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qucklecrabik
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mc_dataset

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train · 257k rows

conversations listlengths 2 2
[ { "from": "human", "value": "Hello doctor, Yesterday in the evening I felt strong heaviness in my stomach and gas started forming. Stomach seems to be full without eating anything . Light pain also started. Today morning also no clear stool, no choice to take food, hence, only some fruits taken in breakfast. Presently also stomach feeling full of gas. Light pain feeling in the morning. I have taken one tablet of gas in empty stomach. Rabiprazole with Domperidone. What to take for relief since office hours has started and I want to be fit." }, { "from": "gpt", "value": "Hello. I can understand you had a terrible time due to this problem since yesterday. The gas production in bowel is a normal phenomenon and majorly produces on its own given the number of gas forming bacteria within human gut; however, there are certain foods and environmental triggers that can increase the gas production. Foods containing cereals grains such as wheat, corn, maze, barley, oats, millets, and milk. Cauliflower and many others that even you can find out yourself. So your symptoms and just an overnight onset with worsening intensity suggest you probably have one of these gas producing food a day before yesterday. If you can find out the foods that make you feel gas; then it would be very easy to omit that diet from your diet and go well. It is fine to continue with the Rabiprazole for now, but I want to substitute another medication over Domperidone. Tablet Digestine 40 mg once daily before meals, you can increase the dose to twice daily before meals if you dont feel improvement in next 48 hours. Gas and bloating I can consider testing you thoroughly if your symptoms remain for a week or so and does not improve with the medications I prescribed. SIBO Follow up in 3 days to update me how you doing" } ]
[ { "from": "human", "value": "Hello doctor, I am having numbness in hand and feet for three weeks. Brain and cervical spine MRI came normal." }, { "from": "gpt", "value": "Hi. Review of the MRI scan images (attachment removed to protect patient identity). Cervical spine: There is mild straightening of the cervical vertebrae. There is a likely small osteophyte in the anterior superior end plate of C5 vertebra and is not significant. The cervical vertebrae are showing normal heights and signal intensity. The cervical intervertebral discs are showing mild disc desiccation. There is no significant cervical spinal canal stenosis in the given images. The cervical spinal cord is showing normal signal intensity. Thoracic spine: Kyphosis of thoracic vertebrae is normal. The vertebrae are showing normal heights and signal intensity. There is minimal posterior disc bulge in T5 to T6 disc level. There is no significant thoracic spinal canal stenosis in the given images. The thoracic spinal cord is showing normal signal intensity. Lumbar spine: There is mild straightening of the lumbar vertebrae. There is subtle posterior listhesis of L3 over L4 vertebrae. The lumbar vertebrae are showing mild osteophytes and minimal end-plate changes. There is disc desiccation in L3 to L4 and L5 to S1 disc levels. There is mild posterior disc bulge in L3 to L4 disc level and causing mild bilateral neural foraminal compromise. There is a minimal bilateral neural foraminal compromise in L4 to L5 and L5 to S1 disc levels. There is no lumbar spinal canal stenosis. Impression: Cervical and thoracic spine are showing early degenerative changes. No significant nerve root compression or spinal canal stenosis. Lumbar spine is showing mild bilateral nerve root compression in L3 to L4 and minimal bilateral nerve root compression in L4 to L5 and L5 to S1 disc levels and mild lumbar spondylosis. There is no spinal canal stenosis." } ]
[ { "from": "human", "value": "Hello doctor, My son aged 4 years is allergic, asthmatic, as my father-in-law is chain smokers and smokes in the house, due to this he usually gets sick. Now from the past 11 months, he is continuously (except one or 1.5 weeks in a month) taking nebulizers Bedusal 5 mg. Please tell me about his future health. I am very worried and I even do not know what to do in this particular case." }, { "from": "gpt", "value": "Hi. I understand your concern. You have a strong exacerbating factor (risk factor) for aggregation of an allergic or asthmatic attack. That is smoke in the house. Unless it is removed no medication will be of use for long term health outcome. Parents need to take a call in this particular situation. If possible take your father-in-law to child specialist. Let the doctor counsel him why smoking in the home is not good for anybody's health especially children's health. Focus on improving your son's immunity by providing a healthy meal and supplementation." } ]
[ { "from": "human", "value": "Hello doctor, I have been having big rashes every night and they disappear in the morning. Sometimes, I wake up with a swollen lip, I went to the hospital and they gave me an allergy injection and some drugs Promethazine and Prednisolone tablets. They stopped and I stopped taking the drugs. Now they are back. I am a female, age 21 years." }, { "from": "gpt", "value": "Hi. Yes, this is the condition called urticaria. That can be acute or may be chronic. There can be different reasons for urticaria-like infections, drugs or certain things in our foods like additives, etc., that can cause it. Most of the cases are idiopathic that is the reasons are not known. The most important thing in its treatment is to look for trigger factors that are causing it like what type of food do you eat? Certain foods like egg, meat, junk food, etc., can cause it, taking any drugs, etc. Oral antihistamine are the mainstay of treatment and we can increase the dosage of it if not cured. Topical application of steroid with Calamine lotion is done to have symptomatic relief. Urticaria?" } ]
[ { "from": "human", "value": "Hello doctor, Small painless itchless ucler at the back of penile shaft with no other symptoms." }, { "from": "gpt", "value": "Hi. I have gone through your case. According to your description and clinical picture (attachment removed to protect patient identity), this ulcer could be a manifestation of primary chancre of syphilis (one of the sexually transmitted diseases, if there is a history of sexual contact as well at least 3 to 4 weeks ago). Sexually transmitted infection syphilis. VDRL, TPHA, test for other STD like hepatitis B and C, HIV. Traumatic. Primary chancre of syphilis. Benzathine penicillin 1.2 MU I/M on each buttock stat dose. If tests are normal then only Fucidin acid cream two times a day." } ]
[ { "from": "human", "value": "Hello doctor, I play games on my laptop for hours a day and after a few hours, my eyes become little blurry especially my left eye. It is not that I cannot see a thing but I cannot see clearly either as compared to my right eye. I can see fully clear when it is about 5 to 10 cm from my eye (letters) but it became blurry when the distance increases. Right eye is pretty fine but left eyes are not proper as right. So what kind of medication do I need?" }, { "from": "gpt", "value": "Hi. If you having blurring of vision in one or both eyes first thing to do is get your eyes checked for refractive error, you might need glasses. And glasses will solve your problem. Other cause of blurring after an excess laptop or digital devices use may be dry eyes. People who sit in front of screens have a greater risk of having dry eyes. In such cases, artificial tears are needed. So, the first thing to do is visit your eye doctor and get your eyes examined for glasses and complete eye examination including the retinal exam." } ]
[ { "from": "human", "value": "Hi doctor, Recently, I had an event that impacted my hearing. I threw a heavy chain into the metal bucket of a backhoe. The clank was quite loud and gave me instant ringing in my ears. I then had to use the backhoe, which is also loud, but not deafeningly so, for about 20 minutes. Now my ears feel blocked up as if from a cold or elevation changes, reducing the volume of the sounds I hear. Even tiny clanks, like from a fork on a plate, give my ears a slight spasm. The tinnitus has continued, diminishingly for about five days or so. My question is about the permanence of damage done, and the relationship between my current symptoms and damage. I should mention that I am quite sensitive to sound and can get tinnitus from noises other people find tolerable. The ear blockage phenomenon occurred one other time for me, after a music show, and lasted several months before returning to normal." }, { "from": "gpt", "value": "Hello. It is very common that people feel certain blockage of the ears after getting exposed to loud sounds. It is called fatigue to ear. The hair cells get fatigued due to loud sounds. It also indicates sensitivity towards hearing loss. It is recommended to avoid a noisy situation as it can lead to hearing loss sooner in your case as you are taking days to recover. Generally, a few hours are enough to recover. Use ear protective devices or ear-plugs in the future whenever you know that you are going to a place with loud noises. Currently, wait for a few more days. If you are not feeling better consult an audiologist. Try to blow your cheeks with your nose pinched and see if it helps to relieve the blocked feeling." } ]
