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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?
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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist
1,200
Q. What does abutment of the nerve root mean?
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.
Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist
1,201
Q. Will Nano-Leo give permanent solution for erection problem?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon
1,202
Q. Every time I eat spicy food, I poop blood. Why?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
1,203
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist
1,204
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
Hello doctor, I was diagnosed with fatty liver grade 2 before two years, prior to that I had a cough for almost two years and felt nauseated. I felt like vomiting for four months, that is when I got worried and consulted a doctor. I also suffer from severe anxiety and that has led to binge eating disorder and that is one of the reasons for the fatty liver too. I followed the doctor's advice sincerely and lost weight in a few months and improved my diet. I sincerely followed it for a year but then gradually again my diet started going haywire and now again I am at the same stage where I was before. I was given Pantocid 40 mg twice a day, Lesuride once daily and Ulgel. During the second consultation after a month, I was given Pantocid DSR, vitamin E oil and asked to walk an hour a day with low-calorie diet. I feel like vomiting and cough after drinking a glass water or eating a meal.
Hello. I have calculated your ideal body weight which is 66.5 kg. However, your weight at the moment is not way beyond limits. If you just do what you were doing already such as low caloric intake and regular exercise that is more than anything. Your doctor gave you vitamin E oil that seems to be good. Since up to now FDA (food and drug administration) has not approved any medication for fatty liver except weight reduction. So taking Vitamin E 400 mg twice daily for six months would control your liver function tests. But I want you to check for other causes for deranged liver function tests such as chronic hepatitis. Do you take alcohol? If not then fine. If yes, how much and how frequently? The blood tests are within normal limits except your vitamin D. You just take one dose of injection Indrop 2 lac units by mouth. Just break the vial and take it by mouth. And try to take milk almost every day. The rest of your symptoms like nausea and vomiting seems to be secondary to anxiety. The anxiety and stress have to do a lot with someone's gastrointenstinal tract. There are certain medication which can control your GI (gastrointestinal) upset as well as anxiety but they are frequently adherent with side effects. I want you to take the following medication for now and let me know if symptom persists. I may consider you giving some medication for that. For now, take the following medications and get these blood tests. I can understand it might be upsetting for you to have a lot many blood tests but I really want to help you. Fatty liver disease. Functional GI problem. HBsAg (hepatitis B surface antigen). Anti HB core total. Anti HCV (hepatitis C virus). Antinuclear antibody profile including ANA, ASMA, and AMA. Overlapping hepatitis Fatty liver disease. Functional GI problem One dose of injection Indrop 2 lac units by mouth, tablet Rifxamin 200 mg thrice daily for three weeks. This is a safe antibiotic, it will balance your gas production within gut. Abnormal gas production is a process in play in your case. Tablet Digestine 40 mg daily before meals to promote your gut motility. You may continue Pantoacid for now and syrup Gaviscon 15 ml four times daily after meals instead of antacid syrup Ulgel. Let me know in two weeks how you respond.
1,205
Q. I am diagnosed with grade 2 fatty liver and feel like vomiting even with a glass of water. Why?
Hello doctor, Having severe pain in rightside back lower body with rashes. I will attach photos.
Hi. You have got herpes zoster (attachment removed to protect patient identity). It is caused by Varicella zoster virus. Very painful blisters will be there. Must be started on antivirals at earliest. Tablet Acyclovir 800 mg 5 times a day or other equivalent. For pain Paracetamol, apply Calamine lotion to the spots. If not available OTC please meet your doctor. Take care. Do not break the blisters.
1,206
Q. I am having severe pain in rightside back lower body with rashes. How can it be treated?
Hello doctor, Heartburn and indigestion all day. Frequent belching. Gurgling in throat/ esophagus. Throat or esophagus is making a funny noise off and on for years sporadically. Diagnosed with Gerd and Larapharyngeal reflex. Clean endoscopy in 2 years back but esophagus is slightly twisted. Had dilation during procedure. Other endoscopies were fine. Is this classic signs of GERD? Saw ENT recently for other issues, throat looked good. Just never had the gurgling as much. Taking Gas x and Protonix and tums here and there. Also deal with allergies and post nasal drip. No vomiting or fever. Just uncomfortable.
Hello. Most of the symptoms such as burping, gurgling within esophagus and funny noise all can be encompassed in to one diagnosis, that is, GERD. But thing which make concerned, are-you have 3 endoscopies and all showling normal without signs of ulceration which is not usually a case in GERD patient unless they are on maximal acid suppressant medications and symptom free at the time of undergoing endoscopy. So endoscopy result has to be correlated with the timings and weather use of acid suppressant medication before making a diagnosis. Given some more interesting findings like dilated esophagus, and no ulceration at the time of endoscopy, with presence of persistent symptoms, suggest some other additional problem bystanding with GERD- such as motility disorder. Some time GERD is just a menifestation of motility disorders, because two disorders almost cause similar symptoms. Secondly for GERD, one must have PH-imepdence monitoring to confirm the diagnosis. And in case you have already gone through this, then you come in category of refractory GERD not responding to usual acid suppressant medications. For refractory GERD, the only single test that can confirm symptoms correlation index,-acid reflux causing the symptoms or non acid reflux causing symptoms, or no acid reflux at all; is PH-impedence test while person on acid suppressant medications. I can understand it must be very exhaustive and confusing for you to understand above things, but it can be very easy while investigation all these possibilities. I urge you to upload your previous reports and keep in touch with me, as I can suggest you how it is further be approached. Refractory GERD PH-impedence monitoring Motility disorder Functional heartburn Refractory GERD Suggest investigation You can follow up with me to discuss about how to approach this
1,207
Q. Are heartburn, indigestion and frequent belching symptoms of GERD?
Hello doctor, When I touch the tip of my middle finger I feel pain there as well as on the left side of my chest. It just started yesterday. Is this a sign of a heart problem?
Hello. I am sorry to hear about your pain, please do not be worried. You will be fine. It is not a definite sign of heart disease. There are arthritis, angina, etc. Do you have a history of heart diseases in your family? Do you experience shortness of breath? Have you experienced dizziness or has the pain radiating to other parts of your body? What medications are you currently taking?
1,208
Q. I have pain on left side of chest and tip of middle finger. Does it imply heart problem?
Hi doctor, I have been diagnosed with PCOS for more than 3 years. Recently I have been doing yoga and doing intermittent fasting for the past 2 months. Now I got my period twice in April and for may month it is spotting for the last 2 days. Please help me.
Hi. Treatment of women with PCOS should begin with lifestyle measures. For those who are obese, a combination of weight loss and exercise may stimulate ovulation. Intermittent fasting is wonderful lifestyle. What is your mode of intermittent fasting. Are you doing 16/8 or fast and feast? Have you tried 36 hours fasting? Please let me know. Also, low carbohydrates diet with no sugary juices and no added sugar is very beneficial. If the woman is not overweight or weight loss is ineffective then: taking into account potential adverse effects, ease and mode of use, the woman's BMI, and monitoring needed, Clomifene citrate or Metformin or a combination of the above. For women who are taking Clomifene citrate, I offer ultrasound monitoring during at least the first cycle of treatment to ensure that they are taking a dose that minimises the risk of multiple pregnancy. Women prescribed Metformin may know side effects such as nausea, vomiting and other gastrointestinal disturbances. If woman known to be resistant to Clomifene citrate, we can go for laparoscopic ovarian drilling or combined treatment with Clomifene citrate and Metformin if not already offered as first-line treatment or Gonadotrophins. So, there are plenty of options available and you are not alone we can together make a plan for management. Please give me more details if you have done investigations ultrasound and Harmone tests.
1,209
Q. What are the ways to manage irregular periods in a PCOS patient?
Hello doctor, I have been diagnosed with chronic hepatitis B since last five years. I have been going for follow ups and routine check ups in NIMR.I went for some tests in March,which I have been unable to get the results because of COVID-19.They are totally unresponsive to me. I have persistent symptoms, sharp pains in my upper right abdomen, weakness and tiredness,joint pains and loss of apettite. I am very scared and do not know what to do. I have not been placed on any drug so far. Please help me. I do not want to develop cirrhosis or liver cancer. What can I do? The pain is so much.
