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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?
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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
| 1,500 |
Q. What does abutment of the nerve root mean?
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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.
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Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist
| 1,501 |
Q. Will Nano-Leo give permanent solution for erection problem?
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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.
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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
| 1,502 |
Q. Every time I eat spicy food, I poop blood. Why?
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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.
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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.
| 1,503 |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
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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.
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Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist
| 1,504 |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
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Hello doctor, I am a 23-year-old female who is currently struggling with the unknown of what is happening to my body. Since I first started menstruating, I have always been heavy and longer than average. My normal periods last for 8-10 days, and I use typically 1.5 complete boxes of tampons during a cycle. I am in a long term relationship and have only had this singular sexual partner since 2017. I am not on birth control of any means and in some cases, I have had to use emergency contraceptives post intercourse. In the past two months, I have used contraceptives twice, once in the end of March, and most recently about two weeks ago. Since then, and this is the first time experiencing this, I have had dark brown, clumpy discharge, the closest comparison would be like damp coffee grounds. Within the past week, I had also gotten a thing flesh-toned or white clot with blood on it, about 2.5 inches in length. I am started to feel concerned as the discharge has not stopped and I believe that is occurring rather than a menstrual cycle, at the time I am writing this I should have had my period cycle now, but instead, I have this dark brown discharge. At this time, I fear the idea of going to a doctor’s office for the safety of myself during this pandemic but also do not want to prolong any critical issues I may be facing. I have taken photographed images of all of this in worry that the typed description does not come across correctly. Please help.
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Hi. Do not be stressed, I am here to help. According to your history, you have not got periods this month and you are having some abnormal discharge. I saw the picture. (attachment removed to protect patient identity). My first suggestion would be to do get a urine pregnancy test. I understand that you have used emergency contraceptive but sometimes it fails. We need to know whether you have a pregnancy in which cases sometime the discharge is of nature as you described. You may be in the process of a miscarriage. If this is negative, then the next step would be to get a pelvic ultrasound done because the discharge seems unusual. But let me assure you that there are more chances of you having a miscarriage due to the failure of emergency contraceptives. In case your urine pregnancy test is positive you need to take proper treatment like pregnancy termination kits or Misoprostol tablets depending on the condition of the conceptus (baby) at this time. In case your pregnancy test is negative you need a pap smear, ultrasound, and sos biopsy of the tissue you are discharging. Whatever it is, it can be managed properly if it is addressed on time. There is no need for panic. Please follow up with your pregnancy test results. I hope this helps. Failure of emergency contraception. Pregnancy test. Endometrial hyperplasia. According to the test results.
| 1,505 |
Q. I am bleeding heavily with clots after using emergency contraceptive pills. Is it worrisome?
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Hi doctor, I have been having heartburn, dry cough, and nauseous feel for almost a month now. I have amended my diet for more than two months and have not been eating pork or beef. I am taking veggies and fish now. Also, I am eating small portions already. At the onset, I experience that food has been stuck in my throat, and my stomach feels like it is always full, although I feel hunger. Both my toes cramps at the same time and my toe bumps are also painful. I have been diagnosed with gastritis since a decade ago. I am a 35 years old female and weighs 51 kg. Doctor, can you prescribe me medication? Thank you very much!
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Hi. I reviewed your detailed history, which is more suggestive of reflux disease. I would like to prescribe some treatment at the moment, and I am hopeful that it will get better. There is nothing to worry about and nothing to panic. If you have any other query kindly get back to me. Thank You. No need at the moment GERD (gastroesophageal reflux disease). 1. Capsule Omeprazole 40 mg. One in the morning and one in the evening before meals for two weeks and then only one in the morning before meals for two weeks.
| 1,506 |
Q. I have heartburn, dry cough, and nausea for almost a month now. Can you suggest medicines?
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Hi doctor, I am a 23-year-old female. I have severe chills that I needed to wear thick sweaters and jackets at home without AC or fan. I do not feel the heat. And just cold water or slight cold breeze in the morning makes my head frozen or close to shutting down and it is getting worse. It always starts with the nose and then my head. Sometimes, I have to sleep to make the symptoms less severe. I am not under any medications nor do I have any medical condition.
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Hello. I can understand your concern. According to your statement, you have been suffering from severe chills that you needed to wear thick warm clothes at home without AC or fan in summer now. Chills are the sensation of feeling cold. Chills are caused by rapid muscle contraction and relaxation. They are the body's way of producing heat when it feels cold. They often occur alongside a fever which is when the person's temperature is higher than normal. However, a person can also experience chills without a fever like you and there can be many different reasons for this. Possible causes include hypothyroidism is when a person's thyroid gland does not produce enough hormone that regulates their metabolism. Some people like you are more sensitive to the cold and may feel chills more frequently. Any type of viral or bacterial infection sometimes produces chills before a person gets a fever. Chill is a classic symptom of Malaria. It can have three stages. 1. Cold stage where a person experience chills. 2. Hot stage where they have a high temperature. 3. Sweating stage. Anemia may develop due to poor diet, age, chronic illness, medications, gynecological diseases, etc. Most common symptoms include waking up tired, looking pale, and always feeling cold with chills. Hypothermia can be resulted from dropping body temperature below the normal range due to any causes. Hypothermia can be dangerous especially when your body temperature falls further. If the temperature falls below 96 degrees you should seek medical care immediately. So you should monitor the body temperature with a thermometer during chills. You can do some investigations like CBC (complete blood count) with PBF (peripheral blood film), thyroid function test (T3, T4, TSH), RBS (random blood sugar), etc. Treatment depends on causes. So we should find out the exact causes of your suffering and then treat them accordingly. I want to add that dehydration, anxiety, panic attacks may cause chills too. When your body does not have enough fluids it is hard to maintain regular body temperature and this can lead to hyperthermia and fever like symptoms including chills. Again anxiety is more often associated with feeling sweaty than feeling cold but sometimes it can cause a chilly feel as well. And if you have panic attacks you might experience full body chills according to the National Institute of Mental Health (NIMH). In order to cope up with your chills, you can do the following • Drink lots of fluids including oral rehydration saline and plenty of rest. • Sponge with lukewarm water. • Don't bundle up in blankets or use AC or high speed fans. • Enjoy a warm soup and drink warm beverages. • Use a humidifier. Please inform the results after undergoing the investigations.
| 1,507 |
Q. Why do I get chills without any trigger or cold climate?
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Hi I have been diagnosed with plantar fascitis. Doctor said to use heel pad. Using it but no relief. Pain is increasing gradually. Please help.
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hi, welcome to icliniq. Sorry to hear about you being troubled with plantar fascitis. it's a fairly common problem. heel pad is indeed helpful but apart from it you need to stop walking bare foot as much as possible. don't use any accupuncture type of footwear, use soft footwear. contrast bath is helpful- alternative warm and cold water fomentation one after other for period of 10 mins atleast twice a day is beneficial. if there is no relief after this conservative treatment along with some pain killers, local steroid injection (methylprednisolone) injection at the site of maximum pain can give you immense relief in those symptoms. please get the injection only from orthopedic surgeon. i hope you get cured of your ailment. feel free to ask any other querry. Thanks
| 1,508 |
Q. Pain increasing gradually even after using a heel pad for plantar fasciitis. Please help.
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Hello doctor, My wife has a history of two earlier miscarriages which occurred during the first trimester in the first month. We consulted a local gynecologist and the problem turned up to be high toxoplasmic infection reading was IgG 82. She received Rovamycin Forte for three months along with other supplements like Folinext and Ecospirin for six months. Now my wife is pregnant. Again we visited the doctor and she advised to perform toxoplasma IgG which again came back positive with IgG 78. Her first day of the last menses was 27th feburary. She has been receiving Rovamycin Forte once again and Duphaston, Folxt, Ecospirin and Doxinate. But now the problem is, she is unwell and been vomiting nearly every day during evening hours. There is a little brown discharge seen. In this situation, I am very much concerned about what will happen next? Will it be a miscarriage for the third time? Please help.
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Hello. We consider toxoplasmosis when IgM are positive, it meas the person has an active infection. When IgG are positive, it means you are protected from future infection. Your wife is in her first week of pregnancy, so spotting is a common finding due to implantation. Vomiting is also common until 12 weeks. She does not have to worry about it. She can try small frequent meals, baked bread, etc. I recommend an ultrasound at five or six weeks to evaluate the well-being of pregnancy. The symptoms that you prescribe does not mean that it will be a future miscarriage. It is common in every pregnancy. If this pregnancy terminate spontaneously, then after that you have to perform several examinations. But I recommend you to be positive. Ultrasound scan.
| 1,509 |
Q. Will positive Toxoplasma IgG result in miscarriage?
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Hello doctor, I am a 30-year-old female. Since last night I am suffering from mild chest pain. I took Digene and gastric medicine thinking it is a gastric problem but I do not find any difference. Please help.
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Hello. I can understand your concern. According to your statement, you have been suffering from chest pain with some numbness in the left arm. Chest pain can result from various conditions such as: Muscle strain inflammation of the muscles and tendons around the ribs can result in persistent chest pain which can be become worse with activities. Acid reflux can result in a recurring discomfort in the chest. Peptic ulcer disease which are sores in the stomach lining can cause chest tightness or pain. Panic attack may cause chest pain in addition to nausea, dizziness, fear, rapid heart rate, fear, etc. Costochondritis is the inflammation of the cartilage of the rib cage. It can cause chest pain which may be aggravated with activities or posture changes. Any respiratory related diseases like pleurisy, TB (tuberculosis), pneumonia, etc., can cause chest pain. Again cardiac diseases such as MI (myocardial infarction), pericarditis, HOCM (Hypertrophic obstructive cardiomyopathy), MVP (mitral valve prolapse), etc also can cause chest pain. You should undergo CXR (chest x-ray), ECG (electrocardiogram), CBC (complete blood count), echocardiography, endoscopy of upper GIT (gastrointestinal tract), etc to find out the underlying cause of your chest pain. Treatment depends on causes. So please inform me of the investigation results, and check your blood pressure regularly. In the meantime, you can take Gaviscon syrup (two teaspoons three times daily), Domperidone (one tablet three times daily), Lansoprazole capsule30 mg once daily for your chest pain.
| 1,510 |
Q. I have mild chest pain where gastric medicine did not help. What to do?
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Hello doctor, I would like to know the reason for pain in the stomach at the right side and blood in the stool. Once I had blood in stool previously and used homeopathy medicine to stop that, but it recurred after five days.
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Hello. Stomach pain on the right side can occur due to a variety of reasons like stomach infection, appendicitis, infection in your intestine, and problems in your kidneys or the ureters (a tube that connects your kidneys to your urinary bladder). Stomach pain with blood in stools is something to worry about. The cause for it can be acute infectious gastroenteritis, inflammatory bowel disease, or ulcer in your gastrointestinal tract. To diagnose all of these, I need to ask you some questions. Do you have any fever? Do you have weight loss? How is the appetite? Is the blood in stools fresh blood or is it brownish red? Do you have any history of piles? Are the stools hard? Do you have any diarrhea? Does the stomach pain has any relation to food intake i.e. does it get relieved by eating food or does it increase on eating food? Once you answer these questions, I would suggest what tests to be get done and how to treat the disease. I hope this helps.
| 1,511 |
Q. What could be the reason for recurrent blood in stool and right-sided stomach pain?
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Hi doctor, I am a 30-year-old female. I weigh about 45 kg with a height of 5'3". I am experiencing severe stomachache, hyperacidity, dizziness, and nausea. This is the first time I felt and I feel like there is too much acid on my stomach. What medications can I take?