[ { "from": "human", "value": "Hello doctor, Three months back, I started to have a small red dry patch on the skin developed on my chin. I tried to keep it moisturized but it seemed to get very dry so I put some Hydrocortisone cream on it for a few days, it seemed like it was gone so I stopped using the cream but within a week it was back but bigger now. I used Hydrocortisone cream for a few more days then stopped for a few days and the same thing happened, only it was spreading by the corners of my mouth now. I tried putting Zinc diaper cream on it and my skin got very inflamed. At this point, I went to walk in clinic as I do not have a family doctor, he was not sure but thought it could be rosacea and gave me Metro gel prescription. I have been using it for about three weeks and the bumps have gone down, but not as much from the Metro gel and the fact that I stopped putting anything on my face, I only wash with Cetaphil and use Cerave moisturizer. I wear makeup for even one day the bumps start coming back all over my chin and around my mouth. I did not use any new products just the same old makeup face wash and moisturizer I had been using for years. The only thing I did differently was my skin was getting really dry so I used a microdermabrasion device just before the red patch developed." }, { "from": "gpt", "value": "Hi. From your picture (attachment removed to protect patient identity), it is steroid induced rosacea or acneform eruption. Whatever was the original disease, you used steroid over it that altered the picture and now you have developed problem due to steroid (Hydrocortisone). First advice for you is that never apply steroid on the face and that without prescription. Now, regarding its management, you have to use a sunscreen of SPF 60, Metronidazole gel 0.75 % is correct treatment but mix it with cold cream and then apply, take non-sedating antihistamine tablet, once bumps will disappear then we will manage redness but in a step-wise manner. Wash your face with mild soap and water. Avoid Dettol and other irritants. Do not scratch or rub the lesion. Steroid induced rosacea, contact dermatitis, steroid induced acneform eruption. Sunscreen of SPF 60 from morning till evening. Apply Metronidazole gel 0.75 % plus cold cream at night. Take antihistamine tablet OD. Wash face with mild soap and water. Avoid using Dettol and other irritants." } ]
[ { "from": "human", "value": "Hello doctor, I have eye pain in left side eye, minor or weird feel in the left side or have mild pressure on side of the eye. It is nearly there for the past four days. It is very awkward. Please help. Is it a sign of concern or anything else?" }, { "from": "gpt", "value": "Hi. There are different causes of mild pain in the eye. It may be due to some foreign body or decrease to increased intraocular pressure in the eye. Some times people with sinusitis feel heaviness in the back of the eye. As your vision is same there is no emergency but if the pain is persistent or worsening you should consult an eye specialist for a complete eye exam to diagnose the exact cause of pain." } ]
[ { "from": "human", "value": "Hi doctor, I am having the patches on hand and near the forehead. This has been for the last 3 to 6 months. Had psorasis earlier that was cured. What do I do for these kinds of patches on the skin? Is it serious? Kindly help me with medication to provide a solution." }, { "from": "gpt", "value": "Hi. I have gone through your case. In my opinion, you are having different types of lesions on your face and arms. For the face lesion, apply Clindamycin gel two times a day only on the raised red lesion. Lesion around the eye may take somewhat longer time to heal. Brown lesion on arms is due to sun and dryness. Please regularly apply sunblock lotion with SPF 40 or above to prevent further more lesions. These are called lentigines. For dryness use E45 lotion. No cause for the facial lesion. Sun exposure for brown arms lesion." } ]
[ { "from": "human", "value": "Hello doctor, Both of my wrists and my right ankle have recently started to hurt when I run or lift weights, but they are not sore. It is in my joints." }, { "from": "gpt", "value": "Hello. As per history, I think you should start strengthening the forearm and leg muscles gradually. Please do let me know if you have had any ankle sprain in the past. This will provide more insights. Try doing reverse walking as well. A balance board training for the ankle and wrist should be worth to try with. As this provides more stability to the joint and correction of muscle imbalance." } ]
[ { "from": "human", "value": "Hello doctor, I am currently 25 years old and this the first time that my period is late and it has been over 35 days. I am not married, I do not have PCOS. It is just that my period was never late and now I am worried sick. Please I need your advice." }, { "from": "gpt", "value": "Hello. Do not worry about the periods, as you are aware that delay in periods can be due to obesity as you had suffered last time, however my compliments to you for reducing 14 kg of weight (attachment removed to protect patient identity), so we can conclude that delay is not due to being overweight. Then delay can be due to hormonal changes due to various medications specially birth control pills, etc., which you are not taking. Stress is also one of the major reasons these days due to Corona and associated problems. Pregnancy can be a reason but only if one is sexually active, and you are out of that risk as well. May be the cramps you had are signs of periods onset, we can wait for 2-3 days and may be then start with medication." } ]
[ { "from": "human", "value": "Hello doctor, I hope this message meets you well and you are keeping safe. Please I have some concerns, I have a 2-year-old son with my husband and we have agreed to make another baby. I noticed my period only last two days and when we make love, some sperm do not go into me. Also, I ran a scan and which say my utereus is tilted. Does this means womb shift? Please provide with answers. Thank you and have a nice day ahead." }, { "from": "gpt", "value": "Hi I would like to know about the mode of delivery of your son w.r.t a vaginal birth or a caesarean section. If it was a caesarean section it would have been better for your health for another year. Regarding your second query spilling of a small amount of sperm outside is not an issue as long as a part of it deposited high inside the vagina also. Please attach all your previous scan and blood reports including the one which mentioned the tilt and mention whether your periods are regular or not. Meanwhile follow the advises below. Tablet Folic acid (5mg) 1 tablet once daily after lunch to continue." } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My wife was operated for CABG a year back and is taking Carloc 3.125 mg and Cardace 2.5 mg twice a day, among other medicines. Presently sometimes her BP goes down to 100/60. Is it due to the above-mentioned tablets? Should the dose be halved for relief?" }, { "from": "gpt", "value": "Hello. I have gone through the reports (attachment removed to protect patient identity). Firstly, her heart function being low 25 to 30 percent, she has the tendency for low BP. So her BP will remain low. Over and above, Carloc (Carvedilol) and Cardace, both lower the BP. But, in her case, these medicines are necessary in order to prevent further decline in heart function. So, if she is not having symptoms like dizziness, excessive fatigue, they should be continued with the same dosing. Usually, more than 95 to 100 systolic is fine if not symptomatic." } ]
[ { "from": "human", "value": "Hello doctor, I am a 23-year-old girl and my physician has prescribed me Inderal and Cheer Up at night for a month. Will these medicines lead to a gain in my weight because I have my wedding after two months and I do not want to put any extra pound." }, { "from": "gpt", "value": "Hi. While Cefiget (Cefixime) is fine to give in a urinary tract infection. If you are having UTI for more than two months, rather than taking an empirical (experimental) antibiotics, you should go for a urine culture and sensitivity testing. Hope you are not suffering from any psychiatric illness. Otherwise, I do not see any indication of prescribing Cheerup (Escitalopram), Lacosbar (Lacosamide) and Inderal (Propranolol). Those medications are given to patients suffering from neuro-psychiatrist manifestation (except for Propranolol). Both Escitalopram and Lacosamide are associated with an increase in suicidal tendencies, while Escitalopram also affects sexual function and can cause loss of libido, and can cause anorgasmia in females. However, no effect on body shape or weight gain has been observed with Lacosamide and Propranolol, but Escitalopram can cause weight gain in about 1 % individuals." } ]
[ { "from": "human", "value": "Hi doctor, About every year, I have this problem but this year it is there for a long time. I am a girl that have these eye problems. Burning eyes and redness of the eye, puffing around the eyes with pain, tears from the involuntary eye, blurred vision, and the doctor did not diagnose my problem. So, my age is 18 and not going to school because of this problem. Please help me." }, { "from": "gpt", "value": "Hello. Since you mentioned that you get this problem every year, this suggests the cause as seasonal allergic conjunctivitis. This problem frequently causes dry eyes, which causes a feeling of burning sensation. So all these problems go hand in hand. To be honest, there is no permanent cure. But, this problem can be lessened and avoided by following the steps given below: Avoid rubbing the eyes (is most important). Use over-the-counter anti-allergic drops like Olopatadine 0.1/0.2 % along with lubricants like Carboxymethylcellulose Acetate 0.5 % (these are mostly free of side-effects, so it can be used over prolonged periods). Close your eyes and apply ice cubes over them. Visit your ophthalmologists in case of the following. Pain, sticking together of eyelids, drop in vision, non-resolution of symptoms despite treatment for around 10 days." } ]
[ { "from": "human", "value": "Hello doctor, I have a few doubts about schizophrenia. Will a patient with paranoid schizophrenia have delusion 24/7? Or they occur at a particular time or under situations like when they are alone doing nothing? If a schizophrenic patient is committing crimes will there be any pattern?" }, { "from": "gpt", "value": "Hi. Delusions are fixed firm unshakable beliefs that are not in keeping with a person's cultural, social and educational background. If a person is deluded about something he has it 24x7. But that does not mean that all of his functionality will be gone. Except for the domain of the delusion, he may function well. For example, if a person is deluded about being followed and spied upon, he may still be good at his work. Speaking of criminal responsibility. Well, it is a tough thing to prove or disprove but theoretically, if a person is deluded about his wife but hunts down a deer because he wants its skin or horns, he will be responsible for his crime because, at that time, he was not having a delusion about that deer." } ]
[ { "from": "human", "value": "Hello doctor, I have bruxism and TMJ, and I just started using a mouth guard that I got from my dentist. I am concerned because when I wake up in the morning, I feel that my bite is different. My back teeth do not touch. However, after 1 or 2 hours my bite goes back to normal. Is this normal?" }, { "from": "gpt", "value": "Hi. Do you wear your nightguard properly at night? If yes, then it is normal that you feel the gap between teeth. As it is the prime function of giving you nightguard that it does not let your teeth overlap firmly and deeply. This tray does not allow teeth of both arches to meet another and creates a gap of about 0.5 mm to 1 mm while you are wearing it. When you keep wearing it for a long time like 4 or 6 months it eventually creates this 0.5 mm gap in your TMJ that is the real achievement, now even when you do not wear the tray your teeth will not overlap deeply and will maintain some space in between. That is a good sign. Stay happy and blessed. Take care." } ]
