conversations
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[
{
"from": "human",
"value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?"
},
{
"from": "gpt",
"value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, One of my front teeth is lower than the other and my orthodontist told me I am getting my braces off tomorrow. What should I do?"
},
{
"from": "gpt",
"value": "Hi. Please ask your dentist to take this into consideration. If there is only 0.5 mm difference or very negligible then ask him to level it off by slicing the tooth a bit. But if it is prominently below the level of occlusion then he must reposition the bracket and give it some time like two weeks or a month more to intrude the tooth and then give you fix retainer after it. Discuss it properly with the dentist before removal. Stay happy and blessed. Take care."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My question is hypothetical. If one has suffered brain edema as a result of a stroke, is there any way to determine whether or not the transmitters or neurotransmitters in the brain have sustained any type of damage? Is there any test available that can ascertain this information?"
},
{
"from": "gpt",
"value": "Hi. If someone has brain edema secondary to brain injury, there is definitely a disturbance in the neurotransmitters in the brain. The only way to identify this is by a procedure called microdialysis wherein a probe is inserted into the area of the brain under consideration and the biochemical parameters analyzed."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have got a cold and sinus infection about two months ago. Got all healed up with antibiotics. However, my throat still feels off. It does not necessarily hurt. However, it feels like there is always something stuck in my throat kind of feel. I do not have any problem eating or drinking. I have photos I would like to upload. I think I should go see a doctor."
},
{
"from": "gpt",
"value": "Hi. The pictures you have attached is showing your tonsils which are a part of your body (attachment removed to protect patient identity). Tonsils are immune organs of the body which get infected with upper respiratory tract infections and very common with sinus infections. The antibiotics you have received cures the sinus infection temporarily and also the tonsils infection. Now, I would recommend you to get a CT scan of the paranasal sinus to see infection of paranasal sinuses and to cure it completely. Then we will wait and watch whether your tonsils are causing you a problem in spite of treating your sinus infection. If so, well and good or else we will plan of removing them permanently which is the last option for us. Hence, I would like to get a CT PNS and provide me for further help."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am feeling empty and emotionally drained. I do not feel like living anymore. I am tired of everyone blaming me every now and then for everything for no big reason. Sometimes I do not understand my fault. I feel suicidal many times."
},
{
"from": "gpt",
"value": "Hi. Such feelings at this stage of life when we enter our teens is quite common and there are multiple reasons for it, few being changes in our body especially hormonal changes associated with puberty. You are not alone with such feelings of loneliness and suicidal tendencies. But the good thing is most of it is illusional and not true. Contrary to what we believe at this point in life, our parents love us a lot and are very much concerned about us. Talking to them and to teachers, guides, mentors will help you in understanding and overcoming the differences. A visit to a school counselor or a psychologist will definitely be of help. This life is very precious and there are a lot of people who love us. We do not realize how blessed we are. Best wishes for your future."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 33-year-old male. Height is 5'7'' and weight 71 kg. Yesterday while masturbating I somehow ejaculated but could not have an orgasm. Post that I became very worried as to what may have caused that. Never experienced such a thing before. Also, I have never had any erection problems in the past. I have had physical relationships as well. Now, I am having trouble getting an erection. Not sure what the problem is. I tried masturbating post that. Though I did manage to reach orgasm but could not complete erection."
},
{
"from": "gpt",
"value": "Hello. I can understand your problem. This was absolutely normal. Sometimes due to distraction right at the time of ejaculation results in poor or no orgasm and this is normal. This does not show that a person is weak. Remain relaxed for this. You got an orgasm after that but had a poor erection. This occurred because you were worried and had an anticipation that you will not have a good orgasm. This worry resulted in poor erection. So stop worrying, avoid masturbation for a few days and avoid anticipating. You will get a good erection."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My right eye appears blurry but only in sunlight and I see my eyelashes blurring my vision. I can read clearly with both my eyes and can also watch TV and normal activity while indoors. But during day time in bright light, I cannot see clearly with my right eye. I am 43, male. My eyesight has been myopic with both eyes at -1.5."
},
{
"from": "gpt",
"value": "Hello. The symptom that you are suffering from is referred to as hemeralopia, this symptom can be caused due to a number of different conditions. The most common mechanism of such a blurring involves a central corneal opacity or cataract obstructing central light rays when the pupils are constricted in bright light. I can tell you that most of such causes are treatable and can be picked up quite easily on a simple eye exam. So, I suggest that you visit an ophthalmologist. In case you need any further information, please send me a scanned copy of your doctors reports. I will do my best to help."
}
] |
[
{
"from": "human",
"value": "Hi doctor,Two years ago, I felt a pop while playing football. My physiotherapist said Ihave torn my cartilage and so, he advised me to take rest. It felt good. After 18 months, when I played football again for some half an hour, I felt the pain. So, I visited a different physiotherapist, and he advised me to go with some exercise for a 4-6 week every day. I am visiting him every week. While playing in the pool on Friday, it gave way again, and I could not straighten my legs."
},
{
"from": "gpt",
"value": "Hello. Thank you for providing a brief history. As you had this injury persisting from 2 years now, I will advise getting a proper examination with the physiotherapist you been seeing for now and provide me the reports. Because the muscles must have got weaker and there will be a muscle imbalance due to which there is difficulty in straightening the leg now. I think an MRI of the knee will be helpful as in the beginning what I feel is it was left untreated and due to which it has become a chronic injury. Doing balance board training should help regain the correction of the muscle imbalance. Also, do reverse jogging and provide good core stability exercise. In my clinical practice of over 12 years, most sports injury cases take up to 12 weeks which has helped them to have a good outcome score."
}
] |
[
{
"from": "human",
"value": "Hi doctor,I am considering an endoscopic bariatric stomach surgery procedure for weight loss. It is called the accordion procedure, which has only been around for about five years. Do you think such a method done on a stomach is safe long-term? Thank you for your help. I appreciate it."
},
{
"from": "gpt",
"value": "Hi. I have gone through your query. The Accordion procedure is an endoscopic sleeve gastroplasty. It has been around for some time; a few case series and related data are available. It is useful in helping in weight reduction up to 17-23 % weight loss in six months with not many serious long term adverse effects. A few people might end up gaining weight after 4-5 years (which is comparable to laparoscopic sleeve gastrectomy). The safety data shows it is safer than laparoscopic sleeve gastrectomy in the short term. If you have further concerns, please do get in touch."
}
] |
[
{
"from": "human",
"value": "Hi doctor,Today I came to know that there is a cavity in my last molar teeth. There is a pain in that area. Earlier I thought that it is because of new molar teeth coming out, but today I came to know about the cavity. I am afraid of needles, drilling and other stuff in dentistry. Please suggest some natural cure."
},
{
"from": "gpt",
"value": "Hi. Unfortunately, there is no some magic cure for the cavities They cannot be cleaned and then refilled by themselves or through home remedies. You should take an appointment at earliest to your dentist and talk to him about your fear. He will deal it politely, you should not be scared. Get it filled else decay will increase and may cause root infection. Meanwhile, if it is paining, take some painkiller. As far as home remedy is concerned, it is clove. Bite clove and put it at the tooth that has a cavity, it will reduce pain, but that is a temporary solution. Also, you can apply clove oil. Put a few drops of clove oil at cotton and put it in the cavity. Stay happy and blessed. Good luck with the treatment. Be strong!"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am currently trying to get over my seasonal sinus infection. However, after taking a nap a couple of days ago, I lost most hearing in my left ear. I went back to the urgent care and was told I had a ruptured eardrum. I was given drops to put in my ear. However, I cannot help but notice that around my ear on the left side is partly numb and the pain goes into my jaw joint. Should I be concerned about this numbness and the pain in my jaw? I told the Urgent Care NP about it, and she just gave me a confused look, saying that it is weird, offering no answers."
