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Small white little heads on my upper lip and on the foreskin of my penis they are visible only when i pull down my foreskin and they are located on my foreskin only.. they dont itch or hurt..i have searched and it loooks like fordyce spots | 1,600 | Q. Small whiteheads on my upper lip and foreskin of the penis. Are they Fordyce spots? |
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Hello doctor, I have been diagnosed with a herniated disc at L5-S1 and bulge at L4-L5. I have some lower back pain, but I also have pain in the groin area which seems to move also in the testicle. My question is, could the pain in the groin area and in testicles be caused by this herniated disc? | Hello. Well, the pain of L5-S1 disc herniation typically is pain on the backside of the thigh and radiates down to the leg on the outer aspect and to the foot. The nerves of the groin region are more below. But, as in your case, if the disc prolapse is big then it can also compress nerves of the groin region and can cause pain. Do you have any bladder issues or any numbness in your private parts? | 1,601 | Q. What is the chance of herniated disc L5-S1 causing pain in groin area and testicle? |
Hello doctor, I have missed my period for this month. Last month my date was 29th and my cycle is usually 28 to 30 days. I am married and I had tried for pregnancy during my ovulation days. Now, as soon as I missed my period I took the pregnancy test but it came out negative. I am having severe back pain, abdominal pain, leg pain, and constipation. Two days before there was some vaginal discharge of brownish color but there was no bleeding. I am not on any medications. I tried for pregnancy test today also but again it came out negative. Can you please tell me if it is or not pregnancy and why all these things are happening to me? | Hi, Welcome to iclinq.com. It is unlikely to be a pregnancy as the card is negative. However, if you do not get your regular cycles even after one more week. Do check serum beta HCG (human chorionic gonadotropin) blood test to rule out pregnancy, as some times false negatives can happen with urine tests. Such changes in the cycle pattern that you had mentioned can occur with hormonal imbalance, stress, weight gain, changes in diet and exercise pattern, anemia, hypothyroidism, etc. Hormonal. Serum beta HCG (if the normal cycle does not revert in a week). Hormonal. Reassurance, if the cycle pattern continues to be irregular in subsequent cycles, then you need to take TVS (transvaginal scan). Lifestyle modification. | 1,602 | Q. I took pregnancy test as soon as I missed period and it turned negative. Why? |
Hello doctor, I recently have recurring headaches. Some a little intense and some not. I usually just take Paracetamol and the pain goes away. Last night, the pain started at top of my head but mostly on the left side. The pain eases when I try to massage my head but what is different was the pain intensifies when I lie down. I take 2.5 mg Nebivolol in the morning for my hypertension. I also have panic disorder. Yesterday, I did experience a panic attack in the morning then my headache started in the afternoon then again at night. I took Clonidine 75 mcg which got rid of the headache and helped me sleep. | Hi. With the given information I think you are having a migraine. Please tell me what is the current frequency of headache per month? Additionally please answer the following questions. Do you have nausea or vomiting like sensation with a headache? Is it a throbbing type or tension-type? Is it mostly one side? Is there irritation to light and sound? How long it goes? Do you have disturbed sleep? Any visual disturbances? | 1,603 | Q. I get recurrent headache with low intensity. What could this be? |
Hello doctor, The frequency of urination and thirst has increased from the last two to three days all of a sudden. Sometimes it is two to three times even in an hour. I am a 29-year-old male. I regularly do HIIT exercises two times a day. | Hello. As you described the complaints, you seemed convinced that it is due to HIIT (high-intensity interval training) only. But there could be many more factors associated with it. To know the cause and prescribing further treatment I need to evaluate your case better. How much is your daily fluid intake approximately and what is your regular dietary routine for your HIIT? Since when you are doing HIIT? Do you feel heat in the sole? Any difficulty in urination? Any symptoms of headache or any other condition? Let me know in the follow up about the above questions. | 1,604 | Q. I have increased urinary frequency and thirst with HIIT exercise. Please help. |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | 1,605 | 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 | 1,606 | 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 | 1,607 | 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. | 1,608 | 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 | 1,609 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I have a query regarding my current pregnancy. I had a miscarriage last year at my 16th week due to amniotic fluid leakage, the doctor could not tell the reason for it. And now I am pregnant again with 16 weeks too and this time my doctor suggested me to consider cervical suture as my cervix size is 26.9 mm and I really did not want to do it considering the risks. I will have another scan at 18 weeks to check the size again. But I am really worried as I had four miscarriages and I do not wanna lose this too. Currently, I am taking Aspirin and Progesterone. Could you please kindly advise me on this? | Hello, Welcome to iclinq.com. Do not think twice. It is better you get a cervical stitch done. Considering your history and present cervical length, it would be better if you go for cervical suture. Obviously, as the gestation increases the cervical length would shorten up more. The cut off is 25 mm, so no point in waiting. Also, add weekly intramuscular Hydroxyprogesterone caproate injection 500 mg would quiesten the uterus without contractions until 32 weeks and it helps. Another thing is strict rest, avoid any strain like constipation, cough, sneeze, strenuous exercises, etc. Short cervix. Cervical stitch. Strict rest, avoid sitting positions, as it increases the pressure over internal os. When necessary. | 1,610 | Q. I had four miscarriages due to amniotic fluid leakage. Is cervical stitch necessary? |
