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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 have PTSD and bipolar disorder type 11 and it is getting harder for me to function daily. I have already seen my health care provider. For this, she gave me a prescription and I still have the manic episodes." }, { "from": "gpt", "value": "Hello. I read your query and understand your concerns. I would like to inform you that most of the psychiatric medications take too long to show effects on individuals. Since you were prescribed Risperidone just a week back, there is no need to wait for more time. Most patients with Risperidone show an effect after 3 to 6 weeks in general. In addition, the prescribed dose of Risperidone is just 0.5 mg which is the lowest possible dose. In case the effect is not evident by 2 to 3 weeks, the dose should be increased to a higher level (1 mg or higher). Most of my patients need 1 to 4 mg Risperidone and only small fraction responds to low dose such as 0.5 mg. I mean to say that both the time and dose of medications may need change to show the effect of prescribed medications." } ]
[ { "from": "human", "value": "Hi doctor, Please read my query and give me your best opinion. I am currently under a cardiologist due to fears that I have had a heart attack in the past and chronic chest discomfort. My cardiologist asked me to take a Holter monitor for 24-hours and the reports he gave me last week were normal. He said that everything was normal. He stated that my maximum pulse was 134 (while working hard), minimum 55 (while sleeping) and average 87. He did capture palpitations but said these were normal increases in pulse associated with activity. He stated that my ECG shows Q wave. Though he said, that is not a pathological and I do not have right BBB, (last week) he did, however, referred me for an echocardiogram to reassure me. He also said that it would be very unlikely for it to be abnormal considering everything else normal. I have had lots of ECGs for the last few months and all normal aside from the Q waves. I have also had my troponin levels monitored, and these too were normal. All doctors say that it is due to anxiety. Before four days, I was taken to A and E due to a sudden increase in pulse from 81 to 135. It then settled within 2 minutes, however as it had panicked me I attended A and E. In A and E, they checked my oxygen (99%), BP (153/92 mmHg) and my pulse (118). The ECG showed normal, sinus tachycardia; however, I was concerned over what looked like ST elevation in AVR. When I asked for the second opinion, I was told that it is fine as it was only in one lead in AVR and not an acute heart attack. I then requested a second ECG as my pulse had gone down to 90s. It again showed normal sinus rhythm and no issues and was sent home from A and E. I have since been in a state of worry over my ECG, which I have attached here. I would like to ask you if the ECG show any issues aside from my usual Q waves. Also, my QRS is long on the new ECG and on this day I started a new course of medication called Omeprazole, which can allegedly cause changes to heart rhythm. Could this have caused my long QRS and heart rate spike? I am a non-smoker, do not drink and have no family history of heart disease." }, { "from": "gpt", "value": "Hi. Anxiety and panic are the first possibilities. Sudden onset of palpitations is a very unusual sign of heart attack. None of the investigation and symptoms are compatible with the heart attack. Although there are some ECG changes like Q waves, which can be present, are indicative of heart damage in case of heart attack. But, your echo is normal and so no need to worry at all. There is also T-wave insertion in lead 3 and non-significant elevation in AVR. So, given these changes, I would advise for some stress test like treadmill test or stress thallium, which you did not mention anything about. If you have not undergone it, then you can have it to rule out the possibility of inducible ischemia. The QRS prolonging of such mild degree is not significant, and this much variation may normally occur with different ECG. It is not very common with Omeprazole. For further information consult a cardiologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, In your opinion, what it the best of the three to detect a sports hernia? A dynamic ultrasound, A 3T MRI or CT scan?" }, { "from": "gpt", "value": "Hi. I think a 3T MRI scan will be the best modality to show a sports hernia as any small sprain or tear of the muscle can be seen best on MRI rather than USG or CT scan." } ]
[ { "from": "human", "value": "Hi doctor, My mum has angiosarcoma in the leg. Amputation would be the only option. But she is not a suitable candidate for surgery. Will radiotherapy help in this condition? Please suggest." }, { "from": "gpt", "value": "Hi. The usual treatment for angiosarcoma is the removal of the cancerous tumor by surgery. However, in those patients who are unfit for surgery, radiotherapy and chemotherapy are alternatives. Radiotherapy involves the use of radiations to dissolve the tumor and chemotherapy involves medicines for the same. Both these nuclear medicine treatment modalities are palliative. They may help control the spread of the tumor and also to a certain extent shrink it. However, the prognosis of these treatments depends on the stage of the disease." } ]
[ { "from": "human", "value": "Hi doctor, My 9 months old baby had a high fever, cough, and cold. Initially, it was the fever that was concerning. Later the cough was severe and hospitalized for bronchiolitis. He was put on a nebulizer and after three days his condition has improved. So, the doctor suggested moving from the nebulizer to Asthalin huf puf. Later that night, he had a continuous cough for one hour and was then back on nebulizer. He is put on oxygen support as his SpO2 dropped to around 86. We are much worried as he is premature and was formula fed mostly. Please let us know if this behavior is normal with bronchiolitis." }, { "from": "gpt", "value": "Hi. The symptoms that your child has been suggestive of bronchiolitis. In bronchiolitis, nebulization needs to be given for five to seven days; usually, the child recovers in seven days. Your child was discharged from the hospital and developed respiratory distress after continuous cough and spO2 has decreased. I think that during continuous cough your child has aspirated the food and this has now led to bronchopneumonia. In my opinion, your child needs antibiotics and nebulization with a repeat chest x-ray to see the extent of pneumonia. I think your child needs admission for a week after which he will be alright. Take care of your child." } ]
[ { "from": "human", "value": "Hi doctor, My sister was diagnosed with peripartum cardiomyopathy during her pregnancy. Her age is 31 and weight is 55. She delivered a baby girl through normal delivery. 2D echo report says 20%-25% heart function (LVF). But she is not having any external symptoms like swelling, breathing problem, tiredness or high BP. I have a few questions about her disease and treatment. Is this curable? How much time will it take to get completely out of it? How frequent should she visit a cardiologist and review 2D echo reports? Will fixing an ICD with surgery help her in handling sudden cardiac arrest? What is the approximate cost? If required, is heart transplant possible? What precautions should be taken? When can an emergency situation arise? Should we keep some emergency medicines ready at home? Is there a chance for her baby girl to have a similar problem when she grows up? Please help." }, { "from": "gpt", "value": "Hi. Before I answer your questions in detail, I would like to tell you that if she is totally symptom-free and her ejection fraction (EF) is 20-25%, please do get another echo done from an independent reliable source to confirm the diagnosis. The condition peripartum cardiomyopathy or PPCMP has no definite cure. A proportion of patients will completely recover while some may have partial recovery and will continue to have low ejection fraction and symptoms. Some unfortunate patients see no improvement and may not survive for long. There is no definite period of recovery even for those who recover completely. Continuous improvement of up to five years has been seen. The frequency of visit depends upon her problems and her cardiologist. Whenever she has a problem she should visit the cardiologist or whenever the cardiologist calls her, she must visit. The frequency of echo is decided by clinical circumstances and depends upon symptoms. I do first follow up echo after 6 weeks in my patients if there is no emergent symptom. ICD or internal cardiac defibrillator is indicated in patients with low ejection fraction. It helps in the prevention of death caused by ventricular tachyarrhythmia. However, since low EF may revert towards normal in a subset of patients, one should wait for three to six months. In western countries, a wearable ICD (not surgically implanted) is sometimes used for these three to six months. Cost of ICD implantation is nearly four to five lakhs. Yes, a heart transplant is possible and is available in major cardiac centers of metros. Do take your medicines on time. Do not over exert. Stick with recommended salt and water intake. Avoid alcohol. Avoid steroids and painkillers. Only take medicine under the supervision of your cardiologist. None can tell that when an emergency situation will arise. Do take medicine as prescribed by your cardiologist. Visit health facility in case of an emergency. No emergency medicines can be prescribed as such. Although a number of case reports are available regarding the occurrence of PPCMP in daughters and sisters of patients of PPCMP. However, systematic studies regarding such an association are not available. In fact, routine genetic studies of PPCPM patients are not recommended as yet." } ]
[ { "from": "human", "value": "Hello doctor, My fiancee is 59 days pregnant. So we consulted a doctor for an abortion and she prescribed Mifepristone and Misoprostol for the abortion. But the doctor had told this method should be used before 49 days. So if these tablets are taken on the 59th day, how much effective it would be?" }, { "from": "gpt", "value": "Hi. Medical termination is legal until 20 weeks of pregnancy in some countries. But safety profile says, until seven weeks these pills do not cause heavy bleeding and pain, so can be prescribed by a single doctor. For more than seven weeks, often bleeding and pain is more leading to unwanted hospitalization, that is why dilation and curettage under short anesthesia are preferred. In the end, it is the patient's decision, what she wants." } ]