},
{
"from": "gpt",
"value": "Hi. If you have a ruptured drum, 1. Do not put ear drops. 2. Do not let water enter the ears. 3. Visit an ENT soon. 4. Assess the size of perforation. 5. Ask ENT if it will heal spontaneously. Some perforations are small and heal on their own in healthy individuals, but others do not. Regarding the pain in jaw joint and numbness, the perforation does not explain that. However, it could be that your sinus and nose problem resulted in rising of infection into the particular ear through the eustachian tube and caused a disease of the middle ear resulting in the discharge of pus through that ear eventually. In that case, the condition should heal on its own. But you need a course of antibiotic, nasal and systemic decongestant, antiallergic and painkiller."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached."
},
{
"from": "gpt",
"value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance."
},
{
"from": "gpt",
"value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?"
},
{
"from": "gpt",
"value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect."
},
{
"from": "gpt",
"value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?"
},
{
"from": "gpt",
"value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?"
},
{
"from": "gpt",
"value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, My son is 3 years 3 months old and weighs 14.1 kg. His fever, cough, and cold started from 100.3, so we gave Crocin 240 mg / 5 mL syrup 4 mL every 6 hours on the first day. As it was a viral fever, it was 103.5 at night. The doctor told us to continue 4 mL for 4 hours and give a sponge bath, and if the temperature is more than 102, Meftal-P 100 mg suspension 6 mL is prescribed. Today at 10 AM it was 102.5 (it was 101.3 4 hours back ), so we gave Meftal 6 mL, and within 30 min he became active. The dose is not printed in bottle unlike in Crocin, so I want to double check the dose 6 mL for every 4 hours if it is 102.5."
},
{
"from": "gpt",
"value": "Hi. Please give Meftal 5 mL (6 hourly) if the temperature is above 101 F or if not controlled on Crocin (Paracetamol). You can give Meftal (Mefenamic acid) 4 hours after giving Crocin."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have taken smoothening fourth time with a gap of a one-year interval between each session. But, this time I have taken keratin treatment also. My hairs from the ends are damaged, frizzy and rough. Is it possible to repair them?"
},
{
"from": "gpt",
"value": "Hello. Keratin treatment is for damaged, rough and frizzy hair. You should always take keratin treatment for hairs. Take biotin supplements for proper growth and good texture of hair. Get regular trimming of hair at the ends as weathering leads to dry and frizzy ends. Avoid excessive heating procedures on hairs like straightening or dying of hair especially those that damage the hair. For now, I will suggest you do a little bit of trimming at the ends and keratin treatment will help in solving problems."
}
] |
[
{
"from": "human",
"value": "Hi doctor, My sister is showing some strange attitude. She says that she is hearing a strange voice and acting strangely. Are these due to depression? What are the symptoms of depression? What are the causes of depression? Before three years, she was treated for depression, and still on medication. But, sometimes she put up strange behavior like aloud in the singing in the midnight and restless but will insist she is fine. How do I help my sister? How long does it take to cure? Does medication for depression make the patient see more than required?"
},
{
"from": "gpt",
"value": "Hi. Hearing a strange voice is a symptom of psychosis which can be a symptom of depression. Low mood, lack of interest in previously pleasurable activities and lethargy are some significant symptoms of depression. Genetic cause, a reaction in an unhealthy way to a life stressor, hormonal changes especially in females are some causes of depression. Recovery from depression varies with client symptoms. High mood and confusion can be a symptom leading to seeing of images. Consulting a doctor is essential."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I had a consultation with a local doctor, and she told me that I have corneal dystrophy. It is genetic here as my mother also have that. I can see bubbles moving around when I concentrate at any point, it is like tiny white color dots on cornea. I am using spectacles since last few years (cylindrical power, -2(L), -1.5(R)). This dystrophy is not a big problem for now, but it creates a problem when I study or read something. It creates a headache, which distracts me while studying. Can you please suggest me a treatment either prevention through surgery or medication (any eye drop)? Please let me know if you need further details. Thank you."
},
{
"from": "gpt",
"value": "Hello. Dystrophies of the cornea are divided based on the layer of cornea involved. If the dystrophy is the cause of your headache, then your dystrophy must involve the outer layers of cornea. More than frank pain, these conditions cause irritation which increases on blinking, more during early morning hours. If this is the case, then the best over-the-counter medication is Lacrigel (2% Hydroxypropyl methylcellulose acetate). This medication is essentially a gel formulation of the drops your doctor has recommended and just like the drops, it will cause no side effects except for mild blurring soon after installation. The exact diagnosis of such dystrophies can be done by a cornea specialist. In case you need any further information, please send a very clear and magnified photo of your cornea. I will do my best to help you."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am experiencing severe headaches. I have not slept in two days. I am having erratic thoughts, more so than usual which scares me a bit, to be honest. I feel like I am on the verge of a breakdown. I have had two psychotic breakdowns in the last two years. The headaches are getting worse. Initially, the pain is like a pulse and starts in any one side of my head, front, back, and either side. I am on medication prescribed by my doctors. I want to know if this might be happening because of damage to my brain or something. I have not done any scans yet, but it sure feels like there is something wrong inside my head. This feels more like a confession than a question, I know and I apologize. I need to know if my current situation is something that I should genuinely be worried about or not. Whether the things that I have described here could be signs of a breakdown and what I can do to prevent it? Thank you to anyone who reads this, and I would appreciate your advice."
},
{
"from": "gpt",
"value": "Hi. The nature of pain you described fits into the diagnosis of vascular headache. It merely occurs due to dilation of blood vessels in the scalp and inflammation of perivascular tissues. Although it causes significant discomfort, it is a very benign illness and has nothing to do with psychosis. It gets aggravated by stress, change in weather, change in atmospheric pressure, intense sunlight, noise, etc. The treatment is simple in most of the cases. Naproxen 500 mg and Sumatriptan can terminate acute episodes. For prevention of such headaches, a combination of Propranolol and Flunarizine would be helpful. Some people respond better to Topiramate."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well."
},
{
"from": "gpt",
"value": "Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help."
}
] |
[
{
"from": "human",
"value": "Hi doctor, My thyroid levels indicate that I have hyperthyroidism and I am so itchy. Itch is my number one complaint. I also have an elevated heart rate, abnormal liver tests, and weight loss. I made an appointment with an endocrinologist. However, I need help now. I am so itchy. Is there a low dose of something that can help?"
},
{
"from": "gpt",
"value": "Hi. Yes, please attach your liver function tests for review."
}
] |
[
{
"from": "human",
"value": "Hi doctor, My wife is 36 years old and we have two male children. Now, we plan to adopt a baby girl in the next six months. As, I read an article of yours on internet about induced lactation for adoption, could you please help my wife breastfeed? Please note that one doctor prescribed Zandu satavarex, Perinorm 10 mg three a day and pumping every 2 hours. But, my wife had uneasiness due to flatulence and gas. Please note that it has been three years since she last breastfed. Thanks."
},
{
"from": "gpt",
"value": "Hi. Thanks for corresponding and connecting through icliniq. Yes, I had a study, and it is lovely that you are adopting a baby girl. Perinorm (Metoclopramide) does cause increased intestinal motility. Well, every drug has some side effects. I recommend tablet Domperidone 10 mg twice daily empty stomach. Your wife can stop pumping as it is hurtful. Instead, tickling of both breast three times a day for three to five times will help in stimulating the nipple. Also, cumin seed water daily will help. Your wife can stop all other medications given by other doctors as it can have side effects. Also, your wife should not have liver and renal impairment. Kindly get KFT (kidney function test) and LFT (liver function test) done. Also, please inform if she is taking any medications for a heart problem or any other disease to reduce side effects. Start this minimum of 6 weeks before adopting the baby. Also, understand that the quality of the milk will not be the same as the milk produced after actual baby birth."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have been diagnosed with RNP positive. I have dry eyes problem. Is RNP positive alone considered as RA? My ANA was negative and all other things negative. My eosinophils are 8.5% in my blood, and I am always suffering from col. I am on HCQS 200 and Defza 6 mg. Please help me."