[ { "from": "human", "value": "Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?" }, { "from": "gpt", "value": "Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->" } ]
[ { "from": "human", "value": "Hello doctor,I have reflux esophagitis as determined by endoscopy last month. They found grade M tear in GE junction and also mucosal atrophy reported. H-pylori was found in rapid urease test. I am on Clarithromycin, Amoxicillin and Esomeprazole medication for 14 days and I have three days of course left. I do not seem to be healing well and reflux is getting worse than before and I need to be able to control the inflammation as I am scared it will get worse. I am 40 years old otherwise fit male. Any suggestions?" }, { "from": "gpt", "value": "Hi. I have gone through your query in detail. Usually, reflux esophagitis is reported based on the Los Angeles classification, which does not have a grade called M, but going through the report it is mentioned minimal changes of reflux esophagitis with the lax sphincter. Your treatment for H. Pylori is appropriate based on the rapid urease test result. Usually, when a person has H. Pylori infection, the acid production is suppressed by the infection (chronic gastritis, mucosal atrophy is a sign of that). Once it starts getting cleared from the mucous membrane, it is quite common to find the reflux symptoms, especially heartburn worsening, because that acid production is improving due to clearance of infection from the mucosa, hence even though you may be on acid-suppressing agents you might have heartburn. It is a temporary phenomenon and would improve over the next couple of weeks. Kindly continue with the treatment and you may add 10 ml of Gaviscon syrup (if you are abroad you can get Gaviscon tablets too) to be taken three times after major meals for a week." } ]
[ { "from": "human", "value": "Hello doctor, I have a problem. My teeth are brittle because if I eat something hard they sometimes break or I would feel a hole developing and this is stressing me out because I have already taken out three of them and now another one is close to being totaled. Earlier today I ate something and I think it damaged them. I am tired of taking them out." }, { "from": "gpt", "value": "Hi. There must be one of a few reasons for this chipping off of teeth rapidly. You might have calcium and vitamin D deficiency. To rule out this, you can get serum vitamin D laboratory test done. If there is deficiency then I recommend you medicines for it. Another reason might be the hereditary cause, that means even when you maintain your oral hygiene, brush properly, eat less sugary stuff and chocolates, still teeth are breaking off suggests it is because of genes you have got from your parents or grandparents. They would be more prone to damage and their teeth would be weak as well. In this case, you cannot do anything but visit a dentist properly and get all services done before-hand to avoid further damage. Can you provide me with a clinical picture of teeth? So I may suggest accurately what should be your line of treatment. Stay happy and blessed. Take care." } ]
[ { "from": "human", "value": "Hello doctor, I had braces on my teeth when I was 15 years old. Now I am 24 and I can see a lot of gaps developing between my teeth. Should I put on braces again or is there any alternative option that I should choose?" }, { "from": "gpt", "value": "Hi. You must not go for conventional orthodontic braces treatment for such gaps, instead, you should go for clear or invisible aligners orthodontic treatment for it. In it you do not have to get bracketing done but only an invisible tray will be given to wear that will close these minor gaps. Once gaps are closed in 6 to 8 months then get fixed retainers at back of your teeth so your case may not get relapsed. I hope you will be clear about it now." } ]
[ { "from": "human", "value": "Hello doctor, Last weekend, I ended up in the ER department after an overdose on THC capsules. Very scary experience my heart was going crazy, very bad chest pain, shortness of breath, tremor, etc., for about five hours. I had an ECG done in the hospital which said sinus tachycardia. My blood was taken (all fine apart from low magnesium and potassium), chest X-ray was done (all fine). I was given Diazepam and on discharge had another ECG done and it said sinus rhythm although my heart bpm was still over 100 bpm. The doctor said it is probably due to anxiety and let me go. Two days after this experience, I started getting weird symptoms (slight pain in the chest, lightheadedness). So, I went to my doctor, he measured my blood pressure, heart bpm, etc., all fine but put this machine in between my hands and could see my heartbeat was irregular. He prescribed me Digoxin for five days to see if it would get it under control. I went back again because I was concerned about the lightheadedness, he again measured heart bpm, etc., all fine, listened to my chest and said it is back in more of a regular beat and prescribed Digoxin for five more days and to come back again but at the moment, he is not overly concerned. I think I do not have bradycardia or tachycardia but I think I could have developed Afib from my experience in the hospital, is this possible?" }, { "from": "gpt", "value": "Hello. Yes, it is possible, but a likely possibility is of ventricular ectopics (or other causes) rather than Afib which could also cause irregular heartbeats on the machine. Even in normal individuals, the machine may falsely show irregular beats. Few points which are against are fibrillations are normal ECG especially if you had it done while having symptoms, even examination by a doctor for pulse and auscultation will help in diagnosing Afib. Also, the pulse rate is expected to vary to a large extent and cross the 100 bpm. You may also feel irregularly beating heart within your chest. Also, you can keep a finger over the pulse and feel irregularity and missing pulse. So, it could be an ectopic which is now settling. The only way to definitely confirm is ECG. If this continues, you may a get an ECG done or buy a home-based rhythm monitor like Alivecor Kardia device which records the ECG for interpretation. So, overall unlikely to Afib, but either ECG or examination by the doctor can confirm this. The other cause for pain in such settings is gastritis or reflux, which can commonly cause such symptoms. Also, ectopics may cause pain as well. Anxiety can also cause similar symptoms. Have plenty of water and adequate intake. If you are having these drugs for a long time then the possibility of withdrawal should also be kept. Hope this helps you and get back if you have any doubts." } ]
[ { "from": "human", "value": "Hello doctor, I have recently been experiencing lower back problems on the right side of my back. I work out a lot and have been working out for some time now and I generally do a range of heavy to mid-weight sets quite often. I remember initially feeling this pain immensely while squatting (was wearing a belt). Which I thought was just a muscle strain so I reverted to doing other back exercises that day. After leaving the gym, I remember the pain and soreness (I would say more soreness than pain) persisting for about a day and did not feel anything after. However, recently, I was walking and somewhat slipped on some ice. I never fell, but because of the sudden jerk, I felt that pain in my lower back on the right side immensely once again. This pain generally always comes and goes and it is usually during back exercise or sudden jerks. Therefore, I was wondering if in your opinion do you think this would be a problem regarding a strain of a muscle or a disc problem in my lower spine. If so, should I have an X-ray done to confirm?" }, { "from": "gpt", "value": "Hello. Thank you for providing a brief history. As per me, it looks like the paraspinal muscles are getting over excited to safeguard the spine and the ligaments of the intervertebral joints are also getting over excited due to the weight lifting. There should be a proper guiding before doing any kind of heavy weight lifting and also there should be enough of the core muscles strength before doing one. This pain which is on and off is a red signal for the spinal column. Taking up and MRI should be really worth rather taking up an X-ray. As this pain is only while doing movements I will highly recommend to take up the MRI and get back with the reports. Gym. MRI. Sacroiliitis. Degenerative disc disease. Stop the gym for a week." } ]
[ { "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 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, How effective is Plan B one step if taken less than an hour after sex? The condom broke and we also used vaginal contraceptive film with the condom." }, { "from": "gpt", "value": "Hi. Emergency contraceptives either work by preventing or delaying ovulation or implantation of a fertilized egg. So, it depends on how early is it taken after unprotected intercourse, or what period of the cycle is it taken. Vomiting, diarrhea, some medicines do affect the efficacy, unfortunately. In your case, since you used vaginal film also, chances of pregnancy are bleak. But to rule out all chances, please do a pregnancy test, if you miss your periods. Hoping, that you get regular periods." } ]
[ { "from": "human", "value": "Hello doctor, I have had three pilomatricomas removed surgically since I was 12. I still have five left in my body. My father also had them too. Is this something that eventually stops occuring?" }, { "from": "gpt", "value": "Hi. Pilomatricoma is a small benign tumor arising from the base of the hair follicle. Usually, they are not hereditary but very rarely 1 out of 100,000 cases, it can be genetic. Once cured after surgery they do not occur at the same place but in your case, one cannot guarantee you that it will not occur again. All you have to take care of is that it does not become infected and do not squeeze or pinch it." } ]