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Hello. You are experiencing dyspepsia, and epigastric pain if I am not wrong. It is due to hypersecretion of gastric acid or due to some insult against the gastric mucosa which is a protective layer of the stomach. This layer gets eroded due to various reasons like alcohol, painkillers, etc. Over secretion of acid might be due to stress, lack of sleep, lack of alkaline food in the diet, etc. So check these factors. Kremil S is not competent. Maalox only gives momentary relief. So let us use PPIs (proton pump inhibitors) for a few days and shut down the acid production significantly. This might give the gastric mucosa some time to heal and become tough again. Remember, these medications which I am going to prescribe are not to be taken perpetually. Take them as advised. Gastritis. Gastritis. Capsule Esomeprazole and Domperidone early in the morning on empty stomach and at bed time. Capsule Lactobacillus one in the afternoon. Discontinue Maalox. Sleep well. Abstain from alcohol for at least 10 days. Stress relief. Continue this treatment for ten days and follow up after that.
| 1,512 |
Q. I have severe stomach pain, dizziness and nausea with hyperacidity. Please suggest medication.
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Hello doctor, My question is about my throat. At the back of my throat, I can feel that there is a gas coming and it feels warm. Also, it has a bad smell. I tried everything but nothing provides a solution to my problem. I have tried using Chlorhexidine mouthwashes but it did not resolve my issue. I have already consulted an ENT specialist. I have been experiencing occasional tonsil stones but he did not advise anything other than removing them manually. So far upon inspection, there are no stones present. Is it possible to have esophageal outpouchings? I do not experience vomiting or painful swallowing. I have occasional hyperacidity which resolves by taking Prazoles. My problem is bothering me especially when I talk. People say that my breath stinks. Also, I am uncomfortable with a gassy feeling behind my throat. I have good oral hygiene and have already visited the dentist and ruled out oral problems as the cause. I am also thinking of PND. Every morning when I gargle there is a thick mucus on the back of my throat. I am desperate for a solution. Please help.
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Hi, Welcome to iciniq.com. The most probable problem out there would be a chronic GERD with LPR (chronic gastroesophageal reflux disease with laryngopharyngeal reflux). Let me explain what exactly is happening. Your stomach contains contents that are acidic in nature and is only meant for the stomach, if these content reflux or have a reverse entry into your food pipe (esophagus) or throat which is not meant to handle this acidic pH. This can lead to a chronic inflammation leading to chronic ulcers giving a feeling of something stuck on the throat or the bloaty feeling, repeated belching, or even bad odor in your breath. Yes, esophageal diverticula (outpouchings are a differential diagnosis and have to be checked with contrast barium swallow). The probability of having these outpouchings are less considering as you do not have vomiting or difficulty in swallowing. Please follow some instructions: 1. Maintain a strict diet schedule, and eat on time. 2. Avoid oily, spicy, and cold food items/ beverages. 3. Keep a minimum gap of two hours between your last meal and going to bed. 4. Try to sleep in the left lateral position. 5. Eat frequently but in little quantities, never over eat. 6. Salt water gargles at least 8 to 10 times a day for one month. 7. Keep sipping on warm fluids as much as possible. 8. Avoid exposure to dust by wearing an n95 mask. You can consider the following treatment. Take tablet Pantoprazole with Domperidome combination once in the morning for 20 days, syrup Gelusil or Mucaine gel one teaspoon three times a day 20 minutes before food. The treatment schedule includes more precautionary measures rather than drugs themselves. I hope this helps.
| 1,513 |
Q. Some gassy feeling in the throat is causing bad breath. Is it esophageal outpouching?
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Hi doctor, I am a 27-year-old male. For the past five years I have ulcerative colitis. My main problem is bleeding form rectum. When I take Prednisolone, I am fine for maximum of three months and after that again it starts bleeding and also continues with Mesacol. I also took Azathioprine (Aazoran) but those medicines cannot stop bleeding only Prednisolone is a solution for me what can I do and if I start taking Prednisolone again is that any problem? How many times in a year can I take Prednisolone? In five years, I took Prednisolone for 8-10 times. Please suggest solution.
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Hello. Your history suggests that you have steroid-dependent ulcerative colitis. So you rightly started Azathioprine and I think it should work if you are taking a proper dose (you have not shared dose of Azoran and your body weight). You can take Azoran as 1.5-2.5 mg per kg body weight. Plus the dose of Mesacol is also low. Increase the dose to at least 2.4 gm/day and you can go up to 4.8 gm/day maximum. Regarding frequency of steroid dosing, you can take it up to twice per year, in case of flare of your disease, but it will be better to avoid it if you have a better option (Azoran) because steroid has many long term adverse effects. Metabolite level of Azathioprine. Complete blood count. ESR (erythrocyte sedimentation rate). Steroid dependant ulcerative colitis. Tablet Mesacol (Mesalazine) 800 mg thrice a day. Adjust dose of Azoran according to metabolite levels. Avoid NSAIDs (non-steroidal anti-inflammatory drugs).
| 1,514 |
Q. Prednisolone is the only solution for my rectal bleeding. How long can I take it?
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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
| 1,515 |
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.
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Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist
| 1,516 |
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.
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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
| 1,517 |
Q. Every time I eat spicy food, I poop blood. Why?
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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.
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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.
| 1,518 |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
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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.
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Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist
| 1,519 |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
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Hello doctor, I have erection problems and dry orgasms sometimes due to neuropathy. I have diabetes for 15 years and on insulin. Recently, I have blood pressure and started taking medication for the same. Cholesterol is also high, but now under control. Do I have a problem with conceiving children?
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Hello. I understand your concern. I saw your examination report (attachment removed to protect patient identity), and there are some factors that affect your fertility and some abnormalities. First, varicocele may affect your fertility, a dilated vein can be the cause of your oligoozospermia (dry orgasm). Second, semenogram at least 40% of spermatozoids must be motile (in your only 1%) and there are abnormalities in your mophology too, 30% must be normal, in your case, there are 0% with normal morphology. Diabetes may cause abnormalities in your morphology and motility of the semen. Because the characteristic of semen may vary over time and undergone normal biological variability, it is best to repeat the test at least once. If abnormalities persist you should have a urologic exam. I would recommend a urologic exam and consult a fertility specialist.
| 1,520 |
Q. I have erection problem and dry orgasm with a history of diabetes. Please help.
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Hello doctor, I have been self-isolating for three weeks due to Coronavirus symptoms and spent two nights in the hospital where I was given oxygen and a chest x-ray showed typical COVID-19 changes. I was discharged a week ago and told some COVID-19 patients have been coming back with DVT and or PE. I am on Clexane (Heparin) twice a day for two weeks. My question is, is there anything else I can do to prevent blood clots while recovering? I have been wearing compression stockings the hospital gave me day and night, should I be taking these off at night? I am doing some foot and calf exercises and trying to walk a little in the garden too. Is there anything else I can try?
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Hello. Kindly answer the following questions to guide you further. Do you have any risk factors for thrombosis like family history, smoking history, prolonged bedridden, or excess weight? Does your doctor recommend to take heparin? Have you confirmed your COVID-19 by RT PCR (reverse transcription-polymerase chain reaction) testing by swab? Are there any other symptoms?
| 1,521 |
Q. What should I do to prevent DVT or PE after COVID-19 recovery?
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Hello good morning, This is not covid related. I just want to ask something since I cannot go out for check up. I am delayed for 11 days and yesterday I started to have spotting. It is unusual to me since I know if I have my period. I don't feel any cramps yesterday and even today. The flow is not heavy. I can feel dizziness sometimes however, the result of my PT was negative. Is there any possibility that I am pregnant? My husband and I are hoping to have a baby.
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Welcome to icliniq.com. As the pregnancy test is negative it's less likely to be pregnancy.... however inview of false negatives with preg card, do a blood test called serum beta hcg to confirm it..... sometimes cycle can be delayed due to hormonal changes, stress, increase in wt, alteration in the diet pattern ,hypothyroidism etc.... .. if this irregularity continues in subsequent cycles ultrasound pelvis is required to look for the cause... (note - if it's not possible to get blood test done, due to lock down repeat the urine pregnancy test right in the morning (first morning urine) ).hope the suggestion is useful... regards n wishes for u to conceive soon. delayed cycle- hormonal serum beta hcg, TSH, usg pelvis( if irregularity continues) hormonal to review with beta hcg if any queries....
| 1,522 |
Q. I am 11 days late, and I started spotting yesterday. Is there any possibility that I am pregnant?
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Hi Doctor, Almost 40 days back I saw bright red drops of blood coming out when I was passing the stool, I saw blood(bright red/red) in my stool for next two days and then the problem went away but I became conscious. Since past week I'd noticed very small amount of blood in my stool.But last night I saw my stool covered in bright red/red blood. I am also constantly seeing mucus/jelly type substance in my stool. One other thing I am worried about is I often see grey/dark grey liquid thing on my stool I am not sure its blood. I do feel fatigued, but I am not feeling any kind of pain anywhere in my body. Even when passing the stool I dont feel any kind of pain. But my urge to poop has increased lately. My age is 23 and weight is around 77 kg my height is 6 ft.
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Hello dear, hope you are fine. The presentation you described is likely to be a hemorrhoids (biles), that causing blood in the stool. The fatigue you described maybe due to loss of blood, that caused anemia. I recommend that to confirm the diagnosis, to be examined by a surgeon, so to make sure it's only hemorrhoid, and no other masses there causing your symptoms. I also recommend to have blood test, CBC , so to check your hemoglobin. once diagnosis is confirmed, we will discuss the management (which mostly include having high fiber diet and oral laxatives).
| 1,523 |
Q. My stool is often covered with bright red blood, and I feel fatigued. Why?
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Hi doctor, I have a 16-year-old daughter who gets leg pains on a regular basis but not so frequent. It occurs let us say every three months. This started from childhood and she still gets it. She told me she cannot sleep at night when she gets these leg pains. Do you have any advice on home remedies and medication to help her get rid of the pain?