Hello. The pain you describe may be due to variety of causes. May be simply be due to gas trouble not necessarily the liver complication of hepatitis B infection. The cirrhosis and tumor in liver is a long period process does not occur in span of 3 months. To clearly answer your question I need to know when did you get your last ultrasound of liver done? And what were the findings? Now as a rule all people with hepatitis B infection are supposed to take antiviral treatment. I do not know whether you have been given those. I highly recommend you to get all these questions answered when you now meet with your physician. Or you can upload investigations and I can figure out for you how to deal hepatitis B in your case. Follow with investigation 7 days
1,210
Q. Is it normal to have abdominal pain in hepatitis patient?
Hello doctor, I am 24 years old. I do not know what is wrong with me. I feel depressed all the time. I left home two years back because of my parent's behavior. They always use to make me feel I am worthless and not important for them, they also beat me several times and I was facing emotional trauma on a daily basis. Now I stay away from family alone but seems like things will never change. I am all alone here and people I trusted have backfired on me. My office situation is very pathetic my manager harasses me emotionally or I do not know if I overreact. I just do not know what is wrong? I do not have any friends to talk. I gave a lot of importance to one person in my life and that person did not understand me at all. I cry all day in my room and do not even step outside. I get super angry or emotional on little things. I always stay alone in the office or at home. I feel like there is nothing left for me in this life and I am worthless no one really needs me in there life. For whom am I alive. I do not know if I am depressed or not? I am just done with this life. (Just to add I am a PCOS patient for the past one year).
Hi. The symptoms you have mentioned are symptoms of depression. You left home because of the behavior of your parents and then you are continuously feeling low because of ongoing things at office and at personal space. All these things are aggravating the depression in you. The feeling of worthlessness, emotional trauma, crying spells, emotional lability, anger outbursts, lack of interest in anything, etc are part of depression. But if these symptoms are persistent and are hampering your personal life and you have negative thoughts then yes, we can think that you have a depressive disorder. If the symptoms are not persistent then no need to get worried. You just have to change your lifestyle, try to not to expect anything from others. Just focus on your life and your things. If anyone hurts you then try to ignore the thoughts. This is difficult but in some days you will learn to suppress the thoughts and with the time you will be able to ignore any emotional trauma. No need to get worried. If you are not able to function properly then you can visit a psychiatrist in person and antidepressants can be started. Escitalopram is a good option in your case. The drug is safe and has great efficacy. This will help to make your mood better. Do you have any thoughts like killing or harming yourself? Any ongoing stress that is bothering you? Any relationship issue? PCOS (polycystic ovary syndrome) too is an independent factor that aggravated depression because of hormonal changes. Control of PCOS also helps in improving mood symptoms.
1,211
Q. I feel depressed always with emotional instability. Please help to overcome it.
Hello doctor, I have had issues with my left ear for the past two months. I normally clean my ears with peroxide. After I added drops of peroxide back last month, I noticed that when people spoke to me loudly I would hear wind sound in my ears. Also, my ears felt plugged and I heard thumping (heartbeat sound) in my ear. Two days ago, I attempted to clean my ear with a home irrigation system. I was able to dislodge a large piece of dried, white wax. My ear felt the best in a long time. I was hearing clearly and the sounds in my ear went away. Yesterday, my ear felt plugged again. So I irrigated my ear and nothing came out. But the plugged feeling and sound went away. This morning my ear felt plugged again, and I irrigated my ear and nothing came out. But my ear felt clear and the plugged feeling and sound went away. What is causing this issue? Why does it keep coming back?
Hi. It looks like your having a eustachian tube catarrh. This tube essentially ventilates both the ear and nose and in an event where this tube has got blocked, you might develop fullness and ringing sensation in the same ear. Self-cleaning your ear is the most dangerous thing you can ever do. Never introduce peroxide or any thing under doctor's advice as it can be disastrous considering the ear and it is related structures to be one the most sensitive regions in the body. Another possibility is that there could be some remnant wax in your ear which can be the reason for you developing this ringing sensation on a regular basis. You can consider using Soliwax ear drops three times a day for one week and then get the blob suctioned out by an ent specialist. Other than this, take tablet Sinarest (Acetaminophen, Chlorpheniramine, and pseudoephedrine) or its equivalent one tablet two times a day after food for the next 1 week. Otrivin nasal drops thrice daily for five days should help.
1,212
Q. My ear feels clogged even after irrigating with peroxide. Why?
Hello doctor, I started taking Vitamin D and calcium more than I should have in the beginning of the year. Later on, I started to feel weak and dizzy at work, my feet and hands tingle and would go pale and my neck in the thyroid area started to hurt. I have been to the doctor to have blood work, but they say there is nothing significant enough to be concerned, but I still have the same symptoms. What to do?
Hi. In your attached Hb electrophoresis report (attachment removed to protect patient identity), abnormal hemoglobin is not present. So you are not having any abnormal hemoglobinopathy. Your main complaint is weakness, dizziness, and tingling. So anemia, B12 deficiency, thyroid issue, liver disease, renal disease, vitamin D deficiency and peripheral neuropathy should be ruled out. I suggest you investigate with serum B12 estimation, CBC (complete blood count), serum TSH (thyroid-stimulating hormone) estimation, SGPT (serum glutamic pyruvic transaminase), SGOT (serum glutamic oxaloacetic transaminase), serum urea and creatinine estimation for further work up. To rule out peripheral neuropathy, your neurological physical examination should be done. According to cause specific treatment can be given. I suggest you rule out diabetes as well by random blood sugar estimation. Meanwhile, you can be prescribed Riconia forte like multivitamin tablet for your problem.
1,213
Q. Due to excess intake of vitamin D and calcium, I feel weak, dizzy, and tingling. Please help.
Dark Red and Purple lines in inner thigh. No symptoms experienced. Age 28, Weight 58kg Height 4'11"
Dear, Please send few more photographs.. Regards
1,214
Q. What are the dark red and purple lines in my inner thigh?
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?
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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist
1,215
Q. What does abutment of the nerve root mean?
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.
Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist
1,216
Q. Will Nano-Leo give permanent solution for erection problem?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon
1,217
Q. Every time I eat spicy food, I poop blood. Why?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
1,218
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist
1,219
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
Right arm joint upto the shoulder neck pain for the last few days it increased from yesterday evening having difficulty moving 490yrs Male
Hello, I read your concern. In my opinion it could be due to some nerve irritation following neck spasm due to facet joint irritation. Nothing to worry. As of now I would advise you to If irritation reduces, try to Maintain neck in mild arching by placing hand on the chin while lying down over stomach. Hold this for atleast 5 mins.. During this you should not experience any pain in shoulder.. There will be pain in the back of neck. Hope this is helpful for you Kindly revert back to me to let me know your status. Bad posture Facet joint arthropathy Wry neck Rice and mobilisation Avoid aggravating postures After a day..
1,220
Q. My right arm, shoulder, and neck are paining. What to do?
My father has been having sciantica on lower left leg and back pains. This have continuously happened for last 5 months. In the past 2 years it only pains periodically. What are the best options (1) without surgery or (2) minimal invasive surgery? I would be able to share further on the MRI scans once I have established a link to upload or email.
Hello, Sorry to hear this. The MRI does show degenerative disease of the lumbar spine mainly at L45 L5S1 level. The main indications for surgery are as follows Thus the decision for surgery is generally based on both patient perception as well as thorough clinical examination. He needs to visit a surgeon for examination. Generally speaking, the surgeon usually recommends a non surgical treatment first if there are no neurological deficits. These may include rest, activity modifications, medications,physiotherapy, combination of nerve blocks and/or facet blocks etc. Wishing him a speedy recovery. Best wishes.
1,221
Q. What is the best treatment option, apart from surgery or minimally invasive surgery, for sciatica?
Hello doctor, My partner is having a lot of pain in his wisdom tooth. I guess he is getting it but his whole mouth got swelling and he is not even able to talk. He is having fever also now and the pain is not bearable. What should we do right now as none of the doctors are available?
Hi. Your wisdom tooth got infection, so there is pain and swelling. The infection is spreading that is why you have restricted mouth opening and facial swelling. Better start with high dose antibiotics and pain killer temporarily. It will be easier for me to give correct treatment if you send an image of your face and involved teeth.