[ { "from": "human", "value": "Hello doctor, Today I checked my liver function test. My SGOT is 40 (5 to 35), SGPT 55 (5 to 40), but when I searched online, the normal range is SGOT (5 to 40), SGPT (7 to 56). What to do? And the doctor asked me to take fibroscan. Actually fibroscan is three stage in fatty liver. Should I take fibroscan?" }, { "from": "gpt", "value": "Hi. I just went through your symptoms and I also saw your laboratory investigation reports (attachment removed to protect patient identity). Your liver function test enzymes are very normal and you do not have to worry about it. The second thing is your hepatitis B surface antigen is reactive which means you are hepatitis B positive. At this point in time, what you have to do is go for a further evaluation with viral load and you will have to take care of hepatitis B treatment. You do not need to get fibroscan. You do not have to get it done at present. Instead, if you have an ultrasonogram or CT scan of the whole abdomen that might be able to tell you if you have any underlying lesions in the liver." } ]
[ { "from": "human", "value": "Hello doctor, My 3.5 years old daughter's upper front four teeth have decayed very badly and our dentist has advised on either root canal treatment or taking them out. Which treatment is best suited overall for my daughter?" }, { "from": "gpt", "value": "Hi. Go for antibiotic coverage and meanwhile get the culprit teeth extracted if it is definitely amongst the first four. These are milk teeth which will come at age of 6. Do not get them extracted together. The one or two causing severe infection should be extracted out. Another option is to cover infection through medicines only. Give your daughter syrup Augmentin three times a day, syrup Metronidazole three times a day and syrup Brufen three times a day for seven days. If the swelling goes away with it, everything is back to normal, leave it as it is. If pain and swelling recur once medicines are stopped, try getting chamber opened or root canal of the culprit tooth if the infection is minor, if it is major then get it extracted. I would still recommend having root canal attempted on posterior milk teeth rather than the front because front permanent teeth come at around age 6 while back milk teeth fall at age of 9 and 10 and are definitely needed till this age so do not need to be extracted soon. Take care." } ]
[ { "from": "human", "value": "Hello doctor, I am an 18-year-old girl. I have had thyroid problems since I was around 11. It used to be just considered hypothyroidism but now we have figured out that it is Hashimoto’s disease. I rotate daily between 88 mcg and 100 mcg of my Levothyroxine to keep my TSH in check because that is the only thing that works. I get my blood drawn every six months but my doctor has not checked these antibodies lately even though last time, the number was around 5,000 when it was supposed to be 0 to 59. Some days I can barely move, and I am really limited to the activities that I am physically able to participate in. I am just scared. I do not know what is going to happen to me. If someone who is older could help or tell me what happens, I would really appreciate it." }, { "from": "gpt", "value": "Hi. Hashimoto disease also causes hypothyroidism and you are already taking medication for hypothyroidism. So do not worry. It is a type of autoimmune disease. So kindly go for detecting which autoimmune problem causes your Hashimoto disease means along with Levothyroxine you have to take some medication also for autoimmune diseases like a steroid or immunosuppressive drugs or Iodine, etc." } ]
[ { "from": "human", "value": "Hello doctor, I am a regular user of contact lens. Currently, I am facing a little discomfort due to dryness. Earlier I was using Soft Drop for my eyes, but recently a doctor told me not to use it with contact lenses as it contains preservatives which can spoil the contacts. I would like to request you to suggest me a preservative-free eye drop which I can use with a contact lens at the earliest. Also, I work in computers for 10 to 12 hours." }, { "from": "gpt", "value": "Hello. Preservative-free eyedrop is good if someone is having problems with preservatives. You can use Systane Ultra, Refresh Tears, Tears Naturale Free, etc. They are available across the counter in most countries. They are available in single-use small vials." } ]
[ { "from": "human", "value": "Hello doctor, I am 26 years old and delivered my baby four months ago. I feel very stressed out nowadays. After my delivery, I started hating my post-pregnancy body. My baby is four months old and I have not lost even half kg. I am trying to lose my weight but nothing is working." }, { "from": "gpt", "value": "Hi. Pregnancy and motherhood involve changes in both body and mind for a woman. Be proud of it. It is too early to think of weight loss, especially when you are feeding your baby. Give some time for your body to come back to normalcy. A healthy, balanced diet and mild exercise are important to ensure the well being of both of you. Do not go for crash diet or strenuous exercise now as it can weaken your body. Enjoy your motherhood to its fullest. You can review with me for regular follow up." } ]
[ { "from": "human", "value": "Hello doctor, I take GP3 before lunch and dinner, Obimate SR 1 gm after lunch and dinner, Tryglynase 2 before breakfast but diabetes is not coming under control. I have attached my report." }, { "from": "gpt", "value": "Hi. I can understand your concern. There are three ways to control diabetes. Diet, exercise, medicines (oral or Insulin). No matter how good your blood sugar reports are, you should definitely follow a strict anti-diabetic diet and do regular daily aerobic exercises like walking, running, cycling or swimming. So, start anti-diabetic diet and exercise if you are not following. In treatment, you should start long-acting Lantus Insulin 10 units in the night at 10 AM. Take Tryglynase two tablets before breakfast, two before lunch and one before dinner. Also, take Voglibose 0.3 mg tablet one before breakfast, one before lunch and one before dinner. Stop GP3 and Obimate SR 1 gm. Get done repeat FBS, PPBS after seven days and let me know the results. Lack of diet and exercise. FBS and PPBS after seven days. Obesity. Uncontrolled diabetes. Lantus Insulin. Diet and exercise." } ]
[ { "from": "human", "value": "Hello doctor, For the past two months, I have had on and off toothache. My gum sometimes hurt. There is a decay where I had broken a tooth and it has just chipped away over the years, is sore as well. I have been taking a lot of Ibuprofen. Is my life going to be in possible jeopardy?" }, { "from": "gpt", "value": "Hi. If you are not allergic to following medicines, immediately start taking it. Tablet Augmentin 625 mg twice a day for five days, tablet Metronidazole 400 mg twice a day for five days, tablet Brufen 400 mg thrice a day for five days. This will cover your infection. After this, give me followup after three days if you are having improvement. Moreover, for a home remedy, you can put a clove in that place. It is very helpful in releasing toothache or put some clove oil on small cotton and roll it and put it on decayed part of the tooth. But ultimately you have to visit the dentist and get this broken tooth extracted." } ]
[ { "from": "human", "value": "Hello doctor, My age is 22 years old. I have many more problems in my body. My digestive system is very weak, my body has not developed. I get confused with dark colors. I get tired very fast." }, { "from": "gpt", "value": "Hello. I just read your query. For poor digestion, underdevelopment, and tiredness, you should perform a thyroid function test first because if the thyroid gland is not functioning properly there can be a presence of these symptoms. Take treatment only after proper diagnosis is made. Do not take random treatment. As far as color confusion is concerned, you should consult a nearby eye specialist. Because color confusion can be an underlying symptom of color blindness but diagnosis can be only made after clinical examination. So it is better that you should contact the physician and ask for the clinical examination." } ]
[ { "from": "human", "value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached." }, { "from": "gpt", "value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->" } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am a female, 27 years old, 50 kg, 162 cm. Just before sleeping at 11:30 AM, I took two Panadol advance pills and one Muscerol 3 pill altogether. I have not eaten for the last five hours earlier. Later that night, I woke up around 2 AM feeling nausea which lasted for a few minutes. Since then, it has been three days feeling upper stomach pain, especially in the morning. This pain vanishes once I am eating but returns mildly afterward. Other important information. It was the first time I am taking Muscerol 3. I am not a person who takes heavy medication regularly. I take Panadol pills when I am feeling very sick only. I do not have a previous diagnosis of ulcers." }, { "from": "gpt", "value": "Hello. The drugs that you mentioned all contain NSAIDs. These drugs are known to damage stomach mucosal lining and cause gastritis. I would suggest to minimise these drugs. You can use some over-the-counter antacids like Pantoprazole or Ranitidine available at stores along with syrup Gaviscon for a couple of days. If symptoms persist, you should get yourself examined by a gastroenterologist locally." } ]
[ { "from": "human", "value": "Hello doctor, My son has a persistent headache since last 15 days. It started with headache. Consulted various neurologist. Got MRI and CT done, all clear. He gave various medicines, even Noxdorm 250, but no response." }, { "from": "gpt", "value": "Hello. I understand your concern and would explain that his symptoms could be related to a tension-type headache. Coming to this point, I agree with the doctors prescription about Citalopram and Sibelium (attachment removed to protect patient identity). But these drugs may need up to two weeks to show its effects. For this reason, you should be patient. If the situation does not improve in a couple of weeks, I would recommend trying Amitriptyline and Valproate combination. You should discuss with his doctor about these treatment options. Based on his test reports, I would conclude about a primary headache (benign, related to psychological stress)." } ]