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Hi. Growing pain are a common cause of leg pain in children. These pains are muscle aches that can occur in thighs, behind the knees, or the calves. Other possible causes of leg pain that may be more serious can include juvenile idiopathic arthritis (JIA), lupus, Lyme's disease, and leukemia. If the pain is prolonged, fever, severe pain, rashes, sluggish or inactive then it is to worry about. But not in your daughter's case. Here some tips which surely will help to treat the pain. Treatment of growing pains depends on how much pain your child has. The following things may ease discomfort and help your child feel better. 1. Massaging the legs. 2. Streching the leg muscles, though it is difficult for younger kids, need to do it slowly. 3. Placing a warm cloth or heating pad on the sore leg. Be careful not to burn the skin and do not use it during sleep. The pain should be reduced in two to three weeks, if it still continues and she get fever and the above-mentioned symptoms, then you can take her to the children's specialist so that any Ibrufen or other medicines can be given by diagnosing it.
| 1,524 |
Q. Why do my teenage duaughter gets frequent leg pain?
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Hello doctor, Last month, my mother went to the hospital for diabetics, and her reading is 200 mg before having food, and after meal reading is 300. Doctor gave her 35 points of insulin. Again she took her sugar test yesterday, and her result is 180 (within normal levels). My mother suffering from fever right now. So my question is, Do this fever occur due to high amount of insulin even though she was within limits now? Now, what should we do? How much insulin should she take?
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Hi. From your history, I have noted that your mother was diagnosed with uncontrolled type 2 diabetes and was on insulin since one month. Now on review, yesterday it was found that it is under control with the present dose of insulin. Coming to your concern, insulin will not cause fever, whatever dose you are taking. But uncontrolled diabetes can be a trigger for infections like urinary infections, chest infections, and even be more cautious about insulin site infections if you are not properly injecting. Please make sure you are rotating the sites of injection between the abdomen, thighs, and upper arm. ? Viral fever, ? UTI (urinary tract infection). Urine routine, HBA1c (glycated hemoglobin), serum creatinine, CBC (complete blood count) with ESR (erythrocyte sedimentation rate). Continue insulin in the prescribed dose. Rotate insulin site. Do regular exercise for 30 minutes per day. Follow strict diabetic diet. Review with the above reports. Please attach your old prescription
| 1,525 |
Q. My mother is on insulin with fever. Please help.
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Hello doctor, I bleed whenever I get wet and horny. I am currently taking a Depo shot every three months and Adderall every day for ADHD. I am 15 years old. My height is 5'6 and I weigh about 200 pounds. Please help.
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Hi. Abnormal uterine bleeding is the most common side effect of Depo-Provera therapy, especially in the early months of use. It is a problem whenever bleeding continues for more than 14 days, is heavy, or symptoms such as pelvic pain accompany it. Bleeding irregularities that typically occur may include breakthrough bleeding (you are having this), spotting between periods, prolonged periods lighter or heavier periods than normal, lack of period (usually after one year). Some women with 8-10 days of bleeding over two weeks are administered tablet Ethinyl estradiol for 10 days and bleeding generally stops in five days. Other physicians prescribe an estrogen patch. If estrogen is contraindicated, patients are given 800 mg of Ibuprofen three times a day for five days. In all cases of heavy bleeding apparently related to Depo-Provera use, other causes (e.g., cervical malignancy, uterine fibroids, sexually transmitted diseases) should be ruled out before treatment. Depo-Provera acceptors can anticipate irregular bleeding as long as for one year and learn to accept it. If not too severe, this is the most effective management strategy. I hope this helps.
| 1,526 |
Q. I bleed whenever I get horny. Why?
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Hello doctor, I have manageable shortness of breath, chest tightness but no cold. My x-rays are clean, and ECG is also normal. My BP looks high 140/90. Mainly, I am unable to breathe normally. I am feeling little shortness always. Currently, I am taking the last doctor's medication. I understand it is a bit tough for the doctors to find the solution immediately. But looking for the best. Right now believing in my daily food rather than medicine. Initially, it started with cold on last month. I took homeopathy tablets. I developed a fever of 99 F and took homeopathy medication. It sustained for three days (fever of 99F). So the doctor asked me to report to the near by government medical college hospital. I reported and took even the COVID test and the result is negative. The hospital provided me Hydroxychloroquine and Rantac tablets. After taking that my fever is gone. I was fine but suddenly got shortness of breath early this month. I am not sure if this was due to any allergy to food. On that day I took two eggs and four jack fruit. The same day I reported to the hospital. They gave two more days of Hydroxychloroquine. From that time I am having shortness of breath but there was no cold or cough. Doctor says all the reports are normal but still unable to find the solution.
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Hello, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from shortness of breath, chest tightness without any cough, and cold. Shortness of breath, chest tightness can result from some conditions which are mentioned below. Anxiety is a common condition associated with chest tightness, shortness of breath, rapid heart rate, sweating, nausea, etc. GERD (gastroesophageal reflux disease) occurs when stomach acid travels back up from the stomach to the esophagus and associated with chest tightness, shortness of breath, difficulty swallowing, etc. Muscle strain typically occurs from intense activities like reaching or lifting when twisting related with the same clinical features. Costochondritis is the inflammation of the cartilage in the rib and associated with the same type of features. Even PUD (peptic ulcer disease), valvular heart diseases, pulmonary HTN (hypertension), esophageal rupture, pericarditis, hiatus hernia, etc can cause chest tightness with shortness of breath. Treatment depends on the causes. So you should undergo ETT (exercise tolerance testing), echo, endoscopy of upper GIT (gastrointestinal tract), barium swallow test, CBC (complete blood count), etc for detection of underlying causes which are responsible for your sufferings. You should also undergo FEV1 (forced expiratory volume), ABG (arterial blood gas) analysis, spirometry for pulmonary function test, reversibility test, etc for the diagnosis of bronchial asthma as your pulmonologist has diagnosed earlier according to your prescription. (attachment removed to protect patient identity).
| 1,527 |
Q. I get shortness of breath and chest tightness after taking Hydroxychloroquine for fever. Why?
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I think I may have chronic sinus infection. It started 4 months ago, one morning I woke up and blow up my nose with yellow/greenish mucus and blood. I was having it only in the morning. I didnt had any other symptoms except feeling tired. I took advil sinus and used seawater nasal spray. It lasted couple weeks. After I only had a bit mucus dripping my throat when I woke up, but generally felt well, until couple months after I started to hurt and feel pressure in my inner right eye. I went to walk in clinic and got prescribed Amoxicillin/Potassium Clav for 7 days. My eye got better, but after I stopped antibiotics, after couple days I started to feel unwell again, so I contacted another doctor online and he prescribed me another antibiotics Clarithromycin 500 mg for 10 days. After I finished them, again the same. One day past and I didnt felt well. I was feeling tired, pain in my nose, my ears, even dizzy, my body temperature was higher than regular 37.2. So I contacted a nurse online and she told me that probably antibiotics doesnt work, because I had viral infection and told me to avoid diary, take vitamin C, D and probiotics( I was taking them and with antibiotics). It past two weeks generally I feel better, but still have stuffy nose in the morning with a bit yellow mucus, hurt my nose, or feel pressure in it. But I started to worry, because I started to have headaches on top of my head sometimes going to the back part and sometimes tingling feeling in the left side of my head, also I feel my heart rate is higher, specially in the morning. I already thinking maybe I am having anxiety, when I read what can happen if you dont treat sinus infection. I am using corticosteroid nasal spray, seawater spray, neti pot. Should I contact again doctor online and ask for more antibiotics? I guess with all this Coronavirus, I cant get referral to ENT specialist .Do you have any advice how I should treat it?
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Hi, Looks like your having a chronic allergic problem out there. Now there are certain things which have to be understood in detail. 1. Allergic rhinitis is an immune complex issue which is innately present and starts showing symptoms at one particular age. It basically is a hyper responsiveness to something which is foreign and has accidentally entered into you nose causing cascade of chemical events leading to nasal congestion, watery nasal discharge, sneezing, itching in eye and nose, fullness in the ear and often leads to sinusitis causing heaviness in the area of your face involving the frontal and maxillary regions besides your nose. 2. Antibiotics has a limited role here unless it's an infection that we are are treating 3. You have to wear a n95 mask and not allow the triggering factor to enter into your nose in the first place (trigerring factors range from dust, pollens, animal fur, fumes, strong odours etc and the list is endless), allowing the triggering problem to keep entering your nose is just going to prolong the problem through life and no medication will ever be effective 4. Nasal steroid sprays have definelty a role to play, I usually suggest a combination of a topical steroid such as fluticasone propionate along with a antihistamine such as azelastine hydrochloride 2 puffs in each nostril 2 times a day 12 hrs apart for 3 months straight 5. Certain antiallergics containing fexofenadien 120mg one tab two times a day 12hrs apart for 20 days is effective. Antibiotics like clarithromycin 500 mg twice a day if taken have to used for 2 long months to be extremely effective(I give clarithromycin for both its antibiotic and immunomodulatory activity, later of which is more important) 6. Salt water gargles 8 to 10 times a day for 10 days, sipping on warm water, steam inhalations avoiding cold, spicy and oily junk food goes a long way, smoking and alcohol to be completely avoided as it slows down the mucociliary activity and leads to secretions inisde your nose causing a severe sinusitis and its related problems. Hope this advice helps
| 1,528 |
Q. My nose is stuffy, and I have headaches. Is it a chronic sinus infection?
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Hello, I am a 50 year old female who would like to have a breast reduction. However, I am high risk for vomiting from the anesthesia. I have a phobia of vomiting. I am a non smoker. I've had general anesthesia once before and I vomited several times. I am so scared that I have rescefuled the surger 3 times. Is there anything else that can be used instead of general anesthesia? What can be done to prevent the vomiting? Thank you
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Hi, General anaesthesia has known post aesthesia effects of nausea ,retching, vomiting etc. Also these may be due to direct effect of surgery and pain. You seem to be very sensitive and anxious to it. But usually it is seen that with each subsequent episode of administration of general anaesthesia these effects tend to decrease in severity. So if last time you had vomiting postanaesthesia this time it will be less severe in terms of no. Of episodes etc. This will reduce your discomfort. Also if you may have prexisting GERD or gastroduodenal ulcer , gastritis. These may also cause nausea vomiting postoperative. So I would advice discuss issues with your anaesthesiologist and surgeon. Nausea, vomiting can be taken care of by medicines like proton pump inhibitors, H2antihistaminics, antiemetics which will be give by your physician in recommended doses. Some pre-op anxiolytic medicines on night before surgery will help you reduce anxiety. Take a light non oily meal on day before surgery so that stomach stays relatively acid free.
| 1,529 |
Q. I have a phobia of vomiting. What can be done to prevent vomiting due to general anesthesia?
|
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
| 1,530 |
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.
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Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist
| 1,531 |
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.
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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
| 1,532 |
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.
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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.
| 1,533 |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
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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
| 1,534 |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
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Hi doctor, I have stuck a q tip in my ear because it was itching and I think I may have burst my eardrum. I have some pictures.