1,222
Q. My partner has severe wisdom tooth pain with facial swelling. Please help.
Hi doctor, I am 34 weeks pregnant and my baby's choroid plexus cysts did not clear. We did the genetic testing in the early stage of pregnancy and it was negative for trisomy 18 and 21. We had four growth ultrasounds, but no one reported anything else wrong with the baby. I am scared that they did not look well enough. Now we are moving to a different state and the doctor there said that they would have done additional screenings (amniocentesis, talk to a specialist for cysts), but that it is too late now to change anything. She said two cysts (one on each side) are more characteristic of Down syndrome. I have pictures that they gave me from the ultrasounds. Is there anything specific that I can look for on those ultrasound pictures that would indicate trisomy 18 and 21?
Hello. I was able to see the images and reports. (attachment removed to protect patient identity). Apart from the cysts they have not reported any frank worrying features. The nasal bone and face profile images are not very clear. In Down's, the nasal bone may be absent or hypoplastic. The other direct features associated with Down’s are hypertelorism or widely spaced eyes which is not seen in your scans. There is no neck fold thickening. Therefore at this stage of pregnancy, I would ask you not to stress out. Just make sure that on your next scan the sonographer is aware of the choroid plexus cysts finding and includes cardiac evaluation and facial evaluation in detail. Take care.
1,223
Q. I am 34 weeks pregnant with choroid plexus cyst in fetus. Will it cause Down syndrome?
Mild asthma, cough since 2 weeks, and covid-19 patient. I am currently taking Benzo 200mg, famotidine 20mg, and albuterol as needed.
hello thanx for the query. I can understand ur concern. according to ur statement u have been suffering from cough which is dry in nature and Covid-19.ur past history of having mild asthma and anxiety. ur treatment depends on severity. if albuterol is not able to ur cough then u can corticosteroid inhaler. u should monitor ur oxygen saturation rate by pulse oximetry.it will determine where u need oxygen support or not.as u a patient of Covid-19,so u must be isolated from ur family and friends at least for 14days. gurgle with salt mixed luke warm water 3-4 times daily.u should strictly maintain ur temperature chart. can u provide me the details history like what is the problem now u r facing or what type of advice and help do u need?if u provide me the details history then I will be able to treat u further . if albuterol is not able to control ur cough then u can use corticosteroid inhaler.
1,224
Q. I have been in quarantine for nearly 12 days for COVID-19. Why is my recovery very slow?
Hello doctor, I am a very paranoid person. The smallest thing that happens to me ends up searching it up on the internet and stressing over it. One of my main problems is freaking out about going to sleep and waking up worse. For example, yesterday I got an eyelash in my eye and it was so close to my cornea, but it did not touch it. After that, I would constantly go to the bathroom to check if there was something in my eye. The constant touching led to my eye being sore and I was afraid to fall asleep and wake up blind. I ended up sleeping at 5 AM. I was wondering if you had any tips to help me not be afraid to sleep at night.
Hi. Try sleep hygiene. Avoid excessive caffeine intake, do not sleep at day time. Maintain a regular schedule for sleeping and waking time. Do not use mobile phone or watch TV when you are in bed. Go to bed when you fall asleep. If you do not feel sleepy in the bed wake up and engage in some activities until you feel sleepy. Try this first as well as regular exercise or meditation and engage in your regular activity. If this does not help try Zolpidem 10 mg at night time for 10 days, eat this medicine and immediately go to sleep. Along with this take Fluoxetine 20 mg in the morning after meal.
1,225
Q. Soreness in eyes with paranoid nature refrains my sleep with fear of becoming blind. Please help.
Hi doctor, I had my last period on 15th April which lasted only for 15 hours (the due date was 19th but it came four days early). My partner and I had unprotected sex on 4th but he did not ejaculate inside. Since yesterday I feel tenderness in my breasts, a little fatigue and mild cramps in between. Is there anything to worry about?
Hello. I can understand your concern. According to your statement, you have been suffering from tenderness in your breast and little bit fatigue. Your last menstrual period was on 15th April which lasted for 15 hours and you had unprotected sexual intercourse on 4th. Usually, woman's menstrual cycle is 28 days (+/-7days) normally. So if period occurs seven days before the estimated date as well as seven days after the estimated date is quite normal. It may happen in every woman in her lifetime. It is nothing to be worried. Again menstrual bleeding can last for 2-7 days normally. So your last menstrual bleeding lasted for 15 hours which may be quite normal. You should not worry about that. You should know about the safe period during a normal menstrual cycle. It is also known as calendar method. In this period no woman becomes pregnant from unprotected sex. If your menstrual cycle is 28 days, then from the 9th day of your last menstrual cycle to the 16 th day of your last day of menstruation will be counted as danger period (from 9th day to 16th day, total 7 days are known as danger period). In this period a woman can bear pregnancy from unprotected sexual intercourse. The rest 21 days are counted as safe period. In this period no woman can become pregnant from unprotected sex. So, luckily 4th April was your safe day. So there is no chance for you to become pregnant. Hormonal fluctuations can cause breast tenderness. Breasts may become painful before three to five days of starting of a menstrual period and stop hurting after your period begins. Menstrual cycle causes hormone fluctuations in estrogen and progesterone which make your breasts swell and can lead to sore and discharge. Those hormonal imbalance may make you fatigue too. I hope this helps.
1,226
Q. My last period lasted only for few hours with a history of unprotected sex. Should I worry?
Hello doctor, I have had an issue with a topical dermatitis\eczema for about a year and a half. I have been using steroid creams and anti-itch cream but it kept coming back on and off. Three weeks ago I started getting hives and before two weeks, they covered most of my body from my neck to my ankles. As per my doctor, I went on Prednisone and Cetirizine but it did not stop. Now I am on Methylprednisolone and Cetirizine and it seems to be getting a little better. I cannot figure out any triggers though, the itching and the hives are pretty much unbearable. It does not seem to be a sugar allergy, but I am uncertain about a gluten allergy. I have had a previous allergy test but revealed nothing except for allergy to a few animals, which I have none. I never had a gluten test. My current medications are Amlodipine, Paroxetine, Wellbutrin, Famotidine, and Cetirizine. Methylprednisolone for the past four days. I am 52 years old.
Hello. I have seen the attachments. (attachment removed to protect patient identity). It must be difficult for you with the itch and the rashes. Can you upload the report of your allergy testing? Why do not you go ahead and get the flute testing? It is a blood test and not as costly as the routine allergy panel. Secondly, when did you start Paroxetine and Wellbutrin? Were those started recently? Is there any correlation between their start and the development of the rashes? When you take the steroid tablets and antihistaminics are you better off? Do the rashes stay at bay then? Are there any triggers inside the house? Any insects or dust particles? Any history of change of place of stay?
1,227
Q. My eczema is coming back on and off. Am I allergic to gluten?
Hello doctor, I had a staph infection and I took antibiotics a month ago. I had been in the sun a lot recently and I am feeling symptoms of heat exhaustion, but I am worried that the staph infection is causing septic shock? Is this a possibility?
Hi. I can understand your concern. According to your statement, you have been suffering from a feeling of heat exhaustion as you were more exposed to the sunlight and worried about Staph infection that may cause septic shock. You had a staph infection one month back and you took antibiotics for that. So I think your previous staph infection was well eradicated by taking antibiotics. Even without treatment, it can be eradicated within 10-20 days. Staph infection may cause life-threatening condition like sepsis. Clinical features of sepsis are high fever with chills and rigors, rapid pulse rate, rapid breathing, hypotension, vomiting, diarrhea, etc. When staph bacteria enters a person's bloodstream and develop an infection that may affect the entire body and cause death is known as sepsis. You are not mentioned here that you are affected by sepsis-like clinical features and no history of having sepsis in the past. So now you are free from staph infection and no chance of sepsis caused by staph infection. I hope this helps.
1,228
Q. What is the possibility of previous staph infection causing septic shock?
Hi there! I have a case of diarrhea since yesterday and I have gone to the loo quite a few times. However, with each time it starts to hurt more and more and its reached a point where i am scared to poop. It hurts as soon as i start to poop and continues till 5-10 minutes after i am done.