[ { "from": "human", "value": "Hello doctor,My 1-year-old seems to have an upper lip tie. Some thick skin between the two top middle teeth is sort of stuck to the inside of his upper lip. We only noticed because he just got hurt and a part ripped. We thought some skin was stuck between his teeth and tried to pull it out but it is stuck there. I am now seeing that it may cause teeth to be seperated as he grows up. Should I go see a dentist? He is happy now and playing. Should I just see a dentist in a few days to see what should be done to prevent teeth gap?" }, { "from": "gpt", "value": "Hi. I have read through your complaint and the relevant details. The upper lip tie in your child is one of the common problems faced. This is called high labial frenum attachment in dental terms. There are two major disadvantages of such frenal attachments. Firstly, it would compromise the gum health of your kid by interfering in the placement of toothbrush. Secondly, it is one of the main reasons to cause midline gap between the two permanent upper central incisors. Now your kid has got only the milk teeth. We should be more concerned when his permanent teeth erupt that is around 5 to 6 years of time. But, consulting with a dentist virtually, and getting the triangular piece of frenum removed (frenectomy) before the permanent teeth erupt is an ideal treatment to be done. As you said, emergency treatment is not necessary but it has to be treated. Getting a 1-year-old in a dental clinic is a challenging job. So, start encouraging your kid and prepare him or her for the first dental visit and make sure it turns pleasant. Once he or she gets a knack of it, you may proceed to introduce your kid to various treatment procedures." } ]
[ { "from": "human", "value": "Hello doctor, I have pain while urinating. I had a white clear discharge from the penis. Now gone. Yesterday I found a small lump on the testicle. I went to the clinic before getting the lump. Tested clear for HIV, syphilis, gonorrhea, chlamydia, and microplasma. Given antibiotics which cleared the discharge but not the irritation when peeing. Found a small lump or spot on testicle yesterday. What is the cause of this?" }, { "from": "gpt", "value": "Hi. I have gone through your query, I would like to know a few more details. When was your last sexual contact, and after how many days did you get yourself tested? Is the burning sensation during peeing, throughout urination or just stay the start? Do you have to strain to pass urine or have frequent urination? Is there any pain around the lump you noticed and is it painful to touch? Do you clip your scrotal hair or shave them? Looking at the picture (attachment removed to protect patient identity), the redness surrounding the lump, it appears to be some inflammation of the hair follicle involving only the skin. It usually subsides with mild antibiotics, and as you are already on them, you do not have to do anything additional. I would, however, urge you to visit your local dermatologist or urologist for a visit, as a clinical exam is necessary to confirm the diagnosis. Regarding your burning sensation during urination, I would suggest you wait till you finish your antibiotics and if it persists, a urine examination would help to identify if there is any urinary tract infection." } ]
[ { "from": "human", "value": "Hi doctor, I have been diagnosed with GERD as confirmed by an ENT specialist, I took medicine for over a month but I did not get totally well. I changed my diet plans, cut off fatty foods, fried foods, citrus foods, etc., started excersice. I elevate my head while sleeping. But nowadays I wake up in the middle of night with very dry mouth and extreme sore throat, sometimes coughing. When I drink water even warm water my throat is itching, it does not get much itchy while swallowing. I am feeling comparatively at day time." }, { "from": "gpt", "value": "Hello. Do not worry, you will get well soon. Yes, you have problem of GERD, due to acid reflux you have this problem. I will suggest you some investigation and treatment for this. Follow same diet plan. Try to walk for sometime after every meal. Get done upper GI endoscopy done from some good institute if not done previously. Send me blood investigation and other investigation report if available so I will see them and advice you accordingly. Here I am prescribing some medicine which will surely help you. Tablet Normaxin 1 tab BD for 7 days, tablet Rablet L 1 tab OD before breakfast, syrup Gelusil 2 tsp TDS, syrup Sucral 1 Tsp TDS. Total duration 7 days." } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My 9-year-old fell and one of her permanent teeth is now wiggly. What can I do?" }, { "from": "gpt", "value": "Hi. If bleeding is persistent, give your kid cold packs of cotton on the tooth or make him eat ice-cream. If it is not suitable in this weather then put honey around the tooth. Once bleeding is controlled, now start with saline water mouth rinses. Take a cup of lukewarm water, add a 1/4th teaspoon of salt in it and rinse with it. Do these rinses 6 to 8 times a day, it heals up gums and helps gums to grow and bind to the root margins of the tooth. If after a day tooth is still mobile and mobility is grade 3 (severe mobility), take him to the dentist immediately. Meanwhile, keep giving your kid Brufen syrup eight hourly, three times a day for three days. It would be great if you can provide me with a video of mobility of tooth so that I can tell accurately will mobility be covered through rinses or splinting of the tooth by the dentist is required." } ]
[ { "from": "human", "value": "Hi doctor, The use of moisturizer or face wash made my skin glow. If not for five to six days, my skin would become very dull even without any sun exposure. So, I used them regularly. But, I had stopped applying anything on my face for about three months and then my facial skin stopped responding to them. Now my face is much darker than my body. I have tried scrubbing and even chemical peel but no results are seen. I do not think any signs of disease are shown. Then what could be the reason?" }, { "from": "gpt", "value": "Hi. My inference from the above is that your skin is facing lack of oil. There is dryness which makes your skin vulnerable to sun and other external influences. Hence it gets dark. However, with moisturizer, the skin gets adequate moisture and hydration and stays supple and healthy. I suggest you to restart applying the moisturizer on a daily basis. Also, there are combinations of moisturizer + sunscreen + fairness creams in the market. They are offered by all leading brands like Garnier, Neutrogena, Vaseline, Ponds and many more. These creams are very effective as they provide the required moisture and oils for the skin. They prevent sun-related damage and darkening by acting as a sunscreen that prevents contact of sun rays on the skin. They have ingredients which overtime lightens your skin. At the same time, please check if your skin gets excessively dry after face wash. Use a mild moisturizing face wash and not any soap. Also, do not use face washes which are meant for people with oily skin as they will dry the skin even more and help evaporate the skin oils." } ]
[ { "from": "human", "value": "Hi doctor, I have a skin condition. As per my research, it could be pruritus ani. But I am sure I would get a proper and accurate diagnosis from your end. I have a severe itchy bum and have been suffering from the same for almost eight years. I have never had the courage to consult a dermatologist in person because of the reason for a physical examination. All I am looking forward is a cure to it as it has been really disturbing lately. I would highly appreciate your suggestions." }, { "from": "gpt", "value": "Hi.I can understand your concerns as I have analyzed each detail that you have provided. I have managed lots of cases with matching condition and feel that you too will make good use of the information and suggestions. I am sure the problem can be managed even though it might not be possible to do so in a matter of days. The key to treatment is to let the skin heal, remove any cause of irritation, and break the cycle of itch-scratch which is bound to have resulted in thickening of the affected skin." } ]
[ { "from": "human", "value": "Hi doctor, I had a protein shake for three weeks, around five scoops a day. Since then I get a pulsation in my buttocks and legs. This also causes dizziness most of the time. If I eat too much this problem gets worse. Drinking a lot of water helps but it is not sorting out the problem. I was advised to see a toxicologist for this problem as someone said to me that it could have given me protein toxicity. Anything I eat with high protein like chicken, lamb, fish, etc., makes this problem go worse. I also tried to stop eating that for a bit. It did help a little but again it did not sort out the problem. I have tried taking Detox as well. I am suffering through this problem for the last one year. I have been running around my gp. I am really fed up with this problem. All blood tests were done and everything normal. I have also tried taking vitamin C it did help a lot. But I experienced some pains around my kidney area so I stopped taking that too. This shake has definitely done something to me and nothing was helpful. I have tried a lot to find a toxicologist because I think who is the right person to help me with this issue. Could you please suggest me the correct medication for this problem as it is messing me up and stopping me from work as well? Please help." }, { "from": "gpt", "value": "Hi. After going through your question I feel that you are really worried about the ill effects of protein shake. Let me assure you that a protein shake is perfectly safe even if you have taken in large quantities as mentioned. The fact that even after three weeks it has not altered your renal function or liver function itself is the proof that you need not worry about the toxic effect of the protein shake. Drink plenty of fluids and try to cut down fried food and junk food as your body mass index - BMI is high. Just bring down your weight. It will ease your problem a lot. Do not worry. You will be all right." } ]