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Hello. The pictures are not completely clear but I cannot see any perforation. (attachment removed to protect patient identity). When did the cotton piece stuck inside your ear? Did you notice any blood drops on the cotton piece after getting it out from your ear? Do you have any other symptoms as tinnitus or ear pain?
| 1,535 |
Q. What is the possibility of cleaning ears with q-tip cause ear perforation?
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I’ve been on nexplanon for a year after my first baby. Every since the implant I have 2 periods every month. Before I started birth control I was regular. I knew exactly when I was starting my period. Recently my doctor told me to take birth control pills while on nexaplanon to see if it would decrease my periods. I’ve been taking the pills for a week straight and my period has been on for 8 days which isn’t normal. My period is heavy, light, it’ll stop, then start again. I don’t know what I should do. I just want my period to go back to normal
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dear welcome to iclinq. com Implanon is associated with altered bleeding patterns. generally it settels by a year time... 15 to 17 percent may continue to have very heavy n long cycle after implanon( this is becos of the progestronic effect on endometrium) ... do take hematinics as heavy bleeding may result in anemia.. 1) continue the pills as advised by your gynec for a month and see for changes in pattern 2) If it does not reduce even after pills support you need to meet your gynec for alternative methods of contraception after removing it.. Regards due to the hormonal( progestronic) effect of nexplanon on the endometrium 1) reassurance,2) hematinics, 3) To continue pills plus nexplanon ,x 1 month... 4).. Think about removal if it's too cumbersome..
| 1,536 |
Q. Ever since I got the Nexplanon implant, I have two periods every month. What to do?
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I had a doctor prescribe Zpack for me yesterday. I have shortness of breath and chest tightness, I was also wheezing, but when he listened to me breathing he didn’t hear it. I’m really worried about taking this antibiotic because even though I’m not allergic to any medicines that I know of, he didn’t really ask me many other medical questions to see if this was a safe option for me. I read this medication can increase heart rate and people have went into cardiac arrest? I already have a resting rate of about 105, and pretty bad anxiety. I just would like some reassurance that this is safe drug and I don’t have to worry about deadly side effects..I’m also a smoker/34 year old female.
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Hello, Greetings from icliniq. I understand that you are worried about the side effect of the prescribed drug. In my opinion, Azithromycin is one of safe drugs, so do take the medicine without any doubt. Secondly, I would like to know your history in detail. And last but not least, according to me its a good time to give a thought about quitting smoking. And I can help you. Do let me know. Take care. Spirometry testing with bronchodilator reversibility testing allergic bronchitis, bronchial asthma worsening due to smoking Smoking cessation. When investigations are available and then as required.
| 1,537 |
Q. Can Z-pack increase your heart rate and cause anxiety?
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Hello doctor, I am a 25-year-old female. My main concern is dysuria that started the previous night. I also had a history of kidney infection when I was young so I am extra cautious about UTIs. I have had a relatively little intake of water this week. How can I treat this without going to the hospital for a urinalysis? Can you prescribe me something?
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Hello, Welcome to icliniq.com. I can understand your concern. According to your statement, you have been suffering from dysuria. Dysuria is painful or difficulty in micturition. It can be resulted from urinary tract infection (UTI), STD (sexually transmitted disease), Kidney stone, ovarian cyst, interstitial cystitis, vaginal infection, bladder cystitis, pyelonephritis, urethritis, etc. Treatment depends on causes.so we should undergo some investigations like urine routine, urine R/M/E, USG (ultrasound) of W/A, serum creatinine, urine for C/S to find out exact causes for your dysuria, and then treat them accordingly. As an example, if causes are cystitis, pyelonephritis, or urethritis then they have resulted from bacterial indecision. So anti-bacterial medication should be needed. Take plenty of water and do not hold urine. Take cranberry juice and citrus foods. You can take Cefixime 400 mg (twice daily for 14 days) and abstinence from sexual intercourse during antibiotics.
| 1,538 |
Q. I have dysuria with previous history of UTI. How to treat this?
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Hello doctor, My grandmother is 83 years old and has been suffering from a mild form of glaucoma for three years now. When we consulted doctors earlier they suggested using eye drops than surgery. So we have been using Travo Z and Tear Drops daily and she is also able to see properly. Since one week she is experiencing pain in her eyes and has trouble looking at the light directly. Her eyes have also turned reddish. Please help.
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Hello. Has she got operated for cataract? Any previous record of vision please share the latest one. Also, share the glaucoma test reports in which she was diagnosed as glaucoma and share the photo of eyes.
| 1,539 |
Q. My granny has eye pain and light sensitivity for the past one week. Please suggest solution.
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Hi doctor, As of now, I am suffering pain in my left rib which results in difficulty in breathing. I suspect this happens when I fall asleep on the sofa in an awkward position and when I woke up, my throat has a little pain but it did not persist but but it started to ache on the left rib part. I feel the pain towards my shoulder. It is almost about two days since I am suffering from this ache. I got breathing difficulty especially when I am lying in bed. But while standing or sitting, I just felt mild difficulty in breathing. Maybe there is an artery that has been damaged or had been under the bone. I am 24 years old.
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Hi. I can understand your concern. According to your statement, you have been suffering from difficulty in breathing due to aching of the left rib part that radiates toward shoulder which may occur when you fall asleep on sofa in an awkward position. You think your ribs may hurt from sleeping wrong and aching of the rib may radiate towards its intercostal muscle. You may feel a sharp pain after intercostal muscle strain or sprain due to sleeping in the wrong position. The pain will become worse when you stretch, breathe in deeply, cough, or sneeze. The area of the strain between your ribs may be painful to touch. Again this pain can radiate to shoulders or sometimes side sleeping can cause damage to the rotator cuff and create a lot of pressure in this group of tendons and eventually produce pain. You can take Tramadol as a painkiller, Domperidone, Lansoprazole, and Diazepam as a muscle relaxant with a sleeping pill.
| 1,540 |
Q. I feel pain in my left ribs with breathing difficulty after improper sleeping posture. Why?
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Hello doctor, I have had post nasal drip since last three months. It causes me to cough up mucus from my throat. It is very thick - sometimes bloody or sometimes cloudy. I am also having bloody, crusty issues in my nose with sneezing. I am not sick - no fever, no aches, do not feel bad. I just want to stop the mucus (it sometimes chokes me) and want to stop the bloody, crusty nose with sneezing. I tried Zyrtec. That did not help. I also tried Flonase - no help. I am afraid to take Benadryl because of other medicines I take for sleep and anxiety. What other suggestions do you have?
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Hello. Are the pictures you shared nasal snort or phlegm from throat (attachment remoed to protect patient identity)? Do you have any difficulty in swallowing or breathing? Is there any cough? Any chest pain? Do you have wheezing? Is there any recurrent bleeding in your nasal cavities? Do you smoke or drink? Our approach would differ if the bleeding is from upper airways and if it is from the lower. In the first scenario, we shall give you some nasal lubricant creams with the sprays and see if the bleeding stops. In the second we will have to rule out cough and chest problems. In either case a nasal endoscopy with a laryngoscopy is essential. Do you have such blood stained mucus from nose/throat every single day? Do revert back to us with all details so that we can help you.
| 1,541 |
Q. I am having blood tinted crust in nose while sneezing. Please advise.
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Hello doctor, I have noticed some worrying symptoms lately. I am a 24-year-old male with no other known condition. I have noticed that the back of my neck feels very stiff and rigid when I sit at my desk with my head bent forward to read or look at the monitor, to the point that I feel the need have to stand or lie down to alleviate the feeling of discomfort. I have noticed that the rigidity disappears when I stand, walk or lie down. I have been feeling stiff since I have started studying again some days ago. I have spent the last two months without doing much (no physical activity or studying/working) due to the lockdown. I also have widespread twitching in my thighs, calves and feet (both legs), on my back, on my chest, on my shoulders, in my arms, in my hands and in my tongue. I have felt twitching almost everywhere for a couple of years now. I also noticed that I am unable to put the heel of my left foot down when I stand or walk. I have had this issue for years and I was told it was due to tight calf muscles, although it feels more accentuated now. I would greatly appreciate any input you can give.
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Hi. Neck pain seems to be due to strain in the neck muscles when you remained in one position for long duration, I would suggest you to take simple steps to avoid this, take rest for 2 minutes in every 15 to 20 minutes and move your neck side wise and rotate it to right and left. In that way strain in neck muscles can be avoided. additionally in between isometric neck excercise can be done. Avoid Using thick pillows. If this does not work we can start some remedies. Now regarding twitching. Do you have weakness anywhere in the body? Did you lose your muscles mass anywhere in the body? Do you have any sensory issues? Do you take any stimulants such as excessive coffee or something else, if yes how much? Do you feel often cramping of muscles? Regarding foot problem. Is it always or sometimes? Can you walk on forefoot? Can you walk on heels? (just try walking) Is it like foot drop? lastly why antihistaminic medicines? Please tell in more and elaborated detail.
| 1,542 |
Q. How can stiff neck be managed?
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Hi doctor, I am 30 years old. I am facing delayed menstruation cycles. It has been 15 years. At the beginning I consulted gynecologists. They did ultrasound and there was no cyst. Doctors said it was because of hormones. They prescribed Progesterone tablets for 5 days. My periods are not regular. It varies from 30-45 days. Sometimes 55 days. In last 15 years, around 4-5 times, it occurs after 60 days. This time it skipped two cycles. Sometimes I feel pain in legs or back, vaginal secretion without any odor. It has been 20 days or so that my face is full of pimples (even my face is not oily). There is no extra hair growth on my face. I am sexually inactive.
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Hello, Welcome to icliniq.com. The irregular bleeding is also associated with acne and hair growth. There are symtomps of hyperandrogenism. Have you performed a hormonal examination?
| 1,543 |
Q. Why is there delayed menstruation?
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Hello doctor, On the my bottom my two front teeth the gums have came up over them but not covered. But the gum is higher up than it is in any other teeth in my mouth. What caused this? Can I fix this in home itself?
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Hi. That condition of your gum is called localized gingivitis. It occurs because of the deposition of calculus and plaque on your teeth and inside the gums margins, which causes inflammation of gums that enlarged in size. The first treatment is ideally you should visit a dentist and get the scaling, cleaning, and polishing done. Once your teeth and gums get cleaned, after you will have to maintain your hygiene, then after a few days it will become totally fine. Right now at home you can do proper brushing and flossing and do warm saline i.e. warm water and salt rinses daily, it will heal slowly, but scaling is genuinely required. I hope this helps.
| 1,544 |
Q. Gums in two of my lower front teeth has raised up. What caused this?
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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
| 1,545 |
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
| 1,546 |
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
| 1,547 |
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.
| 1,548 |
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
| 1,549 |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
|
Hello doctor, I am a 40-year-old male with abnormally high testosterone. All other lab tests came back negative. What should be my next step? I also have malaise, muscle aches, anxiety, and abdominal pain.
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Hi. You sent me cortisol levels report (attachment removed to protect patient identity), but there is no report for testosterone. Your cortisol is normal. Please send the testosterone report.
| 1,550 |
Q. I have high testosterone level with muscle pain, anxiety, and abdominal pain. Please help.
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Hello doctor, My father is 76 years old. He often complains of breathlessness and uses nebulizer every day. He has chronic gastric and digestion issues as well. His other health issues include diabetes, BP, spondylitis, and back pain. I got an x-ray done recently. Please advice.