Hello. I welcome you to icliniq. I can understand you must be very upset about this. So here are something that i want you to understand. since you started to have diarrhea since yesterday which classifies it as acute (recent) gastroenteritis. The most common cause usually a food that has caused poisoing and suddent burst of large volume of poop. i want you to start taking Oral rehydration therapy ORS. Add one sachet of ORS in one liter of mineral water or boiled water and take 200 to 300 ml each time you have loose bowel. This will replenish your salt in body and help decrease diarrhea. The antibiotics are not really recommend in acute diarrhea except someone has blood in stools. so i am not recommending you at this point in time. Tab lomotil 2 tablets thrice daily no more than 3 days. food poisoing enterotoxin mediated diarrhea Oral rehydration therapy ORS. Add one sachet of ORS in one liter of mineral water or boiled water and take 200 to 300 ml each time you have loose bowel. Tab lomotil 2 tablets thrice daily no more than 3 days.( Generic diphenoxylate hydrochloride plus atropine) I really hope this will surely settle your diarrhea. If it does not help in 48 hours plz let me know.
1,229
Q. I have diarrhea, and anal pain increases every time I poop. Please help.
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?
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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist
1,230
Q. What does abutment of the nerve root mean?
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.
Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist
1,231
Q. Will Nano-Leo give permanent solution for erection problem?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon
1,232
Q. Every time I eat spicy food, I poop blood. Why?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
1,233
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist
1,234
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
I am 18 years old my problem is that i cannot sleep at night but when i sleep i cannot get up for like 9 or 10 hours . when i cannot sleep i usually keep using my laptop . i am very overweighted like my weight is almost 94 kgs i dont know may be i think that this is because of stress.
Dear, Thanks for your query. I understand that you are facing sleeping disturbance due to unavoidable sleep patterns. Actually, everyone these days are going through these problems due to uncertainty around us, revised and changed work schedules and so on. Besides, yes stress plays a key role in this, when thought processes are going on, mind finds difficulty in shutting down. Regarding weight, yes it may disturb physical patterns as well but i think more than this stress plays a key role. I would suggest you to discuss your stress and find solutions to the issue. You are so young, and feeling sad is ok but it is important to talk about issues you are experiencing. Best Regards
1,235
Q. I cannot sleep at night, but when I do, I cannot get up for 9 or 10 hours. Is this because of stress?
Hello doctor, I am feeling bloated (gas in the stomach), heaviness in the chest, feeling that there is phlegm in the throat. When burping or belching, I felt relieved and fine. But after a while, the above symptoms appear again. I am a 60-year-old female with hypertension and I am currently taking Twynsta 40/10, Bisoprolol 5 mg.
Hello. I guess you are on Twynsta 40/10 which is a combination of Telmisartan and Amlodipine and Bisoprolol 5 mg. So this is likely a gastric and reflux problem, however, sometimes symptoms of gastritis and heart disease overlap in elders with such symptoms. Electrocardiography (ECG) is recommended. Meanwhile, you should have antacids along with your current medications like tablet Pantoprazole DSR 40 mg or Rabeprazole DSR 20 mg before breakfast once daily for a week and later whenever needed. You should also avoid heavy meals. Have less oily, spicy and fatty foods. Have a walk for sometime after meals rather than resting immediately. Have light dinner. If you are having constipation then you should get it treated with laxatives like syrup Cremaffin plus. Regular sleep is also important. I hope this helps.
1,236
Q. My bloating and chest heaviness gets relieved on burping or belching. What is my problem?
Hi doctor, I am 43 years old. I am having three children. Up to February, my menses cycles were at routine (monthly normally at 10-12 th of every month). My Hbp level is at 7+, but for the first time in the March I had no cycle, and in April I just had spotting. Now from the 1st May, I am having full bleeding, till today. The same case happens with my sister at the age of 41. She faced the same issue and on consulting the doctor, she was advised Progyluton tablet 2 mg / 0.5 mg for 21 days +TriHemic 600 tablet. Due to lockdown, I cannot contact my doctor, can you please guide me? Can I follow the prescription of my sister?
Hi. I understand your concern. Normal age for menopause is 42 to 52 years during which menses become irregular with excessive bleeding sometimes. So in your case, you might be transiting into menopause. However, if you have excessive bleeding during menses then take tablet Pause MF (Tranexamic acid and Mefenamic acid) three times daily if bleeding is heavy. Also, women must take calcium supplement after 30 years. Please take tablet Calcimax once daily after food. If your bleeding does not subside with the above medication please get an ultrasound pelvis to rule out the other causes.
1,237
Q. My regular menstrual cycle is disturbed for the past 2 months. What should I do to regularize it?
Hello doctor, I have some problems with my eye and need some assistance. I have red eyes from a few months now and have tried some drops and it has reduced. But still, I have some redness in the eye. Adding to it, I have some headaches and can see a lot of eye floaters from a week now. Please help.
Hi. Here your symptoms look more in favor of allergic conjunctivitis. This may occur due to allergy to dust, grass, pollen, cosmetics, soap, etc. Allergic conjunctivitis may be seasonal type. Try to avoid the above allergens to get rid away from allergy. You may have frequent itching in your eyes. Please keep in mind not to rub your eyes by any means. Rubbing eye frequently may provoke developing allergic conjunctivitis which was once healed up. Dust, grass pollens, cosmetics, and soap. — Allergic conjunctivitis. Olopatadine 2% eye drops once a day (preferably at night), Loteprednol 0.5% eye drops three times a day. Put ice packs on closed lids which may give you instant relief. Use it minimum for 15 days. (Keep in mind you may get symptomatically relieved very soon but allergic conjunctivitis needs time to recover from the roots). 1. Stay away from the above mentioned allergens. 2. Try cooling goggles while going out. 3. Avoid rubbing eyes. After 15 days.
1,238
Q. I have redness in eyes for the past few months with headache and eye floaters. Please help.
Hello doctor, I have a constipation problem. I think my constipation is due to calcigard retard 20 mg. Other medicines are Trental 400 mg twice daily for the past twenty years for Raynauds. Five years back I underwent surgery for CSF rhinorrhea. For BP, I am taking Telsartan 40 mg and Ecospirin 75 mg.
Hello. Since how long you have this issue of constipation? And how frequently do you pass stools per week? Is passing stools painful? Is there any blood in your stools? Do you strain while defecating? Does anything come out while defecating? Is there any abdominal pain associated with it? I will suggest laxatives to you but it will be better to consult your cardiologist too, for the shift of Calciguard retard to another drug because calcium channel blockers can frequently cause constipation. Drug-induced constipation? TSH (thyroid-stimulating hormone). Blood sugar. Serum calcium. Polyethylene glycol sachet in one glass of water once daily (you can increase the dose according to response). Ispaghol husk two teaspoons in a glass of water twice daily. Increase water intake. Daily exercise 20 - 30 minutes.
1,239
Q. I have constipation due to intake of Calcigard retard. What should I do now?
Hello doctor, Two months ago my mother fell down on her knees but did not seem to complain. Recently, she did a bit of house work for a few days and her knee is in pain especially in the back where you bend your leg. Pain is also notable when she sits down for an hour or longer and gets up, and also when waking after sleep.
Hello. Your mother has osteoarthritis of the knee and the fall may have stirred this further. The pain that you describe is at the back of the knee this can come from the knee cap as well as the degenerative tear of the medial meniscus. As there are a very little mechanical symptom like locking and giving way not there is much of an effusion I feel that the pain is from the knee cap. The pain in such cases can be at the back of the knee, pain is worse in climbing stairs or coming down, worse after having sat down for any length of time. This condition is called patellofemoral compression syndrome and can be helped with regular exercise and patellar gaping and a course of anti-inflammatory medications like Diclofenac or Piroxicam. In addition, she can take Paracetamol and Tramadol combination for pain. She will need to do VMO, gluteal, core strengthening exercise, and hamstrings stretches, in addition, she needs to avoid squatting. The physiotherapist can in addition give IFT or TENs to help. it will take 3-6 months for the pain to settle down. MRI also shows an incarcerated needle tip under the patella have but I need to have this physically checked if this was recent and was it from the fall on to a sharp object.
