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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, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide." }, { "from": "gpt", "value": "Hi. For further doubts consult a sexologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am a 40 year old male. My weight is 84 kg. I am unable to lose fat despite proper diet and exercise. Can I use L-Carnitine supplement?" }, { "from": "gpt", "value": "Hi. Well, I am sorry to inform you that it is a myth that L-Carnitine reduces weight by burning fat. I know that you can easily find thousands of websites on the internet which claims that consuming their energy drinks and supplements containing L-Carnitine will burn out excess fat and will reduce weight. But, the real fact is that there is not even single scientific evidence to prove L-Carnitine helps in reducing weight. You will not lose weight by using L-Carnitine but on the contrary, you might suffer from some serious side effects of L-Carnitine like nausea, vomiting, persistent loose motions, body cramps and weakness, fishy body odor and renal failure. However, do not lose hope. There are some good medicines available which can help you to lose that stubborn fat. If you want me to prescribe you medicines then kindly provide me the following information, so that I can evaluate your case and prescribe you the best possible medicine." } ]
[ { "from": "human", "value": "Hi doctor, I am a 22 year old female. I had started my treatment with braces in the age of 14 and it continued for around three years. Then, I used retainers for some time. I was told by my doctor that I have a small jaw and extracted four of my teeth. After getting the whole treatment done when I look into the mirror I see my jaw inclined due to which my face looks weird and not proportionate. The jawline and my teeth are still not aligned straight. I could not get the beautiful smile which I always admired. I do not want to go through the pain of braces again. Is there anything else I can do? And how long the procedure will be?" }, { "from": "gpt", "value": "Hi. By looking at your pictures (attachment removed to protect patient identity), it seems that your orthodontic treatment was not successful. Now it seems that you have more problems in your lower jaw. So, it is better to correct lower teeth only. You should either try to put crowns (cap) over the lower central four teeth, or there is a method called veneering where we put a half cap over the front teeth on both upper and lower to give a good look to your smile. Ask a specialist that is an endodontist to give veneers to the front six teeth on both upper and lower jaw. The procedure veneering is a little bit costly but gives a very good aesthetic smile makeover. Your weight is also very low which means your overall bone growth is not up to the mark." } ]
[ { "from": "human", "value": "Hello doctor, I have little bumps on my foreskin. Are they Fordyce spots?" }, { "from": "gpt", "value": "Hello. Yes, they are Fordyce spots (attachment removed to protect patient identity). Do you have any symptoms in them? For how long you have noted? They are normal. Nothing to be worried about." } ]
[ { "from": "human", "value": "Hi doctor, I am a lactating mother. I feel dizzy and weak. My BP is 100/60. What should I do for this? What diet should I follow? Please guide." }, { "from": "gpt", "value": "Hi. Your blood pressure (BP) is absolutely normal. There are various reasons for your tiredness and weakness which are as follows. The wrong position of breastfeeding may cause back pain and tiredness. You should not bend your back while breastfeeding. Put some pillows behind your back and raise the baby to your breast and feed. Tiredness may also be due to blood loss and anemia during pregnancy. During pregnancy, the child takes up a lot of iron from the mother and also during breastfeeding. Check your hemoglobin level and contact me. You may also feel tired and weak due to lack of calcium. For which start taking more milk, curd, vegetables, and fruits. Start taking calcium and multivitamin tablets if needed. Less sleep can also make you tired. It is difficult to sleep with small babies, so sleep whenever the baby is sleeping." } ]
[ { "from": "human", "value": "Hello doctor, I am an 18-year-old female. I have a cold with chest pain, fatigue and difficulty breathing for three days up till now, without physically consulting a doctor. I have had pneumonia last year and I am afraid that I might get again as I am starting to show some symptoms of pneumonia. Should I be concerned?" }, { "from": "gpt", "value": "Hi. Just saw your letter that you been having a difficulty breathing and you are concerned about pneumonia. I would like to get some more information in terms of fever, difficulty breathing, bringing up sputum. Is it yellow color or white color. If you are having all the symptoms you have to get chest X-ray and medications. We will have to take Paracetamol 650 mg three times a day, antibiotics Amoxicillin-Clavulanic acid 625 milligrams twice daily for five days and take a tablet Fexofenadine 120 milligram at night for five days. In addition, you can take tablet Pantocid 40 mg 30 minutes before food for five days. Despite all this medication, if you continue to have a fever and the symptoms are not better, seek medical attention from a nearby doctor." } ]
[ { "from": "human", "value": "Hello doctor, I was diagnosed with hypothyroidism two months back and started on Armour 15 mg. Four weeks later, upon recheck, my TSH dropped four numbers which were good but I had some palpitations for a short time each day. I just switched to Levothyroxine 50 mg and the palpitations are maybe one hour a day. Any suggestions or is it just going to take more time to adjust to a thyroid hormone?" }, { "from": "gpt", "value": "Hello. Have you checked your heart rate during the episodes of palpitations? Nonetheless, the palpitations will get better when you take Levothyroxine dose gradually. So no need to worry about it. Just continue taking the thyroid medicine and your symptoms will improve with time." } ]
[ { "from": "human", "value": "Hi doctor, Why sometimes when I eat, my face goes red and I get really bad facial flushing that sometimes lasts for hours? I have had thyroid, FBC, B12, glucose, liver, kidneys, all bloods and all are normal. I am only 26 years old and male. This happens a lot. I do not have any allergies (that I know of)." }, { "from": "gpt", "value": "Hi. In some individuals, flushing can occur after eating certain foods and even certain drugs. The foods associated with flushing are spicy foods like chilly, pepper, caffeine and alcohol, in vegetable, spinach, lemon, and tomatoes can cause it. Similarly, fish can also cause flushing. To control it first thing is to avoid those things that aggravate or trigger it. Other options available are topical application of Brimonidine tartrate gel and antihistamine tablets." } ]
[ { "from": "human", "value": "Hi doctor,I am a high BP patient. My BP is usually between 150/100 mmHg to 170/90 mmHg, and fasting sugar is 198. My age is 40. Height is 180 cm, and weight is approximately 85 kg." }, { "from": "gpt", "value": "Hi. Your BP is on the higher side and fasting sample is diagnostic of diabetes. You are overweight. I want you to reduce your weight, and that will control your fasting blood glucose level. I would advise you to get started your diabetes and hypertension medications. But, before starting that, I want you to get some blood investigations done. They are complete blood count, kidney function test, electrolytes, liver function test, and urine routine examination. I would advise medication after seeing your blood test or consult your physician and get tablet Metformin 500 mg twice daily along with diabetic diet. Take less than 1500 kilocalorie per day. For hypertension, I would recommend Telmisartan 40 mg once a day. Please avoid oil and deep-fried items. Your diet will help to reduce your weight, and that indirectly help to control your diabetes, weight, and hypertension." } ]
[ { "from": "human", "value": "Hi doctor, I developed a stye around seven months ago in my right eye (lower lid). The stye took almost six months to get rid of, it is not fully gone and is still there. I used warm compresses but I thought this was quite a lengthy process. I have now developed a stye on my left eye (upper lid). The bump is swollen and formed a round ball. I have again tried warm compresses and it seems to be making it worse. I am now trying salt and warm water soaks. I have also been to the doctors and had blood tests, etc., and all came clear. I just need advice on what I need to do to get rid of this. I have been washing eyelashes daily." }, { "from": "gpt", "value": "Hello. The stye usually resolves in a week. If it is persisting even after treatment then it could be a chalazion. Kindly share photos of your eyes so that I may guide you better." } ]
[ { "from": "human", "value": "Hi doctor, My daughter is 20 years old and studying in a hostel. For the last one month, she is suffering from a headache. After taking painkiller it subsides and again it stars on the next day. So after three days, I consulted an ENT doctor and he after examining and after taking X-ray, diagnosed it as sinus headache and gave antibiotics and painkillers for five days. She completed the course and while using the tablets she did not have a headache. Now, again she has a headache. Kindly advise whether the headache is really from sinusitis. Why am I doubting that she has only headache with mild nose block and no other symptoms like discharge or fever. So, my doubt is whether it is sinus headache or not and if it is due to sinusitis even after completing the course why again headache?" }, { "from": "gpt", "value": "Hi. Headache can be of many reasons but while pertaining it to ENT, it is mostly due to sinusitis. For declaring the headache due to sinusitis you should have got done a nasal diagnostic endoscopy by an ENT surgeon or should get a CT scan of the paranasal sinus. X-rays are of the very very old generation and no one is using it as a tool to diagnose it. But since you have got the X-ray done, kindly share it along with the reports. Kindly understand that if at all the sinusitis persists the medical management which may completely reduce sinus infection is antibiotics up to 4 to 6 weeks (for a permanent cure) along with mucolytics, a short course of oral steroids and nasal spray if the patient is allergic to dust or pollen. If the above medical management fails then the patient has to be subjected to surgery which we can decide with our CT scan. As you have also mentioned regarding nose block a deviated nasal septum can also be a cause for headache. So kindly share the X-ray report." } ]