[ { "from": "human", "value": "Hi doctor, I am a 33 year old female. I am married. I have two sons. I was diagnosed with hypothyroidism over ten years ago and I am on medication. I am having a horrible time with pms over last few months. I used to have terrible headaches and irritability before few days of my periods. Now it has been two weeks as my period is ten days late. I am having the worst time in my life right now. My headache and the pressure drive me crazy. I am having hard time. I am getting into deep depression. I do not know how to get through this. I cannot stop crying. I have an appointment finally with an endocrinologist in two weeks. Whenever the thing gets worse my gp will increase the dosage of my medicine. My hair is falling out. I am not the same person at all anymore. I feel like this is killing me. Need some help." }, { "from": "gpt", "value": "Hi. I went through your query and I can understand your condition. First of all, I need to know whether your hypothyroidism is under control or not. Kindly upload your recent TSH (thyroid stimulating hormone) report. Now we need to see whether your headache and irritability is due to your PMS (premenstrual syndrome) or if there are some other reasons. Your endocrinologist will evaluate for that. But a simple way to know is to halt your periods for two months and observe what happens. Ask your general practitioner to prescribe you certain oral contraceptive pills. This shall halt your periods for a month or two and if you feel better then it is due to PMS. But if there is no improvement then other evaluations have to be done including your blood pressure testing, eye check up and if necessary brain scan. If there is an improvement then you can take the contraceptive pills for three to four months and then stop and observe." } ]
[ { "from": "human", "value": "Hello doctor, A new mole on a toe that I have not noticed before, I know about it probably for a week, it is blackish and not round, about 3 to 4 mm wide and sort of even in color. I am 21 years old male and as far as I know we have no cancer history in my family. I can provide photos too." }, { "from": "gpt", "value": "Hi. I went through your case history and the photos provided by you (attachment removed to protect patient identity). I can see a dark irregular lesion of about 5 mm in size over the tip of the toe. As it is to 3 days history the first thing I want to rule out is an history of injury or bruise.They do present like this and you may have forgotten the history of trauma. Secondly, moles also appear at this age and they also present like this if you have tendency of moles this may be a normal mole you can just observe it for few days. The other thing obviously is melanoma, acral lentiginous melanosis, this can be dangerous and has to be ruled by biopsy as soon as possible. But as you do not have any family history and if you do not have any other or very few moles over other parts of the body the chances again become very less. And again such a small history of the lesion the possibility is least. But to be sure you should monitor the lesion. Observe it for 5 days. If due to trauma, it will diminish and slowly go away. If persist and grow more immediately, go for a biopsy by a dermatologist for histopathogical examination. trauma, biopsy after 5 days. Intradermal hemorrhage, nevus nevus excision. none after 5 days." } ]
[ { "from": "human", "value": "Hello doctor, Me and my partner had unprotected sex, and she took I-pill within 72 hours (but after 24 hours), and now after 8 to 9 days of taking the pill, she is having mild cramps similar to period and also mild bleeding (just a few spots), but the discharge is brownish in color, and this is the third day with cramps, although the bleeding is very less. Is it side effect of the pill or is it implantation bleeding? And when can she expect her normal periods?" }, { "from": "gpt", "value": "Hello. I have read your concern. Spotting or sometimes profuse bleeding accompanied with cramps are most common side effects after taking the emergency pill. This is due to the high-level hormones (Progesterone) contained in the pill. However, this is difficult to differentiation from implantation bleeding. The only way you can identify it is taking a pregnancy test since it has been more than eight days since your last contact and if you are pregnant then it would have turned out positive by now by using a simple home pregnancy test kit." } ]
[ { "from": "human", "value": "Hi doctor, I had protected sex with a sex worker and according to my knowledge condom did not break and slip. Can I contract HIV? I took HIV combo test CMIA method at 28th-day and the result came negative. Again on the 35th day and 41st day both were negative. Please suggest." }, { "from": "gpt", "value": "Hi. Following are the answers to your query: Condoms are an excellent way to protect not only from HIV but also from other sexually transmitted infection (STI) and if you have used the condom correctly and it did not slip off or break, it is unlikely you contract HIV if your partner is HIV infected. It is always recommended to check the expiry date of it before using. Also at every time of sex, a newer condom should be used and water-based lubricants are always recommended with it. The risk of exposure is dependent on the length of time that had passed after the condom was initially put. No type of condom is 100 % effective against HIV or for any STI, but if you and your partner are having sex, nothing protects better against these than a properly used condom. Using a latex male condom can greatly reduce but not entirely eliminate the risk of HIV or any other STI. You increase your risk of contracting HIV and for that matter any other STI if you have multiple partners. It is really good that your HIV test is negative on 28th, 35th and 41st day post-exposure. But, as per the recommendations, I still suggest repeat HIV rapid test at three months and if negative, then at six months. You need not repeat in between." } ]
[ { "from": "human", "value": "Hello doctor, I am having a breathing problem. I feel like something has tightened my lungs. Please advice what should I do." }, { "from": "gpt", "value": "Hello. I just read your query. See if you do not have any other symptoms like fever, cough with sputum and pain in the chest, etc. Then you can take steam of plain water and can add two to three drops of eucalyptus oil in it. It will help you. But if you feel some serious problem, then visit a nearby physician immediately because it could be due to some serious problem which is excluded with the help of clinical examination." } ]
[ { "from": "human", "value": "Hello doctor, I am 32, male. There is a huge problem regarding my sex drive. I do not have till now found the root cause of low sex drive but I feel it is due to masturbation and porn. I used to masturbate from 15 years of age but from the last six months, I am watching porn like daily and masturbating once in 2 or 3 days. I usually masturbate by rubbing hard on bed. I am confused that whether my low drive is related to stress or excess masturbation or porn or some other hormonal imbalance. I am going to get married and that is why I am worried. I tried safe sex with a sex worker previous month but not enjoyed at all because of low sex drive. Could you tell me the reason and remedies for the same?" }, { "from": "gpt", "value": "Hi. Masturbation is normal. It does not cause physical problems or sexual problems. Also, do not give any importance to the advertisement that mentions that masturbation cause health problems or destroys life, and masturbation does not require any treatment. Your problem can be due to stress, anxiety or due to a physical cause. For physical cause, you need to do blood tests Hb, TC, DC, fasting sugar, prolactin, TSH, testosterone. Please upload the reports. Depending on the reports, treatment can be decided." } ]
[ { "from": "human", "value": "Hello doctor, I had a root canal over a year ago, had a cap put on and no problems. A month ago it was pulled off when I ate candy. It was glued back on. Yesterday, the tooth suddenly felt different. It feels sensitive when pressure is applied and sometimes it feels to be throbbing under the cap." }, { "from": "gpt", "value": "Hi. Throbbing pain or sensitivity in a root canal treated tooth is an indication of re-infection in it. Sometimes the nerves regenerate from the apical end and start causing infection, it may happen due to food stuck around margins of gums for a long time, etc. There are two lines of treatment to it. 1. Medications- Take Augmentin 625 mg, tablet Metronidazole 400 mg and Brufen 400 mg for five days, twice a day. It will heal the infection and there will be no need for further treatment, your tooth will be back to normal. 2. If infection recurs after medicine regime like in 2 or 6 months with severe pain then cap will be removed for a while, re-endo or root canal treatment will be done, that is, deep cleaning of roots will be done and then it will be sealed again once infection is gone and tooth cap will be put again. There is also a third option that is a severe one, if root canal treated tooth is stuck with it then sometimes we have no option left except for extraction. Provide me with clinical picture and radiograph of your tooth so that I can exactly recommend you what should you opt for after medications." } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My wife is 70 years old. She is diabetic and hypertensive, she has dry and itchy skin. For that she is taking head bath and applying oil on scalp. She is prone to sinus problems. Now for a couple of days there are boils inside and outside left ear. It is troubling her very much. Please suggest some medication or remedy for immediate relief." }, { "from": "gpt", "value": "Hello. With the picture it appears like a hair follicle infection of the small hair in the ear canal (attachment removed to protect patient identity). Considering her age and that she suffers from diabates and hypertension (diabetic people have slightly less immunity compared to normal people) I am suggesting antibiotics for her. Tablet Augmentin 625, 1 tablet thrice daily after meals x 5 days, tablet Chymoral Forte 1 tab thrice daily before meals x 3 days, tablet DOLO 650, 1 tablet SOS for pain, can take upto three tablets per day in divided doses. T-BACT ointment use clean little finger and apply the ointment thrice daily over the area. If using ear buds take particular care that it does not go deep and injure the ear drum. Do not let water enter while taking bath. Keep a cotton plug (spread with some T-Bact ointment or vaseline) inside the affected ear and throw it off after bath. This condition is called acute localised otitis externa (furuncle of external ear). It appears that there is a single boil with a lot of redness in the picture you showed. It is quite painful. Please continue your diabetic and hypertension medicines as before. I hope you are taking those regularly and the sugars are controlled. For a few days avoid applying oil in hairs. Once she gets better, she can put oil over scalp. Do revert back if there is any worsening. Please wait for 3 days for the antibiotics and medicines to act. Please let us know promptly if there is any fever or some other form of worsening. Happy to help you." } ]