[ { "from": "human", "value": "Hello doctor, I had an extraction and an implant placed for tooth 13 about six weeks ago, and I am supposed to get a crown placed on the implant in about six more weeks. Sadly, apparently due to the change in my bite caused by having number 13 tooth, a bottom tooth broke through an old filling in the 14 tooth and cracked the tooth, and I was experiencing constant low-level pain in that tooth. My dentist drilled out the old filling and filled the tooth eight days ago, and he said I still have a crack he could see, but does not know how deep it goes. He wants to try to wait for six weeks and do the crown for the 13 implant and 14 at the same time. He said I may need a root canal for 14 or possibly extraction, and he would know more when he drills it for the crown, and he said I should contact him if the pain gets bad. I had a lot of pain for three days after he drilled and refilled the tooth, and then the pain got much better, but yesterday, day seven after he drilled and refilled, I had very intense pain, and it still hurts a lot today. Does the pain mean I need a root canal (or extraction). Or is there a good chance the tooth will still be fine with just a crown? Also, if the crack in 14 is really deep and extraction is recommended, can I add a second crown for 14 to the implant I already had placed for 13? I have read that you definitely can put two crowns on one implant, but I was not sure if that requires the implant to be centered between the crowns. In this case, the implant would be off center, directly under the 13 crown." }, { "from": "gpt", "value": "Hi. Thanks for giving all appropriate history. Tooth 14 that is having intense pain is indicating for root canal treatment (attachment removed to protect patient identity). If it would be a crack deep down to root you would be having sharp pain when you bite from it, otherwise pain would be mild. But in root canal case, you would be experiencing sharp lancenating pain and throbbing pain in continuous manner that increases when you lay down straight at bed. Moreover, your dentist will check clinically after opening the chamber of tooth that it is going for root canal or extraction. Again I would say from your given history I am suspecting it to be root canal case. Now, if it would be root canal of 14, then everything would be good as 13 will have cap on implant and 14 will have cap on root canal treated tooth. But ,in case of extraction you can surely have two crowns on support of 13. As a single implant is able to support atleast three crown in anterior segment of jaw and two definitely in posterior segment. Be easy with it. Hopefully, there will be no need of involving any third tooth in bridge cover. It would be best if you can provide me with clinical picture of both teeth and radiograph of the quadrant that is under procedure, so that I can suggest you more accurately." } ]
[ { "from": "human", "value": "Hello doctor, My ECG is attached (attachment removed to protect patient identity). I regularly have high BP medicines. At present, my BP is normal." }, { "from": "gpt", "value": "Hi. The ECG shows that you have a fast heart rate of around 120 bpm (100 is the upper limit normal at rest). This could be because you had the ECG immediately after walking long distance or not had adequate rest before you had the ECG. If this is done at rest (that is at least 10 minutes rest) then you need to start taking some medications to control the heart rate or increase the dose if you are already on one of those medicines. It is worth keeping an eye on your heart rate regularly to make sure that it is not a one off fast heart rate." } ]
[ { "from": "human", "value": "Hi doctor, I recently had a full blood count done and would like a second opinion on the results. It was my cholesterol which surprised me. I have never suffered from high cholesterol but over the past three years, it has kept up and recent tests showed serum cholesterol 7 mmol/L/HDL, 1.25 mmol/L/LDL, 5.07 mmol/L, triglycerides 1.5 mmol/L. This surprised me as my cholesterol two years ago was 5.0 mmol/L and I gave up all meat four years ago. I am 45 years old, eat healthy, exercise 3 to 4 times a week. I find it weird that my cholesterol has gone up when I have given up meat though there does seem to be a family trait in my mother's side for high cholesterol. I have also been reading a lot recently that views on cholesterol are changing and studies show that it is not directly linked now to saturated fats and heart disease. The other test I wanted to briefly discuss was my liver results. My doctor said they were all fine. I have looked at them and they all do seem to be fine except I noticed my Bilburin level was up a bit to 24 umol/L which sits just outside of the norm. My doctor mentioned nothing about this. Is it a concern?" }, { "from": "gpt", "value": "Hi. I can understand your concern. I have gone through the reports you have attached (attachment removed to protect patient identity). Yes, your cholesterol is high especially LDL. This is more worrisome. Cholesterol runs in family. So, despite a healthy lifestyle, some patients fail to reduce cholesterol. Please let me know your weight, your height, any alcohol habit, are you taking any lipid-lowering drug? Please reply me answers to the above-asked questions, so that I can guide you better. For bilirubin, get done ultrasound abdomen for liver and biliary tract. Please let me know if the ultrasound is already done. I will be happy to help you further." } ]
[ { "from": "human", "value": "Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well." }, { "from": "gpt", "value": "Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help." } ]
[ { "from": "human", "value": "Hello doctor, I have a recurring ailment that I usually get once or twice per winter. It starts with extreme shivering and overheating, but no fever. Day two usually involves a very dry nose, very low energy, and heightened sensitivity to touch or light. Days 3 to 5 usually involve more traditional sinusitis symptoms of a headache and sore throat, in addition to the dry nose. Days 3 to 5 also cause an orange or white cobblestoning pattern in my throat due to my lymph nodes. I would like to know whether you think this is bacterial or viral, whether or not it is contagious, and whether or not it can be prevented." }, { "from": "gpt", "value": "Hi. Most of these attacks start as a viral infection and then become complicated by bacterial infection. These attacks are hard to be prevented completely but the use of seasonal influenza vaccines are helpful and can decrease the number of the attacks. Flu vaccines are taken before the winter season by 2 to 3 months." } ]
[ { "from": "human", "value": "Hello doctor, 3 to 4 years ago, I remember myself being very flexible, but now I am not. I play hockey five days a week and I am very active. Legs are not flexible and suffer from cramp a lot. Similarly, my lower back always seems to have knots and always aches. I also suffer from shin splints a lot (very common). Please, can you tell me how to prevent these things and increase my flexibility? Aside from this, I have started to lift weights, to try to build up biceps. My wrists seem to hurt whenever I do it meaning I have to stop. Is there any other way of building biceps or is it something else which I am not doing right." }, { "from": "gpt", "value": "Hi. You are playing a very active game that requires stamina as well as muscle strength. You need to check your thyroid profile, calcium level, 25 (OH) vitamin D level, serum electrolytes, etc., to comment further. If no specific cause is found, then you should take a high protein diet and under physiotherapist guidance, muscle building exercise can be done." } ]
[ { "from": "human", "value": "Hello doctor, I am 18 and play hockey 3 to 4 times a week. Three years ago, I sprained my right ankle (inversion), by jumping over a fence and landing on the outside of my ankle. I had never sprained my ankle before, so I did not understand the appropriate treatment and recovery. So, three days later, when I could put weight on my ankle I started playing football again. I sprained my ankle again. This process happened for six months, I would think I had a full recovery, but then I would roll my ankle again. The next year I sprained my left ankle, but I knew the recovery process so it recovered much better than the right one. Although I have not rolled my ankle this year, both ankles feel very weak and I feel it could roll anytime. I change direction during hockey or just simple jogging. Could you please tell me how to strengthen my ankles, so they become normal again?" }, { "from": "gpt", "value": "Hello. Giving a brief into the ligament injury which happens in the ankle. Usually, ankle injuries are ignored. Also, no proper rehabilitation is done for the same. So ankle becomes prone to injuries again and again. Let me put in this way. Ligaments do not heal as a soft tissue again but a fibrosed one which is more rigid than the original ones. Coming to your concern about the ankle joint stability. I will recommend you to follow the exercise because the ankle is the joint which had to bear the whole body weight. Using the Rocker bottom board initially for correction of the muscle imbalances is the first step to regain stability. This is level one of the training which I follow in my clinics for sports injuries. The next level goes to the wobble board training which is the second level of training and this gives the utmost outcome scores with great stability of the ankle joint and correction of muscle imbalances. You should focus on using this board and do strengthening of the upper limbs and lower limbs along with the core. It is completely a sports rehabilitation program as you are an athlete, so having an injury for you again is not affordable either to you or the game. Sports injury. MRI ankles. Ankle sprain. Sports rehabilitation." } ]
[ { "from": "human", "value": "Hi doctor, My wife had stomach pain and we had done an ultrasound and the doctor said to take a scan. On CT scan result it is showing splenic hamartoma, left renal angiomyolipoma. What does it means and what treatment we have to follow?" }, { "from": "gpt", "value": "Hi. Please attach the report of CT scan. Let me first evaluate it. See splenic hamartomas are usually benign that is non-cancerous. Similarly, are renal angiomyolipomas. They are removed with surgical excision if they are causing any hematological disorders, a decline in renal functions. A lot of surgeons recommended the removal of these structures. A lot may not recommend you. At this point of time, your wife needs further evaluation. Meet an oncologist, vascular surgeon and get further tests done." } ]
[ { "from": "human", "value": "Hello doctor,I am having a problem. I get nervous so fast and think a lot and worried all the time and I cannot remember things. I am also having fear of talking to people and I am losing weight and sometimes I cannot breathe. And also have (irritable bowel syndrome). I cannot live a happy life." }, { "from": "gpt", "value": "Hello. I can understand and empathize how you feel in day-to-day activities. The more you have to understand is you have to face problem step by step, like if you have fear talking to people then start it with imagining them on call then with one person, two person and so on. This is the way to overcome that situation. Because of nervousness, you have lost the important things in your work. You have to start reverse counting when you getting anxious. For remembering things, you should be attentive for a particular task but because of nervousness, you cannot concentrate on that particular task. So, that you cannot remember about that. Start Inderal (Propranolol) 40 mg twice a day, Prozac (Fluoxetine) 20 mg twice a day." } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help." }, { "from": "gpt", "value": "Hi. For further doubts consult a sexologist online -->" } ]