[ { "from": "human", "value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached." }, { "from": "gpt", "value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->" } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I am having vitamin D of 11.45 ng/ml and B12 of 145 pg/ml. While jogging, I am having pain in the lower one-third of the tibial region. I am feeling a little tired. I am currently on Supradyn and Calcirol. Can you please give me some perfect medicine to treat? Thank you." }, { "from": "gpt", "value": "Hi. It seems that you have a low vitamin D and low vitamin B12. And, that could be causing tingling, numbness, and tiredness. For treatment, I would suggest tablet Calciquick 60000 units. You take the tablet once a week for eight weeks and after that same tablets once a month for another ten months. Methylcobalamin injection, one ampule 1000 mg should be given as an injection in the buttocks, two injections every week. In total, ten doses for five weeks. I hope this helps. Thank you. Take care." } ]
[ { "from": "human", "value": "Hi doctor, I (female, 38 years) had my first outbreak of corneal herpes five months back. It was treated incorrectly by a GP first with Cortisone and antibiotics. The eye doctor put me on Acyclovir cream and later added Cortisone drops to prevent scars. After a month, while on vacation (lots of sun and salt water) it came back. I did not recognize the signs at first and thought the redness was only due to irritation. It lingered, so after coming back home, I was put on Acyclovir orally. Two months back, the dye did not show any active ulcers, so I could lower the oral dose to 400 mg and use Cortisone drops again. Last week for a check up the dye showed two active ulcers again. I am really shocked and scared now. My doctor did not say if it was stromal keratitis or not. Is there a way to tell? I have always had 100 % vision since the lesions are not in front of the pupil. But I do not know why I had a recurrence even while on Acyclovir. Could the Cortisone drops be detrimental? My doctor said to increase the dose back to 800 mg and stop Cortisone. Is there a way to clear this for now? I do not know if I had two relapses or if this never really healed in the first place. Is there a way to prevent such frequent outbreaks at all? It is difficult not to stress when I fear I will go blind." }, { "from": "gpt", "value": "Hello. Please do not panic. You will not go blind. I assume this is herpes simplex and you have herpes epithelial keratitis. Epithelium keratitis is usually treated with antiviral and lubricating eyedrop. The steroid has no role in epithelial keratitis. Steroid increases the risk of recurrence. That is why steroid is instilled undercover of antiviral. If there are more than two attacks in a single year, then we may need to continue prophylactic oral Acyclovir for a very long period (maybe years). With recurrent attacks, there may be scars which may blur your vision." } ]
[ { "from": "human", "value": "Hi doctor, I have been experiencing a receding gum line and decaying teeth in my front two bottom teeth. I am desperately afraid of the dentist. I am also scared of losing the affected teeth. I need to know how to proceed with my treatment. Is there a way to make it better? I am currently on birth control pill." }, { "from": "gpt", "value": "Hi. I checked your given picture (attachment removed to protect patient identity). Unfortunately, there is nothing better you can do but visit a dentist and get scaling or cleaning of this hard plaque and tartar done as soon as possible. It was a plaque that gets hardened, turned into tartar and started pushing gums down the neck of the tooth, and this will eventually cause loosening of teeth. So, it is better to get it cleaned. Better to be safe than sorry. You can do saline water mouth rinses for arresting of gum recession till you get an appointment of the dentist. (Take a 1/4th teaspoon of salt in a cup of lukewarm water and do its gargles for 2 to 3 minutes). Stay happy and blessed. Take care." } ]
[ { "from": "human", "value": "Hi doctor, I am 54 years old. My weight is 145 lbs and height is 5'7\". Almost every night I am getting severe pain in my right hip and groin. The pain is sharp and burning. It radiates down to my right leg. However, it completely dissipates after about 15 minutes of walking around. Always the pain occurs in the same side. I have zero pain during the day. This has been going on for almost six months now. What could this be? What questions should I ask my primary care physician? Earlier I was diagnosed with osteoporosis and low protein C and S. My medications are Forteo since one year, Estrogen patch over 5 years and B12 injection." }, { "from": "gpt", "value": "Hi. I have read your query completely. I do not think this pain is due to appendicitis or ureteric stone. They will cause severe pain and does not relieve by walking. You are taking Forte for osteoporosis which does not cause you this problem. It may be due to cramps, which is common in osteoporosis due to altered calcium and other mineral metabolisms.The pain may be due to lumbar disc prolapse which is lumbar discitis. In which case the pain starts from the lower back and spreads to one of the legs. It can also be due to faulty sleeping position. Many people have sleepy legs due to faulty sleeping position. It is commonly relieved by altering the position. Sometimes we sleep by keeping one leg over a pillow or edge of the cot. It may cause nerve compression and temporary burning pain over the legs. You should ask the following questions to your primary care physician: After visiting your doctor please do update me for any doubts you have. My wishes for quick recovery." } ]
[ { "from": "human", "value": "Hi doctor, Is diagnosis important? I have been diagnosed by many therapists and each one has had a different diagnosis. One doctor says it might be BPD and other says it might be a bipolar disorder or Asperger syndrome or cyclothymia. Why is it so? I am starting to feel like I am wasting my time trying to get diagnosed correctly." }, { "from": "gpt", "value": "Hi. BPD and bipolar disorder have similar symptoms. Cyclothymia is its minor form. Persons with BPD are said to be on the borderline between neurosis and psychosis, persons with bipolar disorder experience episodes of extreme mood swings ranging from depression to mania. Asperger syndrome is disorder of autism spectrum. PTSD is posttraumatic stress disorder. Depression like features after significant trauma. As you mentioned, your problem and medication (attachment removed to protect patient identity) along with your history seems that you are having severe depression with psychotic symptoms or bipolar disorder. Tell me your problem in detail, so I would be able to provide you a definite diagnosis." } ]
[ { "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, After trying to fix my general teeth and gums, I have managed to get rid of the yellow plaque after a few days. However, after brushing gums excessively, ulcers have appeared, and my gums have swollen slightly and are very painful. I was wondering how to fix them and how long it will take?" }, { "from": "gpt", "value": "Hello. Actually, you have gum infection (gingivitis). It is common and curable. First thing if there is any hard deposit then you should see your dentist for a professional dental cleaning. Maintain proper oral hygiene like two times brushing, flossing at least once a day, do not use any type of tobacco or smoking, change your toothbrush every two months and use proper brushing technique. These instructions help you to maintain healthy gum and teeth." } ]
[ { "from": "human", "value": "Hi doctor, My father is 58 years old. He suffers from frequent urination and urgency to urinate. An ultrasound, blood tests, biopsy, and a bone scan was conducted. Bone scan did not show any metastasis. He was advised to take a pelvis MRI 15-20 days after the biopsy. He was diagnosed with prostate cancer. Initial PSA was 45.4. It was suggested that a radical prostatectomy should be performed. I am in need of a second opinion now. I would also like to know the difference between open surgery and robot-assisted surgery." }, { "from": "gpt", "value": "Hi. From the reports submitted (attachment removed to protect patient identity), it is clear that your father has prostate cancer. From MRI, we can know the exact size of the tumor. It will also help in staging and we can get to know is there any spread to the nearby lymph nodes. As the bone scan is normal, there are no distant metastases. Plan of treatment is usually drawn after MRI, but it is most likely that your father has a localized, moderate grade prostate cancer (based on ultrasound report). The best option would be surgery that is the removal of the prostate and pelvic lymph nodes which can be done by open or robotic methods. The robotic method has the advantage that it gives better access for the surgeon with magnification and so the chance of complication is less, but it also depends on the surgeon. If the surgeon is experienced and well trained in a robotic way, then it is better to go with it or else open method of surgery can also be done. By chance, if the MRI reveals extension of cancer beyond prostate, surgery may not be possible, and radiotherapy would be preferred." } ]