},
{
"from": "gpt",
"value": "Hello. You may be suffering from mixed connective tissue disorder. But do not worry you may have to take above medications along with that you may take tablet Banocide forte 100 mg twice daily for three weeks. Avoid using plastic. Take plenty of fruits with vegetables. Use tablet Levocetirizine in case of itching. If necessary may need to start Methotrexate and Folic acid. Please continue the above treatment. Please consult your rheumatologist; he will examine and treat you accordingly. Take care."
}
] |
[
{
"from": "human",
"value": "Hi doctor, My 4-year-old daughter got poked in the eye with an umbrella, and now that seems to have a scratch around her lacrimal caruncle. She is not complaining about pain, and her eye is not watering anymore."
},
{
"from": "gpt",
"value": "Hello. The red areas on the photo look like subconjunctival hemorrhage. These are benign lesions in which a little blood has collected in the empty space just under the conjunctiva. To get rid of this condition you need to ice the affected eye (ask your daughter to close her eye and apply ice in a plastic bag or clean cloth over the closed eye for about 10 to 20 minutes). It goes away on its own in a week or so. You need to take your daughter to an ophthalmologist in case, 1. She has a drop in her vision. 2. The redness is persistent or increasing. 3. She has pain in her eye or pain on looking from side to side (moving her eyes). Hope this helps you."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am 12 weeks 5 days pregnant. My NT scan measures 1.6 mm, the double marker PAPP-A is 2.82, and free beta hCG is 36.7 Could you please help with the report? Was it normal? My trisomy 21 is 1:250."
},
{
"from": "gpt",
"value": "Hello. 1 in 250 is a high risk for trisomy which means your risk of having a baby with trisomy 21 is 1 out of 250. But this test is only a screening test which means that they just calculate the risk of having a baby with down syndrome. If someone is found at higher risk like yours, then she is offered a diagnostic test (amniocentesis or chorionic villus sampling). In those tests, a sample of fluid is taken from your baby and examined in labs to confirm the diagnosis accurately."
}
] |
[
{
"from": "human",
"value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance."
},
{
"from": "gpt",
"value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?"
},
{
"from": "gpt",
"value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect."
},
{
"from": "gpt",
"value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?"
},
{
"from": "gpt",
"value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?"
},
{
"from": "gpt",
"value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have hair loss on my temples from wearing tight braids. The hair loss has been there for about 10 years and it has not gotten worse or anything. Is there a treatment or prescription I can try before going the hair transplant route? I am on Nuva ring for birth control. I tried Rogaine for four months but stopped for no real reason. I just did not see any results. I do not have any lab tests for this issue."
},
{
"from": "gpt",
"value": "Hello. This is traction alopecia. It is a type of alopecia due to tight braids and hairstyles that put pressure over the roots. Unfortunately due to pressure effects scarring occur and there is no such topical cream or lotion available for regrowth of hair. You have told that you are using Rogaine (Minoxidil) without effects and so, the only option left is transplantation. You can also try PRP (platelet-rich plasma) in this area along with Minoxidil spray. It can give you good results."
}
] |
[
{
"from": "human",
"value": "Hi doctor, My niece was born with a small hole in her heart. The hole was automatically closed when she was 18 months old. As per our doctor, the hole is permanently closed, and there will not be any problem in future. I just want to clarify that if there is any chance for problems in the future."
},
{
"from": "gpt",
"value": "Hi. It is less likely that a hole that has closed will open again. Hence as regards to the hole in the heart you need not worry if it has closed. A repeat 2D Echocardiogram would be advisable to see the exact status of the hole (if not done) to detect for any other anomalies and prospects regarding the heart."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am having a lot of clotting bigger than quarter size back to back, filling my tampon or pad in less than an hour. I am not on any medications and there is no bad medical history."
},
{
"from": "gpt",
"value": "Hello. If this is the first time that you are experiencing excessive bleeding and clots are being passed, then you can opt for antifibrinolytics for controlling the bleeding presently. You can choose for an ultrasound pelvis once the bleeding stops to look for an organic cause. A single episode can be more likely to be due to stress-induced hormonal imbalances. You may maintain a menstrual calendar for the next three months and see if the pattern persists. If it does, you may be required to be placed on oral contraceptive pills for at least three months to control such menorrhagic episodes."
}
] |
[
{
"from": "human",
"value": "Hi doctor, My sperm count is low; it has dropped from 18 million to 3 million within a period of five months time. I have been diagnosed with bilateral varicocele. I have consulted three urologists. The first doctor advised me to go for ART (artificial reproductive technology) second one prescribed medicine to boost my sperm count and motility and the third one advised to get the varicocele corrected by surgery. According to him, surgical correction will certainly increase the sperm count. In case it does not work, then he asked me to go with ART. Please suggest, as to which one I should opt for? Thank you in advance."
},
{
"from": "gpt",
"value": "Hi. After going through your report (attachment removed to protect patient identity), I am aware that you are suffering from severe oligozoospermia (oligospermia). After four days of abstinence, please repeat the semen analysis. Even after repeating the tests, if the sperm count does not change, then I would suggest you go with either of these options. In severe cases of oligospermia, medicine will not help. Some of the factors to be taken into consideration are the period of infertility, the sperm motility and the grade of varicocele."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am 21 years old. My main concern is, I have a lot of stretch marks on my body. I had them on my shoulder and thighs since I was 10 years old. Now, I have them even on my belly and biceps area. For the past three months, I have been working out. I do not feel it is because of working out. Please have a look at the pictures and let me know if they can be cured? What other alternatives do I have? Kindly suggest."
},
{
"from": "gpt",
"value": "Hi. I have checked the photographs (attachment removed to protect patient identity) and noticed that you have a lot of old stretch marks on your shoulders and abdomen. I would suggest you start topical application of Tretinoin cream 0.1% on the stretch marks daily at night. Use it for at least for a period of six weeks and check for any improvement. In case you do not achieve the desired results, then you can go for laser treatment. In chronic cases, Nd: YAG (neodymium-doped yttrium aluminium garnet) laser and fractional photothermolysis will be used. 1. Seen in adolescence and associated with rapid increase in size of particular region. 2. In weightlifters it is seen, when their muscle mass increases rapidly. Striae atrophicans."
}
] |
[
{
"from": "human",
"value": "Hi, I am 5 months pregnant and my reports say that Mentzer's index is 21. Will it affect my baby?"
},
{
"from": "gpt",
"value": "Hello. Menterz index 21 means that you have iron deficiency anemia. Yes, it can affect your baby in certain ways if you do not seek medical advice. Anemia may lead to smaller babies, growth restricted babies and also preterm labor ( labor before due date) which can result in delivering baby earlier and complications associated with early delivery. Also, a woman may suffer excessive bleeding after delivery who are anemic. So, I would suggest you see your local doctor, check the level of anemia and get appropriate treatment for that. Hope it has helped you."
}
] |
[
{
"from": "human",
"value": "Hello doctor,I am 24 years old. Not too long ago, I got a small rash on the head of my penis; it was like three to four little red bumps. It was a bit itchy but not to where I would always feel the nerve to itch. I saw online that using antibacterial aloe vera gel would help. And it did go away after like three days. But then every now and then I get the same rash. It is not itchy, or I do not notice it until I look. No blisters of any kind and it just itches occasionally. I am not circumcised so if maybe I got an infection. I do not know what it could be."
