off part of the tooth cannot be reattached to the tooth by any means. But if whole tooth and its root somehow got knocked out of socket while you fell down or so and that tooth is kept immediately under your saliva or milk and then re-implanted at the same place within one hour then this tooth definitely gets saved. But, unfortunately, its broken part is hard to re-attach. You should get filling of it done as soon as possible and get sharp edges trimmed else it will hurt your tongue or lips. Stay happy and blessed. Take care." } ]
[ { "from": "human", "value": "Hi doctor, I am suffering from nose block, throat pain, fever, occasional running nose, and headache. I am taking Nasaflo nasal spray and Fomtide inhaler two puffs every night. What is the drug of choice for the respiratory allergy and throat infection? Kindly help me." }, { "from": "gpt", "value": "Hello. From your history, it is obvious that you are suffering from allergic rhinitis and asthma. The current treatment you are taking is appropriate for controlling your asthma and nasal rhinitis. There is no any drug of choice for treatment of respiratory allergy. The steroids are the mainstay of treatment in any allergy. Nasoflo nasal spray (Fluticasone) and Fomtide inhaler (Formoterol and Budesonide) are good for allergic rhinitis and asthma treatment. For controlling nasal discharge, you can add any second-generation antihistamines like Levocetirizine or Fexofenadine or Desloratadine. The ultimate goal of treatment in nasal and airway allergy is to control symptoms. There is no permanent cure for any allergy. The avoidance of trigger or allergen should be given priority. So I advise continuing the same treatment for you. If the symptoms get worse in spite of treatment with inhalers, kindly take expert advice of your Pulmonologist. Thank you. Any allergen. Skin prick allergy test or blood allergy test. Nasal and inhaler steroids. Avoid known triggers." } ]
[ { "from": "human", "value": "Hello doctor, My mother-in-law is suffering from muscle pain (no joint pains) with frequent urination. CBC, HbA1C and complete urine analysis were done and no alarming indications were there in the reports. Urine culture test reports are yet to come. Antibiotics and painkillers are not helping. Due to severe pain, she is not able to sleep as well." }, { "from": "gpt", "value": "Hello. Since when she is suffering? How old is your mother-in-law? Any morning stiffness? Since when is she suffering from diabetes? The possibility of fibromyalgia or rheumatoid arthritis or chronic fatigue syndrome or infection or menopausal symptoms, etc. Please get it done FSH, LH levels. Get it done ESR, RA factor. Use tablet Paracetamol thrice a day if necessary. Drink plenty of water. Please review with reports. Take care." } ]
[ { "from": "human", "value": "Hello doctor, My baby is 5 weeks old. He is frequently urinating but slow weight gain. Is my breastfeeding enough for him or not?" }, { "from": "gpt", "value": "Hi. Frequent urination is because of more of foremilk feeding. Poor weight gain due to hindmilk deficiency. Hindmilk is rich in fat which helps in baby's weight gain. Foremilk contains more of water which makes the baby pass urine frequently. Your feeding has to be assessed. You should feed for at least 15 to 20 minutes. You should put her on next breast only if the first breast completely empties. Follow this advice and recheck weight after one week." } ]
[ { "from": "human", "value": "Hello doctor, I am 24 years old. Height 5'10\", weight 55 kg. I have poor constipation, pain, and semi-solid stool for the past two years. All allergy test and reports are negative. But when I eat rice with pulses, I have no pain and stool is fine. So, what should I do? I have not had any allergy and igG and IgA level is 7.1 and 7.7, hemoglobin is 13.7." }, { "from": "gpt", "value": "Hi. You are suffering from constipation that can go away by eating healthy foods which are rich in fiber, such as leafy vegetables, raw fruits, and vegetables, nuts like almond and coconut also. Drink more water than usual so that your body gets enough water. If you are hydrated, your stool will not be hard and pass easily. That will help in healing the injury also. Avoid any meats, maida and junk food for now. Also, avoid tea and coffee because it causes constipation and dehydration. Take care and get well soon." } ]