Hello doctor, I have been experiencing tooth pain and mild gum swelling for the last two to three days. It is paining a lot and I am unable to eat food too. Kindly suggest remedies. I am consuming Rajnigandha (pan masala) for the last two years, have reduced the consumption since pain is there. | Hello. I suggest some medicines, but please stop the consumption of Rajnigandha immediately. Do not take spicy and hot food. Take tablet Augmentin 625 (Amoxicillin and Clavulanic acid) twice daily, Zerodol SP (Aceclofenac, Paracetamol, and Serratiopeptidase) twice daily, Hexigel ointment (for topical application) all medicine for three days. If you have any drug allergy history or allergy please consult your physician before taking medicine. Follow up after three days. | 1,611 | Q. I have tooth pain with swollen gums for the past 3 days. Please suggest solution. |
Hi doctor, I am a 24-year-old male. I have been having trouble urinating. Whenever I urinate I feel like there is a blockage that is preventing all the urine coming out at once. This requires me to wait for a long time and continue pushing the urine out and then at the end I am using my fingers to squeeze the urethra to get out the last. Even after all of that, there continues to be some dribbling of droplets. Also, sometimes after masturbating, I end up having to go every five minutes 5-10 times to let out a few more drops until it is all emptied out. This is something I have been struggling with for quite a while. I showed my doctor and he assigned an antibiotics course that did not make a difference. I suspect it has something to do with semen blocking the flow of urine but I am not sure and cannot find anything related on google. Any advice on this would be appreciated. | Hi. Semen blocking the way cannot happen so this much thing is clear. Secondly, for how long you are having urinary symptoms you mention? Do you have any urinary complaints like frequency, urgency, poor stream, nocturia, dribbling, or burning micturation? Does your poor flow of urine settles or become somewhat better when you strain during micturation? I think it can be a stricture disease. Do you have any history of diabetes or hypertension or any medication taken? Which antibiotics did you take? Any history of catheterization or trauma to the penile region? | 1,612 | Q. While ejaculating or urinating, I feel incomplete. Why? |
Hi Doctor, I had done antibody for HIV1 &2 Rapid Screening Test at 63 days which was negative and then I did HIV RNA Realtime PCR Quantitative test at 69 days which was also negative “Target Not Detected”. I heard PCR is very sensitive and conclusive. Is that true at 70 days as well? Should I be concerned or am I risk free? Although I am having diarrea from a few days. Thank you | Hi welcome to icliniq. As the test are negative at 69 days , so you are free from HIV infection and need not to repeat the test. PCR test is usually not used routinely . Antigen antibody test can detect almost all cases after 4 weeks. If you can tell me about thest rapid test for HIV 1and 2 you have done then I can give more detail ? which generation test you have tested, was it 4th generation test ? 4th generation test can pick up more than 95 percent case at 4 weeks , and you have tested after 69 days and the results are negative. So just relax. Thanks and regards. | 1,613 | Q. I did HIV RNA PCR quantitative test at 69 days, which was negative. Am I risk-free? |
Over the last couple of years I have had little red bumps all over my thighs and butt. The ones on my thighs are mainly on the sides and the back under my butt. They are not painful or itchy at all. For a while I thought they were razor burn but I have tried different razors and creams/ gels but nothing is helping they always show up. I get them on my inner thighs as well but they aren’t as bad as the backs and sides. The ones on my butt I feel are acne. I don’t know how to treat it though. They mainly show up after I have shaved my bikini zone. They show up right on my underwear line and can be kinda painful occasionally. I have not been treated for any of these bumps. I would like to know how to get ride of them and get smoother skin. If there is a product I could get or something I could do I would like to find out. | 1,614 | Q. I have little red bumps all over my thighs and butt. How to get rid of them? |
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Hi doctor, I am a 40-year-old male. I am married with two kids. I have been experiencing erection problems for the past eight months. I am able to get erection most of the time but it doest last until intercourse. My morning erections have disappeared. I have no diabetic history, no blood pressure nor high cholesterol, or other medical conditions. My desire is lower than before. I used to have a very good and active sex life with my partner until last year. Please advice. | Hi. I have some questions from my side. Do partial erection occurs only during intercourse or during masturbation? Are you able to insert during intercourse or that is also not possible? Do you have any history of diabetes or hypertension? Are you a smoker or alcoholic? | 1,615 | Q. I am facing erection problem for the past few months without underlying issues. Why? |