},
{
"from": "gpt",
"value": "Hello. Please attach pictures of your lesions for proper diagnosis and treatment. There can be infection, eczematous disease or inflammatory disorder. So, please send your lesion picture for appropriate diagnosis."
}
] |
[
{
"from": "human",
"value": "Hi doctor, On random days, typically after a long sleep, I will wake up and put in my contacts, and they feel perfectly normal. Then when I go into sunlight, my eyes become sensitive and begin to burn. The burning gets progressively worse, even with a hat or sunglasses. Once this happens, I go home and remove my lenses and rinse my eyes with eye drops. However, they continue to burn. They look very red, irritated and are not improving at all. What causes this? And how do I treat it? It happened probably three times in the last five months. Please help me."
},
{
"from": "gpt",
"value": "Hello. The symptoms which you have is usually seen in patients with dry eyes. It often presents with dryness, grittiness, irritation and burning sensation which goes down after washing the face. The best way to treat simple dry eye is to use over-the-counter lubricants, for example, Carboxymethylcellulose acetate 0.5 percent eyedrops. Also, make a conscious effort to blink more frequently. Also, give a \"contact lens holiday\" for a few weeks. If you cannot do without your lenses even for a few weeks, then use drops called Genteal gel (Hydroxypropyl Methylcellulose) or Systane eye drops. These two can be used over contact lenses. Hope this helps you."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I need confirmation about spotting during fertility window, high and medium. Is it normal for 20 years old lady?"
},
{
"from": "gpt",
"value": "Hello. If you have been sexually active during your fertile window, then this could be an implantation bleed, get a serum beta hCG test to confirm pregnancy. If you are not, then the most common cause of mid-cycle spotting is ovulation bleed which is physiological in most women."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I recently had my third blood transfusion a week back. However, it is a week later, and I still feel unwell. Is this normal or what should I do? I feel tired and weak with zero energy."
},
{
"from": "gpt",
"value": "Hello. For severe anemia, you had given a blood transfusion. The clinical improvement depends upon hemoglobin value. Usually, if your weakness is due to anemia then with normalization of hemoglobin level, symptoms will improve. If no improvement, then other causes for weakness need to be searched like low vitamin D, low calcium, electrolyte dost urban, liver and kidney disease, etc."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have Morganella morganii infection in the prostate. For the past 15 years, I have been getting blood in semen. I had a short course of antibiotics in the past and I also had a semen microbiological test. Please recommend some antibiotics."
},
{
"from": "gpt",
"value": "Hi. For further information consult a urologist 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 am male 22 years and 1 month completed. I have the eyesight of -6 for both eyes. Am I eligible for Lasik at 22 years or 23 years of age?"
},
{
"from": "gpt",
"value": "Hello. The decision of whether or not you can undergo Lasik or any other refractive surgery depends on three things. Your power should not change for at least a year. That is your power needs to be stable. Your corneal thickness must be adequate for the procedure. Your corneal curvature or shape must be normal. The first criteria are self-explanatory. The next two criteria can be known by a test called corneal topography, which is available at all Lasik centers. If you have satisfied all three, then the surgeon will take you up for surgery."
}
] |
[
{
"from": "human",
"value": "Hello doctor, Is Cifran 500 good for mild throat pain and voice hoarseness?"
},
{
"from": "gpt",
"value": "Hi. It is good that you asked this question here because taking unnecessary antibiotics can be extremely risky and unhealthy for your body. This tablet is mainly used to treat pneumonia patients that have a severe cough, fever, and abnormal symptoms and blood reports. Hence I would advise you to avoid it at all costs for now, unless you have all of the above. Throat infection causes your symptoms and the right medication for you is TusQ (Paracetamol, Bromhexine, etc.) or Lozenges like Vicks, Honitus lozenges, whichever is available and suits you. You must understand that the main treatment for this is warm saline water gargles thrice a day and avoiding all oily food and cold foods and drinks. Take care and get well soon."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My husband and I will be using a surrogate to have kids. My husband is kell positive (heterozygous). What are the risks to this that the surrogate would need to be aware of?"
},
{
"from": "gpt",
"value": "Hello. Few points include: 1. As per medical facts, the first pregnancy remains silent. In your case surrogate is kell negative it means her body is still not exposed to kell antigens which are good, so this pregnancy will be safe. 2. As the husband is heterozygous, it means he has only a 50 % chance of having baby kell positive. In the rest 50 %, there is no risk of complications. So, theoretically, this pregnancy should go silent without complications. But then surrogate will be exposed to kell antigen from your husband, she should be aware of this risk which can create trouble in future pregnancies if the male is kell positive."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 30 years old. I am so hearted psychologically because of the bad difficult odor which comes from my foot. When I wear shoes, my feet immediately feel warm and release a bad odor in just a few minutes. The worst thing is that it also has a smell without shoe whether I washed or not. This made me stay far from my friends, co-workers, family, and from my society almost. I tried some medication from nearby health centers such as Flucanozole, Decozol, Aquax and so on still using but no change. I lived with a problem for more than 10 years. Please, could you suggest me something? Why my foot smells badly with no shoes and even affect my neighbors?"
},
{
"from": "gpt",
"value": "Hello. Yes, this condition is called bromhidrosis, the abnormal odor is due to local bacterias. Follow this prescription. Maintain hygiene of area and wash it with mild soap and water. Use Silver Zeolite powder on your feet after drying of feet. Try to avoid closed shoes or condition of humidity. Use local antiseptic solution like Povidone Iodine at one time daily to kill the bacteria (it can make your skin dry, so use Vaseline (Petroleum jelly) if it gets dry. Avoid garlic from your diet."
}
] |
[
{
"from": "human",
"value": "Hello doctor, Last week the doctor told I had adenoiditis and sub-acute tonsillitis (did not have any symptoms except a smell of catarrh and bending down felt weird). I had suffered from adenovirus and viral conjunctivitis a couple of weeks before the diagnosis. ENT thought it was viral turned bacterial although tonsillitis had no signs of being bacterial. Only thing I had was yellow phlegm in the morning. Was prescribed 14 days of CoAmoxiclav 625 mg TD. The question is do I really have to take them for 14 days? I feel fine. I know they say take the full dose. But could not 10 days be sufficient? I do not know what clinical trials or research have shown but advice from a professional doctor who has knowledge of this would be appreciated."
},
{
"from": "gpt",
"value": "Hello. The yellow phlegm itself shows your suffering from a secondary bacterial infection. If sputum is there then it may be originating from lower respiratory or sinuses. So that is why your doctor has adviced two weeks course of antibiotics. So please continue above medications. If no improvement, get it done- a chest X-ray and X-ray PNS, then we come to know where the source of infection is. Take care."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had plantar fascia release surgery three months ago and my doctor released me to work even though I was supposed to get one more x-ray. After getting the second X-ray, he said the x-ray looks good. But, still I am in a lot of pain. Also, the pain has spread to the outside of my foot along with the area of all the joints especially over the last three. Should I get a second opinion?"
},
{
"from": "gpt",
"value": "Hi. Revert back after 10 days to an orthopaedician and traumatologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am 21 but my weight is just 40 kg which is too low according to me and my family. Everyone says I am too slim. So, I just wanna gain my weight now. Would you please suggest which capsule will be better for weight gaining?"