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Hello. I can understand your concern. Can you send me the x-ray report? And also tell me which Nebulization he is using? I will be happy to help him further with medicines and investigations.
| 1,551 |
Q. My father has frequent breathlessness. Is daily usage of nebulizer advisable?
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Hello doctor, I did not get my periods for the last one year. Now I got a lot of hair fall, increase in body weight, more hair growth in the face. I have thyroid and when checked before three months it was three times high than the normal. Now I am not able to go to any hospital. Please suggest.
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Hi. I want to know your age, height, weight, and medications you are on for thyroid. Review with your reports.
| 1,552 |
Q. I did not get my periods with excessive hairfall, weight gain and facial hair growth. Why?
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Hello doctor, I have had an angioplasty. Now I am taking Nebicard SM and Rosuvagold 20 one each daily. And I am also taking ginger, lemon, honey, and apple cider vineger solution two teaspoons daily and giloy daily. I am observing that my BP is fluctuating. What should I do?
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Hello. BP (blood pressure) and pulse are not constant parameters and are ever-changing. So it is entirely normal for them to show variations. We just have to watch that they are not crossing their limits. For systolic BP, 110 to 140 and for diastolic BP 60 to 90 is fine. And the resting pulse rate between 50 to 90 is appropriate for you. So, readings anywhere in between are fine. Also, BP fluctuations nowadays are more commonly seen due to the use of electronic BP apparatus, which are over-sensitive and cause variations. If you are using an electronic BP apparatus, then you should take three readings at a time with arm resting on the table and completely relaxed. And two matching readings are approximate BP of yours. However, if most of the BP readings are above or below this range then needs dose change, so let me know the details of your readings. You should make a chart of it by taking readings frequently, say three times a day (and each time three readings to know the average) for a week period. I hope this helps you.
| 1,553 |
Q. I am on medication after angioplasty with fluctuating BP. How to control it?
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Hello doctor, I have mucus on my throat resulting in wet cough especially at wake up. I observed no pain on the throat, fever, and sneezing. I am not taking any medicine but I am regularly taking steam, ginger, or black tea. I getting relief only in the chest but not effective on the throat. Kindly recommend medication.
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Hi. You are probably having what we call as allergic pharyngitis where you usually do not have classical allergic issues such as sneezing, watering from the nose, but only having mucus and phlegm formation in the throat which causes stickiness, irritation, and sometimes cough. What can be done? 1. Avoid dust, smoke, or any irritative substance entering into the nose by wearing an n95 mask. 2. Salt water gargling at least 8 to 10 times a day for two weeks. 3. Keep sipping boiled warm water every two hours. 4. Avoid cold, spicy, and oily food for the next one month. 5. Any gastric issues have to be treated in a proper manner. You can take tablet Allegra M (Fexofenadine and Montelukast) one tablet two times a day for 10 days, tablet Mucomix / Mucinac 600 mg one tablet twice daily for 10 days.
| 1,554 |
Q. I have mucus in throat and wet cough without throat pain or fever. What could cause this?
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Hello, I am a 25 years old girl and after year I am totally depressed, my life is getting worse, without friends, family, hobbies do not bother me I have already three gastroenterologists and I have tried for a half year: Helicid + famosan + ursosan + itoprid + duspatalin + probiotic + vitamin Z, vitamin B all types, vitamin A, E, D - nothing much help My new doctor said to me I have to get rid of all medicaments and start without them, and the pain is caused by lots of stress and lack of sleep. I am in third week on this medication and I am in terrible pain every day - no matter what I eat. Please, could you give me some help 1) is there any possibility that after your using these medicaments - my stomach is only trying to recover from some 'shock' without pills? I have to be patient and continue with this process? 2) how to start a new week to heal the stomach pain and get on track with standard meals? (e.g. For whole one week eat only rice, Gluten-free white bread, potatoes and after that start to add something) 3) Is it possible that taking lots of vitamins (B, Zinc, Omega 3, Magnesium, Yeast, Probiotics,) can cause stomach pain/acid reflux? I have problem with acne and I know it is from the worse digestion 4) I love to exercise but jumping or laying on the floor is sometimes painful - what is the best kind of sport to do with stomach issues? 5) Is it possible that yogurt or milk make stomach pain even I was tested on dairy allergy and everything was ok? (I love yogurt:( ) 6) It is possible that underweight (BMI 15,7) is causing all my problems? (and I have to eat a lot even I am in pain to get healthy weight)
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Hello dear, welcome to icliniq, I have reviewed your concerns in detail. I can sense, you are a wonderful lively person, who likes exercise and enjoy foods. But unfortunately for various reasons, you are facing alot of troubles along with health issues, that makes the situation even more worse. Since u have been seen by three gastroenterologist, who are expert in the field and are treating you on the line of IBS, major clue is your drugs. Now, for me, most important thing is to fix all issues together. For that, only one person, who can do wonders for you is you, yourself. I am saying it because, there is strong Gut and brain relation. Your depression/anxiety need to be addressed. Why you are feeling low and socially isolated? We will together work on it as: I would recommend you to please sit with yourself in an calm environment and write down the possible solution of ur problems. When you will try to find the solutions, you can easily kill your problems one by one by different good approaches. Continue light exerxise. Practice smiling, even to those you don't know. Just to make urself happy. Love nature. This is how you life will take lovely turn, you will again start to love yourself. Imagine yourself as a mentaly fit and happy person, how would u feel, just imagine for a while. I would advise to work on it. For your pain related issues: please take following meds. I hope they will help u in calming the pain. Tb. Drotaverine 40 mg 1+1+1 Tb. Citalopram 10 mg 1+0+0 Tb. Clonazepam 0.5 mg 0+0+1 Ispaghol Husk 2tsp in glass of water, keep it for 4 hours and then take it. I hope u ll find it useful. Let me know how u feel after 1 week. Your feedback will be required, so we can help u further. Humble regards
| 1,555 |
Q. I am depressed, and I have pain and gastric problems. Are they related?
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Hello doctor, I have back pain on the left side and cannot move on that side. The pain was between my belly and back, but now it is only on my back at the end of the spinal cord. While sitting, standing, or even sleeping, I can feel the pain in this area and it lasts for one week. I am currently taking Ibubrufen.
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Hi. You are very young to actually have persistent back pains. There are many causes of pain in the lower back region. It can be due to faulty posture, related to weak muscles, issues with disc, narrowing of spinal canal, or any bony instability besides many others. So accurate diagnosis is the key to proper management of the condition. You will have to elaborate on your problem of back pain which means the duration of pain and mode of onset. I would also like to ask you if it is associated with any leg pain or any other neurological symptoms like numbness, paraesthesias (electrical shock like abnormal sensations) or any weakness in limbs? Please also tell me about any associated symptoms like fever, weight loss, etc. What medications you generally take for your existing problem? If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias, etc, then you can start with following recommendations for an initial period of two to three weeks. 1. Maintain proper posture of your back while working and sleeping. 2. If pain is more then you can take a short course of anti-inflammatory medication like tab Etoricoxib or Paracetamol or one which suits you. 3. Physical therapy initially under the supervision of a trained physiotherapist and then to continue at home. 4. Adequate calcium and vitamin D intake if levels are low in the body. 5. Ice packs can be applied if your pain is acute, then hot fomentation can be done at home. 6. Analgesic spray for local application can be used and is easily available. 7. Avoid lifting heavyweight or acute forward bending in the mornings, etc. We will observe you for the next two to three weeks on how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like, dynamic x-rays of lower back and few blood tests for evaluation.
| 1,556 |
Q. I have back pain on standing, sitting and even while sleeping. Please help.
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I have had pityriasis rosea (PR) for about a week and I am currently 7 weeks pregnant. I have had no other symptoms other than the rash. After reading a study which found a 62% miscarriage rate when women were infected with PR during the first 15 weeks of gestation, I am obviously terrified. Can you provide me with any reassurance or advice on any testing/treatment that may be required. Thanks,
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Thank you for giving me opportunity to treat your skin problem. Yes, you are right there are significant chances of miscarriage if Pityriasis Rosea appears in first few weeks of gestation. Mostly miscarriage occurs when Pityriasis Rosea happens after HSV 6 & HSV 7 infection (according to literature). There are also other causes of Pityriasis rosea other than HSV6 & HSV7, Like some drugs (Medicines), Vaccination, other viruses. So, First if possible provide me photographs of affected areas of skin which will help me for better diagnosis and proper plan. Does you had fever or Joints pain few days back? For Viral infection (HSV 6 & 7) you can go for serum Ig M, Nested or RT PCR and viral load, also pregnancy outcomes depends on Body surface area involvement and Constitutional symptoms. Final decision about to continue pregnancy is yours. You also consult with your Obstetrician/ Gynaecologist for the same. Thank you.
| 1,557 |
Q. Do 62 % of pregnant women with pityriasis rosea have a miscarriage?
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Hello doctor, My wife is 10 weeks pregnant. Due to lockdown, we are not able to go to the doctor. She feels body pain and started spitting a lot from the fourth week. She also vomits a lot. Please tell me what should I do and also suggest health supplements for her.
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Hello. Nausea and vomitings are pretty much common during the first three to four months of pregnancy which happens due to sudden hormonal changes. The body pains she feels is also due to the same reason. I am assuming she must be taking Folic acid supplements already after she got to know she was pregnant, or once the scan was done. If not please start them immediately. After 14th week she can stop Folic acid and switch to iron supplements once nausea and vomitings subside. I will be mentioning the tests that she needs to take up as she is already 10 weeks pregnant. There will be an important scan in the coming weeks, that is, between 11 to13 weeks, which is called NT scan (Nuchal scan) and also a blood test called double marker test which is for the screening of Down's syndrome in the fetus, along with other chromosomal abnormalities called Trisomy 13 and 18. Please do not miss these tests. You can get back to me if you got any further queries. Pregnancy-induced nausea and vomiting. NT scan (11-13 weeks). Dual marker test (11-13 weeks). Tablet Folvite 5 mg daily, Doxinate plus (Doxylamine, Pyridoxine and Folic acid) two tablets at bedtime for 15 days (it reduces nausea and morning sickness). Tablet Emset SOS 8 mg before food, if vomiting is uncontrolled. Syrup Gelusil two teaspoons thrice daily 15 minutes before food for one week. Small meals at frequent intervals. Avoid spicy foods. Drink more water and fluids to avoid getting dehydrated. Avoid sexual intercourse untill 14 weeks to prevent the risk of miscarriages.
| 1,558 |
Q. My wife is 10 months pregnant with severe vomiting. Please suggest solution and supplements.
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I have TMJ disorder and I was wondering if there was anything I could do about the left side TMJ getting inflamed besides just letting it be and relax, as it is pushing on the inside of my ear. I can feel/hear it making a crackling wet noise when I push my jaw forward, or a painful pushing feeling inside my ear when I clench my teeth. It started yesterday and is better now that I've slept and it's relaxed, but it's still bothering me and the crackling/pushing is still there.