Hello doctor, The right part of my body feels tighter that the left. I feel pain in my right calf and thigh when I wear trousers and in my right underarm when I wear a shirt. What can I do to solve this? | Hi. I understand your concern. I need to know more about your symptoms. When and how does it start? Is it increasing day by day or it is the same? Is it associated with any pain or muscle ache? Is it aggravated by activity? Are there any diurnal variations? Is there any back pain or neck pain? Any numbness or loss of sensation? How about urination? Any history of trauma or headache? The most common cause of stiffness on one side of the body is muscle rigidity, also known as muscle tension, which can result in muscle pain. It is characterized by the inability of the muscles to relax normally. We are worried about unilateral stiffness. It could be due to spinal cord or brain-related conditions such as minor stroke or multiple sclerosis, spine injury, etc. For the same you need evaluation, I suggest you should consult your physician. Symptomatic relief includes physiotherapy, isometric exercise, and stretching will help. You also can use hot fomentation or massage to relax your limbs. I hope this helps. | 1,616 | Q. I feel tightness in the right side of my body. Why? |
Hi doctor, I have had redness in my eyes. I began using Tetryzoline but it had no effect. The redness has increased in the past two weeks. It feels dry, itchy, and occasionally gritty on my eyes. I recently began to experience pain around my eyes on the left side. I use to work on the computer for 8 hours a day. What medicine can I use that will cure the redness? | Hi, Welcome to icliniq.com. I will tell the medicines as well as ways to tackle the screen time. Start Moxifloxacin plus Loteprednol eye drops four times a day for next five days then taper it to two times for the next five days then stop. Olopatadine 0.2 percent eye drops two times a day regularly. Refresh tears eye drops six times a day regularly. Now coming to the screen time. Work in a well lit room. The main light should come from behind your head. Every 20 minutes remove your eyes from the screen and focus on a far object for 20 seconds. Every 45 minutes take a five minutes break from the computer screen. Make a rule to blink eyes when ever you press space or enter on the keyboard. | 1,617 | Q. I have redness in eyes with dryness and itch. What medicine can I take? |
Hello doctor, My testicles are very swollen and itchy. Please help. | Hello. Please do mention whether it is painful or not? If possible you can attach a photograph of the swelling? As of now, you can try a topical antifungal that may be available online or over the counter in the US (Terbinafine ointment). Apply it over the itching in the morning after shower and before going to bed. If possible get a testicular ultrasound done and do post to me. Fungus. USG scrotum. Keep the area dry. | 1,618 | Q. I have itchy and swollen testicles. Please help. |
Hello doctor, I have been suffering from digestive problems for the past 10 years. I have alternative bowel habits diarrhea (loose stools) or constipation, gas, and bloating. Some days I have to go for even three times a day and it always feels like the food is not properly digested. I was at first misdiagnosed for having intestinal TB and given strong antibiotics but at last it ended up with the diagnosis of IBS (10 years before). I was stressed and stopped taking prescribed medicines and have been seeking natural treatments like Siddha and Ayurveda now and then and I found it to be somewhat helpful. I need a complete treatment for this now as it affects my day to day lifestyle. Please suggest. | Hello, Welcome to icliniq.com. I understand that you know very well about your disorder as of now. The basic problem with the IBS-D (irritable bowel syndrome with diarrhea) is the spastic contraction of bowel and increased secretion of various gut hormones leading to abdominal pain and diarrhea. Since you have tried many medications so far, I see there is still a role of low dose antidepressant medication which help normalize the gut hormones in balance. But unfortunately, these drugs have some side effects, not necessarily mental wise but some physical adverse effects such as dry mouth, dry eyes, and can sometimes lead to constipation and also could cause increased sleep. But since we recommend the patient to start with a low dose and then gradually step up if tolerated well. You can take tablet Amitryptline 5 to 10 mg once daily at night time. And your mind will take sometime before actual improvement. Like it can give you relief in two to four weeks time. Try it for four weeks and come back to me to discuss if we need to increase the dose or add some add on medication. Uncontrollable IBS D. Follow up after 4 weeks. | 1,619 | Q. I am diagnosed with IBS with alternative bowel habits and bloating. Please help. |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | 1,620 | 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 | 1,621 | 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 | 1,622 | 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. | 1,623 | 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 | 1,624 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
My sister is tracheostomized and bedridden after her fourth surgery done for foramen magnum meningioma. She has drooling and now saliva is coming out under the tracheostomy plate. She asks for frequent suctioning as she feels difficulty breathing . Her saturation is above 90 after suctioning. Since it is lockdown we are worried to take her to hospital. Is this an emergency? | Hi! If the patient is tracheostomised and if your really SURE that the secretions from the tracheostomy tube is saliva, then there is a possibilty of developing a fistula(an abnormal connection) between the food pipe(Oesophagus) and the trachea called as tracheosophageal fistula. In such a condition we first need to heal the fistula and it can be done by following below mentioned advice 1. There would be a cuff inflator pipe through which air can be inflated and deflated in and out from the cuff. Even though the inflated cuff prevents faulty aspiration of fluids from the mouth while swallowing, it can also create a necrosis around the trachea thus causing the oesophagus to get connected to it. You to need to suction the tube and deflate the cuff every 2 hrs for 15mins so that this raw surface connecting the two heals and saliva from the tube stops coming. 2. For few days, the patient might be stopped orally and a ryles tube might have to be inserted to feed the patient. Repeated swallowing can again infect the area and might lead to leak of food also through the tube. ( you can go to the emergency of any hospital to get this tube inserted in case its not there!) I hope this answers your query. You can consult me for any further clarifications. Warm regards! | 1,625 | Q. My tracheostomized sister needs frequent suctioning due to breathing difficulty. Is it an emergency? |