1,240
Q. Due to fall, my mom has knee pain which aggravates while sitting and bending the legs. Plese help.
Hello, I have been a diabetic for about 20 years. My recent A1c is 6.4. From last few days, I have been noticing that my fasting sugar readings are really high like 140-180. There have been no changes in the diet. Interestingly enough, within 1-2 hours it goes up by another 20 points without doing anything. Another strange thing is before I go to bed, it is in the range of 110-130, but in the morning it is always > 140. Please help me understand this strange phenomen. I am taking 1000mcg Metformin twice a day.
Hi Thanks for your query It’s good to see ur sugars are good with HBA1c 6.4. Blood sugars go up and down not only with meals but there are many other factors associated as well like other Harmon levels in the body. For example if ur stressed mentally or excited ur cortisol and catecholamines also increase and thus may lead to increase sugar levels as well Same way if u will do exercise it will decrease ur sugar as well as use of alcohol. May be ur eating habits didn’t change much but other factors have something to do with these levels. Sleep is also important. Along with medications I always advise for intermittent fasting and low carbohydrates with least grains. Exercise even if it’s just walking 45 minutes daily is beneficial Thanks
1,241
Q. Why does my blood sugar level go up even without doing anything?
Hello I feel pain at my lower left side of abdomen,, Also It’s hard to pee ( feeling burning) the symptoms looks like I have Urolithiasis. I need to make sure
Hi, I understand your concerns. You are finding it difficult to pee and there is a burning sensation. These may be due to urinary tract infection (more likely) or stones. In your urine report there are a few microorganisms and red blood cells are also present -these are suggestive of urinary tract infection. Please get an urine culture sensitivity report and an ultrasound of kidney,ureter and urinary bladder. Plenty of fluids is advisable and antibiotics have to be taken on basis of your culture report. Signs and symptoms of kidney stones can include severe pain, nausea, vomiting, fever, chills and blood in your urine. Diagnosis of stones is based on urinalysis and radiologic imaging, usually noncontrast helical CT. Treatment is with analgesics, antibiotics for infection, medical expulsive therapy, and, sometimes, shock wave lithotripsy or endoscopic procedures. Hope this helps. UTI UTI Urine Culture sensitivity Ultrasound of kidney,ureter and urinary bladder. Urolothiasis UTI Plenty of fluids And antibiotics according to urine culture report. Plenty of fluids,genital hygeine.
1,242
Q. I feel pain at my lower left side of the abdomen, and it burns while peeing. Is it due to urolithiasis?
What are the possibilities of transmitting HSV2 from an infected woman to a man and how to prevent it if they intend to enter into a relationship. Thanks
Hello , Welcome to Icliniq. I understand your concern about the HSV .. before I begin to preventive measures let me tell you it how it can spreads.. It is spread through oral, vaginal, or anal sex. It may be spread even if you do not see blisters. It can also be spread to other areas of your body, including your eyes, lips, mouth, by touching open blisters. Unprotected sex increases your risk for genital herpes. Now as you are well aware about its spreads now you just have to take precautions accordingly. Follow the following advice- Fortunately It can be treated effectively with proper medication.. let me know in the follow up if you need it. I hope this will help you. Regards! Do give your valuable feedback.
1,243
Q. What are the possibilities of transmitting HSV-2 from an infected woman to a man?
Hi doctor, My mother is 59 years old. She has gallstone and she was supposed to have cholecystectomy but was postponed due to quarantine. Last month was the supposed schedule and that time the size of the stone in her gall bladder was 3 cm. Now she is experiencing increased pain on her right shoulder. I would like to know if there is something she can do for the pain or should she have her gall bladder removed?
Hello. I will help you with your problem. Gall stone surgery is not emergency surgery. It should be done in an emergency if there is gall bladder perforation or malignancy. In your case, the stone size is large, and with the age of the patient malignancy is ruled out. I will advise to go for CT (computed tomography) scan if possible. If not at least USG (ultrasound) abdomen should be done. If everything is normal and only stones are there then you can wait for some time. Consult in an emergency if she developed jaundice any time. For pain, she may take any regular pain killers. Avoid fatty diet and get back to me after investigations.
1,244
Q. My mother has gallstones. Should we get it removed as an emergency?
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?
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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist
1,245
Q. What does abutment of the nerve root mean?
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.
Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist
1,246
Q. Will Nano-Leo give permanent solution for erection problem?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon
1,247
Q. Every time I eat spicy food, I poop blood. Why?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
1,248
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist
1,249
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
Hello doctor, I have a headache in my upper part of the head. I do not know if it is connected with my neck because I had stiff neck due to my sleeping position. Well I lay down to bed most of the time due to quarantine and after I had that stiff neck I had this. It is not actually a headache, I guess it is like irritation in my upper head. I do not know if it should be treated with a pain reliever. As it is not that severe I did not take it.
Hi, Welcome to iclinq.com. I understand your concern. I need to know more about your headache. How and when does it start? Is it unilateral or both sides? Is it intermittent or continuous or any diurnal variation? Any aggravating or relieving factors? Light or noise sensitivity? Does it associate with nausea, vomiting, or blurring of vision? Did you have a history of migraines or asthma? Any history of fever or sinusitis? You should always note the red flags of headache such as sudden onset of headache, the onset of headache after 50 years of age, increased frequency or severity of headache, new onset of headache with an underlying medical condition, headache with concomitant systemic illness (fever and weight loss), focal neurologic signs or symptoms, blurring of vision. In that case, you need urgent evaluation. If they are absent, you need not be worried. Some times neck muscle tension stiffness may lead to headaches, as in your case. Simple Paracetamol or muscle relaxant will be useful. Adjust your sleeping position, try not to use high pillows. Another most common cause of headache is migraine. Simple Paracetamol at the onset of the headache will be helpful. Also, avoid triggers that lead to a headache. You should have adequate sleep, avoid stress, and take meals on time. I hope this helps.
1,250
Q. I have irritation type of headache due to prolonged lying in quarantine period. Please help.
Hello doctor, I hurt myself two days ago and it seemed to be getting better. But today it is worse than when it started. Most of the pain is in the right side area. Today, I cannot walk due to excruciating pain. The only relief is laying flat on my back or standing at the foot of the bed and bent over with my face on the mattress. As said, I was doing better the past two days but yesterday I laid flat down on the bed while my husband rubs my legs and I was propped up on my forearms and I am wondering if that did not make things worse. I felt pretty good when getting out of the bed and during the shower and then the pain started to come back and quickly accelerated to not being able to even sit in a chair due to excruciating pain. Again, as long as I am lying flat I do not feel it at all but if I try to move side to side I feel excruciating pain.
Hi. I can understand the pain you are suffering from. It is nothing but low back pain radiated to the leg. Due to constant stress and improper posture you get this. Taking rest and doing simple exercises will help reduce pain and also you can take Advil (Ibuprofen) for quick relief. An MRI (magnetic resonance imaging) of LS (lumbar spine) would help to know better what exactly the problem is. Here are some exercises you need to do slowly without any pressure. 1. Low back stretch. 2. Straight leg raising. 3. Piriformis stretch. 4. Bridge. 5. Leg sliding. 5. Waist lifting. 6. Deep abdominal strengthening. These exercises will not only reduce pain but also gives strength to the muscles. Apply heat pad thrice a day. Follow up with MRI reports. Stress, improper posture. MRI lumbar spine. Exercises. Advil tablet. With MRI reports.
1,251
Q. I get excruciating pain while walking due to an injury. Please help.
Hi doctor, I have some speech problem. I miss the word while talking and I am not conveying it properly. I have to stop and think for a while to continue the conversation. This happens many times a day. My current medication is tablet Vilazine 40. Please help me.
Hi. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist
1,252
Q. Often, I stop and think for a while during conversation. Why?
Hi doctor, I had Doppler MCA. The report showed MCA-PSV value of 0.79 MoM. What does it indicate? Please explain.
Hello. For further information consult an obstetrician and gynaecologist online -->https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist
1,253
Q. What does my PSV value of 0. 79 MoM indicate?
Hi doctor, I had an annual checkup. Please have a look at the reports and advise if everything seems fine and healthy.