[ { "from": "human", "value": "Hi doctor, I have done PRP and my skin peeled so much. Unfortunately after 10 days of peeling, I used the scrub in my face. It started itching and the next day I had a brown scar in my cheek. How can I remove it?" }, { "from": "gpt", "value": "Hi.I have noted your concerns. In a case like yours, who had undergone PRP (platelet-rich plasma) I would recommend the following measures." } ]
[ { "from": "human", "value": "Hello doctor, I have been on Paxil CR 37.5 mg for 16 years. After a recent depression or OCD episode that occurred around my period, I saw a psychiatrist to see if I needed to bump up my dosage or change medicines. She prescribed me 7.5 mg of regular Paxil, not CR, to take with my 37.5 mg CR a few days before my period and a couple days into it. The 7.5 mg capsule is marketed as a menopause or anti-hot flash drug called Brisdelle, but is just Paxil. Is it safe to combine this 7.5 mg of regular Paxil with my Paxil CR for about a week or month? It feels weird to me because of the CR or regular difference, the short usage, and the fact that the pill is marketed as a menopause relief pill. Thoughts?" }, { "from": "gpt", "value": "Hi. It is safe to take the additional 7.5 mg of Paxil or Brisdelle along with 37.5 mg of Paxil CR, as you rightly mentioned that both are same medicines. The increase dose of Paxil or Brisdelle for short time is for managing your hot flashes, and it is just like that the dose of Paxil are increased to manage your symptoms. If your symptoms are well managed by this then it is good otherwise you may need to increase the dose further. The CR and regular difference is just how the active ingredient of the pill is released in body and to minimize the side effects of sudden increase of drug in body." } ]
[ { "from": "human", "value": "Hello doctor, CPAM type 3 lesions, but ratio is 0.6. Will it cause a serious problem after birth for my baby?" }, { "from": "gpt", "value": "Hi. I have gone through your history and understand your concern. As there is no chromosomal abnormalities in your baby, there is most likely no problem in future but continuous monitoring is important in your case." } ]
[ { "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 singer, but in recent times, I have not been able to sing high pitch. I develop pain in my throat while singing high notes. I want to show you what happens when I sing using a sample song. Can you diagnose and give treatment after listening to my song?" }, { "from": "gpt", "value": "Hi. I treat a lot of singers, so I totally understand what you are going through. To answer your first question, yes it is totally possible to diagnose based on an audio clip of you singing (attachment removed to protect patient identity), though a better method would be a scopy of your voice box. However, I am guessing there are breaks or voice gaps in certain parts when you hit a high note. This is common among male singers. The issue here is that your voice box has 2 vocal cords that vibrate when you sing. The slightest inflammation or irregularity in these vocal cords can produce noticeable changes in a singers voice. The problem here is that the slightest change in the singing voice makes the singer more anxious and he tends to practice harder. Doctors typically prescribe steroids, but that will not help unless you give your voice a rest. Give the vocal cords enough time to heal. There is a lot more I would like to say, but I will try and summarize my advice for you. 1. Total voice rest for 7 days. No speaking, no whispering. 2. Daily concentrated salt water gargles. 3. Steroids (Betnesol) 0.5 mg 2 times a day for 5 days. 4. Pantoprazole 40 every morning for 7 days. 5. After 7 days, try afresh and record the audio, I would love to hear the before and after. Hope you become a star singer one day." } ]
[ { "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 have a problem with the tooth that was decayed. A few days back it was cleaned and had permanent fillings on the first upper molar. However, on the same night, felt a slight pain when I touched the tooth or ate, which became more prominent the next day, and woke up with severe pain on third day morning. This is not normal at all. My cheek and ear was hurting as well and the lower teeth are aching. There is a constant sharp pain. Shoots for a little with painkillers but comes back quick." }, { "from": "gpt", "value": "Hello. You need a professional assistance as soon as possible. There may be two possibilities. The first one is carries present in deep part of tooth and create problem, in this condition you need root canal treatment. The second one may be the height of filled material is excess and it needs some trimming to maintain balanced height of the tooth. So, I suggest you to please see your dentist for a clinical examination." } ]
[ { "from": "human", "value": "Hello doctor, I have been taking 0.5 mg Xanax for sleeping most nights for the past 2 to 3 months. I bought it myself and took it to help me sleep. I have started trying to stop, or take less, and have noticed feelings of depression, insomnia, feeling anxious, and an aching neck and jaw and feeling tense. I went to see my GP but did not mention the Xanax. He prescribed 50 mg of Sertraline. Should I take the Sertraline? Do my symptoms sound like Xanax withdrawal? And how can I come off the Xanax more easily? Previous history of the same issue: I have taken Zoloft before, 50 mg, for about a year, three years ago for mild depression." }, { "from": "gpt", "value": "Hi. Yes, during withdrawal from Benzodiazepines, people do feel the problems you are facing currently. Yes, they are withdrawal symptoms. Sertraline was prescribed because your GP suspected depression. If you already took this medicine in past, you can again start it now. To come off of Xanax, it would be better if you tell your GP truth about it. He would taper it off gradually and stop it." } ]
[ { "from": "human", "value": "Hello doctor, I had unprotected sex about four months ago. Recently, I discovered some bumps on my labia minora that are somewhat itchy. I believe it might be herpes or warts. It does not burn when I pee, just feel slight discomfort. I hope the picture helps." }, { "from": "gpt", "value": "Hi. The bumps do not typically look like warts or herpes. Vagina has a lot of glands to keep it moist, it is likely that some gland ducts got blocked and are giving you bumps. Do not worry, they will go off gradually. Just wash the area with warm water and non perfumed gentle soap. Do not use douches, sprays, or harsh detergents to clean the area. Wash your underwears with soft detergent." } ]
[ { "from": "human", "value": "Hello doctor, I had type 2 cavity filling in one of my molar teeth. It was GIC filling. Just after the filling they did scaling of all the teeth. I asked them should I wait for an hour after the filling, but they did it anyway. Now after a month the filling broke. What do you think the reason might be? But I did not chew any hard foods after the filling." }, { "from": "gpt", "value": "Hi. In your case, there might be the following reasons. 1. Uneven biting pressure. It may cause the filling to break in class 2 cavities specially as walls of tooth are involved and sometimes unintentionally person bites with slight uneven pressure and it results in breaking down of filling. 2. Water or saliva contact right after filling. Usually half an hour gap is given after GIC filling for water contact, for eating and even for drinking water. If scaling is done right after filling by putting separating medium on filling still there can be chances of water contact through scaling procedure that causes filling to become porous and it might break. Now you can go back to dentist and ask him to do composite filling instead of GIC as it has more strength. After composite, there is no need to wait, you can have direct water contact too. Take care." } ]
[ { "from": "human", "value": "Hello doctor, I have been on Finasteride for three months now. Recently, I have been having a huge shed of around 100 hairs a day, up from 5 to 10 before the treatment. The hairs I shed are thick but half the length of the rest of my hair. They are also thin at the base of the hair. This hair loss is in a diffuse pattern on my whole head rather than just at the temples like before. Is this sort of hair loss normal for this point in the medicine?" }, { "from": "gpt", "value": "Hi. When Minoxidil is started, it can lead to hair loss at first because it regulates hair cycle and all hairs go into one phase leading to diffuse shedding of the hair. But eventually it stops. Ensure proper diet with Vitamins and Minerals. Take Biotin supplements along with it because Biotin is very important in hair growth." } ]
[ { "from": "human", "value": "Hello doctor, I got my Mirena IUD a month back. I had unprotected sex with my fiance about 3 or 4 times after I got the green signal from my Gynecologist that the IUD was in its proper place (after two weeks or so). I am afraid that I might be pregnant. I am experiencing constant peeing and tender nipples. I know IUDs are almost as effective as tube litigation. I am just immensely worried that the symptoms may lead to what I think they are. I had unprotected sex the first time about 1 to 2 weeks ago. After each time, the sperm would come out or drip down my leg. I know I probably sound crazy worrying, but I would just like to hear from an expert." }, { "from": "gpt", "value": "Hi. If you have got your Mirena inserted within one week of your periods, your Mirena should be working properly providing contraception. If the insertion is after the first week, then there could be chances of pregnancy. Get a pregnancy test done to rule out speculations. Increased frequency of urination could be a symptom of urinary infection, get a urine culture done. Secondly breast tenderness is quite common complaint in ladies after Mirena insertion, that will subside gradually, you may apply ice packs or warm water bag on your breasts to reduce the pain." } ]