[ { "from": "human", "value": "Hello doctor, My mother is facing water discharge from her eyes. With water, there is also some thick semi-liquid discharge from sides. These symptoms are also accompanied by some heaviness in the eyes. I believe this is contagious as one another family member of mine is facing the same issues." }, { "from": "gpt", "value": "Hello. Your mother is most probably suffering from infective conjunctivitis. Probably bacterial. The treatment is antibiotic eye drops. You should consult an Ophthalmologist for the same. Most important is that it should not spread to others. It spreads from person to person by droplets. thus everyone in your family should avoid using the same clothes, etc., like your mother. Also, ask her not to hold any babies and touch others hands. If done so, then wash immediately with soap. With treatment, it should resolve in a week. Please follow-up with any further queries." } ]
[ { "from": "human", "value": "Hello doctor, My son is 7 years old. Diagnosed with mild autism when he was 3. Currently, showing hyperactivity, unable to sit still without supervision. Seems restless all the time. He has delayed speech development. He is not on any medication but under behavioral therapy." }, { "from": "gpt", "value": "Hi. Autism, unfortunately, is sometimes associated with an array of other behavioral co-morbidities like intellectual disability and ADHD (attention deficit hyperactivity disorder). The symptoms you described are almost suggestive of ADHD. Along with behavior therapy, medicines like Methylphenidate, Amphetamines, and Atomoxetine are very helpful in controlling hyperactivity and attentional problems. These medicines are FDA approved for such problems." } ]
[ { "from": "human", "value": "Hi doctor, I got my ears pierced last week. I have small bumps on that site. In my left ear, the skin is peeling. What could it be?" }, { "from": "gpt", "value": "Hi,Welcome to icliniq.com. The bumps signify there is some local inflammation. If there is associated pain, discharge, pus or fever then you need to take appropriate antibiotics as these are signs of infection. I suggest you to visit your doctor who performed the surgery for physical evaluation. Mild bumps without above-associated symptoms will get relieved by some anti-inflammatory drugs like Paracetamol or Chymotrypsin and hot fomentation. The peeling in the ear could be due to an allergy to the earring or whatever you are wearing in the ear.bIt could also be an allergic response to any cream or ointment you had applied. I suggest you to take tablet Paracetamol 500 mg twice a day and observe. If it worsens or develops any additional symptom it needs physical evaluation. Otherwise, it will subside. Please send me the photograph of the ears for further support. It will help me to understand the local condition better, so that I can give you decisive instructions." } ]
[ { "from": "human", "value": "Hi doctor, My baby is now 1 year old. I got copper T inserted after 3 months of my delivery. I still have prolonged and heavy periods followed by spotting lasting for up to 10-15 days. There is no other issue that I face. Is it because of copper T insertion or can there be some other reason too? Will the copper T removal solve the problem? How will the removal regularize my periods? What are the other birth control methods which are safe (I am not much inclined towards hormonal methods since they lead to weight gain etc)?" }, { "from": "gpt", "value": "Hi. I have read and understood your problem. How was the bleeding before pregnancy and for 3 months after delivery? Was your delivery a normal or C-section? Whether the copper-T is properly placed or not or to see some other cause for heavy bleeding you need to take a transvaginal ultrasound -TVS. Sometimes if the bleeding continues then removal is the treatment, the period will regularize if it is due to copper T. If the cause is something else and the spotting continues, you will have to get treatment. There are medicines which can reduce the amount of bleeding. You need a clinical check-up." } ]
[ { "from": "human", "value": "Hi doctor, Is that fine to bring peanut butter (PB) on an airplane? I would like to know the ways that bringing PB on a plane might or might not pose a threat to others? What should you do if you are bringing PB and if you have an allergy and want to keep safe in case someone else brings some on the plane? Thanks." }, { "from": "gpt", "value": "Hi. You have asked an interesting question. Peanut allergy is one of the most severe food allergies. It can cause itchiness, urticaria, swelling, eczema, sneezing, asthma, abdominal pain, drop in blood pressure and cardiac arrest. It may even result in anaphylactic death if not controlled at the right time. The routes of exposure of the allergen are mostly the accidental ingestion of peanuts or PB by the concerned person (who is hypersensitive to peanuts). Air-borne particles in a farm or factory or crushing environment may cause respiratory symptoms in allergic individuals. However, the odor of peanut butter or its mere proximity has not produced any allergic symptoms in various studies conducted. Hence answering your questions." } ]
[ { "from": "human", "value": "Hello doctor,One day ago, my partner and I had sex. And the next morning she takes Azithral 500 mg. Will this affect her pregnancy? When do the female egg and male sperm actually connect with each other?" }, { "from": "gpt", "value": "Hello. Azithral (Azithromycin) is safe during pregnancy and is a category-B drug. So, it is not going to harm in any way. Moreover, after intercourse, the sperms usually take 24 hours to fertilize the egg in the fallopian tube if it has already been released. The life of the egg is also 24 hours. So, if there is a conception, still the medicine would not affect the fetus. Regards. For more information consult a family physician online -->" } ]
[ { "from": "human", "value": "Hello doctor, I have been trying for a baby for the last eight months. The monthly disappointments are driving me crazy. I feel so low and like a total failure. How do I ensure that I do not spiral into depression? My husband is supportive and encouraging, but I end up crying each time I see or hear news of a baby." }, { "from": "gpt", "value": "Hello. You should, first of all, reassure yourself that if you will have sexual intercourse in a relaxed and stress-free mind then this will yield the best results. If you will do sexual intercourse in anticipation of the baby then you will remain stressed and this will make negative results. Stress too is one cause of poor fertility. You should spend more time in foreplay with your husband. Have more sexual encounter during a fertile period of the menstrual cycle that is during 12th to 16th day of the cycle (the first day of the cycle is the first day of bleeding). Keep your both legs up while you will remain lying down after ejaculation. This will prevent the leakage of semen. Remain in this position for around 5 to 10 minutes after sex. This will also help you a lot. Just do not lose your confidence. Just keep one thing in mind that you are healthy and you will have a baby without many issues. Try to spend more time in doing constructive activities. Avoid spending more time on the internet because this increases stress only. Light exercise in the evening too will lift up your mood. Do not get irritated on your family members which could happen in depression. This will help you. If needed, visit a psychiatrist for help." } ]
[ { "from": "human", "value": "Hello doctor, Which drug works better for throat infection, Augmentin or Azithromycin?" }, { "from": "gpt", "value": "Hi. We usually do not care about throat infection when it is mild and then it gets worsened and causes undue discomfort. Regarding choice of appropriate antibiotic, it is very important to know your history. It includes previous use of recent antibiotic, presence of fever, purulence of sptum, systemic symptoms etc. So. if it is just mild sore throat with mild fever and no excessive cough or other body symptoms, tablet Azithromycin will do good. But for severe infection, systemic symptoms, high grade fever and difficulty in swallowing, we need to give something which is broad spectrum like tablet Augmentin 625mg thrice daily for 7 days. So, it is the clinical judgement to select appropriate antibiotic according to the presenting clinical symptoms. Get back to a general practitioner online for further follow up -->" } ]