Hi. For further information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner
1,254
Q. Do I need to worry about my neutrophil and lymphocyte count?
Hi doctor, I just found out that I am pregnant from the home pregnancy test kits. This may sound weird as I am not sure about the date of conception was. My last period was on the 17th of last month. I had sex on the 14th of last month and also on the 4th of this month. I have a 38 day cycle. Is there a way to tell which date the pregnancy has come from without the ultrasound?
Hi. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist
1,255
Q. How to find the date of conception?
Hi doctor, My mother-in-law is suffering from hearing loss for the last 10 days. There is no pain in the ear, but sudden hearing loss. She can hear, but hearing capacity reduced by more than 30%. Please tell me some solution for this. Thank you.
Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
1,256
Q. What could cause hearing loss?
Hi doctor, When I was using Q-tips to clean my ears, I slipped and I may have gone a little too deep with one. I felt a little discomfort in my ear. That was three days ago and I still feel a little weird in that area. Could I have ruptured or punctured my eardrum? Is it important to go to an ear doctor immediately?
Hi. For further information consult an audiologist online --> https://www.icliniq.com/ask-a-doctor-online/audiologist
1,257
Q. Why is there some discomfort after using Q-tip?
Hi doctor, My aunt has colon cancer for the past three years. She has a tumor of 8 cm. As all other organs are not compromised, she stopped with the chemotherapy like one year ago. Now, she has peritoneal pseudomyxoma and ascites. In the hospital, the doctors say that the liquid in her abdominal cavity cannot be drained with normal methods because of the density of it. They sent her home to die slowly without any treatment. What can be done to get that thing out of her? I have attached her clinical history for your reference. Please help.
Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
1,258
Q. How to remove the excess abdominal fluid in a colon cancer patient?
Hi doctor, I am a 25 year old male. My weight is 100 kg and height is 5'5". My current medications are as follows. Atorvastatin 10 mg on alternate days for hyperlipidemia, Allopurinol 100 mg three times a day for hyperuricemia and LABA plus steroid inhaler for asthma. Today, my BP is 139/98 mmHg on routine measurement. I am thinking to join a gym this week. Please suggest me.
Hi. For further information consult a general medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/general-medicine-physician
1,259
Q. Can I reduce weight by going to gym?
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?
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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist
1,260
Q. What does abutment of the nerve root mean?
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.
Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist
1,261
Q. Will Nano-Leo give permanent solution for erection problem?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon
1,262
Q. Every time I eat spicy food, I poop blood. Why?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
1,263
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist
1,264
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
Hi doctor, I have Morganella morganii infection in the prostate. For the past 15 years, I have been getting blood in semen. I had a short course of antibiotics in the past and I also had a semen microbiological test. Please recommend some antibiotics.
Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist
1,265
Q. Shall I take Septrin forte for prostate infection?
Hi doctor, I had plantar fascia release surgery three months ago and my doctor released me to work even though I was supposed to get one more x-ray. After getting the second X-ray, he said the x-ray looks good. But, still I am in a lot of pain. Also, the pain has spread to the outside of my foot along with the area of all the joints especially over the last three. Should I get a second opinion?
Hi. Revert back after 10 days to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist
1,266
Q. What is the reason for pain following a plantar fascia release surgery?
Hi doctor, There is a mole like appearance on the back of my thigh. I am worried if it is a cancerous one. Please help me.
Hi. I have read your query and do understand your concern. Revert back with the photo and the answers to the above questions to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist
1,267
Q. How to find out if a mole is cancerous or not?
Hi doctor, I had a biochemical pregnancy before two months. Initially, my hCG test showed 11 and after a couple of days it was 9. Then, I had an endometrial lining scan and it showed a simple right ovarian cyst measuring 33 x 27 mm. So, doctor prescribed Meprate and I got my periods on the 27th of last month. When can I expect my periods of this month? Do I need to get any other scan? Please explain.
Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist
1,268
Q. After a biochemical pregnancy, when can I plan my next pregnancy?
Hi doctor, Four years before, I met with a car accident with no external injury. After a week, I started getting pain in my right buttock and calf area. Later, I was recommended for an MRI and found it was L4-L5 disc extrusion. I underwent the microscopic discectomy the same year. Now, for the past one month, I am having severe pain in the same area. I consulted my surgeon and took another MRI as recommended. This time as well, I have the disc extrusion in the same disc. This time he is recommending for fusion. I am attaching the MRI reports for your kind advise.. Please check and advise whether I need to go for it. My current medications are Renerve plus and a painkiller. Thank you
Hi. A few observations are as follows. Evocative discogram proceed transforaminal endoscopic discectomy. Revert back with the answers to the above questions to an orthopaedician and traumatologist online.---> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist
1,269
Q. Will you recommend fusion surgery for disc extrusion?
Hello doctor, I am a female of 32 years old. I have a chronic issue of throat irritation. A year ago, I had taken treatment from the ENT specialist. He told me that everything is fine, but some kind of air obstructs the throat. Unfortunately, I lost the prescription. I have been to doctors here, but I am not satisfied. One doctor gave me gastritis medicine and it does not work. As per report my throat is fine. I do not have tonsillitis or sinus problem. But, I am keep clearing my throat. My current medication includes Rabeprazole sandoz 20 mg and Motilium 10 mg. I am in a real trouble. Please help.
Hello. We are happy to help you. From the details you have provided regarding your symptoms and the previous consultations, I can conclude with reasonable surety that you are suffering from a condition called reflux laryngitis. This is a chronic condition characterized by symptoms like chronic throat irritation, feeling of something stuck down the throat, frequent clearing of the throat and excessive throat mucous. It is because of local production of acid. Acid is produced in the stomach to aid in digestion. The throat mucosa is not suitable to handle the acid. When such local acid production occurs or the gastric acid contents rise up the esophagus, they cause chronic irritation of mucosa and produce these symptoms. They are seen typically as inflammation of the posterior larynx in endoscopy. If you can search for your endoscopy report and share with us it will be helpful. The treatment for this condition is to take a proton pump inhibitor like Rabeprazole 40 mg or Pantoprazole 40 mg twice daily, half an hour before food for about a month. Also, I advise to take a teaspoon of Mucaine gel (Aluminium hydroxide) after each meal and before bedtime at night for a week. The proton pump inhibitor prevents acid production and the gel which is a combination of antacid and local anesthetic produces relief of symptoms. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Some additional care to be taken during this treatment are, With these measures your condition will improve. But, it will be a gradual recovery. If you do not recover, then I would like to do some blood investigations to check if there is any other factor that is causing the throat issue. Also a repeat endoscopy can be advised to recheck the larynx, hypopharynx and cervical esophagus for the throat irritation. For further information consult an ENT otolaryngologist online --> https://www.icliniq.com/ask-a-doctor-online/ENT-Otolaryngologist
1,270
Q. What can cause chronic throat irritation?
Hi doctor, I have a couple of moles that have changed recently. Should I get them checked by my GP? The larger round mole is on my back of about 5 mm in diameter. Now, it is a little over 1 cm. Also, it has changed over a course of a few months. The other mole that I noticed recently, is raised, while the rest is flat. I have uploaded the photos for your reference. Please help.
Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist
1,271
Q. One of my moles has raised. Should I get them checked?
Hi doctor, Before two years, my father was diagnosed with prostate cancer and has been undergoing treatment using Eligard and Xgeva. Early this year, he got diagnosed with vallecula carcinoma and for which he underwent chemo (Erbitux) six sittings and radiation therapy for 27 days. While vallecula seems to have subsided, he is now detected with tumor in some of the lymph nodes and for which operation has been recommended by the doctor. Also, as observed in PET scan cancer seems to be spreading to other parts as there are some areas highlighted in the lower part of the lungs. Doctor has not given clear guidance about that. We have been exploring the other options to retard spread of his cancer. We need your guidance on therapies that can be considered to extend his healthy life span. He is 73 years old. Wanted to check around immunotherapy for treatment and its availability. Thank you.
Hi. I went through the details of your father's illness and I will concentrate on the present problem. For further information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist
1,272
Q. Does operating the lymph node prevent spread of the cancer?
Hi doctor, I want to know if my two sister's grandson and granddaughter get married, will their baby become abnormal? Or will the marriage affect their kid in any other way? Please explain.