[ { "from": "human", "value": "Hi doctor, My daughter has Erbs palsy but we did physiotherapy for three months and the doctor said she is fine but she is still struggling with the hand and this is about six months after the doctor discharged us. Please tell me what should I do." }, { "from": "gpt", "value": "Hello. Thank you for providing the brief history of your daughter. I am sorry firstly to hear that your daughter is being diagnosed with Erb's palsy. Well, I would suggest you to continue physiotherapy for atleast three days a week as it will be of good help for her. Usually, cases with Erb's palsy recovers well when they perform physiotherapy for over longer periods in infants. Firstly, in the initial stages the physiotherapist will do passive movements of the limb but off late it will be progressed to toy reaching where she can use the maximum of her efforts and learn proper movements. We need to teach brain the movement. In between there might be a use of infant stimulation which will be of use to activate the muscles which are not active. A competitive physiotherapist for using the stimulation over an infant is needed as they have to analyze to which muscle it has to be given. Also a precaution has to be taken while applying a stimulation to the infant as the kid might not like it, so a competitive physiotherapist is a must for this. In my clinical practice over a period of 12 years I have seen many infants with Erb's palsy. They have responded well with the physiotherapy and with careful attention. Breech delivery. Erb's palsy. Physiotherapy." } ]
[ { "from": "human", "value": "Hello doctor, I am 27 years old. My periods are delayed by five days. Please suggest any pills to get back my periods or any natural remedy." }, { "from": "gpt", "value": "Hi. Definitely, I would like to help you. There are several causes for an irregular period. Hypothyroidism and PCOD are most common of them. It may cause infertility. Once you should go to investigate your thyroid profile and USG abdomen to rule out hypothyroidism and PCOD. After exact diagnosis treatment would be helpful. Hypothyroidism, pelvic inflammatory disorders, PCOD, infection. CBC, thyroid profile, USG abdomen. Now you can take M2tone syrup 10 ml twice a day before food and Ashokaristam 15 ml twice after meals. After above mentioned investigation reports medications may be changed. So you should must revert back after investigation reports. Avoid spicy and fried junk foods. Drink plenty of lukewarm water. Avoid cold drinks soft drinks ice-cream, etc. Do regular kapalbhati Mandukasana and Ardhamatsyendrasana as well as pranayama like anuloma vilom, Nadi sodhan and bhramari." } ]
[ { "from": "human", "value": "Hello doctor, My right lymph node on my throat is swollen and my throat hurts on the right side but is not scratchy. I have had this for four days with no other symptoms. I was recently on multiple antibiotics for a bacterial infection but am no longer on them. I am female, 19 years old, 115 lbs. Only current medication is a new Mirena IUD." }, { "from": "gpt", "value": "Hi. The condition you are describing can be right side lymphadenitis. It most commonly presents with infection of the throat or upper respiratory tract infection. It subsided with minimal antibiotics, salt water gargling, antihistamines, and antacids. But the swelling can be salivary gland swellings too which may present in that region. Kindly send a picture of it so that it will be useful in diagnosing and suggesting you the further treatment." } ]
[ { "from": "human", "value": "Hello doctor,I am a 20-year-old male. I have skin problem. I have stretch marks on my belly area and on legs." }, { "from": "gpt", "value": "Hello. These are striae (stretch marks). There are many reasons for stretch marks to appear on the body. The most common of which is a growth spurt in teenage years and obesity, weight gain. Other can be disease conditions but they are less likely in the absence of other symptoms. For how long you are having this problem? Apart from the abdomen, do other areas of the body have stretch marks? To correct these marks first thing is to correct the reason behind it. I will suggest you to control your weight. Vitamin C preparation can be used for stretch marks but they will not completely fade away. Once they get less red, then a fractional laser can be done over it. Striae. Apply Vitamin C cream over stretch marks over the lesions BD. Take an antihistamine if you have itching. Try to reduce weight." } ]
[ { "from": "human", "value": "Hi doctor, I have persistent heartburn related symptoms for the last four to five months. I visited a gastro and he prescribed me medicines for 14 days. My conditions got better but not fully cured, so I was given another 14 days of medicine (including a proton-pump inhibitor). Soon the lockdown kicked in and I went back to my home. I meanwhile took Ayurvedic medicines for a month here. While it has reduced the duration of heartburn episodes, the problem has not gone yet. For the last month, I have mild heartburn (pain in chest) for 20-60 minutes in a day (spread across three to four intervals). 14/30 days my throat felt different. 7/30 last days had acid refluxes. But heartburn occurs daily. I have tried varying my diet, but have not found any significant changes. Is this a cause of concern that despite having medicines for 42 days, I still have mild heartburns occurring daily? What should I do? How long will it take for a medicine to show the effect? Should I continue the course and if so, for how long? And if yes, does prolonged usage of medicine have side effects? Or if left untreated, do they have side effects? I took Somproz initially for four days, Lesuride-25, and Deltone for 14 days, and for the next 14 days I took Lesuride 25 and Nexpro 40." }, { "from": "gpt", "value": "Hello. You have briefly and well described your history, and I understand that you have very genuine concerns. So, the problem you have is called gastroesophageal reflux disease (GERD). This is basically reflux of acid from the stomach to food pipe causing heartburn, sore throat, sometimes cough, and shortness of breath. Our stomach produces approximately 1 liter of acidic juices to help digest food. The acid produced does not usually come into food pipe unless someone has loose sphincter at the lower end of our food pipe which prevents acid refluxing into the food pipe. There are two further classifications of GERD. PPI responsive GERD, and PPI refractory GERD. Your symptoms suggest that you have PPI (proton pump inhibitor) responsive GERD since your symptoms are significantly improved when you are taking PPI. Even in PPI responsive GERD the symptoms may not completely vanish but are declined to a reasonable level and this may be in your case. For this, you just need to increase the dose of PPI. Instead of once daily dose, you can start taking it twice a day before meals. The rest of your symptoms like sore throat will go away once your acid reflux is suppressed well. Diet may or may not affect the GERD. However, there are certain precautions that you can do to prevent heartburn. Avoiding large volume meals, instead, take small but frequent meals. Avoid taking large meals at night or before going to bed. Give at least three to four hours gap after night meals before going to bed for sleeping. Raise the head end of your bed by placing a cement or wooden block down the head side of your bed. Or there are commercially available anti-reflux mattresses that can be used instead. Avoid wearing tight-fitting clothes and belts. So your concern about the presence of symptoms despite 42 days of treatment is valid, but you see the acid is produced daily, and the medicines can decrease the acid production for the duration of time they are in the blood, once the level of the drug declines from a certain point, the acid production takes over back. So taking a daily pill to control your acid production is the only effective way of treating your condition. No long term use and side effects. Well, all PPI are relatively safe and do not cause significant side effects if taken for years and years. However, there are studies that have shown renal damage, bone protein loss, and aspiration pneumonia but in practice, these side effects are not that common as elaborated in studies. The one daily pill to control your acid and prevailing a normal lifestyle is much more important than unforeseen and often unestablished side effects from long term use of PPI. I would recommend if PPI helps you to do well then there is no reason for stopping for the sake of unforeseen complications. But if you still have a concern about the long use of PPI, then I would recommend you to get PH-impedance 24 hours testing to confirm GERD, and if present then PPI again is the therapy, but if the test comes out negative, then PPI can be stopped.I hope this helps. PPI responsive GERD. Ambulatory 24 hours PH-impedance testing. Non-erosive reflux disease. GERD. Tablet Pantoprazole 40 mg before breakfast. You can increase it to 40 mg BID before meals. Follow up if want to discuss more." } ]
[ { "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, There is a problem in speaking and swallowing." }, { "from": "gpt", "value": "Hi. Your chest X-ray shows some changes in the lungs (attachment removed to protect patient identity) and is likely from any old infection like TB if you had it previously. It can also be from smoking if you were smoking for many years. There are certain changes in the brain which are likely seen in the elder age group. However, at 51 years of age, it is less common to see such changes. These changes are not of serious nature but can be the cause of your problems with speech and swallowing. It can be a part of a cognitive and neurodegenerative condition. Your neck spine is showing mild degenerative changes. Please let me know any doubts you have and I will reply in detail." } ]