[ { "from": "human", "value": "Hello doctor, I am not currently taking any medication. I am a female, 18, of a healthy weight as I am very sporty. I woke up at 3 this morning due to discomfort in my throat, yet no actual pain. I also had a headache. Upon waking up again for the second time, I realized that on the right-hand side of my throat, my gland was very swollen, yet still feel no pain. I am not aware that whether I have an infection with no cold and due to feeling no pain, no sore throat. My neck, however, is tender when touched or turning my head or facing upwards. My cheeks have been very red and I have had very short breath all day. The gland is noticeably bigger than the left, and when I look in my mouth it almost looks like there are two glands there, instead of one, on the right-hand side. The gland is noticeable and visible when just looking at my neck also, despite not being too skinny and having quite a chubby neck and face. There is only pain when touched, and only slight discomfort when swallowing food or water. My voice sounds a bit hoarse sometimes." }, { "from": "gpt", "value": "Hi. Lymph nodes (glands) are located in many areas all around the body, including numerous nodes in the neck and jaw area. Lymph nodes typically swell or enlarge when there is an infection close by to their drainage area as they form an important part of the bodies immune response by storing immune cells. Enlarged or painful nodes are thus often a sign that one has an infection in the area. From the symptoms, you describe some of the most likely possibilities are: 1. Tonsilitis (infection of the tonsillar glands at the back of the throat). Tonsillitis is quite common and often requires treatment with antibiotics so that the infection does not spread down the airway causing pneumonia. 2. Mumps (viral infection of the parotid gland). Mumps is most commonly caused by a virus and is treated symptomatically and monitored for complications. 3. Other bacterial or viral infection, most likely of your upper airway that might be spreading down your airway. I would strongly advise that you consult with a trusted physician so that he or she can examine you clinically and confirm or exclude any of the above and treat accordingly to prevent complications. Once treated, the glands typically return to normal within a few days." } ]
[ { "from": "human", "value": "Hello doctor, I have a best friend who suffers from anxiety and I saw her almost dying today because of a panic attack she had. All her life she thought she had a problem with her heart but she went to see a doctor and he said she is in perfect health. She starts shaking and cannot breathe and I am really scared and try to calm her down but she cannot breathe. She cannot stop shaking for at least half an hour. I do not know what to do and I hope you can tell me." }, { "from": "gpt", "value": "Hello. Panic attacks related to anxiety can be a scary experience. But remember it is not a life-threatening experience. You can encourage your friend to seek professional support to manage her panic attacks and anxiety. She will need a complete assessment following which talking therapy and medication can be prescribed. Meanwhile, she can try progressive muscle relaxation exercises and deep breathing techniques to help reduce her stress levels. You can contact us again if further advice is needed." } ]
[ { "from": "human", "value": "Hello doctor, At night time while sleeping, the nasal passage of mine gets blocked. This results in the stuffy nose in the morning once I get up in the morning and I had to continuously sneeze for a long time in the morning hours. Whenever I take Cetrizine, or Levocetirizine, or L-Montas tablets at night time I get relief from this problem. But consumption of this tablet makes me feel sleepy, and drowsy throughout the day time. Please help. I am currently on Glycomet-HS 1000 and Nexpro-40." }, { "from": "gpt", "value": "Hello, Welcome to icliniq.com. As per your symptoms of nasal congestion and sneezing you are likely to be suffering from allergic rhinitis. One thing that is prime importance is avoidance of allergens. Then there is also the role of steroids. Since you are diabetic, systemic steroids are better avoided. However topical steroid sprays can be used safely. Are you using any steroid nasal sprays?" } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I have GERD. Wake up with GERD, have it all day long. I have take HCL with Pectin. My GERD gets worse, burning is bad. I am trying Melatonin 3 mg nightly, no result. My doctor wants me on Prilosec and I refused. Please help." }, { "from": "gpt", "value": "Hi. GERD is a condition in which undigested foods mixed with stomach juices reflects to esophagus and produces a burning sensation in esophagus and mouth. Indigestion and acidity is the main cause of this condition. GERD can be managed naturally through changes in food habits, lifestyle, ayurvedic medicines, and Yoga practices. Indigestion, smoking, and drinking, consuming more spicy and fried junk foods, lack of exercises, etc. Acidity. You can take the following ayurvedic medicines regularly for one month and follows instructions. Rx, 1. Avipattikara Churna 3 gm twice a day after meals. 2. Kamadudha Rasa 1 tablet + Prawal Panchamrita 1 tablet + Sutashekhara Rasa 1 tablet twice a day before food. 3. Guduchyadi Kasayam 15 ml twice a day with an equal amount of water after meals. Avoid spicy and fried junk foods. Drink plenty of water. Avoid smoking and drinking if you have these habits. Do regular Kapalbhati Mandukasana, Anuloma vilom, Nadi sodhan and bhramari." } ]
[ { "from": "human", "value": "Hi doctor, I am a 22-year-old male with ulcerative colitis since the age of 9. I woke up with a nasty fever, mucus filled coughs, and runny nose. I was curious how a Z-pack would affect me." }, { "from": "gpt", "value": "Hi. I can understand your concern. The possibility of respiratory tract infection is more likely. You should definitely take Z pack, no need to worry about this. Along with Z pack also, do warm water gargles and steam inhalation 4 to 5 times a day. If not improving in five days, get done chest X-ray. Please let me know if you have chest pain, breathlessness or wheezing." } ]
[ { "from": "human", "value": "Hello doctor,I have got a small blister on the inner thigh of the right leg. I had got a similar blister at the same spot last year. The new blister is just adjacent to it. This, as per my understanding is due to body heat. When I take B-complex tablets during the night, the pain subsides the next day but reemerges if I miss the tablet. Please advise proper medicine (tablet and ointment) as this reoccurs every year." }, { "from": "gpt", "value": "Hello. This is probably folliculitis and occurs due to unhygienic and sweaty local area. You need to keep it clean and dry especially in hot seasons. You should use powder like Nycil daily so as to keep it dry. Now, you should have capsule Augmentin duo 1 g two times a day after food along with some antacid like tablet Pantoprazole 40 mg before breakfast once a day for five days. You should also apply Neosporin powder or ointment Mupirocin two times a day, and after resolution, you should use Nycil powder to keep the area dry and twice daily bathing especially on sweaty days." } ]
[ { "from": "human", "value": "Hello doctor, I am a boy, 18 years old. From the last three years, I am facing an allergy in which I face difficulty in breathing, coughing, and sound produces while breathing. The problem increases at night and I wake up near 4 to 5 times during my sleep and sit for a while. This is my fourth year when I am again facing this problem. This problem arises usually in March and April and does not disturb in other months. When I faced this problem the first time, I consulted a physician who gave me five tablets of Asthalin (one for each day) and a cough syrup. It gave me relief. But last year, when I took the same Asthalin and cough syrup, it did not work. So my parents took me to another doctor in the city who gave me Leephylline 200 mg tablets for five days. He said that it is just an allergy which will go by itself after 18 years. He told me not to drink cold water, curd, rice, etc., when the season changes. This year I again faced the same problem but I did not drink cold water when the season changed this year. This year that doctor got transferred to another city. And when I went to buy Leephylline tablet, the chemist said that it is not coming. He gave me tablet Allegra M as its substituent. This tablet did not work. Then I went to consult a doctor who prescribed Cefixime dispersible 200 mg tablets. It also did not work. I want to ask that what is the reason behind my allergy? Why it occurs? Can you prescribe me a right tablet for my problem? Please give me advice what to do to get relief permanently from this problem." }, { "from": "gpt", "value": "Hello. You seem to be suffering from airway hyperreactivity disorder, the common colloquial term being an allergy. This occurs because your respiratory pathway is more sensitive to some day to day substances which others are able to tolerate without any problem. When such a situation occurs it can present with wheezing, breathing trouble, chest heaviness, sneezing, running nose, itching, sinus headache, disturbed sleep and day time sleepiness. One must be careful regarding seasons. If the allergy is occurring during some particular season then it must be due to some particular pollen. The substitute the pharmacist has given and the one the new doctor has given are all different. You need medicine to dilate your respiratory pathways. You need Asthalin inhaler of strength 100 mg and Seroflo inhaler of strength 250. For details regarding how to use these inhalers and how to avoid allergies in the future, you can revert back to me. But when you revert please give us details as to whether the breathlessness occurs throughout the day or only in the night, when it increases with physical exertion, whether it causes fever, headache, running nose, sneezing, etc. With the right advice, precautions, and allergy management protocol, you will be good soon." } ]
[ { "from": "human", "value": "Hello doctor,I am 54 years old, female. I am having no fat loss at all. Even after excercise and proper diet plan. I am taking medication (inhaler) for asthma, nasal spray, and vaccines for allergy and Thyroxine for thyroid." }, { "from": "gpt", "value": "Hi. Thanks for your query. Common medical conditions that can lead to weight gain in spite of proper diet and exercise are thyroid disorders, polycystic ovarian syndrome and Cushing's syndrome and certain medicines. Since you are on Thyroxine and your thyroid is under control then thyroid is not causing weight gain. PCOS is not encountered at your age group generally. Cushing syndrome causes hormonal imbalance leading to weight gain and a few other symptoms. You can be investigated on the lines of Cushing syndrome which includes 24-hour urinary free cortisol test, midnight plasma cortisol, and late-night salivary cortisol measurements and low-dose Dexamethasone suppression test (LDDST). So, I would advise you to discuss with your treating doctor on these guidelines." } ]