[ { "from": "human", "value": "Hello doctor,I had previously been on syphilis treatment and it healed but yet I had unprotected sex with a lady and she has a vaginal yeast infection and I am starting to see a straight like a bump on the tip of my penis and am also having difficulty swallowing. Then I found white thick stuff at the back of my tongue. Is it candida?" }, { "from": "gpt", "value": "Hi. I read your complaints. It looks like you been having some fungal infection in the tongue which comes only when your immune system is a bit compromised. It also seems that you had been on treatment for syphilis. I want you to know that in syphilis the treatment depends on what stage you have at present. I saw that picture that the lesion on your penis looks like it is asymptomatic so you could be in primary syphilis (attachment removed to protect patient identity). I need to see your complete blood count analysis, your basic blood test analysis so with that I will be able to answer your question better in regards to the treatment of your tongue related lesion. I want you to take Fluconazole 200 milligrams one tablet followed by 150 milligrams once a day for 10 days. I want you to get me the latest blood test reports and any other blood test reports in regards to your health conditions." } ]
[ { "from": "human", "value": "Hello doctor, Whenever I pop my lower back, I hear a loud pop and then I feel a relieving tingle going do my entire left legs, all the way through my toes. What is going on?" }, { "from": "gpt", "value": "Hello. With the history, it appears to be the involvement of the trapped nerve in the lower back which we address it as lumbar spine. Usually, people are prone to have damage of the intervertebral disc at the lumbar spine as it is the weight bearing joint having maximum mobility. The tingling sensation which is radiating down the legs is the classical symptoms of nerve entrapment. How long is this problem been noticed? Any other symptoms along with this you have like muscle weakness or pain in the legs? Now coming to therapy part. I will recommend you take an MRI so we can figure out actually which nerve is getting trapped and what can be the possible muscles involved. Post which I can recommend you some simple exercises which will help you get rid of the symptoms for the long term. MRI. Lumbar spinal stenosis. Exercise." } ]
[ { "from": "human", "value": "Hi doctor,I am 13 weeks pregnant. I vomit almost 10 times a day. I could not focus on regular works at home. Lost 6 kg in 20 days. Is that normal? Feel moody more at times. But will having sex affect my baby?" }, { "from": "gpt", "value": "Hello. If you are vomiting frequently and has lost weight, you must see your local doctor as soon as possible for IV fluids and accurate management to control the vomiting. Excessive vomiting can adversely affect the baby as well as your health. And having sex does not affect the baby's health." } ]
[ { "from": "human", "value": "Hello doctor, I used to play sports. Now after a gap, I started walking and later doing some fitness workouts daily. During walking my muscle below the knee is getting more strained and paining (issue only for right leg). Please give me a right solution." }, { "from": "gpt", "value": "Hello. I read your concern. I feel you should do proper warming up and stretch before doing the activity. This will definitely reduce your tightness, pain, and discomfort. Do some basic stretch and strengthening and use good footwear. Apply ice on the painful area frequently. Get an iced bottle and roll your leg on top of it for a while say for 10 minutes." } ]
[ { "from": "human", "value": "Hello doctor, I had symptoms of cold, cough and severe throat pain since five days and I was diagnosed with URTI and I underwent a throat swab for CS and report was identified as Staphylococcus aureus grown in culture. Is it anything to worry or normal? Please can I know." }, { "from": "gpt", "value": "Hello. Staphylococcus aureus is a normal flora bacteria, if sensitive. Can you please tell me exactly if it is sensitive or resistant? Now, if you are taking any medications, continue with those medications. Like Paracetamol, Brufen (Ibuprofen), warm saline gargles, steam. If still, you are having symptoms like body ache, headache and fever then we can start antibiotics. If you have performed another laboratory test. Kindly send me reports. Viral flu. CBC. Acute pharyngitis? URTI. Supportive care for now. Have green tea, Joshanda, Panadol tablet orally thrice daily for five days, tablet Brufen 400 mg oral thrice daily for two days. Wear a mask, steam inhalation." } ]
[ { "from": "human", "value": "Hello doctor, I had a small lump on bikini line for six months and did not think too much of it. It is now grown to about an inch or so. It is slightly oval in shape, feels hard, rubbery, and is fixed in one spot. I am unsure if it is a deep, infected ingrown hair, or a swollen lymph node. It is located directly between my thigh and vulva. I was also diagnosed with gutate psoriasis last year and have had a mild rash or skin discoloration on my back ever since (during the original outbreak the spots were all over my torso and some in the pubic region). I read that psoriasis can be linked to lymphoma, so that is what worries me most." }, { "from": "gpt", "value": "Hi. I have gone through your case. Yes, in very rare cases psoriasis and lymphoma can be correlated but it occurs very rarely. In lymphoma, lymph node becomes enlarged and that do occur in your whole body. In those cases, lesions are not inflamed, not red as is your lesion right now (attachment removed to protect patient identity). In my opinion, it looks to be due to local infection like hair follicle infection. Take capsule Amoxil 500 mg three times a day. Tablet Brufen 400 mg two times a day. Apply Fusidic acid cream three times a day. Hopefully, it will settle in a week. All this medicine is for a week. Just relax clinically, it is not a sign of lymphoma. Take opinion after a week of treatment." } ]
[ { "from": "human", "value": "Hello doctor, I am producing a lot of vaginal discharge. The discharge does have a smell but it is not fishy, kind of smells sweet. I am not sure how to describe it. There is no burning or itchy feeling. It is just uncomfortable with how much I produce and I can smell it. It is also white and clear." }, { "from": "gpt", "value": "Hello. Sometimes, increased discharge is normal and is associated with the cycle. During mid-cycle discharge increases and it is clear and watery and non-odorous. If it is not itchy and does not have a smell like fishy odor then it can be observed for a few days. Otherwise, you can take tablet Metronidazole 400 mg three times a day for five days to get relief. Also, avoid nylon undergarments and ensure good personal hygiene." } ]
[ { "from": "human", "value": "Hi doctor,My surgeon is recommending local anesthesia with sedation for an umbilical hernia. It is a small hernia as per the surgeon, and a small incision and perhaps 1 or 2 stitches on the abdomen will be needed to repair it and perhaps a small mesh on top if needed. I have had a terrible experience in the past with only the use of local anesthesia for a pilonidal cyst excision. I am on no medication and in great shape with no medical issues except perhaps PTSD from the pilonidal experience. Is any pain from injections to stitching felt if my umbilical hernia is done with local anesthesia with sedation?" }, { "from": "gpt", "value": "Hello. I hope you are doing fine. Coming to your query, the efficacy of local anesthesia depends on various factors like the expertise of anesthetist, drugs used, adjuvants, the amount of drug used, etc. For a small and uncomplicated hernia, local anesthesia with sedation is a preferred technique and you can be discharged at the earliest. If you still feel pain or discomfort during the surgery, it can be converted into general anesthesia. So, you do not have to worry, just have faith in your anesthesiologist." } ]
[ { "from": "human", "value": "Hello doctor, My 7 months old daughter was on NJ tube for four months and now asked to change to G-tube. All her tests came normal including swallow study, abdomen ultrasound, etc., came normal. She developed oral aversion about one month back. When she was having bottles, she used to vomit all the food. We have tried PPIs and gastric emptying medications, which have not helped. Do you think we still need to do Gtube for her or what are the other suggestions?" }, { "from": "gpt", "value": "Hi. You can use NJ tube in the meanwhile till the problem persists. With the growing age, eventually, things should be fine. The other options that you can discuss with your treating physician are: 1. Thickening of feeds. 2. Using Gaviscon (an antacid medication that creates a layer of foam above the ingested food and reduces the discomfort of the child). 3. Use of Mosapride (to be done as last resort). The above medications must be given with PPIs (proton pump inhibitors) and gastric emptying medications for better effects. You can start intermittent oral feeding and NJ tube feeding for some time and observe how things go. The most important thing to monitor would be the child's weight and the bouts of vomiting or coughing she has. Maintain a diary for the same to monitor if the above techniques are causing improvement and worsening. (It may be a bit tedious but I assure you, you shall get a better idea of the direction where things are moving)." } ]