[ { "from": "human", "value": "Hello doctor, About a couple of months ago, I had severe pain in my left leg, I went to the doctor and it turns out I have a UTI and there were ketones and my fasting blood sugar was 121. The doctor gave me some antibiotics and some pain killers and Vitamin B. The pain was almost gone but there was some numbness in the same leg and stayed for almost a month but what I noticed is that I kept feeling like some urine in dripping from me, some times I find nothing and sometimes I find something but I am not sure if it is urine or not. A month ago I got a urine tested and there was nothing but I still have this same feeling like urine is coming out of me. I used to not drink water, some days I only drink one or 2 cups and I fear public restrooms so I used to keep urine almost 12 hours, can that be the cause?" }, { "from": "gpt", "value": "Hi. I read your question that one month ago you had left leg pain and you also have a recurrent urinary tract infection. You are a young woman, no diabetes because I saw your HbA1c report that is less than 6.5 which means you do not have any diabetes mellitus. Coming to your symptoms, left leg pain and dribbling of urine. I want you to get a basic blood test done which is complete blood count renal profile, liver function test, urine routine and also check your vitamin B12 and vitamin D as well. When there is a deficiency in B12, your nerves will lose its functioning normal level. Drink plenty of fluids and water because that will help one from getting too many episodes of urinary tract infections. Drink as much as you can but not more than six liters and eat healthily. Avoid deep fried items like chicken, burger, sauce, chicken fries. Drink tender coconut water, eating banana will also help you get rid of some muscle pain. In order to answer the question perfectly I need to get a basic blood investigation and in the meantime take a regular painkiller like Paracetamol or Acetaminophen 650 mg twice a day whenever needed and you please get back to me if you have your old blood reports, you can send it to me. I will just take a look." } ]
[ { "from": "human", "value": "Hello doctor, I am using skin lite cream for the past two years. This cream contains Hydroquinone and Mometasone. Now I am stopping the usage of this cream. Now in my face, I am seeing redness and itching like skin allergy. Please suggest the best creams or medicine to cure this problem." }, { "from": "gpt", "value": "Hi. You have developed contact dermatitis due to this medicine. As it also contains a steroid, skin becomes steroid dependent, so when this is stopped the face becomes red and inflamed. First thing for treatment is to use a good Sunblock OG SPF 60. The second thing is Metronidazole gel 0.75 percent and third is an oral antihistamine. Avoid all irritants and skin lightening agents further. Treatment will be long term. It will take time. Contact dermatitis. Apply Sunblock Spf 60 frequently every two hourly. Apply Metronidazole gel 0.75 % at night. Mix it with cold cream. Take oral antihistamine. Avoid irritants, maintain hygiene of area, avoid cheap creams available in the market." } ]
[ { "from": "human", "value": "Hello doctor, What is the meaning of HSG test? The uterine tubes are patent bilaterally. There is bilateral spontaneous contrast médium spillage into the peritoneal cavity. The contrast filled uterine cavity demonstrates normal morphology with a central immobile smooth spherical filling defect." }, { "from": "gpt", "value": "Hi. HSG is hysterosalpingogram, X-ray while spilling contrast from the cervix to see patency of tubes. Due to infection, endometriosis and infertility issues, tubes could be blocked. So, to check the patency of tubes this test is advised. This report (attachment removed to protect patient identity) shows normal or healthy, patent tubes. No abnormality." } ]
[ { "from": "human", "value": "Hello doctor, I took Lamotrigine for six years at around 300 to 600 mg I think. I have been off it and unmedicated for depression and anxiety for the last 5 to 6 years roughly besides some Xanax that I used three years ago. I am a 25-year-old male and have been having small memory lapses lately but they are very inexplicable ones and I wanted to know if there is any evidence that Lamictal use for the length of time I did could cause long term issues with memory or dementia." }, { "from": "gpt", "value": "Hi. As you mentioned that you are suffering from depression and was always undermedicated, in depression, it is common to have a disturbance of memory and attention which lead to forgetfulness. These memory issues are most probably due to depression itself and not due to Lamotrigine use. For depression, I would suggest you have an SSRI which are the best treatment strategies for depression and discuss your memory lapses to your psychiatrist." } ]
[ { "from": "human", "value": "Hello doctor, I have scrotal pain for the past one year and my ultrasound is normal. Please help." }, { "from": "gpt", "value": "Hello. Do you have scrotal pain while standing? Or is it there while lying down also? Do your profession involve standing for long hours? Any urinary complaints like frequency, urgency, poor stream, nocturia, dribbling, or burning micturation? Is the ultrasound you have done is an ultrasound abdomen or scrotum? Can you upload the report also? Have you got a scrotum Doppler scan also? Any history of diabetes or hypertension? Any visible dilated veins on the scrotum or lower limb (send pictures if any)." } ]
[ { "from": "human", "value": "Hello doctor, My penis is very small (3 to 5 cm). It is the size of a child. My age is 23. Please help." }, { "from": "gpt", "value": "Hi. Penis length is usually measured in an erect state and is between 2 to 6 inches normally. What we see in porn videos is not normal. For females, only outer two inches of the vagina has sensation. So for successful intercourse, any penis length more than 2 inches is adequate. Often duration of intercourse or masturbation can be short. If done frequently, and with time, this duration will increase. Right now you do not need medicines. If you have persistent issues, you may contact again." } ]
[ { "from": "human", "value": "Hi doctor, I am 24 years old. I am obese with weight 110 kg and taking BP medicines. I want to detoxify my body. I read somewhere a schedule for detoxification of the body. In this chart some days they want to remain on a liquid diet that is, only on water. Is that a safe way to detoxify? I have to take medicine regularly and so, I am concerned. Also, please tell me the way to lose weight." }, { "from": "gpt", "value": "Hi. For further information consult a naturopathy specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had a miscarriage last year. Planning to conceive now. My periods are all regular. Please advise. I hope that it is all well this time when it happens." }, { "from": "gpt", "value": "Hi. If regular periods, just have to take precautions. Then those will be helpful for you. As already had a conception, it means can have more as well. Have Folic acid daily 5 mg if high BMI and/or have been treated for any chronic health issues. Have complete treatment of any health issues you have. Recreational activities and quit recreational drugs. Have a balanced diet with less salt, sugar, oil, and spice. Have sex in the fertile period of the cycle with proper penetration, orgasm and rest after sex. Have normal BMI and weight by daily exercise, walk or yoga. I hope things would be better." } ]
[ { "from": "human", "value": "Hello doctor, I am 30 years old, male. I am suffering from two problems mainly which I often noticed. One is I forget always names of person, place, etc., while talking with someone. However, I have remembered a lot of things of pasts but while talking about it, I often forget the names especially. The second problem which I used to face is the confidence problem. As my nature, I want to do any work either perfectly or do not do it. When I start to proceed for something, it can be anything like going from anywhere, studying, traveling, working, etc., my mind happens very unconfident for self-preparation and I do check my pockets in my pant that is anything here? When I find nothing is in my pocket, but I check again the same and I am irritated. After many times doing the same known thing (checking my pockets), I check it again and again and I am finally unable to make my mind understand that I have not had anything in my pocket. So, you may have understood my problem. Please suggest me what should I do." }, { "from": "gpt", "value": "Hi. Do not worry, I have understood your problem. Let me talk about the second problem first, because it needs to be solved as a priority. Your repetitive thoughts and behaviors seem to be of an obsessive-compulsive type. That is why you are aware that you are getting useless thoughts but you are unable to stop them. And that gives you a lot of stress and even guilt and self-doubts. These thoughts occupy most of your mind and energy, and that is why you are having difficulty to remember routine things. The reason why your old memory is intact is the problem is not in the memory part of your brain. The problem is: 1. Because of constant unwanted thoughts, your attention and focus in not good. That is why your brain is facing problems in registering and recalling information. There is no problem with the storage function. 2. Because of constant stress, your mind is not able to feel relaxed and fresh properly. That is why it is not being able to manage other functions properly. So, for these problems, I would request the following treatments. 1. Relaxation techniques: There are various relaxation exercises available. Progressive muscle relaxation is easy and effective. You can also try Sudarshan kriya or meditation. 2. Behavior therapy: Therapy of systematic desensitization helps a lot with this problem. 3. Medicines: Medicines are very effective in treating the part of the brain that is producing unwanted thoughts repeatedly and producing thoughts. It is not possible to teach the therapies through messages. It can happen through a phone call or meeting. You can decide about therapies and write me back in three days." } ]