Hi doctor, My wife is 38 years old. She had an abortion in 2012 around her six months of pregnancy due to the defects of diabetics. From that time onwards she has not taken any treatment for diabetics. As per her report, pregnancy starts from 18th February. We have started Insulin Eglucent three times and Levemir sleeping time as per doctor's advice. Is there any problem to the baby or my wife? We are strictly following the diet and taking insulin with regular blood check-up (four times daily). | Hi. From your history, I gather that you have been taking insulin from early pregnancy and closely following it. If your blood sugar levels are well controlled with diet, exercise, and insulin, then there is nothing to worry about. There is no specific and extra chance for the baby to have any anomalies. Baby will have all the features of a normal pregnancy. The pregnancy complications rate is same as any other normal pregnancy. You do not need to worry. You can have an NT (Nuchal translucency) ultrasound scan at 11-14 weeks, Quadruple marker at 15-17 weeks, anomaly scan at 19 weeks, and fetal echocardiogram at 22-24 weeks. This is just for your satisfaction. For every lady with diabetes or previous history so, is tested with this. Do not worry your wife and baby are both doing fine. I hope this helps. | 1,626 | Q. My wife has diabetes and is pregnant now. Will insulin injection cause any harm to my baby? |
for piles , am using himalaya tablets .daily 2 tablets...but cant able sit properly due to anal itching ......please give me a medicine | Hello. I have reviewed your history. The medication you are on is bascically ayervedic, which sometime may help and sometime not. I would give you some treatment but I want that you should be examined in person by a local general surgeon , if any need of surgical removal of this. Because if pile remain for so long could lead to significant pain and trouble in daily life style. At moment take following treatment. Let me know in one week time if symptoms improve . I have written all generic drugs, which could be purchased at local store. | 1,627 | Q. I am not able to sit properly due to piles and anal itching. Please suggest medicines. |
Hi, Due to this Coronavirus Pandemic, My wife is very scared about the health concerns of our family. Sometimes she is not able to sleep at all. although none of our family is suffering from diseases. she is overtly anticipating dire Consequences of this Coronavirus and obsessively Clean. this is happening after the pandemic has started.. No amount of reasoning, love , patience, sensibility is not working. Please Help No other illness . Age : 33 Hieght : 5'7 wieght : 58 Kg | 1,628 | Q. My wife does not sleep thinking about this coronavirus pandemic. Please help. |
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Hello doctor, I am a 52-year-old male. My recent labs show elevated levels of BUN and creatinine. I have hypertension and it is controlled by medication. I am a weight trainer and boxer. I have followed a high protein diet over the years. My lab repot shows: eGFR - 71. BUN - 27. Creatinine - 1.32. My fluid intake has been down with my irregular schedule since the pandemic. I have increased my water intake now 64 plus oz of water a day and I have stopped taking any protein supplements. | Hello, Welcome to icliniq.com. I would like to know which medicines you take for hypertension? I would like to know, whether you have done any urine examination? Rest eGFR (glomerular filtration rate) of 71 is within normal range for you, if urine examination is normal. I would advise you to decrease the protein intake and avoid protein supplements. You take water as much so that urine daily passed is around 1.5 liters. You should avoid any nephrotoxic drugs (painkillers, herbal medicines). If a urine examination was not done previously, I would advise you to undergo one routine urine examination and one ultrasound of kidneys. | 1,629 | Q. Is it dangerous to have high levels of creatinine and BUN in hypertension patient? |
Hello doctor, My father is 54 years old. He has a very heavy sneeze. When he sneezes he holds it back and he loses consciousness. I tell him not to hold it back but he is physically not able to let it go alone. Is there anything I can do to help him or anything he should do and are there any dangers in his life? | Hi. First, we need to find out what is the cause of recurrent sneezing. If you look into the physiology, sneeze is a protective reflex often in response to something irritative and offensive which the body wants to push out in order to prevent it from reaching the lungs and thereby into the circulation. Most commonly it is dust, but can be attributed to other irritative substances such as animal fur, pollens, smoke, fumes, etc. What can be done? 1. Prevention of entry of irritative substances is the key and plays a major role in preventing allergic responses. This can be effectively done by wearing an n95 mask most times even while indoors. 2. In addition, a combination of antihistaminic and steroidal spray containing Azelastine and Fluticasone two puffs two times a day does wonder. 3. Holding a sneeze inside can be lethal, as it is high pressure reflux and by holding the sneeze, reverse pressure can be created which has no where else to go but above to the cranium thereby an increase in intracranial pressure causing a vessel to rupture resulting in a stroke. This is a far possibility, but in elderly individuals, it can happen and is lethal. Secondly, an increase in intrathoracic pressure can also stimulate the vagus nerve resulting in vasovagal syncope causing a brief loss of consciousness. It is very important that these measures are followed in order to prevent any untoward incident. I hope this helps. | 1,630 | Q. My father lose his conscious when he holds back his sneeze. What to do? |