Hello. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
1,273
Q. Is there a possibility for an abnormal baby if grandkids of own sisters marry?
Hi doctor, I have attached my two ECG reports here. Are they normal? They were taken consecutively, 1 minute apart, the one with 106 heart rate was taken first and the second one with 93 heart rate was taken later). I see some broad peak in the second one. I am not sure if it is an error or something else. My questions are as follows: Do both ECG charts represent healthy heart? The reason why I went to the hospital is that I felt chest pain and I checked my heart rate by a phone application. It gave a normal reading except for one time it gave 39, but immediately after that it gave 79. Do you think the 39 heart rate is an error? Should I feel relaxed and be assured that my heart is fine? What is that broad peak? I have very mild mitral valve regurgitation that was diagnosed to not have any treatments. Also, before I did the ECG, I just ate and I was very concerned about the chest pain. Please explain. Thank you.
Hi. You may rest assured as I have carefully reviewed your health query, including both the attachments with different heart rates (attachment removed to protect patient identity). For further information consult a cardiologist online -->https://www.icliniq.com/ask-a-doctor-online/cardiologist
1,274
Q. Are my ECG reports normal?
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?
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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist
1,275
Q. What does abutment of the nerve root mean?
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.
Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist
1,276
Q. Will Nano-Leo give permanent solution for erection problem?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon
1,277
Q. Every time I eat spicy food, I poop blood. Why?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
1,278
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist
1,279
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
Hi doctor, Today I noticed two moles on my back with large dark circles around them. I have attached the photos of one affected area only. I have always had these moles, but have never seen these dark circles until today. I have had biopsies of moles from my back before and they were not cancerous. However, in the past, my dermatologist and a plastic surgeon removed a pre-cancerous mole removed from my right calf and a suspicious mole from my right bicep. My mother had a melanoma removed. I am also recovering from a case of shingles on my face. Could my immune system have been weakened from fighting off whatever is going on with these moles? Please explain.
Hi. For further doubts consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist
1,280
Q. Is mole with large circular area a suspicious one?
Hi doctor, This is in regard to my mother. She is 51 years old. Her weight is 112 kg. She has severe pain in the lumbar spine till her bottom and not the legs. She had done an MRI of her spine earlier and got detected with slipped discs. Recently, she did another MRI of her brain and whole screening of spine. I want you to explain the conclusion of the brain MRI. The report was round to oval T2 hyperintense foci in bilateral deep peritrigonal and right frontal white matter. Please explain in detail and also please tell me what treatment would it require. Also, she has slipped discs, frozen shoulder and muscle knots. Please tell a solution for muscle knots. Due to frozen shoulder, she cannot lift her right hand. She had injections, but did not get relief. From a while back, she is showing forgetfulness, no balance and cannot lead a normal life at all. I am sending the copies of the MRI and also attached her current medication list. I will be awaiting your reply. Thank you.
Hello. I had gone through all the data posted (attachment removed to protect patient identity). I would like to keep my answer as simple as possible so that you can understand easily. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
1,281
Q. What treatment would you suggest seeing this MRI?
Hello doctor, My son is 21 months old. He is suffering from very acute diarrhea. That is four to five times in an hour and frequent vomiting, four times a day from the last four days. We consulted a local doctor. He advised the attached prescription and stool test. As per him it is due to severe bacterial infection in the stomach, which is resulting in diarrhea. My son is not suffering with dehydration and his fluid intake is sufficient. He himself is asking for food, but due to frequent motions, he is weak and the rashes makes him irritated. Please give your suggestions. We are worried as it seems that medicines are not healing it in a faster way. He got only 5% relief in three days. Doctor said that it will take three to four days to become normal and stool test is also fine.
Hello. I understand your concern for your child. I have seen the attached documents (attachment removed to protect patient identity). Acute diarrhea. 1. Give him ORS with each loose stool or whatever amount child takes. Prepare by adding a whole sachet in 1 liter water. 2. Syrup Zinc 5 mL for 14 days. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Revert back with the answers to the above questions to a paediatrician online.---> https://www.icliniq.com/ask-a-doctor-online/paediatrician
1,282
Q. How to treat acute diarrhea and vomiting?
Hi doctor, From yesterday, I am suffering from loose motions and vomiting. I do not feel fever, but, whatever I eat, I feel it is in my throat. I feel vomiting sensation. I feel very weak, drowsy and not able to do my normal work. Also, felt left side shoulder and chest discomfort. My age is 31 and I do not have any bad habits. I have high triglycerides around 345 and other lipid levels are normal. For the past two years, my triglycerides are in this range only. I have taken Pantop 40 mg, some tablets for stopping motion and Nicip pain killer for left side chest and shoulder pain. I feel tightness also, but doctors confirmed it is not a heart problem, Three days back, I ate sweets and since then I feel very discomfort. Four months back, I have undergone ECG, TMT and other tests which showed all normal. Kindly do the needful. Thank you.
Hi. We are here to help you. For further doubts consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
1,283
Q. What can cause bloody diarrhea and vomiting?
Hi doctor, I am too much possessive to all the one who I love. Because of that, I stressed a lot. Is possessiveness a disease? Please help me.  Do I need any treatment for this? Thank you.
Hi. For further information consult a psychiatrist online --> https://www.icliniq.com/ask-a-doctor-online/psychiatrist
1,284
Q. Is possessiveness a disease?
Hi doctor, I am on Prozac treatment for two months now for depression and anxiety. I am on the minimum dose (half a pill a day) and I am doing very well to this treatment. However, I just found out I am pregnant. My gynecologist says that I should stop Prozac immediately, but my psychiatrist says keep taking them, as it is a very low dose and it will not harm the baby. My anxiety and panic attacks were quite bad before. Now I am much more relaxed and I am just feeling like a normal person again. What should I do? Should I continue the treatment? Is it safe for the baby? Please help.
Hi. Congratulations on your good news and I went through your query. For further doubts consult a childbirth educator online --> https://www.icliniq.com/ask-a-doctor-online/childbirth-educator
1,285
Q. Is it safe to take Prozac during pregnancy?
Hi doctor, I am suffering from unilateral headache for the last two months. I had an eye examination and that was fine. My blood tests were all normal. I have seen three doctors, my GP and two hospital doctors, who all say it is likely a benign headache or tension-type headache of some description. I have no other symptoms other than the pain. I was prescribed Naproxen 500 mg twice daily which helped for two weeks. Pain came back a week after stopping Naproxen, but more mild than before. Then went away for five days and returned. Now, Naproxen does not seem to help at all. Doctors have not been concerned enough to give me a scan, because I have no other symptoms and just the pain. Again, this has been going on for two months now and even on pain-free days while on naproxen I have still had brief one second flashes of pain at least a couple of times a day. I have no sickness or nausea or dizziness. I do not have a history of migraine.There is no pain behind my eye or tearing. I also have no anxiety or tension issues in my personal life to attribute to a headache. The pain is in my left temporal area. I feel some pressure, pinching pain and tightness. Sometimes, it is in the inner ear and sometimes I have pain on the top left of my head. Before I started the Naproxen, it was at its worst at bedtime when I laid down, but I slept pain free for a month while on the Naproxen. The pain is quite mild, but persistent. So, it is very annoying and always on my mind now that the Naproxen does not seem to work at all and I cannot rely on it for relief. Why would naproxen suddenly stop working? Should I be concerned that I have a sinister condition?
Hi. For further doubts consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist
1,286
Q. Why is Naproxen not working for my headache?
Hi doctor, I am 31 years old. Last month I had periods on 10th and then we had sex on 22, 23, 25 as those were the fertile days. Also I am doing yoga from past 1 month. This my date was supposed to come before 10 as I normally get period before date. But got my periods today on 14th. Is it because I am doing yoga so I got my periods and failed to conceive? As initially in this month I was having frequent urination, sore breast symptoms but sadly I failed to conceive. Can you suggest shall I continue yoga and is it advisable to do yoga after having sex? Current medications: Folvite and Neurobion forte.