[ { "from": "human", "value": "Hi doctor, My daughter, who is 11 years old, is found to chew sponge. She will not swallow but used to chew it. Could it be due to any deficiency? Otherwise, she is normal and healthy. Please help." }, { "from": "gpt", "value": "Hi. 11 year old child chewing sponge could be due to two possible reasons which are as follows. This could be a habitual thing. It has been noticed in some children that they have a habit of chewing things, lip-smacking, making noisy sounds during breathing, etc. For these habitual things,proper counseling is needed. One should not be angry with the child as this will lead to an increase in the related habit. The second cause could be pica. In pica, there is iron deficiency anemia and the child usually eats wall surface, whitewash, sponges, etc. In pica, children usually have anemia or low hemoglobin in simpler words. I suggest you do a complete blood count to look for anemia. I recommend you to give her a deworming drug like tablet Bandy plus (Albendazole) single dose at night time and advice complete blood count with proper counseling." } ]
[ { "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 man in my early twenties that started using hearing aids about a year ago. I am very happy with this, it has really changed my life. Just recently I started reading up a bit more and now I feel very confused and weird about it all. The thing is, I was told I had a mild mid-frequency hearing loss. When I actually look at my audiometry test it shows that as well, but my hearing is barely within the range of being considered a hearing loss. Reading around I found out that most people with such a mild loss can mostly hear fine and do not need hearing aids. When I read about what my hearing loss is supposed to be like, I do not relate. I relate way more to the explanations of what moderate hearing loss sounds and feel like. And hearing aids help me a lot. When I do not wear my hearing aids it sounds to me like listening to people talking through a door. I rely a lot on lip-reading if I cannot wear my hearing aids, phone conversations were almost impossible before I got them. I just cannot make my hearing loss make sense with my actual experience with hearing. So I have been wondering what causes me to feel like I hear so bad when my hearing is just slightly below the normal range? I should say that I have tinnitus as well, sometimes quite a lot, so that maybe factors into it too. Recently I began to wonder whether the reason I hear so much worse compared to other people with my level of hearing loss? Is that I have ADHD and PTSD which makes it so hard to focus? Do you think this is a possibility? Or could it simply be that I handle my hearing loss worse than others? I just do not understand why I experience hearing speech as so difficult and why I am so dependent on hearing aids when my hearing loss is technically very mild?" }, { "from": "gpt", "value": "Hi. Let me tell you a statement which explains it perfectly. The ear receives the sound but interpretation of sound happens at the brain. So many a times with mild hearing loss speech perception is low moreover you have tinnitus too. I hope you have fitted with digital programmable (computerized programmable) hearing aids. If yes, it amplifies exactly the same as required in each frequency. No need to worry about it. By the way avoid caffeinated drinks (tea, coffee, alcohol) and avoid noisy situations as much as possible. Puretone is used in the test in which you got the result mild mid-frequency hearing loss (pure tone audiometry). But in day to day life you are not listening to pure tones right? It is speech so pure tone audiometry and speech audiometry should be done and correlated, if that would have been done then you must have a clear picture of your problem. My honest suggestion is to use the hearing aids, so as not to worsen the condition. If you stop using it that may cause further deterioration." } ]
[ { "from": "human", "value": "Hi doctor, My friend is a 40 year old female. She met with an accident before 10 days. Her arms and shoulders got fractured. Her ribs too got injured. She is having chest pain, breathing problem and clot in blood vein. I have attached all her CT scan and x-ray reports with this. Please advise what treatment is required." }, { "from": "gpt", "value": "HiAs per the reports (attachment removed to protect patient identity) submitted, I understand that it was a major accident. She has multiple injuries to various parts. Usually, with such injuries, it is difficult to isolate each problem and provide a solution without seeing the patient as multiple organs are involved. As it has been 10 days since her accident, I assume that she is clinically stable by which I mean that her pulse rate and blood pressure are normal or near normal. Both the bones are fractured in her arm. So, an internal fixation (installing plate) done by operation would be ideal. For the shoulder, I cannot make out any fracture which needs surgery. Anything minor can be managed by support and strapping for clavicle. Chest pain and breathing problem will be there due to multiple rib fractures. CT suggests minimal blood in the thorax. She will require chest tubes (which might already have been put) on both sides, but the decision is clinically based. High dose analgesics (painkillers) will be required for the pain, to help her breathe. Also, she may require ventilatory support for the sometime as she may not be able to breathe well due to the pain. I could not see any report suggesting blood clot in the veins whether it is in the upper limbs or lower limb. If it is associated with the fracture in the upper limb, then the best treatment is surgical removal during fracture fixation. Lower limb clot also may need surgery based on the extent of involvement, and it is a clinical decision. It is usually done at the earliest. As it has already been 10 days since the accident, I do not understand which clot they are talking about. Remaining supportive care is going on as required as you have written. Her last hemoglobin was 8.3. I believe she was given blood transfusions after that. If not, she needs blood transfusion too." } ]
[ { "from": "human", "value": "Hi doctor, From last few days, I have been facing cold. Cold is my common friend due to allergy. The friendship is almost 8 years old. I have been using tablet Levocetirizine when required. In this recent episode of cold attack, I am having irritating cough. It even wakes me up at night. At the time of sleep, some sort of snoring sound comes out from my chest. I can feel that it is due to cough. I am attaching the sound. The mucus is dense and pale yellow in color. Please suggest me the right way to get out of this." }, { "from": "gpt", "value": "Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. I appreciate you for uploading the sound clip (attachment removed to protect patient identity) which is a really helpful move. You are having the typical symptoms of asthma and the sound clip showed that you have \"expiratory wheeze\". When the airways are narrowed due to some reason, it makes difficult for air to pass in and out of the lungs and creates such noises as you can hear in this sound clip. Cough is a part of acute exacerbation of the asthma attack. You need to have proper medicine for sometime to get rid of the situation. You need reliever medicines to give you ease right now and also some long term relief medicine named controller medicines. Keep a follow up for better outcome. 1. Pulmonary function tests. 2. Allergy test for asthma. 1. Combivent inhaler - combination of Albuterol and Ipratropium bromide. You use this when you feel shortness of breath or the sounds like you have right now with respiration. It means you will need it as needed. 2. Prednisone by mouth 20 mg twice daily for two weeks. 3. Azithromycin 400 mg once daily for 10 days. 4. Ebastine 10 mg twice daily for 10 days. 5. Ibuprofen twice daily for a week. 6. Cough syrup available over the counter." } ]
[ { "from": "human", "value": "Hi doctor, I have few questions which I would like to ask a professional. As I am not able to find the answers by myself, I would love to hear from a practicing professional. How is the best Insulin treatment (syringe, pen, pump and pod) selected for a type 1 diabetes patient? Generally, how long the patients need to learn the injecting technique? Why does injecting Insulin into the same location cause a hard bump in that area? Is this reaction the reason ports are not used to deliver Insulin? How common is the use of the new inhaled Insulin? Does it have to be supplemented by another method of injection? When would an islet cell transplant be recommended? When would a patient be given an entire pancreas transplant operation rather than an islet cell transplant? In both situations, what keeps the beta cells from being tagged by autoantibodies and destroyed again?" }, { "from": "gpt", "value": "Hi. Rather than the best way, we consider more convenient and economical ways for the patient. The best is always an Insulin pump, but it is costly and requires continued patient education. Injecting Insulin into the same site will cause damage to the fat tissue which results in necrosis (cell death). Because of the fat damage, hard bump forms. New inhalation Insulin is not yet come into usage in full fledges. Also, I have not put any of my patients yet on inhaled Insulin, so cannot comment. But yes, initially it has to be supplemented with subcutaneous Insulin as dosing and efficacy is not completely established for Inhaled Insulin. Islet cell transplant is recommended for patients of type 1 diabetes who are difficult to control on Insulin (by any method). If the transplant is considered for only diabetes purpose then only islet cell transplant is sufficient. The pancreas has other functions like digestion. If the digestion system gets impaired in a patient who is requiring islet cell transplant, in such a patient'sentire pancreas transplant would be helpful. Well, if no immunosuppressant is used post-transplant, these autoantibodies can destroy the newly transplanted pancreas also." } ]