Hello doctor, I have two bumps near my vaginal region. One is on my thigh and the other is near my vagina. They are red outside with a white circle inside. What could this be? I am currently taking Doxycycline for acne. | Hello. Sorry, the images were not really very clear. (attachment removed to protect patient identity). I would like to know if there are any similar lesions anywhere else on any other parts of the body? Or if these lesions have any pain or itching? Are they the same as they appeared two months ago? Or their texture or locations keep changing? If there was any fever when you have these eruptions, and did these come out after shaving or waxing? But based on one lesion that I could make out, probably which was on the thigh, it appears like a folliculitis (infection in the hair follicle), which has gotten infected. You can apply Clindamycin gel or Doxycycline cream over these bumps if they have this yellow topping which indicates they got infected. If painful you can take some analgesics like Combiflam or Diclofenac. ? Folliculitis. Clindamycin gel or Doxycycline cream local application. Change undergarments frequently. Avoid excessive sweating in the affected area. Keep the area clean and dry. Avoid shaving or waxing in the affected area. | 1,631 | Q. I have two bumps in my vaginal area for the past two months. What could those be? |
Hi doctor, I am writing this on behalf of my mother. She is 60 years old and weighs about 86 kg. Her complaint is very extreme pain on the knee (left leg). This issue started one year ago and we consulted orthopedics who applied an injection on her knee after verifying an x-ray report and prescribed a couple of tablets. Doctor said it is a kind of arthritis. There was some relief after that visit. My mother again started facing the same problem since last month. Pain is so extreme from inside the knee that she cannot even move her left leg. Her right leg is fine. Kindly prescribe some relief and treatment plan. Please find the written X-ray reports for your understanding: X-ray both knee joints: - Marginal osteophytes are seen. - Tibial spines are prominent. - Mild reduction of the medial tibiofemoral joint. - Patellar sour is seen. - No loose bodies are seen in the joint cavities. - No soft tissue swelling is seen around the joints. Impression: Osteoarthritis. Note: She is not taking any medicine for the above issue for the past one year. However, she is taking tablets for anxiety, blood pressure, and diabetics. | Hello. Your x-rays show (attachment removed to protect patient identity), grade 2-3 arthritis (4 is worst) in both knees, however, the x-ray picture does not always match with the clinical symptom as is in your case. I will recommend that you take a course of anti-inflammatory tablets like Diclofenac 100 mg SR once a day after meals, Pantoprazole 40 mg before meals, tablet Ultracet (Paracetamol and Tramadol combination) maximum twice daily for pain. Apply Dynapar gel (Linolenic acid and Paracetamol) locally four to five times a day. Ice the knee 10-15 minutes when the spray is not applied that is there had to be a gap of 45 minutes between the ice and spray and vice versa. If you have access to physiotherapy then Tens (transcutaneous electrical nerve stimulation) therapy will help too. | 1,632 | Q. Injection for knee pain cause relief only for sometime. Kindly suggest treatment for permanent relief. |
Hello doctor, I took Carbamazepine 200 mg for the first (and last) time, at the beginning of this year and stopped right after experiencing some side effects from it. A month later, I discovered that this actually interacts with contraceptive implants, which I have been on for one year. Looking back, I have had unprotected sexual intercourse a day after taking Carbamazepine. I did get a period in January. I also took pregnancy tests in February and they all came back negative. I still feel anxious, though. Is there any chance that I am actually pregnant and I have been just having some bleeding? Also, has the effect of my implant been permanently affected due to Carbamazepine or not? | Hi. Why did you take Carbamezepine? Do you have epilepsy? | 1,633 | Q. Can I get pregnant even on implant contraceptive while taking Carbamazepine? |
Hello doctor, I am a 39-year-old woman, non-smoker. Some times when I clear my throat I spit mucus with a little blood. I am not sick and I have no cough. What could it be? I consulted an ENT doctor before. | Hi. How many years do you smoke? Do you drink alcohol? What did the ENT doctor say about you? | 1,634 | Q. I get little blood while spitting mucus. Why? |
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 | 1,635 | 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 | 1,636 | 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 | 1,637 | 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. | 1,638 | 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 | 1,639 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I have a cough that lasts for more than a month now. This usually occurs during night time while lying and sometimes at dawn. At first, it was a dry cough then it turns into a wet cough. I do not spit yellow or green phlegm it is all sticky white mucus. I do not have any history of asthma and this is the first time I experience this. I did not experience fever, pain in my stomach, and IBM. I have already taken Azithromycin for three days and Ambroxyl but still no relief. Please help. | Hello. I can understand how troublesome it is if it is disturbing your sleep. These cough episodes you are having are mostly due to hyperactive