[ { "from": "human", "value": "Hello doctor, I am 36 years old. After giving birth to my child two years back, my period changed from 28 to 31, 32, 33, 34. My breast milk is still coming out after breastfeeding my child. My sex drive is low and my vagina is always dry. I cannot get pregnant again." }, { "from": "gpt", "value": "Hi. As you are breastfeeding, so it increases milk production as well as delays normal menstrual cycles. With normal regular periods, sex drive remains high and normal menstrual blood flow also continues but as this disturbs sex libido, menstrual flow, mood variation, all appear. If you gradually transfer your child to home-made child food then gradually reduce breastfeeding and start combined oral contraceptive pills to have hormonal support and regular periods. Try to have a balanced diet, weight and BMI and daily exercise to have normal BMI. Have recreational activities and quit recreational drugs. Listen to music, watch a movie, go for an outing before planning sex, have long foreplay with proper orgasm. As you are breastfeeding, so prolactin level will be high. After gradually reducing and then quitting breastfeeding, check serum prolactin and follow with the result. After quitting breastfeeding, milk extraction or discharge from breast should be stopped. Check for any headache, reduction in vision with milk secretion, then need to have an evaluation by consultant endocrinologist. Breastfeeding. Serum prolactin after quitting breastfeed. Combined oral contraceptive pills, recreational activities and quit recreational drugs. Long orgasm with proper lubrication before sex. A complete treatment of any health issue you have." } ]
[ { "from": "human", "value": "Hello doctor, I am 28 years old. I have checked my pregnancy through Prega news in home after 48 days of my last periods. It shows two lines one dark pink and second light pink. I have checked two times but same results. I have done an ultrasound, but it does not show pregnancy in the report. Please suggest." }, { "from": "gpt", "value": "Hello. I have read the description of your problem. There can be three explanations for this. 1. Either it is an evaporation line (if have you have checked it very late than the time mentioned to check on the kit which is a false positive result). 2. Or this could be a very early stage of pregnancy where the levels are not sufficient enough to be detected in urine so gives a faint positive test, obviously at this stage usually the pregnancy may or may not be detected on USG (ultrasound). 3. Or the third possibility is that this is a very early pregnancy which is failing. If you could give a little bit more details about your previous menstrual cycles, the date of your last periods, and when the scan is done, it could have helped to narrow down the possibility. You can check for your blood levels of Beta hCG (human chorionic gonadotropin) hormone to check if you were pregnant or not. I hope this helps. Serum beta hCG level." } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had unprotected anal and oral sex with a guy. This makes me very stressful. The symptoms I encounter after the incident are as follows. I am feeling very tired from day 10, and I think it as stress. From day 12, I am having some sort of difficulty in breathing and numbness all over the body. On day 14, I have experienced itch inside the penis with clear watery discharge like urine, and it lasted only for a few days. On day 17, I had fever and headache which was cured in a day with treatment. I got an itchy rash on the chest, back, face and scalp on the 19th day. It lasted for about five days and got reduced, but still remains some. Then other symptoms persist till date which occurred gradually are sore throat, lower back pain, abdominal pain, joint pain, coating on tongue, bumps on back of tongue, red spot on tongue with irritation, itchy legs and hands without rash, blurred vision, painful itchy and sore armpit, thigh, genital area and buttock areas. I have attached the photos, please have a look. Do these symptoms suggest acute HIV infection? Or can it be other STDs? I have undergone the following tests to check HIV. Rapid blood test on day 19 and the result was negative, and I repeated the same test on day 35 and that too negative. My partner tested in front of me one day before sex, and it was negative. He claimed that he is clear and safe. But, he said that he had one partner three or four months ago and also many partners before. If my partner is truly clear and safe and I am HIV negative, then what cause all these symptoms? My doctor said I have very similar symptoms of acute HIV which makes me freaked out and nervous. I made mistake to have unprotected sex with him. I am going to get married soon. I will decide my marriage according to my HIV test result only. Please answer my questions and give advice. Thank you." }, { "from": "gpt", "value": "Hi. Thanks for providing the clinical pictures (attachment removed to protect patient identity). I would try to provide you with the best possible answers to your questions. The symptoms you have mentioned for example fever, general feeling of not being well, vague body aches may be a hint of acute HIV (human immunodeficiency virus) syndrome. They may also, in reality, be hypochondriacal that is due to stress and you are giving a lot of importance to them. The skin eruption that you mentioned and the pictures are suggestive of urticaria or hives. This may also see even as a response to mild fever or medicines that you may have taken or may even erupt in absolutely healthy people. Itchiness without any lesions in the groin area may be due to sweat, exacerbated by stress levels. The prominence of tongue swelling is nothing abnormal. They are the normal lingual papillae which mean that normal texture of the tongue present in all. When a person is psychologically stressed, often these normal tongue markings are interpreted as being abnormal. So, do not worry about this. Genital discharge you mentioned may or may not be normal. You must attend an STD (sexually transmitted disease) or STI (sexually transmitted infection) specialist to get yourself checked for the discharge, which may be a sign of urethritis - infection of the urethra. For this, a urethral swab or swab dipped in the discharge will be taken to rule out. Having said that, the possibility of acute HIV syndrome cannot be ruled out with 100% certainty based on these symptoms, although apparently, the chances are too low. Yes, you can contract HIV even from a single exposure. The risk is moderate, from being the passive partner and allowing unprotected intercourse and passage of your partner's seminal fluid into your anorectal mucosa. Further, your partner agreed to have been promiscuous himself. A rapid HIV test is just a modification of the standard ELISA (enzyme-linked immunosorbent assay) test. The only difference between rapid and standard HIV test is that the results are given out within 20-30 minutes of having given the blood sample in rapid test module whereas have to wait for a period of a week for the results in the standard test protocol. The more confirmatory test would be a western blot or p24 antigen assay or HIV RNA PCR. These tests can confirm or rule out HIV within a maximum of 12 days of the last suspected exposure. So, get them done to put your mind at peace. My final advice does not panic. Visit an STD-HIV specialist as soon as possible for evaluation of the genital discharge and request to get the fourth generation test done. Also, the additional blood tests mentioned below. Get back to us with the report of these tests and take treatment for urethritis, if it is confirmed. No need to panic even if your fourth generation test comes out positive for HIV. It takes an average of 10 years for HIV positivity to convert into AIDS syndrome. And with a healthy lifestyle, positive thinking and available anti-HIV drugs, most patients who have full-blown AIDS, are also able to live healthy in the present medical era. Have you been vaccinated for hepatitis B? You must get tested for hep B and C and VDRL (venereal disease research laboratory) syphilis. If you have not been vaccinated for hep B, get vaccinated as soon as possible. Maintain good oral hygiene. Your tongue seems to be coated due to lack of oral hygiene. Use a mild cleansing mouth wash and also get your tongue swab tested for fungus. 1. Fourth generation HIV testing assay. 2. Western blot test. 3. Urethral discharge or urethral swab evaluation for gonococcal and non-gonococcal infections. 4. Additional blood tests - serology for hepatitis B (HBsAg -hepatitis B surface antigen test) and hepatitis C (Anti-HCV - hepatitis C virus antibodies), VDRL. 5. Tongue swab for fungus. Always use protection in the form of condom for any sexual activity. Never trust any sexual partner about his/her promiscuous nature or HIV status." } ]
[ { "from": "human", "value": "Hello doctor, My mother is suffering from severe neck pain for the past year. Her doctor believes it might be arthritis, but he is not sure. She even got several shots in her neck for pain by a physical therapist but nothing seems to be working. My mother got her first MRI scan done a week back without contrast medium. She was extremely pleased with the way the doctor conducted the investigation. He was very quick to respond and did a commendable job. No serious issues were observed in the MRI scan. Today my mother got another MRI scan done, both with and without contrast medium. Can you please read this MRI scan and also let me know if there is any sign of cancer in the neck area. I have attached my mother's MRI reports for your reference. Kindly have a look and guide me. Thank you in advance." }, { "from": "gpt", "value": "Hi. I had a detailed look at the contrast images of your mother (attachment removed to protect patient identity). There appears to be light gray to black areas seen in the central portion of T1 and the left side of T2 vertebral bodies. These findings were not clearly seen in the previous scan. There was even a vague appearance seen in a small portion of the C7 vertebra on the right side of the body, but nothing abnormal as such. After a thorough examination of the contrast pictures of MRI (magnetic resonance imaging), I observed, that the contrast sequences do not highlight the lesion, just the way it should in case of a tumor or cancerous area present. It seems to be due to marrow changes. According to my knowledge, on T2 sequence, it happens to be non specific, benign signal abnormalities seen in more than one vertebra which may not cause severe pain on the left side of neck. I would like to suggest you to get another MRI scan in a period of three to six months time." } ]
[ { "from": "human", "value": "Hi doctor, My 2 year old daughter has a bald patch on head. It is oval in shape with no hair in it. It is getting bigger time to time. I am waiting for her blood test appointment now. What is this condition called? How to cure it?" }, { "from": "gpt", "value": "Hi. I presume it as tinea capitis or simply a fungal infection of the scalp. Do not worry, hair can regrow again and there is no permanent damage. It is common in children. It is very important to start the following early for best results: Before we commence treatment, wash baby cap or cloth coming in contact with the baby's head in hot water with some antiseptic. It is crucial to kill the fungus sticking on to the cloth. Same applies to her comb. Otherwise, it will relapse." } ]