[ { "from": "human", "value": "Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?" }, { "from": "gpt", "value": "Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, For the past 8 days I am having mild palpitations both morning and evening. Since, eight years, I am taking tablet Metolar 50 mg for BP. I consulted my doctor, he asked me to get ECG, ECHO and also thyroid tests. I even got lipid profile, kidney and liver function tests done and all the tests came normal. Though, all my tests are normal, I still feel some discomfort. I am very much concerned. When I got a regular check up of my BP it was 130/70, pulse was 65, LDL was 103, HDL was 57 and triglycerides was 65. Now my doctor has asked me to take BP tablet regularly. Kindly advice. Thank you in advance." }, { "from": "gpt", "value": "Hi. I have worked through your query and understand your health issues. I assure you not to worry. With all the normal laboratory reports (attachment removed to protect patient identity) palpitations in the morning and evenings may be due to anxiety. Anxiety is considered to be the biggest cause of palpitations. I suggest you to consult a cardiologist and get a complete physical examination done. He will insist you to take an EKG (electrocardiogram) and run few tests accordingly. Some of the causes of tachycardia and palpitations are: There are chances that after all the cardiac investigations, your cardiologist might change the tablet from Metolar 50 mg (Metoprolol) to tablet Atenolol." } ]
[ { "from": "human", "value": "Hi doctor, I have a sickle cell trait. I was diagnosed with pcos and pmdd. I got a colonoscopy done for chronic constipation. But, the report was inconclusive. My main concern is that, my body is producing lot of male hormones. Due to which, I have a lot of facial hair and have a deep voice. On a regular basis, I have low blood sugar as well as low blood pressure, chronic fatigue, and chronic lower left abdominal pain. My periods are regular, but they are very heavy. I do have shortness of breath, muscle ache, headache, nausea and weight gain issues. Also, I am dealing with depression, mood swings, trouble to concentrate and at times insomnia. I am taking tablet Metformin. I am attaching all my reports for your reference. Please check them and guide me accordingly." }, { "from": "gpt", "value": "Hi. I have gone through your reports (attachment removed to protect patient identity). You have multiple issues with your hormonal levels. I will provide some guidelines which you can proceed with: Your TSH (thyroid-stimulating hormone) is very low. This means you are overproducing thyroid hormones and having hyperthyroidism. This causes anxiety, anger, palpitations, fatigue, muscle pain, intense bleeding during periods and depression and also leads to weight loss. Treatment is carried out by using antithyroid drugs such as Neo-Mercazole (Carbimazole). The dose can only be calculated by proper examination and evaluation of the patient. It is not safe to administer this drug just by seeing a report. Your HbA1c (glycated hemoglobin) is 6.5. Hence, you are considered to be mildly diabetic. It can be either due to excess cortisol production or due to frank pancreas failure. After thorough evaluation, if cortisol is the cause, then we can start steroid reducing drugs. This has to be adjusted as per your body type. If overdose administered, it is dangerous. If there is frank diabetes, then you can be take small amounts of OHA (oral hypoglycemic agents) such as tablet Glimepiride or Dipeptidyl peptidase- 4 inhibitor (DPP4I) or go with peroxisome proliferator-activated inhibitor (PPAR). To check why there is rise of A1C, I would suggest you to get your blood insulin levels checked. Intense bleeding and pain during your periods is mainly due to multiple fibroids. It can be treated with surgery. If you have grown up kids then you can go for removal of uterus which will give you complete relief. Else, you can go for myomectomy procedure which is cutting the fibroids. In second case, there will be relief to a large extent but cannot be cured completely. Use hormonal pills like Oral contraceptive pills (OCP) to give relief when done non surgically. But, it will not last long. The high testosterone levels, hair growth, weight gain, hoarse voice all are due to polycystic ovarian syndrome (PCOS). There is no permanent cure for this problem. Depending on your examination, generally start with tablet Metformin. But it has not worked in your case. Next option is to take hormonal injections to increase follicle stimulating hormone (FSH), luteinizing hormone (LH) and estrogen and reduce testosterone. We can do an ovarian drilling to increase egg release along with regular exercise. When all this fails, we go for intense treatment and do an ovary removal to reduce abnormal hormone production. Since multiple hormones are involved in your case, doctor will not be able to adjust the dosage without physically examining you. I would suggest you to consult a good physician and get them treated as soon as possible." } ]