[ { "from": "human", "value": "Hello doctor," }, { "from": "gpt", "value": "Hello. Do you have leakage when you feel to urinate? Do you have urine leakage when you cough or sneeze? When you hold urine at that time did you feel burning or pain? For what maximum time you are able to hold urine? Any history of diabetes or hypertension or any medications?" } ]
[ { "from": "human", "value": "Hello doctor,I have a boil like growth on the inside of my vagina around the vulva. It is about 3 cm in length and approximately 2 cm wide. It is very painful especially when walking." }, { "from": "gpt", "value": "Hi. It looks like you have a cyst. These cysts are nothing but swellings filled with fluid or some other materials usually secretion of glands. By looking at the history it looks like you have a Bartholin's cyst which usually occurs inside the vagina where Bartholin glands are present. Usually, they are small and painless. When they grow bigger, in your case, it causes pain and discomfort while walking or during sex. If it is very painful, probably cyst is infected with pus collected inside it. Do not be shy. Visit your gynecologist at the earliest before it gets worse. Your gynecologist will suggest you the best treatment possible by local examination. Cysts which are so big warrant surgical removal." } ]
[ { "from": "human", "value": "Hi doctor, I am an 18 year old male. I am obese with weight more than 130 kg. I got plenty of tests done in a single year. Last year, I got my CT scan of full abdomen followed by five chest x-rays. One CT scan of the brain plain and bone densitometry (DEXA) scan in June and a CT PNS yesterday. Now I am scared to go and meet a doctor. I am absolutely worried about getting cancer because I had received a very great amount of radiation with repeated scans and x-rays. Please help." }, { "from": "gpt", "value": "Hi. X-ray and CT scan uses ionizing radiation. Though these are harmful rays, in diagnostic radiology it is generally safe for the patients. Though you have undergone many investigations it is well below the maximum allowable safe dose for the patient. Amount of radiation delivered to the patient varies with the organ for which imaging is done like an x-ray of L/S (lumbosacral) spine causes maximum radiation during an x-ray. It depends on the voltage and milliampere used during taking x-rays. Please do not worry about radiation hazard; the total added dose is far below the maximum allowable dose. There is almost no chance of cancer due to radiation." } ]
[ { "from": "human", "value": "Hi doctor, I started going to the gym a few days ago. Comparatively, I am taking good diet now. But, my belly fat is increasing. Currently, I am under the following diet, 7 AM:- Breakfast with two boiled eggs; 10:30 AM:- Two boiled eggs; 12:30 PM:- Lunch; 4 PM:- Two bananas and by 4:30 PM I go to the gym. After the workout, two boiled eggs, two bananas with 400 ml milk. By 8:30 PM:- Dinner. What should I do to reduce my belly fat? Please suggest." }, { "from": "gpt", "value": "Hi. Your breakfast is fine. You should not take too many eggs. You should not take again the same two boiled eggs at 10:30 AM and after working out. Instead of egg, you can try sprouts, green peas, stew, milk 200 ml, oat, and dalia 100 g approximately. Take vegetarian/non-vegetarian as good quality in a sandwich, add butter, sweet two pieces. Add in 100 gm salad and a small cup of two fruits like one citrus and the other fibrous. To reduce belly fat you should come down with your outside foods mainly avoid junk and readymade food, soft drinks/hard drinks if any. No excess for biriyani, fried rice, and fried foods. Do free hand exercises like chest, lower limb, and upper limb. Go for a 2 km to 4 km run or jog in the morning. Along with this do yoga for more benefit." } ]
[ { "from": "human", "value": "Hello doctor, I have missed periods for two months. I am trying to conceive but the test is negative. I have bilateral polycystic ovaries. Is there any problem? I am taking tablets for pregnancy." }, { "from": "gpt", "value": "Hello. I have read your concern. Given that you have a condition of bilateral polycystic ovaries, chances are you are having a polycystic ovarian disease. Besides polycystic ovaries, you may be suffering from hyperandrogenism, basically high level of androgen hormones which plays with your hormones causing a disturbance which in return manifest as anovulation, the absence of menstruation eventually infertility. You need to consult an infertility doctor if you are trying to get pregnant because there are still lots of ways to help you but would need a series of workups, not just Enphene tablets." } ]
[ { "from": "human", "value": "Hello doctor, My doctor said that I have friction in my kneecap and I have to do exercise to increase the strength of the muscle. Can you please give me the plan of exercises?" }, { "from": "gpt", "value": "Hello. Kindly provide me with additional details regarding your issue to help me prescribe or to suggest exercises. As of now, do knee pressing against a small towel kept below the knee and hold it for 10 seconds done for 15 times. Lying on the stomach and bending the knee against the resistance offered by another knee (another leg is placed over the foot or calf of the bending leg). Sitting with leg stretched forward reaching for your toes and holding it for 30 seconds. Standing and bending your knee with the heel touching towards the butt." } ]
[ { "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, For the past three days, I am having pain in backside of my neck. The pain actually is not in the complete neck it is in a part from neck to mid of the back. When I turn my head to the left it is a kind of electric shock feeling. This may be because of some sleeping angle, I do not know but I am feeling it very badly. The pain I feel is from goes from neck nerve at the back to the left arm and down to neck till the middle of back. From today morning I have a little headache. Also, I am diabetic. Please help." }, { "from": "gpt", "value": "Hello Are you using a thick pillow? Neck muscles seem to be in spasm. Muscular spasm. Give elaborate history on any medications you are allergic to or taking at present." } ]
[ { "from": "human", "value": "Hello doctor, For the past few months, I have been having acidity issues and I have been taking Sompraz 40 mg for the last 1.5 months. Last week I had some sweet curd which did not suit me well and the next day I started having semi-solid loose motions 4 to 5 times a day but had no fever. The next day I started having Oflox OZ but after two days taking the medicine my condition worsened and I had watery stools every one hour. Hence, I stopped the medication and since then I have been better. So, I stopped taking Oflox OZ after two days as the medicine did not suit me. I have been taking regular pro-biotics. However, yesterday, I got my blood tests done and the ESR and HsCRP were elevated. The report has been attached for your reference. My question is my appetite is not great and is it possible that I have to take a softer antibiotic to address the remaining infection if any present in the body. Currently, I have no fever and motions are fine." }, { "from": "gpt", "value": "Hi. It is possible that you had some infection after ingestion of curd. And subsequently, you got better. As you are not much symptomatic I would not advise any further empirical antibiotics. You can try tablet Rifaximine 400 mg twice a day after meals for 10 days along with Sompraz that you are taking. Elevated ESR and CRP can have many causes and difficult to ascertain to one cause with limited investigations. After 10 days see your symptoms and repeat tests, in case they are still elevated, I would suggest you visit a doctor locally to get yourself examined and get tested thoroughly." } ]
[ { "from": "human", "value": "Hi doctor, I am 34 years old, male. I am eating gutkha for the past 12 years and now I have found a white patch in my mouth and I consulted an ENT. He suggested me 10 days course of one Asbex tablet and one cream for the white patch. I am using it for 10 days and now the white patch is slowly disappearing. So how long does it take to cure permanently and is there any biopsy needed and when I eat I felt buring sensation at the wisdom teth and inside the cheek and this buring sensation is now reduced as I have stopped tobacco since 15 days. How can I feel permanent relief from these?" }, { "from": "gpt", "value": "Hi. Keep applying that gel for two weeks more. Avoid spicy food for one month. You have to take less spicy food for your entire life if you want to stay away from cancer. That's the bad news for you that you are experiencing the first few symptoms of oral cancer that is burning sensation at cheeks and gums and white patch at buccal mucosa or tongue and limited mouth opening. But the good news to you is that the symptoms are resolving and getting better with medications. So, it is not proper cancer yet, just infection which is recovering. Now make a promise to yourself that you will not have gutkha, pan, chalia for your entire life and will not put yourself in trouble of cancer as it is horrible to deal with. This is the permanent solution to it." } ]
[ { "from": "human", "value": "Hello doctor, I had an allergic reaction to Doxycycline and broke out with hives and skin rashes. What can I do to clear it up?" }, { "from": "gpt", "value": "Hi. The presented photograph is not hives (attachment removed to protect patient identity). It is chronic dermatitis. It has nothing to do with Doxycycline. You need a medium potency Corticosteroid cream like Betamethasone valerate 1 % twice daily for two weeks with an anti-allergic tablet like Loratidine 10 mg once daily for 10 days. Hives are different. They appear reddish and appear and disappear. In that case, you need same anti-allergic tablet mentioned above plus Calamine lotion. If it is severe, you need to see a GP. It requires injectable medications." } ]