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Hi! For a TMJ dysfunction you can consider the following advice Spasm in the muscles around the joint can be the reason for this probable dysfunction. It will take around 4 weeks for the muscle to get back to normal but chiefly depends on how much precautionary measures (mentioned above) you have followed. I hope I have answered your query. If there is anything that I can help, please do le me know. Get well soon! Warm regards!
| 1,559 |
Q. The left side of TMJ is getting inflamed and is pushing on the inside of my ear. What to do?
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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?
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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
| 1,560 |
Q. What does abutment of the nerve root mean?
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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.
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Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist
| 1,561 |
Q. Will Nano-Leo give permanent solution for erection problem?
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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.
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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
| 1,562 |
Q. Every time I eat spicy food, I poop blood. Why?
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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.
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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.
| 1,563 |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
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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.
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Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist
| 1,564 |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
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Hi.i m 17 years old..my periods are irregular.and sometimes it lasts for 15 days sometimes 7 or sometimes4 days..from last month i got my periods for only 3 days with very light flow.. and now it again started but very minute..little..i dont know why its happening like this..plz help me.
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Hi dear, I understand your concern .am also proud that kids of your age are so thoughtful to ask these questions.at your age I was not even aware of such things . first of all after menarche ,till 18 years of age your body will be adjusting to the changing harmones and also your HPO axis will mature till 18yrs of age ..hence irregular cycles are common during this period. but in your case your BMI is on higher side and obese for your height. As per your height your ideal weight should be 55kgs. weight reduction will help you best with your periods.as more estrogen is produced from body fat ,it leads to harmonal imbalance.also obesity causes insulin resistance and acne. also get evaluated for THYROID take tab.Yaz for 3 months to regulate your periods if you have any questions please feel free to ask if you are satisfied with my answer please leave a feedback
| 1,565 |
Q. Why are my periods irregular?
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Hi. I’m 20 years old , I wanted to ask a hematologists a question because I feel like my primary doctors aren’t taking the right precautions/ steps with my current symptoms, I have hereditary Spherocytosis, snapping scapula, and what I believe to be a spermatocele. During some blood work a few weeks ago my bilirubin was highly elevated, my wbc was low, and at my appointment yesterday they took a urine sample and found a large amount of blood in my urine, and I feel like this is very serious considering the blood disorder I have, and my doctors keep making me wait days at a time before follow up appointments or more tests, and I just feel as though this should be acted on immediately since they still don’t know what’s going on with me, and I just wanted to see if a hematologist could give me some input on what I should do.
| 1,566 |
Q. Can hereditary spherocytosis be the cause of elevated bilirubin and blood in urine?
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I have experienced a back injury which has lasted for two months but it has gotten better lately. The event happened when I had my back extended to max(backbend training) and it was just sore afterwards, but the next day the range of motions had been very limited which I couldn’t do any extension nor flexion. I felt the pain and compression around the sides of my lower back and middle back when I flex and extension degrees was limited as I felt it was at the middle of the spine prevents me to do so. I have been doing research about this which can seemingly be QL muscle spasm, thoracolumbo joint syndrome, and have tried gentle stretches also even rested but still experience the pain or discomfort.
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Hi. Never try to stretch any body part or full body in a first. if given a try the same will happen. stretching needs to be done on regular while doing exercises and can be extend day by day not by once. anyways dont worry about the low back pain here i will suggest you exercises which at first you need to do slow without any pressure for a week. then after a can do little fast, this will improve your muscles strengthening of lower back. apply the ointment to the area of pain, cover it for about 10-15mins with a cloth, then clean it with warm water following hot water fermentation. then do the following exercises. all the above exercises to be done carefully atleast once a day for 10 days. do not put pressure if pain is severe. diclofenac ointment to be used twice a day. Take Accelofenac+ paracetamol ( Zerodol P) for three days. once a day. slowly the range of motion will increase after a week. untill then take rest properly and take care. follow up after a week. thank you.
| 1,567 |
Q. I had a back injury two months ago. Why do I still experience pain and discomfort?
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Hello doctor, I have irregular periods and continuous bleeding in the genital area. So I am using sanitary pad always. And also have some kind of pain in the stomach.
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Hi. I understand your concern. Please tell me, when did you attain menarche? Have your periods been irregular always? If yes, tell me your cycle length. Are you married? Any children? Are you taking any other medications? When were your last periods? When was this ultrasound done? According to scan reports your endometrium is thick (attachment removed to protect patient identity). You need to understand diagnostic as well as therapeutic curratage. Until then take tablet Pause MF (Tranexamic acid) three times daily for five days, and tablet Meprate 10 mg (Medroxyprogesterone) thrice daily for seven days followed by twice daily for the next week and followed by once daily for the next one week and stop. If your cycles are always irregular following the above treatment start Diane 35 for three months. Also, take Iron, Folic acid supplements to prevent anemia due to excessive blood loss. Please answer the above mentioned questions to suggest if anything extra is needed other than the mentioned treatment.
| 1,568 |
Q. I have irregular period with severe bleeding and stomach pain. Please help.
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Hello doctor, My lower back pains extremely bad when I stretch backward or forward. It is painful to sit as well as while standing. When I press my back I feel no pain, but the pain starts as soon as my back stretches. Also, my legs shiver due to pain. What is the reason?
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Hi. I would like to know, what do you do and how much physical activity you have in your daily routine?
| 1,569 |
Q. I have severe low back pain while stretching, standing and sitting. Please help.
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Hello doctor, I did my blood test yesterday and the cholesterol levels were high. The results are as below. Complete lipid profile test. S. cholesterol - 244 mg. Triglycerides - 252 mg. LDL direct - 174 (direct). HDL cholesterol - 34 mg/dL. In the cholesterol tests conducted earlier, the triglyceride value only was high. No medicines were taken, started exercises after that. Again a test was done about a month ago, the result was 233 for cholesterol. No medicines were taken. Kindly suggest me if I have to start medication as the value is only going high.
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Hello, Welcome to icliniq.com. It is definitely deranged. I assume that the test was done after fasting of 8 hours, if not then worthwhile to repeat. Now since you are young, it is important to determine whether you will need long term medications or not. So, you may give a try of healthy lifestyle for 6-8 weeks. If you think, you already having a good lifestyle and there is no scope for further improvement or due to unavoidable factors you would not be able to modify lifestyle more, then better to be on medications. So you should have tablet Rosuvastatin 10 mg once daily bedtime for 8 weeks and repeat the lipid profile after that. Let me know the values after 8 weeks. If you want to try a healthy lifestyle which is also an option then you may try for eight weeks. Have low oily fatty and fried foods. Have less of fast food, low-calorie foods, low butter/ghee, and low-fat milk. Avoid meat and egg yellow. Avoid sweets as much as possible. Try to achieve some weight loss. Have regular exercises like brisk walking or running according to the capacity. Repeat the lipid profile after eight weeks of healthy lifestyle to see the response, and if there is no response then you need to be on medications. If there is a good response then medications are not necessary. I hope this helps.
| 1,570 |
Q. Please suggest medication for my high cholesterol levels.
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Hello doctor, My stomach gets upset when I drink milk, orange juice, or even yogurt which is normally good for an upset stomach. I cannot digest banana, corn flakes, and many other foods, and it has been going on for a long time. I have been to many doctors and they had endoscopy and colonoscopy tests but nothing came out bad. Please help.
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Hello. I can understand you must be very upset about your condition. So you see the diets you are kind of allergic to are containing milk protein. Yes, there are some diets that contain no milk, but the diet that predispose you to have stomch upset will disturb your stomach as often as one has allergies to almost every diets the person takes. So, I suggest you to cut down your dairy intake. It occurs due to the deficiency of an enzyme called lactase which usually digests the milk. Or you can purchase a commercially available drug containing lactase enzyme. Tablet Lactaid 9000 FU just every time before having a milk-based diet. If you want to discuss more I am here to help. Follow up in one week.
| 1,571 |
Q. I get stomach upset with intake of milk and orange juice. Why?
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Hello doctor, My main problem is alopecia. I had it from 2015 with several patches on the head and now they are gone, but the problem is my eyelashes are gone and never grew back. I used castor oil, garlic, and now Revitalash and other things. Two years ago a rheumatologist prescribed me Dolquine and I did not have patches but my eyelashes still fell. I have lots of problems like hypothyroidism and Hashimoto and currently on Euthyrox 100. My doctor told me it has nothing to do with alopecia because it is normal now (good T3, T4, and TSH, etc.). I newley knew that I have PCO (normal result in echo but my glucose is lowered after 1 hour of glucose 75 mg intake and my insulin was 60, plus androstenedione 3.5). And I have hyper prolactinemia for six years on its own did an IRM and no tumor and currently taking Dostinex. With all these problems I smoke water pipe (shisha, nargile) three times a day.
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Hi. Your concern is genuine and you are so brave and facing all challenges very bravely. You did not mention your prolactin and thyroid hormone levels. Loss of hair can be autoimmune as you were treated for it as well and due to Hashimoto as well. If there is no skin issue involved in the loss of hair (you should consult a dermatologist for it) it may be due to your autoimmune disease. Hashimoto is autoimmune as well. What you can do is that you decrease the TSH (thyroid-stimulating hormone) target to a lower level with increasing Levothyroxine and then see if it has a better effect. I hope this helps.
| 1,572 |
Q. I have Hashimoto's and alopecia with loss of eyelashes. What should I do to regrow it?
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Hi doctor, I need some advice on behalf of my mother who is 67 years old. For the past 12 days my mother has been experiencing pain in the throat area, feels like something is stuck, vomiting mucous, weakness, body aches, white tongue, difficulty swallowing, and vomiting feeling while talking and eating. She vomits about twice a day. She consulted an ENT and internal medicine doctor. ENT dismissed her after nothing found in throat using a camera but the internal medicine doctor did some investigations. Results showed UTI (epithelial cells 20-25/HPF and pus cells 30-35) and TSH (13.5) raised as well as Candida Albicans growth from a throat swab. She has had this issue every few months and normally clears up on its own, but this time it is very severe and not going away. Current medication: Cefotil (Cefuroxime 500 mg and Clavulanic acid 125 mg), Gelora gel for oral thrush (Miconazole BP 2%), Motigut for vomiting 10mg), Thyroxine (50 mcg currently but internal medicine doctor asked to increase the dose to 1.5 tablets due to high TSH). Urine culture was done and it was normal. My query is, whether this is a bad infection, not bacterial but growth of esophageal candidiasis can be treated by antifungal therapy Fluconazole? No improvements are seen with many antibiotics. Oral thrush candida was found on initial appointments and also candida in throat swab. Is there any harm in trying a course of Fluconazole? She had a history of fungal infections in the throat which normally clear up on its own. This time it seems much more serious. If it is fine, what dosage would you recommend and for what period?