airways. I would advise you certain investigations mentioned below. Also, I would like to know, if you get a cough after exposure to dust, pollens, or pets? Do let me know anything that might cause the worsening of your symptoms. Secondly, do you have heartburn or on and off cold? Bronchial asthma. Allergic bronchitis. Spirometry with bronchodilator reversibility testing. X-ray chest. Blood counts with absolute eosinophil count. Bronchial asthma. Allergic bronchitis. Bronchial Asthma. Allergic bronchitis. Inhaler (Formoterol 6 mcg + Budesonide 200 mcg) with spacer 2 puffs twice daily and can be taken up to four times daily if required and once exacerbation is over it can be tapered off for a month, tablet Fexofenadine 120 mg once a day for a month. Rest continue previous treatment. Avoid exposure to allergens. PEFR (peak expiratory flow rate) monitoring. Follow up with investigation reports. | 1,640 | Q. I have chronic cough that aggravates while lying. Please help. |
Hello doctor, I need to know about my hymen’s type and whether it requires surgery to have sex? Please help. | Hello. I have seen the attachment. (attachment removed to protect patient identity). You have an anterior lunar, the opening of the hymen is more posterior, but it does not mean you have to undergo a surgery for defloration. For further information perform an examination by a gynecologist. | 1,641 | Q. My hymen hurts badly during intercourse. Do I need surgery for better sexual life? |
Hi doctor, I have tested for SGPT and SGOT. The result indicates that I have SGPT 214 and SGOT 197. Now what shall I do? Please suggest me. | Hello. There are a few things I am worried here: | 1,642 | Q. What does my SGOT and SGPT value indicate? |
Hi doctor, I have a small tear in the knee joint, but the doctor advised me for arthroscopy. How to manage this problem? Please suggest. | Hi. Revert back after one week with the report to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist | 1,643 | Q. How to manage a tear in the knee joint? |
Hello doctor, I have a speech disorder and a constant headache. It started before two months. When I try to express myself, I often stumble upon words, repeat them or it takes time for me to think of an appropriate word to say on that certain occasion. This seems to be progressively getting worse. It is not that I struggle to think and create an idea about a certain topic posed to me, it is just I struggle to express them in words. When I searched online for speech disorders, the best fitting I found is aphasia, as it states most of the disorders I just told you about. I believe the disorder is not directly damage or change my intelligence. My current medication is Nurofen. Please help. | Hello. Revert back with answers to the above questions to a speech therapist online --> https://www.icliniq.com/ask-a-doctor-online/speech-therapist | 1,644 | Q. I am struggling to express words in certain occasions. Why? |
Hello sir i am having pain in apegastric region since 3 months. But today very high I had taken acidity tablet and Antacid syrap whenever i take medicine i feel better for short period of time after that it as usually paining me . What should i do ? | Hello. It has been very difficulty to seel medical advise in this time. I appreciate you of using this platform for your medical queries. From your history it seems the pain secondary to hypersecretion of acid. However, there are many other reasons of upper abdominal pain that may not be related with just high acid secretion. It is of utmost importance to get some blood and stool test before jumping to treat with medicines. Also the duration of pain you describe is somewhat worrisome. for now I want you take Cap Esomprazole 40 mg before breakfast once daily Syp Gaviscon /mylanta or any available antacid syp. but make sure you increase the dose. You should take 15 ml four times daily just 30 min. after meals. It is important that you should take capsule before meals and antacid syp. after meals. I also want if you can get these test before your second visit. Since we need to rule out any serious thing if present. Serum Amylase and Serum Lipase, liver function tests, Tsh, serum lactic acid, and stool for H pylori antigen univestigated dyspepsia FUNCTIONAL DYSPEPSIA PEPTIC ULCER DISEASE PANCREATIC CAUSE GB PATHOLOGY I would like to see you in 1 week time | 1,645 | Q. I have pain in the epigastric region for three months. What should I do? |
Hi, Kindly help me out I am a psychiatric patient diagnosed with generalized anxiety disorder who is on 1. Fluoxamine 150 mg 2. Risperidone 1 mg 3. Clonazepam 0.5 mg I use to watch porn most of the times in a day for about 18 years . I left it recently about 15 days ago and not feeling well more than ever , having panic attacks, crying alot , guilt, PTSD, OCD intrusive thoughts driving me crazy. As porn use to increase dopamine , and risperidone is an antigonist of dopamine ....is this causing a problem. Kindly let me know what I can do about it and what alternatives can I do to feel normal again | 1,646 | Q. I stopped watching porn 15 days back. Why am I having panic attacks and intrusive thoughts? |
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Hi doctor,I have a son and a daughter. My height is 5.7 and wife is 5.1. I am extremely worried about my children height as we are short. My daughter is now 3 years 10 months old and have 14.5 kg weight and 38 inches tall. She had seizure thrice and taking some sodium liquid medicine for the past three years. My son is 1 year old and 10.2 kg weights and 28 inches tall. I want to know what would be the appropriate height of my children as per current status. Is there anything I can do to increase their height? I want my daughter to be 5.6 tall and son to be 6 ft tall. Will giving protein powder make any difference? Kindly do the needful. | Hello. I understand your concern. I will try to sort it out for you. We can add some calcium supplements. Revert back with the answer to the above questions to a child health specialist online.---> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist | 1,647 | Q. Will protein powder enhance children's height? |