[ { "from": "human", "value": "Hello doctor, I recently started running (treadmill), but after a week or so, I found that my knees were really hurting. I continued thinking it was muscular, but it got to the point at which I was in a lot of pain. I stopped running and it has taken three weeks for my knees to feel almost normal. I had extreme pain behind the outside of my right knee, making it difficult to bend, and pain on the inside of both knees, which still feel bruised to touch, as well as at the top of both the calf. I have long legs and my feet lean inwards. Could this be what caused the problems? My concern is that if I start running again, the same thing will happen. I do not want to train for two weeks and then have to take three weeks off due to being almost unable to walk. I wondered if perhaps some people just really really should not run, and that there is alternative cardio I should do? Just as a note, I have been doing resistance training for a year and so I assumed that my leg muscles were quite strong." }, { "from": "gpt", "value": "Hello. The pain what you described could be due to an iliotibial band (ITB) friction caused due to tight gluteus muscles. Because of running, no proper warming up or fatigue. Please do not worry, it is a commonly encountered situation in runners and is completely solvable. I would recommend you to do icing frequently over the painful area. Stretch your gluteus, calf, and hamstrings. Roll an iced bottle over the outer side of your thigh and over the butt, the outer part of your hamstrings, and calf. Kindly revert back after two days to let me know the status of the pain. Do proper warming up before running. Good footwear will help to reduce such issues." } ]
[ { "from": "human", "value": "Hello doctor, I am suffering from premature ejaculation problem. It happens under 15 seconds. Please advice the prescription or medicine to cure it. I am 27 years old." }, { "from": "gpt", "value": "Hello. It is commonly associated with performance anxiety. With repeated practice of intercourse, it will be cured. If no improvement, then you can take help of psychiatrist or sexologist. Fluoxetine like drug can be prescribed in such case. Local topical Lignocaine jelly application after erection can extend the duration. Master and Johnson start and stop technique are also beneficial. Behavioral counseling also can be done." } ]
[ { "from": "human", "value": "Hello doctor, I had questions about birth control. If I take a contraceptive, will it be okay for me to have unprotected sex with my partner? And will it cause any complications in the future if we are ready to have a baby?" }, { "from": "gpt", "value": "Hi. If you have been on contraceptives then your body would have got used to this. Most of the contraceptive methods are hormonal and all having short and long term side effects and differs in every Individual a bit. If contraceptives are taken regularly as per advised with proper timings and dosage without vomitings, then you will have protection as you required. Any contraceptives long term use can definitely give side effects like unscheduled bleeding, acne, migraine, breast and endometrial cancer, stroke, clot formation, etc. All side effects cannot occur in a single individual but that occur for which person hasa tendency and genetic history, etc. You can have sex along with proper contraceptives with or without condoms. But try to change contraceptives frequently or some time contraceptives free period to avoid side effects. Have regular contraceptives with condoms to have complete protection. Change contraceptives frequently to avoid side effects." } ]
[ { "from": "human", "value": "Hello doctor, Till four days ago, I used to get beautiful skin whenever I applied random facewashes or moisturizer or any other nourishing cream on my face for a few days due to the placebo effect. After a few days, my skin used to become dull again. This effect on my face skin took years to develop. Now, four years back, I stopped applying anything on the face. So, the face skin stopped reacting to any cream from then. Now the skin is like when I feel attractive or I get compliments about my face, only then I get glowing skin for a few days, otherwise, it is dull. According to dermatologists, my skin is normal and I think this is related to mental thinking. Please note that I had a history of schizophrenia and OCD starting, but am nearly normal now, just my face skin is troubling now." }, { "from": "gpt", "value": "Hello. I understand that you have been concerned for your facial skin. In order to prescribe the right remedy, I will need to understand the detailed history of your health which includes mental, emotional and physical health issues. Can you please tell me whether you feel the skin is dull when you are mentally stressed out or is this dullness all the time? Do you have any pimples or dark marks or scars on your face skin? Is your skin very dry or oily? Also, what do you exactly feel about your facial skin and how do you react to that emotion? If possible, kindly answer these questions. Just based on your history, I can prescribe you the following remedies. 1. Berberis Aquafolium mother tincture 10 drops mixed with half cup of tap water can be applied over the face for 30 minutes twice a day. Then wash it off with plain water. 2. Sulfur 200 C only one dose four pills or two drops in a spoon of water. No repetition of dose. Only one dose to be taken, then wait and watch for the effect of the remedy. If you have already used Berberis Aquafolium mother tincture, then kindly just use one dose of Sulfur 200 C. Kindly get back in a week." } ]
[ { "from": "human", "value": "Hello doctor,My roommate was scratched very lightly by a stray cat the other day. Then a couple of days later, I shared a drink with her. Could I get rabies?" }, { "from": "gpt", "value": "Hello. Rest assured that eating or drinking does not transmit rabies. For more information consult an internal medicine physician online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am suffering from dandruff for more than a year. I am a prefinal year student and my gender is female. Please suggest a solution for dandruff. Can I use One shot dandruff killer?" }, { "from": "gpt", "value": "Hi. Dandruff is formed due to oily scalp. If you are using oil for hair, please avoid it. Dandruff cannot be cured permanently. It can only be controlled. For now, use Ketoconazole shampoo (Nizral shampoo twice weekly for three weeks and thereafter once it is controlled, use once a week for a month)." } ]
[ { "from": "human", "value": "Hello doctor, My height is 163 cm, and my weight is 52 kg. My body structure is also small, and my muscles are not firm. I want my muscles to get firm, and I want to gain weight. Please help." }, { "from": "gpt", "value": "Hello. I just read your query. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am a 53-year-old male. I have been experiencing panics especially when I do not feel better like having acid reflux. Now the gastrointestinal issue becomes regular. The only means to stop it is by drinking alcohol during night time and I feel better and get a good sleep. Please advice." }, { "from": "gpt", "value": "Hello. I suggest you to take once a day pill for controlling your acid reflux. Capsule Esomeprazole 40 mg half an hour before meals. You can take it in the morning time before breakfast or before dinner if you have predominant night symptoms. This acid suppressant will control the symptoms of acid reflux and acidic related stomach pain. You can take it regularly for two weeks then take it intermittently whenever you need this. This medications does not have significant long terms adverse effects. Well, I also want that you should know that, moderate alcohol intake is fine which means maximum of three drinks per day. The alcohol can help to make someone sleep but it is something which is beneficial for gastrointestinal (GI) tract. Excessive alcohol has to do with a lot many things in GI than even we doctors know. So just an advise to moderate the intake." } ]
[ { "from": "human", "value": "Hi doctor, Is this ECG normal? I had a sudden cardiac arrest (SCA) 6 moths ago. This ECG (electrocardiography) was taken a few months before that. I have had fatigue, hair loss, stomach cramps, and dizziness for a while. I have had some trouble with hypokalemia and hypomagnesemia. After being resuscitated my serum potassium was 2.7mmol/l. They tried to fix that by giving me potassium solutions. The solutions did not really work though because of low magnesium. I am currently on Bisoprolol accord 2.5 mg, Xarelto 20 mg." }, { "from": "gpt", "value": "Hello. I am sorry to hear about your health condition. This is extremely strange that at 25 years of age you suffered a cardiac arrest. Have you had problems with hypokalaemia before the attack? Where you on diuretics? Do you have history of similar problem in your family? Have you always suffered low blood pressure? Or was it after the attack?" } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I am a 19-year-old female. I had my wisdom teeth taken out about four days ago, and now the gum behind where the wisdom tooth used to be is very swollen and causing pain." }, { "from": "gpt", "value": "Hello. I have been through your query and I can understand your concern. Pain after the extraction is normal and that too for the wisdom tooth which often requires surgical intervention. However, if the pain is still present after four days (provided the extraction did not require any major surgery), it might be due to the infection of the extraction site which is often called as dry socket. Dry socket is associated with the severe pain in the extraction site and also a fetid odor of the mouth. It is also characterised by the inability to wide open the mouth properly. If you have these symptoms, then it is the case of dry socket. In that case, I would suggest you to have a visit to your dentist who extracted your wisdom tooth and get the wound cleaned up properly along with the medications. Meanwhile continue the post-extraction instructions that your dentist must have given to you like do not suck on the liquids or using a pipe to drink liquid or beverages, slight talking, etc. In case of the pain (if you have severe pain) I would advise you to disperse two tablets of Ketorol DT in the glass of water and then drink it (after visiting your drug history and only if you do not have any drug allergy). Just take Ketorol DT only once as they are very potent and repeated use of them might cause some side effects. However, if you have bearable pain and not the above symptoms then it is the case of regular post extraction pain and swelling. You continue the medication that your dentist has given to you for three more days. For swelling, you can use normal saline mouth rinses but rinse the mouth very gently as rigorous swish might dislocate the clot over the wound and may cause pain. Also, avoid touching the surface with your finger and tongue. Maintain good oral hygiene, brush twice daily and floss regularly with regular mouth rinses." } ]