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Hello. Yes, your mother is suffering from 1. Hypothyroidism. 2. Oral candidiasis. 3. UTI (urinary tract infection). 4. Dysphagia. Oral candidiasis or oral thrush if not improved within five days after starting local antifungals then you may start oral antifungal medication. You may use tablet AF (Fluconazole) 150 mg once a day for one week. But in case of old age, people may feel nausea or vomiting for this drug then you can give iv Fluconazole (Forcan 100 ml) once a day for five days. In old age, vitamin B12 deficiency is also common, so it may present like glossitis with pharyngitis. Take vitamin B12 injection weekly once. You can give Neurobion injection also. Use Candid B mouth paint for local application. Use tablet Levosulfuride 25 mg twice a day for nausea and vomiting. At the same time check for serum electrolytes levels which may be altered in old age lead to vomiting. You may give probiotics like capsule Gut ok or Sporulac sachets to increase the immunity levels and also prevent gut growth of fungus. Remaining medications you continue the same. Response to the treatment may take four to five days. Diabetic patients are more prone to oral candidiasis so check for blood sugar.
| 1,573 |
Q. My mom is diagnosed with UTI and recurrent candida in throat. Will Fluconazole help?
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Hello doctor, I am a 42-year-old male, non-smoker and non-alcoholic. For the last two months, I am noticing lots of brown patches below my armpits of the left hand and nothing much on the right hand. And off late I could sense I am sweating (armpits) which I never had before. Will you please consult on this issue?
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Hi. What I can make out from your history is that you are having brown patches over the left armpit for two months. I want to know no other symptoms in this lesion like if they pain or burn? Are they increasing in size or same since their start? Any other family member having such lesions? Please send a clear photo. Send history as asked and photo.
| 1,574 |
Q. I notice lot of brown patches below my left armpit with stinky sweat. What could it be?
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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?
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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
| 1,575 |
Q. What does abutment of the nerve root mean?
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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
| 1,576 |
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.
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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
| 1,577 |
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.
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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.
| 1,578 |
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
| 1,579 |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
|
Hello doctor, I am writing to you about my partner. She has had swollen lymph nodes for the past two years. Only other symptoms are high CPR and very slightly higher eosinophils. She had an ultrasound of her right side of the neck today, and I would like to know if you can see anything unusual. Also, I would like to know what the other two pictures say, that are 2 cm lymph node or the marked submandibular gland which was operated on. On two pictures, I see three small circles around a big circle, and on one of the pictures, some of the small circles have something inside of them. Obviously doctors are investigating possible lymphoma, so I would really appreciate your help and if you could take a good look at everything and tell us an opinion about the features of the examined organs.
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Hi. Let me start with the right neck lymph nodes seen on the images (attachment removed to protect patient identity). They have a fusiform shape which is a good sign. They are mildly enlarged, the index one short axis measures 6 mm. Image 1: Lymph node with Doppler box, showing center blood supply which is again a good sign. Image 2: Couple of mildly enlarged lymph nodes. Image 3: Submandibular gland and mildly enlarged lymph nodes with a white center, fatty hilum, normal. Image 4: Index lymph node measurement long x short axis 21 x 6 mm. I would favor benign pathology versus lymphoma due to fusiform shape, central blood supply, preserved normal fatty hilum, and mild enlargement. This can also represent systemic inflammatory diseases. I hope this helps.
| 1,580 |
Q. My partner has swollen lymph nodes with high CPR and eosinophils. Please interpret her USG.
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Hello doctor, My baby is 11 months old. On starting of 10th month I had a problem in my breasts and stopped feeding by doctor's advice. I thought cows milk is better than formula because it is natural so I am giving it for the past one month in very diluted form. Four days before we switched to the formula since cow milk is not available. After that he passes stools many times for two days and got fever. When consulting a pediatrician he advised not to give cows milk and suggested only formula. But now after giving for a day, he passed mucus in stools. Is my baby allergic to formula? He is fine with cows milk, can I give the same? Please help.
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Hello, Welcome to icliniq.com. Cow milk should not be given until 1 year of age usually, as it may cause calcium and iron deficiency. Any change of feeds in babies can cause some change in stool pattern. Which formula are you giving and how do you prepare it? Proper concentration is very important. Have you started weaning? And how many times the baby is feeding milk? If only two or three times then you can continue with cow milk but do not dilute it.
| 1,581 |
Q. On shifting from cow milk to formula milk my baby gets fever and vomiting. Why?
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Hello doctor, I have been using Lutera but recently, I started having some problems. I have been bloated and my period began on the 14th (it usually lasts for four to six days), so the assumption was that it would conclude on the 19th. It is 23rd and I am still lightly bleeding, but my breast are tender again. I wanted to ask if this could possibly be side effects of the birth control or if there was possibly some other reason for this. I did do some research and I found that Lutera had been recalled a couple of times. I did stop taking it for a while to see if it only happened with the birth control and upon getting back on it the symptoms have persisted. I feel like I am gaining weight as well as breaking out with acne a lot more. Please suggest an opinion.
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Hello. Lutera has multiple side effects and is not really good contraception. In fact, all oral contraceptives are not a very good option as contraceptives. Bloating, weight gain, irregular spotting, are a few side effects. Larger and other bad side effects are marked suppression of ovulation leading to suppression of the biological clock of females. It changes the vaginal environment and therefore causes the growth of multiple bacteria. It is also known to cause obesity, diabetes, HT (hypertension), and breast lumps. The best is condoms by the partner and vaginal tablet to be inserted at the time of contact. Kindly stop taking that tablet. Take capsule Primosa 1000 mg once daily. Also, take supplement of antioxidants like grape seed extract and multivitamins. Stop taking pills.
| 1,582 |
Q. With Lutera, I get slight bleeding, bloating, and tender breast with weight gain. Why?
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Hello doctor, Actually, I had sex with my partner during period. And after that, I have taken i-pill within 12 hours. After two days my period stopped and now about one month passed but my period did not start yet and I tested with pregnancy kit with negative results. Some white liquid is leaking and some symptoms make me to feel like I am pregnant. What should I do? I am confused because the kit shows negative. Please help.
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Hello, Welcome to icliniq.com. I have gone through your query. As the urine pregnancy test is negative, you are definitely not pregnant right now. Sometimes the premenstrual symptoms can also be similar to pregnancy because of similar hormones acting in both the situations. Some amount of menstrual disturbances are known side effects of the emergency contraceptive pill. So if you still have a doubt you can recheck it again after three to four days with an early morning sample. If still negative, you can be sure you are not pregnant. Just wait for a week for periods to come. Please use a better and consistent method of birth control in the future like oral contraceptive pills or condoms, and repeated emergency contraceptive pill can take a toll on your hormonal balance. I hope this helps.
| 1,583 |
Q. Had sex during last month periods, taken i-pill and missed period this month. Am I pregnant?
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Hello doctor, I was wondering if I could ask a few questions about a potential ectopic pregnancy? I recently started new birth control (after not taking any sort of birth control for three months) called Drospirenone and Ethinyl tablets, USP (3mg/0.02mg) and I am now on day 22 of taking the pills. I had unprotected sex within the first week of taking the pill. However, I have always had a really light period and rarely got a period when I was previously taking birth control. The last day, I had unproductive sex was exactly 19 days ago. However, about five days ago, I started to have more intense cramps on the same side and I am also bleeding. This is what it felt like last year before I took a test, just way less severe. I looked online and learned that I can take a pregnancy test at least 19 days after intercourse, so I just took one, and it came back negative. I am not sure if I am having an ectopic pregnancy or it is just too early to tell if this could be a side effect of the new birth control? Or if this is just my regular period (despite it starting in the middle of my pack)?
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Hello. You have to know that contraceptive pills will prevent a future pregnancy if you have taken the pills for seven days. After that, you can have unprotected sexual intercourse. So before that you have to use another form of contraception. Also, if you have had sexual intercourse not in your ovulatory day (that means at first day of your cycle), the possibility of a pregnancy is low. The urinary test has a high acurracy, if you perform that after a week of menstrual delay. I read that you have experienced a rupture ectopic pregnancy last year. The typical symptoms of an ectopic pregnancy are missed period, abdominal pain, cramps, and spotting. I recommend you a b-HCG (human chorionic gonadotropin) blood test. You can repeat that every 48 hours to detect a future pregnancy. It will double its value in an intrauterine pregnancy, meanwhile, the rise of b-HCG value in an ectopic pregnancy has another pattern less than a normal pregnancy. Also, the COC and the medication that you take can affect your cycle. I would recommend b-HCG blood test at first. If you have the bleeding within your expected date without delay, it would be your cycle that has come.
| 1,584 |
Q. What is the possibility of potential ectopic pregnancy while on contraceptive pills?
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Hi doctor, I would like to have a second opening regarding my daughter's case. She is just 2 years old and she was having some seizures at night while asleep. For 10-15 days, we started to observe that she is having jerking movements, stiffening of the body, and sometimes teeth grinding for about 15-30 seconds. I am attaching her consultation and lab report for details.
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Hello. I can understand your concern. According to your statement, your two years baby has been suffering from seizure which lasts for 15-30 seconds. Anything that interrupts the normal connection between nerve cells in the brain can cause a seizure. This includes high fever, high or low blood sugar, drug withdrawal, or brain injury. There is various type of seizures like absence seizure, tonic-clonic seizure, atonic seizure, clonic seizure, tonic seizure, myoclonic seizure, etc. By CBC, EEG, and MRI of brain, we can detect the type of seizure and then treat them accordingly. As soon as you know your child is starting to have a seizure, you should gently try to get your baby in a position where your baby is safe. Stay with ur child. Do not put anything in your child's mouth. Do not try to stop or restrain the child's movement. Children often foam at the mouth during a seizure, wash that carefully.
| 1,585 |
Q. My 2-year-old daughter is getting seizure around 15-30 seconds in sleep. Please help.
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Hello doctor, I have been experiencing rectal bleeding for the past 10 days. At first, it was light but today I noticed that the bleeding seems more severe. It dripped a lot and covered the majority of the toilet paper. The stool itself was not red, just light brown and regular as always. I do not think I have any external cuts or wounds because I do not feel any pain or stinging sensation as I wipe. If it were an external wound, it would have healed by now. I have been wiping gently or dabbing to stop the bleeding. Although I feel fine (no external or internal pain), I am anxious and nervous about this development. My rectum does bulge out when I pass stools, so the obvious is hemorrhoids. But the bleeding seems like something from inside.
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Hello. Yes, I do agree, you are likely having bleeding from hemorrhoids. My recommendation for you will be: 1. Avoid constipation, take Ispaghol husk 2 tablespoons in a glass of water. Keep it for a good four hours and take it. 2. Take tablet Daflon (Flavonoid) 500 mg 1-0-1 for five days. Do not worry, it will settle. I hope this helps. Constipation, excessive straining, venous insufficiency, increased venous pressure. Hemorrhoids. Take plenty of water. Chew food well. Take a lot of vegetable and fruits.
| 1,586 |
Q. I have rectal bleeding without any external cuts. Is it hemorrhoid?
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Hello doctor, I was wondering is it is normal to have an irregular period after stopping the Depo shot. My last shot was administered sometime befor three months (I do not remember the date). I had taken two shots but decided to stop because I kept bleeding and spotting while on the shot. I experienced bad cramping and heavy bleeding last month and it has been a month since then and now I have only experienced ovarian pain and brown discharge. I am not sure what this means.