[ { "from": "human", "value": "Hello doctor,My nose is always blocked and have mucus, from past four months. To open up my nostrils, I have to use Otrivin, else my nose stays blocked." }, { "from": "gpt", "value": "Hello. In your condition, we must rule out certain etiologies as follows: This would require you telling us in more details your problems. Let me ask you certain questions and please provide answers to those as objective as possible. Please let us know about all these. If you have done any test or scanning or investigation for this purpose please upload the films and reports in your follow-up query to me. For more information consult an allergy specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, Our baby is 1 month old. My wife is facing problem in breastfeeding as the baby is not taking the feed properly. This is our first baby and my wife is using a breast pump to take off her milk and giving it in a bottle. I want to know whether the use of a breast pump for a long time cause any problem to the mother. What are the other ways to make the baby have milk directly through breastfeeding? Also, will bottle feeding cause any constipation problem?" }, { "from": "gpt", "value": "Hello. For further information consult an internal medicine physician online -->" } ]
[ { "from": "human", "value": "Hello doctor, Small red dots started to come beneath the skin on my ankles several years ago. They do not itch and you cannot feel them when you touch the skin. It seems to be worse at the end of the workday and after wearing boots. It used to be on one side but now it is covering both ankles, part of feet and occasionally a couple on the lower leg. They do not blanch when pressed. I am on no medication and vegan, although they appeared before I made that switch two years ago." }, { "from": "gpt", "value": "Hi. It seems like capillaritis. That is inflammation of capillaries. It can appear after prolonged exercise and stays there without any symptoms. In other vascular problems, individuals have some sort of symptoms like pain, itching, etc. Capillaritis is not the condition to be afraid of. Sometimes it gets better itself and no treatment is a better option. Just do not stand or exercise for too long. When you are sitting put support under your feet. Do not let them in hanging position." } ]
[ { "from": "human", "value": "Hi doctor, I used bleach on my face two months back, and my face is burnt due to this. My skin is peeling now, and I cannot use any cream or soap, as it starts burning. I had been to the dermatologist, and he gave me Emolene and Eumosone. I have been using it from past 1.5 months, but the results are slow. Please suggest some cream or ointment, which will heal my skin fast, as I have a family function this week." }, { "from": "gpt", "value": "Hi. Use of strong cosmetics and bleaches does affect the natural look of the skin. In a few people with sensitive skin, it does lead to irritant dermatitis. The essential step in the management of such a situation is adequate sun protection. Sun exposure only further worsens the situation by leading to burns, redness, and pigmentation. I would advise you try using a good sunscreen with an SPF of at least 30, daily in the mornings immediately after a bath. Also, preferably avoid sun exposure between 11 AM to 3 PM. Kindly upload appropriate images of your current skin condition, so that I can suggest what other creams you would need based on present situation. I suggest you try using the following after consulting your specialist doctor. Revert with more information to a dermatologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, Sometimes when I wake up, the eye that I was sleeping on, the vision will be dark as if I pressed on it too hard, and the vision comes back within seconds of sitting up or moving my head around. What is this?" }, { "from": "gpt", "value": "Hi. Any phenomenon like this where the vision comes back and happens on a regular basis is due to a transient break in the tear film over the eyes. It is not something to worry about. In case you think you might have pressed your eyes, you will definitely experience pain which you said you did not experience. So that is likely not the case. Also, would like to know if you are having any other disease or are you on any medication? Take care." } ]
[ { "from": "human", "value": "Hi doctor, My kid is 2.5 years old. She keeps getting cough and cold every month. She is very sensitive to weather change. We consulted a local doctor and he advised for Mantoux test. The report says that the erythema and induration developed around 18x16 mm area after 48 hours. What does it mean? Also, the doctor has given tablet Rifacept Kid-3 for six months. Please explain what is it for?" }, { "from": "gpt", "value": "Hi. Recurrent episodes of cough and cold occur when the child has decreased immunity due to some illness or it could be a symptom of tuberculosis. Mantoux test of more than 10x10 mm is suggestive of tuberculosis. In your child, it is 18x16 mm which is strongly positive. In tuberculosis, the symptoms are weight loss or poor weight gain, persistent cough and low-grade fever. The confirmation tests are positive Mantoux test, increased ESR level, and x-ray may or may not show patches. Usually, a history of tuberculosis contact is also present. Going by symptoms in your child, like recurrent cough and cold, weight is around 12 kg which is less for her age with positive Mantoux test is suggestive of tuberculosis. In tuberculosis, treatment is continued for six months. Initially, a combination of Isoniazid, Rifampicin, Pyrazinamide, and Ethambutol is given for two months which is changed to Isoniazid and Rifampicin for four months. Your doctor has given Rifacept Kid-3 tablet which contains Isoniazid, Rifampicin, and Pyrazinamide but no Ethambutol. In my opinion, Akurit-4 should be started which has Isoniazid, Rifampicin, Pyrazinamide, and Ethambutol, this should be given for two months after which drug should be changed to a combination of Isoniazid and Rifampicin. You should give the drug of tuberculosis regularly; tuberculosis is a treatable disease so there is no need to panic." } ]
[ { "from": "human", "value": "Hello doctor, I have pain and sometimes heavy bleeding during or after sex and I can only do certain positions where I can tolerate the pain. I have already been tested and I am negative for STDs. I also have really heavy periods to the point that I cannot wear tampons because they do not work. What is going on with me?" }, { "from": "gpt", "value": "Hello. You need to get a pap smear test and a per speculum examination done to rule out cervical erosions or cervicitis which are the most common cause of post-coital bleeding in reproductive age group women. The element of infection present can cause pain during menses and also a pelvic inflammatory disease which can be a cause for heavy menstruation." } ]
[ { "from": "human", "value": "Hello doctor, I am a 32-year-old male. I have no previous conditions or problems, and I take no medications. For the last two months, my right nipple (probably under the nipple) I experience pain to the touch. Some days it seems a bit better and some days worse. I have stopped doing weight training due to quarantine, but I am not sure if this is related to my problem. What should I sign up to check me? Or will this just go away?" }, { "from": "gpt", "value": "Hello. I can understand your concern. According to your statement, you have been suffering from pain on your right breast that probably under the nipple and it is painful to touch. Some medical conditions can cause breast pain. When abnormal growth and swelling of breasts in men caused by excess amount of estrogen and less amount of testosterone production is known as Gynaecomastia. Cyst is a lump under the skin, and they contain fluid or air. They can cause breast pain. Putting extra pressure on the muscles can cause a strain. Fat necrosis occurs where fat tissue becomes damaged. Fibroadenoma is a non-cancerous lump and can be developed in breats and occur rarely in males. Breast cancer is rarer but can occur in males. Again chest or cardiac abnormalities, acid reflux, back, neck, or shoulder pain may cause breast pain. Treatment depends on the causes. You should undergo some investigations like mammogram, ultrasound scan, CT scan, biopsy, ECG (electrocardiography), CXR (chest x-ray), etc. To find out the underlying the causative culprit for your sufferings and treat them accordingly." } ]
[ { "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 21-year-old female and 160 pounds and at a height of 5’6\". I have been having a problem with my left ear. I woke up one morning and felt that it was clogged and made the mistake of using a Q-tip which resulted in my being unable to pop my ear. That was over a week ago. I have tried wax softener drops and a saline spray to try and clean my ears out but it has not worked. Now there is a pressure inside my ear. I am not sure what to do. Is there anything I can do to fix this?" }, { "from": "gpt", "value": "Hi. Possibilities are impacted wax, ear canal infection, middle ear infection, eustachian tube catarrh. Unless one sees inside the ear using an otoscope or endoscope it is difficult to diagnose. However, a course of antibiotic with decongestant and keeping ears dry till you get better can work in an empirical way for most of the diagnoses listed above. If you need more information on that revert back to me. One can buy ear cameras and they do help in cases like yours where you are not able to go to an ENT. You can take pictures of the inside of the ear and share with us online and we can guide you on what is to be done." } ]