},
{
"from": "gpt",
"value": "Hi. Well, your BMI is less than the normal and you are surely slimmer. First of all, I would like to tell you that there is no need to take stress on this issue. You are beautiful the way you are. I will help you improve. Follow this advice. 1. Eat five times a day, small but frequent meals. 2. Drink milk two times a day. 3. Increase the intake of bananas. 4. Exercise, at least for 15 minutes a day. 5. Megace (Megestrol Acetate) oral suspension, 800 mg/day (20 mL/day) will increase your appetite. Take 10 ml in the morning, 10 in the evening. Keep an eye on your bowel habits as well, stay happy."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have asthma but not a lot. It comes and goes. I take Flexotide inhaler as a preventer. I also have used Detacartil antibiotic for chest congestion at the start of last month. Since the last two weeks, I have severe nasal congestion. I want to ENT specialist today and he says that I have nasal polyps. He will do the endoscopy in two days. My question is why I have nose blockage with mucus, he should have treated the mucus and not the polyps. He has adviced the medicine Telfast D tablet half in the morning and a half in the evening. Please suggest what to do."
},
{
"from": "gpt",
"value": "Hello. Nasal congestion is aggravated by polyps as they cause blocked nasal pathways mechanically. Endoscopy is necessary to understand at what extent the polyps are enlarged to decide for the best treatment strategy. Mucus is trapped and should be on its way to get cleared. But polyps are making it difficult. So continue medication as prescribed and run endoscopy as suggested."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am writing this letter for my mother-in-law. She is 65 years old and seems to be healthy. Recently she was suffering ill (fever, sleepless at night, body pain, etc.) thus visited a doctor (physician). After a physical examination and studying certain blood tests (that he was suggested to test), the physician advised us to consult with a hematologist ASAP. Soon, we consulted with hematologist. He advised us to check certain tests such as protein electrophoresis and free light chain, HbA1c, LFT, USG abdomen and pelvis. He also pointed out that she may undergo bone marrow examination subject to test results. The reports are as follows. We shall see the hematologist by next week. Before meeting him, we wish to know an expert opinion about the interpretation of the test results and further course of action. HbA1c- 6.65, bilirubin- 1.5, bilirubin direct- 1, SGOT-54, SGPT-30, alkaline phosphatase 04-304, T protein- 7.1, S. albumin- 3.8, S. globulin- 3.3, calcium- 8.3, phosphorus- 3, uric acid- 6.1. USG remarks: Chronic liver parenchymal disease with PHT, no ascitesat present, other organs normal free kappa (light chain) serum– 46, free lambda (light chain) serum– 33.10, free kappa-lambda ratio– 1.39, total protein- 6.8, serum albumin– 3.7, alpha 1 globulin– 0.19, alpha2 globulin- 0.46, beta 1 globulin– 0.39, beta 2 globulin– 0.42, gamma globulin– 1.65, albumin-globulin ratio– 1.19, comments– electrophoresis shows elevated gamma globulin. No significant change in the other fractions. No M band seen. Kindly look into the above and revert with your valuable suggestions."
},
{
"from": "gpt",
"value": "Hello. Your electrophoresis report shows increased gamma globulin level (attachment removed to protect patient identity). So your doctor might suspect plasma cell dyscrasia, especially multiple myeloma like condition. So referred you to a hematologist. But in electrophoresis report, M band is not seen which is classically seen in plasma cell dyscrasia. Moreover, Kappa to Lamba chain ratio is normal in the report. So, the chance of multiple myeloma seems to be less. But increased gamma globulin need further work up in form of CBC, serum calcium level, etc. In the case of multiple myeloma, the osteolytic bone lesion is also present. For that X-ray can be done in the suspected area. The gamma globulin increased in infection or inflammation as well. So your physical examination is necessary. Moreover, your cirrhosis with portal hypertension needs treatment in the form of beta blocker to reduce portal hypertension. The elevated bilirubin can be due to liver damage by cirrhosis."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 18 and 5'2\" I think and I am a guy. When will I hit my growth spurt? My mom is 5' and my dad is 5'10\". Grandmother 5'2\" and grandfather 5'10\"."
},
{
"from": "gpt",
"value": "Hi. Well, I think you are worried about your height. So your growth spurt or as we call puberty should have started already and your height will keep on increasing till 21 but depends on your genes too. As you said your father has a height of 5'10\" you might reach a height of 5'6\" (not sure though) according to the current situation and might get the height as equal to your father (again the genes). Best you can do is eat and exercise and stay healthy. Get enough nutrients through a balanced diet and exercise well. You can get a personal trainer and a dietitian too to get guidance for your growing years' diet and workouts."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am suffering from mouth problem. My mouth does not open fully. I used to chew tobacco before. So how can I get rid of the disease?"
},
{
"from": "gpt",
"value": "Hi. As per your query and presentation of symptoms of reduced mouth opening can be due to most common reason that is oral submucous fibrosis in which there is a formation of thick fibrous bands below the mucosa of cheeks and lips leading to stiffening and difficulty in mouth opening. It is a precancerous condition (although not cancer) and should be taken care of. It is commonly seen in individuals with tobacco and areca nut chewing habit. You need to consult an oral physician or a dentist and get evaluated and he can advise applying a steroid ointment in combination with Hyaluronidase containing ointment to break fibers. Intralesional injections of Steroid and Hyaluronidase can be advised to be injected after every three to four days. Anti-oxidant like Lycopene is also advised. Physiotherapy, like blowing cheeks, trying to open the mouth under pressure etc., can be demonstrated and advised to be done daily. Complete cessation of the habit of tobacco if you have chewing is a must."
}
] |
[
{
"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, There is a mole like appearance on the back of my thigh. I am worried if it is a cancerous one. Please help me."
},
{
"from": "gpt",
"value": "Hi. I have read your query and do understand your concern. Revert back with the photo and the answers to the above questions to a dermatologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, Since last few days whenever I eat any spicy food or chicken, after passing stools, I am feeling a bit of burning sensation for five minutes. After that, it goes away. That too in a week I feel 1 to 2 times. Surrounding the anus also while washing sometimes I am feeling a burning sensation. I do not have any other problem of difficulty in passing the stools and it is regular and clear. I request you to suggest some medication. and I have also stopped eating spicy food."
},
{
"from": "gpt",
"value": "Hello. Intake of spicy food may cause burning sensation and irritation of anal mucosa which may lead to a burning pain during defecation. It is due to the spiciness of the food. You may try yogurt, cucumber, tender coconut water, probiotic capsules, buttermilk. Use tablet Nexium before breakfast for one week. Avoid spicy food intake. If symptoms do not improve, please consult a physician or post me a query."
}
] |
[
{
"from": "human",
"value": "Hello doctor,I am suffering from jaundice for last one month. My current bilirubin is 3.1, SGPT 72.4, SGOT 45.8. Can I join the office after four days of bed rest?"
},
{
"from": "gpt",
"value": "Hello. To answer your question specifically, it is not advisable to go back to work. I have seen your LFT blood reports which are not elevated too high (attachment removed to protect patient identity). I would like to know if you had done any other blood test, urine test or ultrasound abdomen because in jaundice, it is important to treat the underlying cause for it. It might be due to alcohol consumption, smoking habits, liver disorders such as acute or chronic hepatitis, etc. Some complications of jaundice you have to be aware are anemia, bleeding, chronic hepatitis, etc. If you are not vaccinated for hepatitis B or C, please take those vaccines also. If you are taking any tablets for this jaundice, please continue it. If you have not seen any doctor so far, I would highly recommend you to see a doctor first. Try to avoid alcohol or smoking habits, if you are used to it at once. I would recommend you to undergo a further investigation to know the root cause for your abnormal LFT blood test. Alcohol, smoking, acute hepatitis. CBC, urine analysis routine, urine ketones, serum electrolytes, ultrasound abdomen, X-ray chest, and abdomen. Acute hepatitis, fatty liver. Acute hepatitis. I would suggest treatment after seeing the further blood tests advised. Avoid alcohol and smoking strictly. Try to follow up after doing the above investigation advised and list any complaints if you have."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I get really bad sun-induced headaches (chronic migraine). I cannot go anywhere without sunglasses. Unfortunately when I am driving it is worst. I wanted to get tinted windows but that is illegal in my area without a doctors note. Is there anyway to get one online through a doctor or would I have to find a local doctor to go in and see?"