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Hello. As you mentioned, it is a known side effect of Depo shot to have irregular spotting or occasional bleeding too. And usually, the effect of the Depo Provera shot last maximum up to three months only (depending on the dose). The present experience of heavy bleeding and cramps may not be related to your Depo shots, it may be due to some underlying cause. So, I would like to know why was Depo shot advised for you? Was it only for contraception (birth control) or was it for any complaints like excessive bleeding and cramps during your periods (which may indicate a process called endometriosis)? Irregular bleeding may indicate some underlying hormonal disturbances which need to be evaluated. I would also like to know if you have any recent weight gain, excess unwanted facial hair, acne problems, scalp hair loss, headaches, visual disturbances, etc.? These may give some clue in finding a reason for this irregular pattern of bleeding. Also, if possible you could share some reports of your previous investigations like ultrasound to help me in guiding you for further evaluation.
| 1,587 |
Q. Is it normal to have irregular period, ovarian pain and brown spots with Depo shots?
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Hi Dr. I was operated for Nasal polyps surgery 3 years back. From last one month or so, It seems that some mucus is always stuck in my throat and I have to clear it every now and then. This gets worse while lying on bed. I showed it to my ENT specialist and he mentioned that it is GERD and prescribed some antacid tab that did not work. I have no other symptom and I always feel some kind of phelgm in my throat that hardly comes out or go inside while swallowing. This is very irritating. Please prescribe some medicine / any lifestyle changes to get rid of this.
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Dear Welcome to icliniq I reviewed your history and attach file of ENT Surgeon. The problem you described is very typical of two things 1)Postnasal drip or 2)GERD As ENT Surgeon seen you and they ruled out postnasal drip so it is more in favour of GERD and another supporting evidence is its aggravation on lying down. I will recommend to start following treatment and then get back to me after 2 weeks and let me know the response. Antacids will not help in it. GERD Postnasal drip GERD 1. Cap. Deslansoprazole 60mg 1 before breakfast for 8 weeks.
| 1,588 |
Q. It feels like some mucus is always stuck in my throat. How to get rid of this?
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Dear Doctor I am female 26yrs old. I have been diagnosed with diabetes from past 4 years. I take the following medicines every day: 1. Diamicron 60mg before breakfast 2. Gluconorm 500mg after lunch 3. Gluconorm 500mg after dinner Due to current covid situation, I am unable to visit any medical center to perform diabetes related blood tests. But I did test my sugar levels at home after breakfast. It was 346. I am worried as to how to consult doctors in this present situation. My sugar levels are not coming down, I eat normal meals in small portions like roti, little rice, snacks, etc. My last HBA1c tested 6 months back was more than 8. I use to take Jardiance before but stopped as I wanted to plan for my pregnancy. Since my sugar levels are not coming down, I am worried about my future. Can you please guide and suggest as to what action plan I should take to help reduce my sugar levels to normal range. Appreciate your timely help in this quarantined environment. I have thyroid too, taking Euthyrox 75mg every morning Regards
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Hi. Good day. Thanks for your query. I have very uncontrolled diabetes. Ur lipids are also very high. That means ur not controlling ur sugar. Treating diabetes is not just bring sugar numbers down but avoiding complications which are associated with diabetes. It can affect heart kidneys eyes nerves brain and everything. First of all u need to stop bread rice pasta potatoes. Eat less fruits especially mango banana and grapes. No sugar in tea, no sugary juices ice cream or chocolates. Exercise at least 40 minutes daily even if it’s just a walk. If u will not change lifestyle no medication can control ur sugar. With the time ur all body can be then affected with diabetes. It’s a dietary disease and treatment is with diet only. Medication help when u change ur lifestyle. If ur planning to be pregnant u need to be on insulin and u need to have HBA1c less than 6.5. In pregnancy. U know where ur right now. I don’t think ur taking good drugs right now either. These will increase ur weight and that will lead u to have more sugar. Did u try glucophage before ? If yes why u had to stop. Did u try Sitagliptin? Jardiance is a good drug as well. So in my opinion u should be in insulin at present situation if u want to be pregnant especially. Otherwise the drugs I mentioned are the best choices. Let me know what u feel. If u agree we will start those. Thanks
| 1,589 |
Q. Can you please suggest a plan to help bring my sugar levels to the normal range?
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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?
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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
| 1,590 |
Q. What does abutment of the nerve root mean?
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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.
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Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist
| 1,591 |
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.
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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
| 1,592 |
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.
| 1,593 |
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
| 1,594 |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
|
Hello doctor, I had aggressive damaged wisdom teeth removal about a month ago. And since then I have a swollen lymph node in my neck on the side of the removal which sometimes it hurts and feel swollen and sometimes normal but it does not go away. But for the last two days, both sides are swollen and my throat is sore and hurts when I swallow or smoke. Is this something serious?
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Hello. I have seen the image. (attachment removed to protect patient identity). It is showing right follicular tonsilitis with keratitis of the right buccal mucosa and attrition of the teeth with discoloration of the teeth present. For tonsillitis, you have to use antibiotics like Amoxicillin and Clavulanic acid 625 mg twice a day for five days, and tablet Azithromycin 500 mg first day followed by 250 mg once a day for five days. Avoid cool drinks and alcohol. Avoid smoking and tobacco chewing. Use water vapor inhalation and salt water gargling thrice a day. For keratitis, avoid smoking and use capsule vitamin A once a day for one week. Eat green leafy vegetables and fruits. Please consult with your oral pathologist, he will examine and if possible will take a biopsy and treat you accordingly. I would like to some details. How old are you? Since when you are smoking? Is lymph node feeling hard or soft? It is possible that lymph node enlargement in case of any infection in the oral cavity, nose, or ears. If the lymph node is soft, painful, and easily moving means it is inflammatory pathology. But if it is hard, matted, and non-movable means a malignant pathology.
| 1,595 |
Q. I have swollen lymph nodes and sore throat even after a month of wisdom tooth removal. Why?
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Hello doctor, I am 26 years old. I have a problem with hyperthyroidism during my pregnancy. I am in my fourth month of pregnancy with TSH- 0.07, T4- 161, T3- 2.34. What are the complications with this? Is it good for me to take PTU.
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Hi. Hyperthyroidism in pregnancy is usually treated with Propylthiouracil 50-100 mg/day. Generally, treatment is withdrawn four weeks prior to delivery after which normal doses may be resumed. Your hormone levels are still very high, you need to increase your dose. Pregnancies complicated by uncontrolled hyperthyroidism may result in higher incidences of spontaneous abortion (miscarriage), preterm labor, low birth-weight babies, or stillbirths. Complications of pregnancy, including pre-eclampsia (a condition associated with hypertension, low blood platelet count, protein in the urine, and mental changes) may also occur. So please increase your dosage. Another thing I want to highlight is that you should do TSH (thyroid-stimulating hormone) receptor antibodies and to see what is the cause of your hyperthyroidism. Is it Graves’ disease. These antibodies can enter from the mother's blood to the baby's blood and stimulate the baby's thyroid gland. These antibodies should be measured in the mother during her second trimester of pregnancy because the values that are greater than five times normal have been associated with hyperthyroidism in the baby at birth.
| 1,596 |
Q. I am 4 months pregnant with hyperthyroidism. Is PTU good for me during pregnancy?
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Hi doctor, I have been having terrible problems with anxiety and depression. I was on Trepiline and Eltroxin for depression when I was younger and I mainly want to know if I can substitute St John's wort for 25 mg Trepiline? These episodes definitely worsen around my period, so might a vitamin B supplement help? I am 35 years old. So far I have been managing this with breathing techniques, mindfulness, etc., but I really cannot carry on like this anymore. Please help.
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Hello. See, just because Prozac did not work for you, does not mean that you will not respond to other medicines. There are at least 15-20 types of antidepressants. Depression and anxiety are very common and a lot of people have it. It basically happens when some neurotransmitters such as serotonin reduce in your brain leading to a problem with handling the day to day stresses of life. Medicines are usually given for two to four months and then tapered off slowly and stopped. Things like St Johns wort, Eltroxin, etc., will only add to the effect of the primary antidepressant. It will never be a substitute for the medicines. Still, if you wish to try these, you can take St Johns wort twice a day, and also take L-Theanine 200 mg once or twice a day. L-Theanine is also an over the counter dietary supplement which shows good results for anxiety. If you have sleeping issues, you can take Melatonin 5 mg over the counter supplement at night. Yes, taking a probiotic compound along with Vitamin B will also help also. Take it once a day.
| 1,597 |
Q. I am taking Trepiline and Eltroxin for depression. Shall I replace it with St. John's wort?
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hello doctor, i am experiencing brain fog cannot think properly even a single sentence or a Numerical or Complex problems, feel pressure and blockage in head and dizzy and foggy in Eyes. when i read A Palpitation began to Start in my Head and in Overall Body and Eyes Become Blurred , Frequently Heart Palpitations Became to start Again and Again and i feel Uneasiness in Gut Area . My body is Stiff All the Time ,stiffness in Jaws, Neck And Back Area . I feel Pressure while Speaking and it becomes Uneasiness for me to speak Softly , Aggression in Facial Area and some Uneasiness in Whole Body. I have use Different Psychaitric Medications, Psychotherapy, and Even Homeopathy Medicine but Nothing Works, MRI and EEG is Normal, Blood Tests are Also Normal . Plz Doctor Give me Advice What is Going on With Me , I have sinus Problem Also .
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Hello Dear I am sorry about your health condition. which antipsychotic drugs are you using? Yes sinusitis patients feel foggy mind and heavy ness in the head. The heavyness may aggravated on head bending position. Few anti psychotics usage may also cause cloudy mind with confusion. So for sinusitis use water vapour inhalation thrice a day for five days. Avoid cool drinks and ice creams. Use tablet monterleukast and levocetrizine once a day for five days. Do yoga and meditation regularly. If symptoms not improved please consult with your treating doctor he will change the dosage and treat you accordingly. Take care.
| 1,598 |
Q. Why am I experiencing brain fog and feel pressure in head and dizziness?
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Hello, I’m a 25 year old woman who recently discovered they are pregnant. My period was due on 1st of this month, that same day I took a test that came back positive. I’ve tested several times sense and all have been positive. However on the 6th, I noticed some bleeding. The first time it was on the napkin and a bit made it into the toilet. Then it went away for several hours and then came back but only on my napkin. It’s now almost 3am and I noticed I’m still spotting but very lightly. I do have an appointment today to confirm if I’m really pregnant but I am concerned.
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Hello, Welcome to Icliniq. I would like to let you know that any spotting or bleeding in early pregnancy is a sign of threatened miscarriage. You need to visit your doctor so that she can perform a scan to check if the pregnancy is still viable or not. Also if your previous cycles were totally regular, then you would be mostly around 5 weeks gestation. So please visit your Gynaecologist as soon as possible. Wishing you good luck and a great health. - Ultrasound for viability and also. - after the ultrasound, to consider progesterone support as advised by your Gynaecologist. avoid sexual intercourse till 1st 3months of pregnancy.
| 1,599 |
Q. My home pregnancy tests are positive, but I am spotting. Should I be concerned?
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