[ { "from": "human", "value": "Hi doctor, I got a red rash near the tip of the penis. The doctor told me to use Mupirocin T-bact, I started applying once a day and it has been 10 days. I want to know how much time it can take for a complete cure?" }, { "from": "gpt", "value": "Hi. Mupirocin is a topical antibiotic. It has to be used twice a day for two weeks for infectious conditions like impetigo. Also, it depends on the extent of involvement and severity. Since I have not seen the rash, I cannot really tell you how much time it can take to heal the rash. Please attach your clinical picture so that I can see and make a diagnosis that helps me to comment further." } ]
[ { "from": "human", "value": "Hello doctor, The gums where my wisdom tooth is present is in pain." }, { "from": "gpt", "value": "Hi. What is your age? Wisdom tooth gets erupted in ages between 19 to 30. They put eruption pressure after every three weeks or so. If its position is not vertical or they are tilted or are impacted in bone, they start causing severe pain. For it the first line of treatment is taking medications. This will subside eruption pain. The second line of treatment is if it is not getting better with medicines you should get it extracted so that it may not bother surrounding tissues and tooth. Meanwhile, take tablet Brufen 400 mg eight hourly for three days. Give me followup after three days. If pain will persist, then you will be prescribed antibiotics. Stay happy and blessed." } ]
[ { "from": "human", "value": "Hello doctor, My husband and I had intercourse on the 25th night and the tip of his penis started bleeding during this. It was the first time he inserted his penis inside. The bleeding stopped the next day but the pain persisted. Today, there is a slight pain but he is afraid if he pulls the foreskin back, the bleeding will start again. He is also afraid that in the future the same thing might happen. Is circumcision necessary now? Is there any ointment or cream to stop the bleeding if he inserts again? Please advise." }, { "from": "gpt", "value": "Hello. From what you say, it is likely that your husband is suffering from coitus related frenular tear. No ointment can cure or prevent recurrence of the same. A minor procedure like frenuloplasty is still associated with recurrence. Ideally, circumcision and 6 to 8 weeks abstinence are the best treatment options. Kindly visit a Urologist for further management." } ]
[ { "from": "human", "value": "Hello doctor, I am 21 years old female. I want to use Glutathione for skin whitening. So I want to know whether 1000 mg Glutathione is safe for the body or not? Will taking 1000 mg Glutathione daily show any side effects? If yes, then what type of side effects it will be? Will it affect my menstruation? Well, my health is good. Sometimes, my heart feels uneasy and my knee aches a bit but apart from that I am fit." }, { "from": "gpt", "value": "Hi. Glutathione is a natural product and for maximum efficacy, it is given intravenously. However, it is impractical to get intravenous every day hence oral Glutathione is given widely. Ideally, it is given 500 mg twice daily but 1000 mg per day can also be given along with Vitamin C. The side-effects are minimal when taken orally. Though FDA has not approved this product, it is widely consumed in some parts of the world. But remember one thing before you start the treatment, this effect will be present until the pills are consumed. Once you stop, you will return to your normal color." } ]
[ { "from": "human", "value": "Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?" }, { "from": "gpt", "value": "Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am 20 years old boy. From the last 10 months I am suffering from physical symptoms like a tight band wrapped around my head every time, tightness and little pain in the neck, heavy head, head pressure a mild headache, ringing in the ears, dry mouth, dizziness, nausea, upset stomach, blurred vision, tense muscles, stress about having big diseases like a brain tumor, cancer, etc. I have also got MRI brain, CT scan." }, { "from": "gpt", "value": "Hi.. You seem to be suffering from chronic tension headache. I would recommend you to discuss with your doctor to start you on tablet Amitryptiline 10 mg once in the night and within three weeks, you would feel better. I would also recommend you to go for a morning walk, meditation and yoga." } ]
[ { "from": "human", "value": "Hi doctor, I am 22 years old and severely constipated. I have a bowel movement once every week and a half, or even two weeks. I eat normal foods as any 22 year old would. I love fruits and drink lots of water, etc. I am on my fourth day of Miralax and nothing has happened. The only thing that has worked is when I got an enema in the ER. My biggest issue right now is excessive gas. I am a student. When I get nervous before a presentation in class, just being in class in general, I get excessive gas and it is so bad that it makes terrible noises and sends me running from the classroom. Then when I get out of the classroom, it is as if it goes away. So my anxiety before presentations I believe makes it worse, therefore my doctor prescribed Xanax .25 mg as needed before those events. However, I know that my constipation is contributing to this. I am in desperate need of a solution. My doctor wants me to get a colonoscopy. What foods and what can I take to help with my constipation and decrease gas during class so that I can focus and earn my degree." }, { "from": "gpt", "value": "Hi. You seem to be suffering from an acid peptic disease associated with functional constipation. I would recommend you the following: 1. A combination of Pantoprazole and Levosulpride once daily. This would help you with bloating and reduce gurgling sounds. 2. To take syrup Lactulose 20 ml in the night. 3. To take smooth muscle relaxants like Mebeverine. Another important aspect is that have you got your thyroid profile done?" } ]
[ { "from": "human", "value": "Hello doctor, I am 35 years old lady having horrible pain in my anus while passing motion. It is intolerable. I am applying Anovate cream but still, it is not helping. Please advice." }, { "from": "gpt", "value": "Hi. I have read your problem carefully. Though history is incomplete, I think you are suffering probably from anal fissure. I need to know if there is any bleeding per rectum or anything coming out from the rectum during defecation. It occurs mostly in a female. The main cause behind it is chronic constipation (passing hard stool chronically). You need to follow the following: Taking adequate water, adequate vegetable, and fruits. Taking hip bath 3 to 4 times daily, warm water in a bowl, add 3 to 4 spoons of Betadine solution and sit on warm water for 10 minutes. Take stool softener, syrup Osmolax 3 to 4 spoon 3 to 4 times daily for 7 to 10 days. If not improved within 2 to 3 days, consult with a surgeon immediately." } ]
[ { "from": "human", "value": "Hello doctor, My Hb levels went down because of bleeding piles and I started Iron supplements but it makes my depressive symptoms worse as I am already on psychiatric medicine. Please suggest an ayurvedic medicine which does not interact with psychiatric medicine, for iron boost." }, { "from": "gpt", "value": "Hello. I just read your query. See if your hemoglobin level is around 10 then rather than taking any supplements, take diet which is helpful in improving hemoglobin level. If Hb is below 10, then you can take the following medicine: Capsule blossom (Unja) one capsule two times a day with water after food for 10 days. Consult me or a nearby Ayurveda physician regarding improvement and for further management. Bleeding piles Hemoglobin level." } ]
[ { "from": "human", "value": "Hi doctor,My daughter is 9 years old. She gets nose bleeding once in few months and also gum bleeding. She complains about occasional back pain, stomach burning, and hip pain too. My family physician has written down a series of tests and asked me to get opinions from a hematologist, gastroenterologist, and an orthopedic doctor respectively." }, { "from": "gpt", "value": "Hi. From the medical history of your child, I can understand that she is having bleeding manifestations with normal CBC (complete blood count) and coagulation workup. I would like to know about the below-mentioned questions, The most common bleeding disorder is a condition known as Von Willebrand disease. I think she needs to be checked for it and the other condition which needs to be evaluated is platelet dysfunction. Investigations suggested are," } ]
[ { "from": "human", "value": "Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance." }, { "from": "gpt", "value": "Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?" }, { "from": "gpt", "value": "Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect." }, { "from": "gpt", "value": "Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->" } ]
[ { "from": "human", "value": "Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?" }, { "from": "gpt", "value": "Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?" }, { "from": "gpt", "value": "Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->" } ]
[ { "from": "human", "value": "Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide." }, { "from": "gpt", "value": "Hi. For further doubts consult a sexologist online -->" } ]
[ { "from": "human", "value": "Hi doctor, I have no sex drive whatsoever and cannot obtain an orgasm. Please help." }, { "from": "gpt", "value": "Hi. I read your query with due interest and understand your concerns. Low sex drive is a common symptom of a variety of medical and psychiatric disorders. Before I speculate anything about it I need you to answer a few questions in detail. Once you answer the above questions it will be helpful to suggest the appropriate measures." } ]

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