Hello doctor, One of my relative aged about 36 years (married for 6 years) undergone frozen embryo transfer on 14th March and she got positive beta HCG (human chorionic gonadotropin) on 25th. She developed vaginal bleeding from 5th April varying from light spotting to moderate bleeding on three occasions. She was given Tranexamic acid for three days on two occasions and this time also advised to take the same. She is advised to stop Aspirin and Enoxoparin which she was on even prior to embryo transfer. Her scan is showing gestational age of 8 weeks 2 days with fetal heartbeat and SCH of 3 cm. She is on Duphaston 10 mg QID, Susten 400 QID, Progynova 2 mg QID, Folic acid, Mecobalamin, Aspirin and Enoxaparin 60 mg (daily which she stopped today). Please advice further management. | Hello, Welcome to iclinq.com. I can understand the struggle she is going through. The SCH (subchorionic hematoma), is big yet the positive thing is fetal growth of 8 weeks with FHR (fetal heart rate). She is on the right medications and I would like to add an antibiotic like Augmentin 625 mg along with the medication. She is already on medication for five days to avoid infected subchorionic hematoma (as its big 3 cm) nothing more could be done. Let her stay at rest with a sound and a happy mind. Threatened abortion. Threatened abortion. Reassurance, continue the same treatment with just an added antibiotic. Rest and stay positive. | 1,648 | Q. Will Tranexamic acid help to stop bleeding after frozen embryo transfer? |
Hi doctor, I had LASIK at the age of 26 and had 20/15 vision after the procedure. I had -4.5 R and 5.25 L before the surgery. I am now 31 and have developed some slight myopia (R - 0.25 and L - 0.50) and astigmatism. One thing I have always noticed was that both before LASIK and now, my left eye always seems a bit blurry when looking out of them separately (at a distance). At times, I feel that up close with my corrective lens on it is the reverse and my left is slightly clearer. I mean could this just be due to them being two separate organs and maybe my right eye has a higher visual acuity than my left eye at a distance? In addition, even without my glasses I can read things that my wife cannot at a distance. We had her vision checked thinking it must be myopia and she tested 20/20 or better. Though I do not really suffer from dryness, I use Similasan drops frequently throughout the day as a protective measure. I work long hours in the computer, probably for 12 or more a day. I have anti-glare coatings on my glasses. I asked my optometrist if I should be worried about the excessive time on a computer and he said as long as I am using the drops and resting my eyes every 20-30 minutes it should have no effect on my vision, as my issues are related to the length of my eyeball. Even though my prescription is weak, I have always been extremely sensitive to the difference in both eyes. I know it sounds absurd. Some things I do are lubricate, rest muscles, where my glasses which are anti-glare, etc., and have recently changed to lights in my working areas that mimic daylight. Could you summarize and give me a detailed answer as I am actually OCD (diagnosed) and I obsess about this for some reason. I felt that coming here and getting a detailed answer from an ophthalmologist might be more enlightening. Thank you. | Hi. For further doubts consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist | 1,649 | Q. Why do I have higher visual acuity in my right eye than the left? |
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 | 1,650 | 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 | 1,651 | 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 | 1,652 | 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. | 1,653 | 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 | 1,654 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hi doctor,My back is really sore. I feel dizzy and I sleep on the floor. Please help. | Hi. For further information consult a chiropractor online -->https://www.icliniq.com/ask-a-doctor-online/chiropractor | 1,655 | Q. What to do for back soreness? |
over the past 20 hours ive had constant lightheadedness/vertigo, and during the day today ive gradually started feeling nauseous (no vomiting), abdominal pain/cramping, headache, neck stiffness. in the past week ive had some abdominal pain on/off and acid reflux, as well as headaches and general soreness in my neck and shoulders. i am only 20mg of dexamfetamine (10mg in the morning and 10mg at midday) for adhd. i have fibromyalgia and chronic fatigue syndrome, and ibs but these symptoms don’t feel similar to what i usually experience. no other medications. ive been trying to drink water and eat crackers but the nausea and abdominal pain makes it difficult. i havent noticed any fever, but i did have chills come and go with some sweating - but didnt feel feverish. | hi, thanks for your query the temporal profile suggests mild ongoing inflammation, that is causing the problem. it could be subclinical inflammation and or infection like a stomach bug. also a possibility of drug intolerance. to amphe along with a drug interaction may be suspected. in addition ofc on phenomenon of FM OR CFS along with GAD superimposed may result in this condition. in the subsequent sentences and para I would reflect on some measures to mitigate after performing certain investigations. flare of inflammation subclinical infection CFS FLARE FM FLARE DRUG INTERACTION CBC ESR CRP VITAMIN D TSH CREATININE as above medication effect SSRI OR DULOXETINE anti inflammatory foods PLEASE CONSULT BY CONTACTING ME THROUGH I CLINIQ FOR EAPID ASSESSMENT AND EVUATION TO PREVENT FLARE OR CO MIRBID MEDICAL CONDITION EMERGENCE | 1,656 | Q. I have vertigo, abdominal pain, headache, and feel nauseous. What can be the cause? |