Hello. Nothing to worry. Smaller changes in cycle pattern can be hormonal. Yoga is good, it relaxes you, nothing to worry about. The cycle fecundity is 12 to 15 percent (means every trying cycle has a chance of pregnancy only 12 percent) it takes 1 year of unprotected intercourse for better pregnancy rate. No worries. Considering your age if the trying period is more than 8 to 10 months get a baseline TVS to look for ovarian reserve and also a baseline semen analysis for your partner. hormonal Semen analysis& TVS hormonal reassurance if queries
1,287
Q. Is it advisable to do yoga after sex to conceive?
Hello doctor, Yesterday in the evening I felt strong heaviness in my stomach and gas started forming. Stomach seems to be full without eating anything . Light pain also started. Today morning also no clear stool, no choice to take food, hence, only some fruits taken in breakfast. Presently also stomach feeling full of gas. Light pain feeling in the morning. I have taken one tablet of gas in empty stomach. Rabiprazole with Domperidone. What to take for relief since office hours has started and I want to be fit.
Hello. I can understand you had a terrible time due to this problem since yesterday. The gas production in bowel is a normal phenomenon and majorly produces on its own given the number of gas forming bacteria within human gut; however, there are certain foods and environmental triggers that can increase the gas production. Foods containing cereals grains such as wheat, corn, maze, barley, oats, millets, and milk. Cauliflower and many others that even you can find out yourself. So your symptoms and just an overnight onset with worsening intensity suggest you probably have one of these gas producing food a day before yesterday. If you can find out the foods that make you feel gas; then it would be very easy to omit that diet from your diet and go well. It is fine to continue with the Rabiprazole for now, but I want to substitute another medication over Domperidone. Tablet Digestine 40 mg once daily before meals, you can increase the dose to twice daily before meals if you dont feel improvement in next 48 hours. Gas and bloating I can consider testing you thoroughly if your symptoms remain for a week or so and does not improve with the medications I prescribed. SIBO Follow up in 3 days to update me how you doing
1,288
Q. What are the ways to manage gas formation in stomach?
Hello doctor, I hope this message meets you well and you are keeping safe. Please I have some concerns, I have a 2-year-old son with my husband and we have agreed to make another baby. I noticed my period only last two days and when we make love, some sperm do not go into me. Also, I ran a scan and which say my utereus is tilted. Does this means womb shift? Please provide with answers. Thank you and have a nice day ahead.
Hi I would like to know about the mode of delivery of your son w.r.t a vaginal birth or a caesarean section. If it was a caesarean section it would have been better for your health for another year. Regarding your second query spilling of a small amount of sperm outside is not an issue as long as a part of it deposited high inside the vagina also. Please attach all your previous scan and blood reports including the one which mentioned the tilt and mention whether your periods are regular or not. Meanwhile follow the advises below. Tablet Folic acid (5mg) 1 tablet once daily after lunch to continue.
1,289
Q. Does tilted uterus mean womb shift?
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?
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 --> https://www.icliniq.com/ask-a-doctor-online/neurologist
1,290
Q. What does abutment of the nerve root mean?
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.
Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist
1,291
Q. Will Nano-Leo give permanent solution for erection problem?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon
1,292
Q. Every time I eat spicy food, I poop blood. Why?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
1,293
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist
1,294
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
Hello doctor, I am 28 years old. I have checked my pregnancy through Prega news in home after 48 days of my last periods. It shows two lines one dark pink and second light pink. I have checked two times but same results. I have done an ultrasound, but it does not show pregnancy in the report. Please suggest.
Hello. I have read the description of your problem. There can be three explanations for this. 1. Either it is an evaporation line (if have you have checked it very late than the time mentioned to check on the kit which is a false positive result). 2. Or this could be a very early stage of pregnancy where the levels are not sufficient enough to be detected in urine so gives a faint positive test, obviously at this stage usually the pregnancy may or may not be detected on USG (ultrasound). 3. Or the third possibility is that this is a very early pregnancy which is failing. If you could give a little bit more details about your previous menstrual cycles, the date of your last periods, and when the scan is done, it could have helped to narrow down the possibility. You can check for your blood levels of Beta hCG (human chorionic gonadotropin) hormone to check if you were pregnant or not. I hope this helps. Serum beta hCG level.
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Q. My home pregnancy test is positive but ultrasound shows no pregnancy. Am I pregnant?
My daughter is 4 months old and this is what's been going on with her need answers or if over reacting. When she eats and even for long time after she is constantly puking. Sometimes white foamy puke. She makes a weird breathing sound when eating. And just regular breathing. Her nose is always running or full of snot. She has always got excess salava coming out of her mouth. She always sticking her toung out or moving it side to side. She acts like she's constantly choking. She has weird poop and seems be constipated alot. She isn't very alert like normal And it's like she can't talk laugh or cry anymore.. help plz
Hi , Choking like act, not laughing or crying well is something need a careful & detailed evaluation that she might be having delayed milestones and that can have multiple causes. If you can connect with me on video chat , I can have a look at your baby to confirm it is something to be of concern or not . Considering your baby is other wise normal with normal events during delivery & after delivery -- Small small amount of puking is normal which can be due to swallowing little more air during feeding. You Wrote - "while eating" , Just to re-confirm , have you started on solid food? Noisy breathing during feeds is due to running nose and she is having nose block so she feels difficulty while swallowing. Use Normal Saline nasal drops to keep the nose clean & open. Excess salivation at this age is normal for a well healthy baby .
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Q. Is something wrong with my 4-month-old daughter, or am I overreacting?
For consecutive three weeks, I have been suffering from acute sore throat and swelling and ear heaviness. In the first week, I took cefixime for six days. Then I took pulmocef 500 mg for with winolap tab and tab dolonex dt for 7 days. In this week, sore throat, tonsil pain, swelling in throat, stiffness of walls of throat, post nasal drip. I am taking cepodem xp with montair fx now for the last three days. Still I am seeing thick mucus in back of throat, as frequent post nasal drip. Even full swing fan is causing sinus problem now. Please guide. Uric acid 6.81, male 47 yrs, hba1c 6.3 no diabetes no htn so far
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Q. I am suffering from sore throat, tonsil pain, and postnasal drip for three weeks. Please help.
Good morning My daughter (12 years) has high canines. The Orthodontist advised to extract 4 teeth before we start the treatment. I would like a second opinion to know if it is really necessary and if necessary which teeth bcs I read that the opinion differ to which teeth to extract especially in girls (to avoid saggy cheeks in the future. Thank you. X-Rays taken five days back.
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Q. The orthodontist advised extracting four teeth to treat high canines. Is it necessary?
Hi doctor, My current medications are 60 mg Cymbalta for depression and 300 mg Seroquel for the sleep disorder. I am in my 40s and I have had a few episodes of depression during my lifetime. I was lucky enough to be able to attend a psychiatrist in a country I lived in for a long time. It was a great help. My question at the moment is about medication. When I was quite depressed I took Cymbalta and another antidepressant which I am fairly certain was Wellbutrin. I dropped the secondary antidepressant after a year or so as I began to feel better. I am just considering using it again as I am now in a state of emotional upheaval due to a family death. I have just got in touch with a GP for an appointment in the next two weeks. What I would like to know is, it safe to take Cymbalta, Seroquel, and go back to Wellbutrin? How would I work the dosage? Would I start with 150 mg of Wellbutrin and possibly go up to 300 mg? When should I take the antidepressants? Can I take them both at the same time, or do I need to space them out? I am not prone to seizures and I have never had one. I am a female.
Hi. Thank you for taking help from a psychiatrist. You can take Cymbalta and Seroquel. You are already on both medications, so you should continue both medications. If you fill depressed then take tablet Wellbutrin 150 mg once in the morning for a short period of time, then we can taper off within 6 months. If you do not improve your depression on 150 mg of dose after 15 days then we can increase the dosage as per requirement. You can take medications together and you do not need to space out. But you must take Seroquel at night as it causes sedation. Even you should follow some non-pharmacological management as mentioned below. 1. Do exercises daily for 30-45 minutes like walking. 2. Do meditation for 20 minutes daily. 3. Eat healthy home cooked foods, avoid junk foods. 4. Spend quality time with friends and family daily. 5. Spend time for creative hobbies like read good books, write journals, painting, drawings, learn new skills or language or musical instruments. 6. Take enough (7-8 hours) sleep daily. 7. Avoid tobacco or alcohol or any substance abuse. I hope this helps.
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Q. Is it safe to switch to Wellbutrin while on Cymbalta?