},
{
"from": "gpt",
"value": "Hello. I understand that you are suffering from chronic migraine and your headaches are triggered by light. Unfortunately, I will not be able to give you a valid prescription. You will have to visit a local doctor for that. But using tinted glass can only offer so much protection, there is no way it can block all the light coming through. Another important issue is that it can never stop sunlight coming through the windshields, or stop light from oncoming traffic and other bright lights. I feel that you will do much better with migraine medication than the tinted glasses."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have a weird lesion that I just noticed in the back of my throat a few days ago. For the last couple of months, my throat has felt slightly strained after the normal conversation. I currently take Lisinopril, HCTZ, and Amlodipine for hypertension. My PCP prescribed a Z-pack and referred me to ENT since she does not know what the lesion is. So I am wondering if this is something that I should be concerned about in the meantime. Since I started taking Lisinopril, HCTZ, I have had strong cravings for acidic foods such as vinegar and hot sauce. I initially thought my diet was causing issues with my throat, so I significantly cut down on these types of foods. In addition to the lesion, I have noticed white scaly patches in the back of my throat."
},
{
"from": "gpt",
"value": "Hello. The normal pharyngeal mucosa at times has a granular appearance. In addition, it may be present in acute granular pharyngitis. This is nothing sinister. Z-pack with adequate analgesia if you have pain, plenty of fluids and warm saline gargles or Chlorhexidine should help. There is nothing to be concerned about."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have pain in the chest on the right side and when I take a breath sometime, pain during breathing and also during movement of the right arm or other types of movement and feeling like vomit and weakness in my body. Tell me the symptoms of this pain."
},
{
"from": "gpt",
"value": "Hi. Pain in right side of chest with breathing movements and nausea shows that you have some chest infection. Please follow this. X-ray chest to rule out infection, take tablet Zanaflex 2 mg three times a day till you get the report of X-ray (minimum three days). If pain improves and X-ray is clear this means its simply due to muscle spasm. If X-ray shows infection or you get fever or pain does not improve on taking Zanaflex please start some antibiotic like Azomax 250 mg after every 12 hours for a week."
}
] |
[
{
"from": "human",
"value": "Hello doctor,I have a problem in both my eyes, low vision, and the doctor says that it is genetic but I feel the problem for the last two years and I work in computer and also the doctor said that the problem has no medicine or surgery. So, please help what I should do and computer operation is more harmful to my eyes."
},
{
"from": "gpt",
"value": "Hello. I have gone through your attachments (attachment removed to protect patient identity). The doctors feel that you could be suffering from a problem of your retina. They are currently unsure about the exact type of disease and have asked you to get a test called the EOG (electrooculogram) done to identify the exact cause. You see, the test you had done with a few wires attached to your face while looking at lights on a white bowl in front of you (ERG), has yielded abnormal results. This puts the site of the defect in your retina, thus the possibility of it being genetic. Such a picture cannot be caused by computer use, it is usually inherited by birth. The next course of action would be to find out the exact cause, by the EOG test. Once the cause is known for sure the exact prognosis and long term outcome can be known. If unfortunately by chance it does turn out to be retinal dystrophy, the vision outcomes over a lifetime are very bad. But there is no way to predict the prognosis. There is although extensive research going on for the treatment of such diseases, given that you are still young, there is some hope that such inventions will be made in your lifetime."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I twisted my leg and got an x-ray done. The report showed fracture at the base of the 5th metatarsal bone. How to proceed with the treatment? Thank you in advance."
},
{
"from": "gpt",
"value": "Hi. Sorry to hear about your injury. I had looked at the x-rays (attachment removed to protect patient identity) you seem to be having a pseudo-Jones fracture. Mostly, this fracture can heal without any surgical intervention. You will have to use either a walking cast or an orthopedic boot. If it is painless, then weight bearing by the cast or boot will be fine. This part does not bear any pressure. Few fractures though healed, may be associated with some amount of pain. In your case, the fracture line is entering into the cuboid-metatarsal joint. Hence, some pain may be present. I would like to have a look at the lateral view x-rays of your foot as well your knee to check for any injury associated with other tarsometatarsal joints. Pseudo-Jones fracture. 1. Walking with below knee cast or splint. 2. Walking with orthopedic boot for six weeks with weight as bearable."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 27 year old female. I was going through a lot of stress and started consuming alcohol at least 3 drinks a day. For the past 5 years, I have been suffering from acid reflux along with severe regurgitation and taking tablet Prilosec. I fell sick a month ago and taught it to be a respiratory infection and avoided my medicine. Within a matter of a few weeks, I could feel that my esophagus had burnt. I started regurgitating huge amounts of partially digested food. Some of the symptoms associated along with them are, my voice has become mildly hoarse. There is pain when I tend to shout or speak loudly. Generally, I have difficulty in swallowing. When I swallow, I get a feeling that my food gets stuck halfway itself for a few hours and often I have a dry throat. The regurgitation gets worse when talking or shouting. The regurgitation consistency is not the same always. Sometimes, it is acidic, sometimes it is clear or foamy and sometimes with the presence of mucus or food in it. For about three weeks I am taking tablet Prilosec 40 mg a day. Initially, I felt better with the medicine. But still, have pain while speaking as well as swallowing. It has not shown any improvement even with medicine. I do have constipation at times because of the medicine. I would like to know, will this medicine work for a longer duration and reduce my symptoms and make me feel better? Can you let me know, what are the chances of getting affected by Barrett's esophagus or cancer? Is the difficulty of swallowing due to stricture or esophageal spasm? Please suggest ways to manage constipation associated with medicine. Thank you."
},
{
"from": "gpt",
"value": "Hi. There are many causes of reflux. Hiatus hernia is one of the conditions. It is a major concern causing lifestyle limitation. I would like to know if you are suffering from any respiratory problem. Continuous reflux can cause stricture formation and dysphasia (difficulty in speech). After a few years, it can cause Barrett's esophagus followed by esophageal cancer which can be a serious problem. Follow these guidelines to get a better result. Yes, constipation is associated with this problem. Once constipation is treated, reflux can disappear. Hoarseness of voice is due to reflux of the acid causing reflux laryngitis. It will disappear once reflux is treated. 1. Barium study of esophagus. 2. Upper gastro-intestinal endoscopy. 3. Complete blood count (CBC), erythrocyte sedimentation rate (ESR) and Liver function test (LFT). 1. Take tablet Lansoprazole 40 mg twice a day before meal. 2. Take clear Lax 2 spoons twice a day for constipation. 1. Have semisolid and solid diet. 2. Sleep in semi- inclined position and elevate head end. 3. Avoid alcohol and liquids. 4. Do regular excercise."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had HIV test after 40 days of sex and it is negative. I am taking antibiotics from the last 1 month for my symptoms. Would that have affected the outcome of the test? For what symptoms should I consult a doctor? How much percentage does this test stand to be negative until 90 days?"