[ { "from": "human", "value": "Hello doctor, I am 32 year old bachelor. For the past one year, I have a feeling that something is crawling throughout my body. I am feeling this sensation after my penis frenulum surgery. It starts from penis glans and spreads across my whole body. Right now, I do not want any medication or treatment since I am taking ayurvedic treatment. So, kindly suggest me tests for diagnosis of my problem. Please suggest me tests that would help me find, if any infection is spreading in my body as well as face. I already consulted a neurologist, he says it is a psychological issue.I am very worried, Please help me find a solution for the same." }, { "from": "gpt", "value": "Hi. The feeling of insects crawling inside your body is mainly a psychological condition known as delirium. There are no tests or investigations to prove it. Rarely, it can be because of parasitic infection inside the skin, lungs, and muscles. Anti-helminthic tablets Albendazole and Mebendazole can treat it. For your relief, you can get these following investigations and check for the presence of infection." } ]
[ { "from": "human", "value": "Hello doctor, 12 years ago I gave birth to my first baby. I was healthy when I walked in and then, not even for a single day I felt well. When I was given my epidural, my heart rate shot up to 150 and you could see it beating from the outside. They took it out and replaced it. The anesthesiologist said he must have hit a blood pocket. What does that mean? The epidural caused my BP to drop every time I lay on my left side. My baby's heart rate dropped every time I lay on my right side. After what felt like an hour, they made me lay on my left and gave me a shot to keep my BP up. Is that normal? Because I stayed on my left side, I could not move or feel anything on that side but could feel everything on my right side. I now have migraines, glossopharyngeal neuralgia, peripheral neuropathy, sciatica, and fibromyalgia, all on my left side. Could the issues I have now have been caused by the issues with the epidural? Please help me." }, { "from": "gpt", "value": "Hi. Maybe unintentionally epidural needle must have hit a blood vessel in epidural space and so needle was withdrawn and reinserted in order to place it in epidural space avoiding blood vessel. Hypotension in pregnancy may be caused by supine hypotension syndrome and also due to regional anesthesia. So you were placed in left lateral position and you were given an injection to keep your BP up. It is not unusual to have these situations and are treatable. The issues you have mentioned are due to a spine problem most likely prolapsed intervertebral disc, etc., and very less likely due to epidural. May require MRI of the lumbosacral spine to diagnose. Need to consult an orthopedic surgeon." } ]
[ { "from": "human", "value": "My daughter is 4 months old and this is what's been going on with her need answers or if over reacting. When she eats and even for long time after she is constantly puking. Sometimes white foamy puke. She makes a weird breathing sound when eating. And just regular breathing. Her nose is always running or full of snot. She has always got excess salava coming out of her mouth. She always sticking her toung out or moving it side to side. She acts like she's constantly choking. She has weird poop and seems be constipated alot. She isn't very alert like normal And it's like she can't talk laugh or cry anymore.. help plz" }, { "from": "gpt", "value": "Hi , Choking like act, not laughing or crying well is something need a careful & detailed evaluation that she might be having delayed milestones and that can have multiple causes. If you can connect with me on video chat , I can have a look at your baby to confirm it is something to be of concern or not . Considering your baby is other wise normal with normal events during delivery & after delivery -- Small small amount of puking is normal which can be due to swallowing little more air during feeding. You Wrote - \"while eating\" , Just to re-confirm , have you started on solid food? Noisy breathing during feeds is due to running nose and she is having nose block so she feels difficulty while swallowing. Use Normal Saline nasal drops to keep the nose clean & open. Excess salivation at this age is normal for a well healthy baby ." } ]
[ { "from": "human", "value": "Hello doctor, I am a woman aged 34 years old, 23 weeks pregnant, a small amount of amniotic fluid outflow for 10 days, a small amount of bright red bleeding for one day. The b-ultrasound heart is normal, amniotic fluid is less than normal, domestic doctors recommend termination of pregnancy. I wanted to consult if there is another way to keep the baby." }, { "from": "gpt", "value": "Hi. If you have been experiencing an outflow of amniotic fluid since 10 days and now bleeding for a day then only this history is showing the history of preterm premature rupture of membranes that can lead to chorioamnionitis (infection within the womb) and intrauterine fetal death as well. Utrasound confirms this rupture and leaking of amniotic fluid by measuring fluid amount within the uterus (attachment removed to protect patient identity). It might be possible that you will get labor like pain and cervical changes in recent future that could lead to the delivery of the fetus. You should have related tests to immediately check infection, scan to properly measure cervical length to check any changes locally, fetal viability and the exact amount of amniotic fluid remains inside uterus. Complete blood count for checking leucocytes count (shows infection), C-reactive protein and need to start antibiotics and to have immediately speculum examination and a litmus test for confirming leaking. If blood tests confirm infection, the only option will be the termination of pregnancy. If amniotic fluid already come out, that means protection for fetus has gone and any time it can lead to an infection that could be hazardous. Early or late either cervical changes will occur itself or due to infection will urgently need to terminate the pregnancy with antibiotics cover. As per your description, gestational age is 23 weeks at which lungs development is in very very early stage and the fetus is not completely reached at viability age so it is count as a fetal loss not stillbirth of the viable fetus. So, it is almost impossible to try for the survival of 23 weeks fetus. The infection can harm you as well. It can lead to severe sepsis even need of ICU admission, if not treated well. CBC, C-reactive protein, ESR, scan, save serum, blood grouping, and cross-matching. Need antibiotics cover. Detailed examinations to confirm the rupture of membranes. Follow tests reports. If membranes rupture, confirmed with or without infection, will need termination to avoid complications like severe sepsis. All investigations should be done now in the tertiary care center." } ]
[ { "from": "human", "value": "Hi doctor, I am 18 years old, my height is 166 cm and my weight is 54 kg. I am a female. I have been feeling symptoms of diabetes like thirst, urination more than usual, extreme hunger, numbness in feet and hands, tingling in my back, hands trembling, blurry vision, my wounds are taking so long to heal like ever, I get tired a lot, and my heart beats so fast and breathe so hard whenever I do some basic activities (like doing my bed) and all that started when one way my alarm turned on, it scared me and I woke up feeling weak, heart beats so fast, breathe hard, headache and feeling like fainting." }, { "from": "gpt", "value": "Hi. You are very young and have full symptoms, which is typical of type 1 diabetes where the body is insulin dependent and pills do not work. Your doctor should check for particular laboratory tests for that including C-peptide and insulin levels in your system. If your condition gets worse, and not treated in time, you will have significant kidney damage and loss of vision in eyes in no time. I highly suggest to go to local endocrinologist as soon as you get an appointment." } ]
[ { "from": "human", "value": "Hello doctor,I am facing a problem for one week and I am unable to breathe properly and I am getting lots of burps. I am vomiting white floaty water on each burp." }, { "from": "gpt", "value": "Hi, Welcome to iclinq.com. Most probably you have upper gastroenteritis. Do you have fever? Avoid eating spicy and fat food. Take saline one liter per day for five days. Take Domperidone one tablet three times daily for vomiting. Eat banana, white rice boiled, yogurt for five days. Food poisoning. CBC. Upper gastroenteritis. Spicy, fatty food." } ]
[ { "from": "human", "value": "Hello doctor, I helped my cousin move and I hurt my back now. My left leg hurts by the knee and I feel a pressure on my chest, those hurt more than my back does." }, { "from": "gpt", "value": "Hello. Can you be more precise about where exactly does it pain? And what is the nature of the pain? If this pain is dull aching in the knee then should be muscular. Because heavy work most of the muscle lands in DOMS and the pain arrives. Regarding pain in the chest, it should be muscle catch as many times muscles are not flexible at certain regions and so does the catch happen. Use hot water fermentation over the painful areas like the chest, knee, and lower back. After two days, you can try doing simple exercises. Like breathing exercises for the chest muscles, leg raise for the core muscles and knee press for knee muscle strengthening. Heavyweight lifting. Muscle spasm. Exercise." } ]
[ { "from": "human", "value": "Hi doctor, I have a red rash since I was in the public pool and spa. It is like a round shape, but comparing with the pictures of fungal infection, it is not like that. Last night I put garlic juice on it but till the morning I had terrible itching and growing in double size. Can you please help me what can that be?" }, { "from": "gpt", "value": "Hi. It can be swimmer itch or dermatitis or may be an insect bite reaction (contact dermatitis) (attachment removed to protect patient identity). Apply potent steroid for some time along with an oral antihistamine. You will get better. Nothing to worry about and yes it is not a fungal infection. Swimmer itch, insect bite reaction. Contact dermatitis to an insect. Apply Betamethasone propionate ointment BD over the lesion for one week. Take an oral antihistamine tablet. Maintain hygiene of the area. Wash with soap and water. Avoid using Dettol and other irritants. Do not use garlic, etc." } ]
[ { "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 -->" } ]

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