[ { "from": "human", "value": "Hi doctor, I am 30 years old. For the past few years, I have been suffering with itching on my groin and surrounding areas. I usually use Cloritamazole dusting powder on and off. But, when the itch really increases, I use Quadriderm ointment for 1-2 days. Once the problem reduces, I stop using it. For one year, I have used one tube of the ointment and about 2-3 boxes of the powder. I have never consulted a doctor regarding this. But, now the problem has increased and I am looking for a right treatment. Since, six months, the itching has become severe on the groin, scrotum and penis. I can notice, there is a lot of flaking and chafing of the skin around it. Sometimes, I can find blood spots in that region. I have itching sensation even while sleeping. Generally, I wear loose clothing or no undergarments and spend most of the time at the comfort of AC. I have no other skin problems. Since a month, I am using pears soap and washing the area with lukewarm water twice a day. Occasionally I take tablet Allegra for itching. For last fifteen days, I am using Clocip dusting powder continuously. I am under homeopathic medicine for chronic sinusitis. But, need to take antibiotics once every 3-4 months. Four years back, I was diagnosed with internal hemorrhoids. As of now, I have no problem associated with it. I have attached the recent pictures. Please check and suggest a permanent treatment for the same and also let me know what precautions I need to follow. Thank you in advance." }, { "from": "gpt", "value": "Hi. I can very well understand what you are going through. I will give my best shot to treat your problem. I examined the photographs (attachment removed to protect patient identity) and found the original fungal lesions have been converted to the present appearance because of medicine. It is a common tendency for a person to use local steroids like Quadriderm ointment to get relief quickly. This is when the problem gets complicated. My advice would be to never use such products. But if already used no need to worry. Once a physical examination is done we can find a good solution. My suggestions for you to follow are:" } ]
[ { "from": "human", "value": "Hi doctor, Around 15 years ago, I had Redux for three months. Some 10 years back, I had an echocardiogram. The finding was very mild mitral valve regurgitation and everything else was good. Three years back when my brother had heart bypass, my doctor advised me to undergo some heart tests. I had them and they were fine. Even last year, my echo and stress were fine. I went in today for my yearly follow up and the doctor said that he wants to do a follow up echocardiogram. Because, some value on my last year echo was 58 and it is not supposed to be over 25. He said few reasons, but I did not really understand. Then he said something about checking for pulmonary hypertension. I read about that on the internet; as it is a fatal disease, I am frantic now. When I asked the nurse, she said his notes say that I have no symptoms and no other indications too. I have attached all my echo reports. Could Redux be the reason for pulmonary hypertension? The nurse said that my last year echo was normal except for the 58 value. Please clear my doubt." }, { "from": "gpt", "value": "Hi." } ]
[ { "from": "human", "value": "Hello doctor, Should I think about going to a hematologist? The last few years of my CBC shows WBC 8.4, 9.6, 13.9, 11.3, 11.3, 10.5, 8.3, 12.3, lymph (abs) 3.2, 4.4, 3.9, 4.0, 3.8, 3.6, 3.9, platelets 331, 400, 380, 453, 428, 407, 459, 389, neutrophils (abs) 5.8, 8.5, 6.3, 6.4, 5.8, 3.9, 7.6, eosinophils (abs) have all been .1 or .2. I am an active 50-year-old female, 156 lbs, with hypothyroidism 175 (since past nine years, Levothyroxine MCG), Genetic high cholesterol (since I was 18 years old), cholesterol total 257, tri 273, HDL 80, LDL 135. Just started on Atorvastatin 20 mg. I am starting to get concerned that I am in the early stages of CLL. Should I request to be sent to a hematologist?" }, { "from": "gpt", "value": "Hello. I do not find any significant abnormality in the report. At one stage your lymphocytes were high that is 4.4. But it fluctuates as per reports and not raised to more than 4.5 at any time (attachment removed to protect patient identity). If absolute lymphocytes remain persistent high greater than 4.5, then CLL can be ruled out by flow cytometry investigation. You can consult a hematologist for your detailed physical examination." } ]
[ { "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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