},
{
"from": "gpt",
"value": "Hi. As I am not aware of your previous history. Please explain your problem in detail."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 31 year old female. I am in a job for which I will be out of home for at least 11 hours. My problem is stiffness in the neck (in the left side alone) for the past four months. In certain positions of my neck, head trembles, heart beats fast, and shortness of breath is produced. I got my ECG done, and the results were normal. Normal blood pressure 100-110/60-70 and pulse rate 86 to 120. Brain and cervical MRI was done recently. Brain normal and mild scoliosis at C6 and C7 vertebrae. My body vibrates when I get down from the car. I was perfectly healthy 4 months ago. Please help."
},
{
"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. Your issues are all due to the scoliosis of the cervical vertebra due to which you feel the pain and stiffness in the neck. It causes misalignment and pain due to stretch and pressure on the nerves and the muscular spasms on the neck. 1. Take tablet Ibuprofen for pain. 2. Take capsule Lyrica (Pregabalin) by mouth. 3. Apply Voltaren Gel (Diclofenac Sodium gel) on the painful areas and massage gently. 4. Apply ThermaCare heatwraps on neck and shoulder. 5. Do physical therapy for the neck and yoga will be very beneficial. Avoid same position of the neck like watching television, laptop screen or mobile phone for long time to avoid sprain and muscle strains. If you feel nothing helps, consult an orthopedician for proper physical evaluation and continue treatment accordingly."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I had a biochemical pregnancy before two months. Initially, my hCG test showed 11 and after a couple of days it was 9. Then, I had an endometrial lining scan and it showed a simple right ovarian cyst measuring 33 x 27 mm. So, doctor prescribed Meprate and I got my periods on the 27th of last month. When can I expect my periods of this month? Do I need to get any other scan? 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": "Hello doctor, I am 45 years old and working as a senior level finance professional in a multi-partner practice owned by all of us. After going through the high levels of anxiety for several years, I consulted a psychologist who is my friend. After few months of showing little improvement, he put me on Escitalopram 10 mg. For about 2 years I took this medicine and was generally fine. When my friend moved out of the country, I shifted to a new doctor and he is a more senior person. He changed the drug to Paroxetine 25 mg which I have been on for the last nine months. I would probably say I am doing better now than before. The issue is regarding further counseling. While my friend did not feel that there is a need to continue counseling once he put me on the medicine. But, the new one seems to feel that I should resume counseling. Based on his advise, I went back to the counselor I originally saw, but somehow she seems to feel that I do not need any structured counseling. I am generally a religious person and try to follow certain regular spiritual practices like visiting a temple almost every day, reading at least a little from any scripture and do some chanting. At the same time, I still have the little odd feelings of discomfort too at times, though it does not trouble me so much like earlier. Specific cause of worry now is mostly the side effect of the long-term medication I take for anxiety, BP (Telmesartan) and for GERD (Esomeprazole). The primary concern now is that on most days I have a general feeling of boredom as though there is not anything much to do. Generally, I try to avoid associating with any new demanding assignments because I do not feel comfortable about doing things unless I am fully sure about the work. On the other side, it is also my dream to be a successful writer of fiction novels. I have finished one book, but that has not found any worthy publisher so far, which is disappointing. So, even though I have been working on my second book, I do not have too much confidence that my writing will reach anywhere. I am not a social type person and like to spend time at home. I will also confess that by nature I am known as a negative thinker, both at work and in the house. But my relationship with people are generally very cordial, because I try to lighten issues and also try my best to avoid any sort of conflict. All this leaves me with a general sense of dissatisfaction, although I am very clear that I do not want to stick my neck any further out either. Though at times, I fantasize about career and location change. I do not dare to think anything seriously, because I am sure that I will not get such a comfortable position again. But, to conclude the issue which is confusing me right now is, do I need counseling again? I am far from clear, what can I hope to achieve from therapy which I cannot get from my religious and spiritual practices? I note that online therapy is also an option on this site. Is that as effective as direct counseling?"
},
{
"from": "gpt",
"value": "Hi. From your detailed information, I feel that you have responded to medication. All SSRI (selective serotonin reuptake inhibitor) medications tend to over time make the person who takes them more relaxed. This could be attributed to the main task of reducing anxiety. Thus maybe a lower dose for a few months may benefit. Importantly, the absence of anxiety or motivation is more troublesome. Also, I do not think that any counseling will help you. As you are already aware and attend to the problem of not pursuing tasks to completion CBT (cognitive behavioral therapy) or NLP (neuro-linguistic programming) or coach may help."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I left the dentist at 3:45 after getting a big top right molar pulled. It is still bleeding at 6:30. Is that fine?"
},
{
"from": "gpt",
"value": "Hi. Yes, it is normal. Sometimes it takes 24 hours to get bleeding arrested. Just take a big pack of cotton, place it in the socket, and bite it very tightly. Keep it in this position for like 2 to 3 hours. Do not check in between. After it, remove and then have some icecreams or take a cube of ice, crush it and rub over the area or put on cotton and place cotton pack again after taking medicines, meal, etc., for next 3 to 4 hours. Do not spit saliva in between but swallow it as it will be blood free as blood will be absorbed in the cotton pack, will not be taken in. Talk less. Keep it cold and take soft diet for a day. Hopefully, bleeding will stop in a day. Do not use straw for juices, get it in the glass to drink, make your facial muscles rest as much as you can. And then after 24 hours start saline water mouth rinses five times a day for two weeks. It is mandatory."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 70 years old. My blood pressure is usually normal. However, it spikes. This morning I woke up feeling nauseous, dizzy, cold feet, shaky and it is 146/86, pulse 84. Why does this happen?"
},
{
"from": "gpt",
"value": "Hello. After reviewing your medical history, I would like to explain that you need to closely monitor your blood pressure values for a couple of days (several times daily) in order to conclude on your average BP trends. It seems that an abnormally elevated high BP value may have caused your complaints. Anyway, it is necessary to discuss with your doctor on the possibility of performing a medical checkup, including a careful physical exam and some laboratory tests like complete blood count, thyroid, renal and liver function tests, fasting blood glucose level, blood electrolytes level, an ECG at rest. In case several BP values result abnormally high you may need to start an anti-hypertensive therapy. You should discuss with your attending doctor on the above-mentioned issues."
}
] |
[
{
"from": "human",
"value": "Hello doctor,For the last five months, I have had problems with my throat, left side. I have a hair-in-throat feeling that will not go away. I have been to two ENT already. The first one did not do any tests and just prescribed Penicillin, assuming strep. Later on I did develop an infection, which cleared out with Ceftriaxone.The second ENT prescribed Azithromycin, Deflazacort and cleaning with baking soda. Felt a bit better, but feeling is still there. ENT said tissue was swollen, and true enough, I see a part unusually swollen, no pain though, just the annoying feeling. I am horribly terrified of the possibility of this being throat cancer, even if both ENT have ruled it out. Can you please check the pics and give me your opinion?"
},
{
"from": "gpt",
"value": "Hello. I do not know whether this satisfies you but there is nothing to suggest that you have any growth. It is either LPR, GERD, chronic pharyngitis due to other causes that may be causing these symptoms. At times it can just be globus pharyngeus."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am suffering from loose motion for the last two days, took medicines Norflox TZ and O2, still no recovery. What should I do now?"