[ { "from": "human", "value": "Hello doctor, I am 13 weeks pregnant. I have not felt any movement, this is the second pregnancy. I recently went to the hospital two weeks ago and did a blood test, they informed me that I needed a Down's syndrome test done and I have straight Medicaid and no one in my area covers straight Medicaid. What else can be done? I just want to make sure my baby is fine." }, { "from": "gpt", "value": "Hi. During the late first trimester, nuchal translucency test by ultrasound and double marker test (BhCG, PAPP-A) are done to rule out 80 % cases of Down's, Edward, Patau syndrome. These are normal screening methods, generally covered in Medicare. If you are screened positive and been suggested for some confirmatory test, I am afraid, you need to spend out of pocket. Secondly, fetal movements can be felt only as early as 15 weeks, so be patient regarding that part." } ]
[ { "from": "human", "value": "Hi doctor, I have RE -0.50 and LE -0.75. Should I wear glasses all the time? I am not comfortable with my glasses and need to change contact lenses instead of glasses, if it is possible. Can I change to contact lenses?" }, { "from": "gpt", "value": "Hello. Ideally yes, you must wear glasses all the time. Since this power is not high, you can avoid them while doing near work like while reading or working on mobile, etc. Yes, you can use a contact lens. For this, small power contact lenses will be of the same power as spectacle power." } ]
[ { "from": "human", "value": "Hi doctor, I have these dark spots and wrinkles behind my neck. I am a little chubby but what should I do to remove them? It does not burn or anything. I have had KT for more than two years. Is there a way to remove the wrinkles and the dark spots?" }, { "from": "gpt", "value": "Hi. Kindly let me know your age. With increasing body weight there is an increase in pigmentation in body folds plus wrinkles as you are saying. Try to maintain your body weight in good and healthy limits. It will improve dark spots and wrinkles. For dark spots apply Vitamin C cream at one time and Retinoid cream at night time. Adapalene gel applies at alternate nights on the neck area. Apply Vitamin C cream BD (morning and evening). Use sunblock of 60. Protection from sunlight." } ]
[ { "from": "human", "value": "Hello doctor, I was not having periods on my own. They use to be so uncontrollable and the doctor kept saying wait 10 years and I took myself off all medications that she gave me and went two years without any. I am 27 and I am back to having regular menstruation every month. They not on the same day but they come for 5 days out of the month and are like 27 days apart. But my other problem is bacteria keep coming back why and why have I not got pregnant yet? What would be my next step?" }, { "from": "gpt", "value": "Hi. First of all, birth control pills itself help in controlling your PCOS with added lifestyle modifications like a balanced diet and physical exercise. So keep up the good effort but now you need to stop the pills. Check if you are ovulating regularly or not with the urine ovulation kits available in the market. If you are still not, you may need some fertility boosting medicines. Secondly, you need to do the following to prevent the BV to recur: 1. Avoid any kind of vaginal douches. These wash away the good bacteria as well, clean with normal water while taking the bath. 2. Have probiotics for two weeks to grow back the vaginal flora. 3. Use cotton panties and avoid using tampons. Use pads preferably. 4. Avoid oral sex from the male partner. 5. Need to use Metronidazole vaginal pessary for a week to clear the BV. I hope these measures help you out well. Do start using Folic acid supplements." } ]
[ { "from": "human", "value": "Hello doctor, I have high uric acid levels and mild pain in random joints. I would like to know about hyperuricemia management. Please help." }, { "from": "gpt", "value": "Hi, Welcome to icliniq.com. Definitely, your uric acid is very high. (attachment removed to protect patient identity). To discuss about the management, I would need to know, since when are you having these symptoms? Only small joints are involved or large joints like knee, elbow are also involved? Any reddening or swelling over the joints? Any alcohol consumption?" } ]
[ { "from": "human", "value": "Hello doctor,I swallowed a square magnet. Will it harm me?" }, { "from": "gpt", "value": "Hello. You should get an upper GI endoscopy done, if the magnet is in the reach of the endoscope, it should be removed on an urgent basis. According to you, it is a single magnet. A single magnet will rarely cause symptoms, but if you have ingested multiple magnets or magnet along with a metal object, you need to get them removed as soon as possible. For the single magnet, the size of the magnet will decide the course if it has reached into the stomach or small intestine, if it is less than 2.5 cm in all dimension, it should pass down in stools (there are 85 percent chance that it will pass down). Just check your stools for the next 24 to 72 hours. If it does not pass for more than 72 hours or size is larger than 2.5 cm, or the longest dimension is more than 5 cm, you should reach out an endoscopist to get it removed with a grasping forceps. 1. X-ray abdomen erect to look for the location of the magnet. 2. Upper GI endoscopy, if it is in reach of the endoscope (that is till first or second part of duodenum)." } ]
[ { "from": "human", "value": "Hi doctor, I am 24 years old man. These pink or red patches grew on the skin of my penis about 5 to 6 weeks before. Not itchy especially and no pain. HBC, HCV, HIV1-2, Lues are negative. What could be these?" }, { "from": "gpt", "value": "Hi. It seems like a fungal infection but that is itchy. Have you applied any medication over it? Yes, skin is very dry. Is your skin dry all over the body? If your skin is dry all over, it can be due to your thyroid problem. I will suggest if you can do scraping for fungus. It will confirm your diagnosis. Other possibilities can be annular lichen planus, psoriasiform lesions, but do not worry. Nothing is to be afraid of. You will get better soon. Tinea cruris, eczema, annular lichen planus, psorasis. Tinea. Apply combination of Hydrocortisone plus Isoconazole cream (like Hydrozole) BD. Apply Petroleum jelly 4 to 5 times a day. Maintain hygiene of area, wash with soap and water. Avoid using Dettol and other irritants." } ]
[ { "from": "human", "value": "Hello doctor, Green bump on the penis that has two black bumps on it, along with another black bump to the left. What do I do and what can I do about it?" }, { "from": "gpt", "value": "Hi. These are comedones (blackheads). They are formed from clogged follicle of a particular area. They are not to be afraid of. So do not worry about them. One thing to remember is to not squeeze or push them because it will make them worse. There are creams that can exfoliate them. Different home remedies are available that can exfoliate it. Infection of hair follicle, clogged follicle due to excessive sebum. Comedones. Comedones. Take baking soda and make its paste in 100 ml of water, apply a paste over blackheads three times a day and rinse with lukewarm water. Maintain hygiene of the area, wash with soap and water, avoid using Dettol and other irritants." } ]
[ { "from": "human", "value": "Hi doctor, I am having ear fungal flakes according to my doctor. I want to know how much time it will take to cure and what type of medication generally is prescribed in this condition? And this condition can be cured without medication?" }, { "from": "gpt", "value": "Hi. The condition you are describing is called otomycosis. This is a very curable condition in which topical antifungal drops have to be used along with the above medication. The mainstay of treatment is antibiotics, topical antifungal drops like Clotrin plus or Candibiotic plus ear drops and Levocetirizine tablet. The main thing is the water precaution. You have to keep a thick cotton while bathing and remove it after taking bath. Swimming and water activities are completely prohibited." } ]
[ { "from": "human", "value": "Hello doctor, My daughter is suffering from atopic dermatitis from the past five years. She is going to be 6 years old in a few months. We have taken her to multiple doctors including allopathy, ayurveda, homeopathy, etc. Could you please suggest any effective ayurvedic oils for giving relief to her?" }, { "from": "gpt", "value": "Hi. Atopic dermatitis is very common in children. It may cause itchy, red and dry skin. Sometimes it happens due to allergies. Chronic dermatitis or eczema needs regular medications for long time to get better results. Allergical condition, multivitamin deficiencies, fungal or viral infection, reduced immunity, etc. CBC, vitamins deficiency. Eczema, ringworm, contact dermatitis, sunburn. It can be managed naturally through ayurvedic medicines but need to take medicines at least two months with regular follow up. Rx, 1. Purim syrup 5 ml thrice a day after meals. 2. Himalaya haridra one capsule with Himalaya Neem one tablet and Baidyanath Gandhaka Rasayana one tablet. Make powder of these tablets and mix it with a few drops of honey and make its three parts. Give it to child one part morning, one part afternoon and one part night. 3. Apply Vasu Cutisora oil externally thrice a day. Keep affected area clean. Avoid spicy and fried junk foods. Clothes should be proper clean and dry." } ]
[ { "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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