},
{
"from": "gpt",
"value": "Hi. I am sorry to hear about your condition. First, let me assure you that it is going to be alright. But I want to know the following details. Please let me know if possible, have you been traveling recently? Do you have any fever symptoms? And do you have any difficulties in passing urine? Is your loose motion watery or stained with any blood? The tablet you are taking is for urinary tract infection, I might suggest not to take it unless you have any difficulties in passing urine. I would like you to take these tablets: Oral rehydration solution (one packet mixed in one liter water, kindly use it for three days minimum, until your loose motion resolves), tablet Loperamide 2 mg twice a day for three days, tablet Pantoprazole 40 mg once daily for three days, tablet Multivitamin one tablet daily for three days only, tablet Albendazole 400 mg once daily for two days only. (One drug to be taken today and another drug after 14 days). As you might be dehydrated a lot, please continue to drink at least three liters of water every day. If your symptoms are not settling, try to do stool occult blood and stool routine parasite tests, HB, TC, DC, platelet, serum electrolytes. Let me know if you have any more doubts. Wish you good health. Traveling, outside food intake. HB, total count, differential count, platelet, serum electrolytes, stool, occult blood, stool routine parasites. Diarrhea, dysentery, worm infestation. Oral rehydration solution (one packet mixed in one-liter water, kindly use it for three days minimum, until your loose motion resolves) along with prescribed tablets. Avoid outside food, water. Take ORS solution, drink plenty of water."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am 21 years old and having regular single heart palpations. I have an Apple Watch which provides an ECG and this shows my heart is beating at regular intervals, but there is fairly regularly a single beat which is much larger. I can feel this in my stomach/chest area and feels like a heavy beat or a missed beat. I will upload a couple of PDF results to show you. You can quite clearly see when these large beats take place. I sometimes get chest pain but I usually attribute this to my stomach or anxiety, and the chest pain does not tend to accompany the heart palpitation. My main worry is it is quite regularly happening and it is one singular beat which is ‘off’. I have bad bloating which has been for the last month or two which comes and goes, but am unsure if this is related."
},
{
"from": "gpt",
"value": "Hello. I have gone through the results you attached (attachment removed to protect patient identity). You are experiencing missed beats aslo known as premature ventricular contractions. They are are usually benign (harmless). Your symptoms can be worsened by drinking, caffeine, smoking or some medications. I usually do not prescribe my patients medication at first except it affects your daily activity. Firstly, avoid trigerrs like alcohol, drugs, sleeplessness, etc. Try to exercise regularly. Atleast 3 or 4 times a week. For a duration of 30 minutes. Make sure to sleep 6 to 7 hours daily at night. If your symptoms persist, you will need a Beta-Blocker medication. It acts by regulating how your heart beats. Ablation is the definite treatment of choice if all measures fail but am hopeful it will not get to that. I wish you good health. Best regards."
}
] |
[
{
"from": "human",
"value": "Hi doctor, Four years before, I met with a car accident with no external injury. After a week, I started getting pain in my right buttock and calf area. Later, I was recommended for an MRI and found it was L4-L5 disc extrusion. I underwent the microscopic discectomy the same year. Now, for the past one month, I am having severe pain in the same area. I consulted my surgeon and took another MRI as recommended. This time as well, I have the disc extrusion in the same disc. This time he is recommending for fusion. I am attaching the MRI reports for your kind advise.. Please check and advise whether I need to go for it. My current medications are Renerve plus and a painkiller. Thank you"
},
{
"from": "gpt",
"value": "Hi. A few observations are as follows. Evocative discogram proceed transforaminal endoscopic discectomy. Revert back with the answers to the above questions to an orthopaedician and traumatologist online.--->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have been recently suffering from extreme burning back pain on my shoulder blade area. For a few months, I have had this strange clicking feeling in my neck, on the same side where my shoulder blade pain is happening. Not a normal joint crack, it felt weird, bothersome. It was infrequent, but now, the weird clicking happens almost every day. A few months before I was vitamin D deficient but am taking supplements. Maybe the deficiency contributed to this? I am wondering if it could be my neck or if they are just knots from stress, but I have never had this bad of a burning sensation before. What I could do? Is this common?"
},
{
"from": "gpt",
"value": "Hello. As you have a burning sensation and unlocking sound in the cervical spine, it could be related to the nerve entrapment. I will advise you to take a neck collar and do hot water fermentation for a week post which you can update me so we can plan the exercise for strengthening the muscle. Meantime, please take an MRI of the cervical spine. It is common in cervical spine degenerative changes that people tend to have nerve entrapment and with conservative management, they respond well. Waiting for your reports."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am having itching and burning problem on my penis. I cannot lift my foreskin upward. It is painful to upward the foreskin. I think I have acquired a fungal infection. My wife was under treatment of heavy menstruation periods for her menopause phase. She had passed through heavy blood flow during her periods. Used 5 to 6 pads during the day. Now, she is perfectly alright for the last 20 days. We had intercourse before seven days and then I developed this symptom of fungal and itching. She is also having the same complaint but she is having itching experience only which is too less compared to me. I have taken one Fluconazole 150 and using skin cream named Castor-NF suggested by the family doctor. Please suggest treatment and medicines to us."
},
{
"from": "gpt",
"value": "Hi. Can you forward a few pictures of the affected area, if possible? Your concern may be balanoposthitis most probably. Continue Fluconazole 150 mg. Have them weekly once after dinner for four consecutive weeks and for your spouse advise her Fluconazole 150 mg two tablets with a gap of 15 days. That is two weeks. Use Cetaphil cleanser for genital wash and Seriva cream twice daily after wash for 30 days. Check your fasting and post prandial blood sugar levels and thyroid profile and report me once you get your reports."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My wife (55 years) got sugar results fasting 172, and pp 136. What can be the explanation (higher fasting value)? What treatment course to be followed?"
},
{
"from": "gpt",
"value": "Hello. I just read your query about your wife and it seems that she has an impaired fasting blood sugar and that she must have her HbA1c checked to be sure whether she has a need to take medications for diabetes or not. In the meantime try to take a low carbohydrate and low-fat diet. Exercise by way of walking for 30 minutes daily. Impaired fasting glucose means that she can develop diabetes in the near future if she is not already diabetic."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I had fever and my platelet count became low (91000) 10 months back and after taking medicines platelet count became normal. And now my platelet count decreases day by day and after a month, it was 1,40000 and two days after again I checked it becomes (1,30000). Now, I have only 1,25000 platelets in the blood. Is this a serious issue?"
},
{
"from": "gpt",
"value": "Hello. Normally, you have anywhere from 150,000 to 450,000 platelets per microliter of circulating blood. Platelets are produced in your bone marrow. Factors that can decrease platelet production include some types of anemia, viral infections, chemotherapy drugs, heavy alcohol consumption, dangerous internal bleeding can occur when your platelet count falls below 10,000 platelets. Nothing to get fear unless you do develop a complication bleeding, most often from the gums or nose. Red, flat spots on your skin, about the size of a pinhead."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have been suffering from headaches and pains in my head and neck for almost two months now. I originally thought it all came from a back injury that caused a lot of anxiety as I have an anxiety disorder. I was even treated for a sinus infection because it has been so long since the headaches started. I am looking to see how I should go about treating this and if it is something I should be worried about."
},
{
"from": "gpt",
"value": "Hello. I understand that you had a back injury, which you feel has been causing headache and neck pain. I agree with you, a back injury can lead to neck pains, which can give a feeling of a referred headache. The best way to fix this would be to see an orthopedic specialist. They will then examine you and if necessary, run tests to see if indeed the back injury is the cause of your headache. Coming to the question, could this headache and neck pain be caused by a problem in your eye, again I would say it is possible. But you would definitely be experiencing eye-related symptoms like eye redness, watering, pain, blurred vision, etc. A headache or neck pain caused due to an eye problem with no eye-related symptoms is quite a rare scenario. In my opinion, the best way to treat this headache is to find its cause which would mean seeing the orthopedic, ENT or ophthalmologist. The most common cause of headache in the patients who come to see me in my clinic is sinus disease."
}
] |
[
{
"from": "human",
"value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance."
},
{
"from": "gpt",
"value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?"
},
{
"from": "gpt",
"value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect."
},
{
"from": "gpt",
"value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?"
},
{
"from": "gpt",
"value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->"
}
] |
Subsets and Splits