Hello doctor, I am a 27-year-old female. This query is all about my frequent nose bleeding. It started when I was in grade school, I got nose bleed when it is very hot, or when the air is dry and it only happens once a month or once every two months. For the past three months, I got frequent nosebleed for two to four times a week. I am doing the basic list to prevent it such as, lean a bit forward, pinch the nose, put ice packs, and use petroleum jelly. But the thing is, it is stressing me out. I panic when I see blood, I have asthma as well and I do not think that petroleum jelly can help me with it. I am taking vitamin C (500 mg) per day, and I use Seretide 250 (Diskus) for my asthma. Please help. | Hi. I hope you are doing well. I understand your concern. I assure you that you need not be worried. Epistaxis or nasal bleeding is a very common condition and has been reported to occur in up to 60 percent of the general population. Most nosebleeds are not serious and can be handled easily as you have mentioned. Most will stop on their own or with simple first aid actions. Common causes of epistaxis are local causes such as chronic sinusitis, nose picking, foreign bodies, intranasal neoplasm or polyps, irritants (e.g., cigarette smoke), medications (e.g., topical corticosteroids), rhinitis, septal deviation, etc. If the nose bleed is related to an injury, you should be assisted in finding medical assistance urgently. Some people may be taking medications that make them more prone to bleeding. These people should also seek care urgently. Signs and symptoms include bleeding from one or both nostrils, bleeding in the back of the throat, causing the victim to vomit blood. First Aid Interventions: Sit upright and lean forward. Spit out blood that collects in the back of the throat or mouth. Pinch the nose firmly. Use your thumb and index finger to pinch your nostrils shut. Breathe through your mouth. Continue to pinch for 5 to 10 minutes. Local drops such as Oxymetazoline or Phenylephrine solution can be helpful. To prevent re-bleeding, do not pick or blow your nose and do not bend down for several hours after the bleeding episode. During this time remember to keep your head higher than the level of your heart. I hope this helps. | 1,657 | Q. Why do I get frequent nose bleed? |
Hi doctor, I am 30 years old. I am recently doing stretching exercises to loosen up my foreskin. The urologist advised me to use Betamethasone to help with the exercises or get a surgery which I do not want. I finally able to see my glands now and noticed these tiny brown spots. Is this serious or is it normal? I am really worried. | Hi. I have gone through your case. In my opinion, there are two to three different diagnoses. 1. Plane warts which are vital infection and mostly acquired sexually. The treatment of this is fulguration or cautery. 2. Lentigenes or freckles which usually require no treatment. 3. Normal variant. Moreover, Betamethasone has nothing to do with these brown spots. There is no urgency but see dermatologist physically for one of the above-confirmed diagnosis. | 1,658 | Q. I notice some tiny brown spots while loosening my foreskin. What could it be? |
Hello doctor, Me and my fiance got into unprotected intercourse, it was 7 days after my ovulation date. Both intercourses were not completely done, but I doubt on one of the intercourse a pre-ejaculation went inside. Next day I took an Ipill, and my first period after that got delayed for 4 days, I supposed to be having my period on 25th but got it on 29th. I thought everything is alright and there is no chance of getting pregnant. But my second period got delayed for more than 5 days. Still there is no sign of it. I supposed to be having small pain before my period. And now there is not even a simple pain. Please tell me, is there any chance of getting pregnant like this? | Hi. Please let me know few questions. When were your last periods? Have you had any sex after that? Are you practicing any methods to avoid pregnancy? | 1,659 | Q. Can pregnancy lead to missed period after unprotected intercourse? |
Hello doctor, Nine weeks post septoplasty/turbinate reduction. My nose feels swollen and tender on the inside. It feels like there is dry and ice cold air going up my nose. How long does it take to completely heal? I have used nasal rinses, sprays, etc. | Hello. Septoplasty is corrective procedure. The wound on your nose will heal fairly quickly, and your breathing is likely to improve shortly after the procedure. However, the overall healing process can be slow. Cartilage and other nasal tissues can take up to a year to fully settle into their new shape. Tips for a quicker recovery include: elevating your head at night to keep the swelling down, not blowing your nose forcefully after surgery, wearing shirts that button up in the front so you will not have to pull clothing over your head. Also, remember to avoid hot, cold and dry air. Slow nasal breathing exercises (after permission from your surgeon) can help recovery faster. Nasal rinses, if advised should be continued. Wishing you speedy recovery. | 1,660 | Q. My nose is swollen and tender after septoplasty. Kindly help. |
Hi doctor, My father who is 79 years of age has got prostate tumor. We have done all the medical tests and pet scan. The oncologist has confirmed us tumor. Now due to lockdown we are unable to reach doctor also we want second opinion too. The doctor has told us that the solution is surgery. But if there is another solution or remedy we would go for it. As my father is 79 years of age and also his health has deteriorated day by day. We do not want to go for surgery. Please let us know some solution. Due to lockdown we are unable to take him to the hospitals as hospitals are also in red zone. Kindly suggest. | Hi. Your father has apparently a stage I penile cancer. The ideal management is surgery which may only involve a wide local excision. This can be done by a general surgeon or even a dermatologist who can perform skin surgery. Should you however cannot have the surgery done, the other option you may consider is radiotherapy of the penis. Radiotherapy is not the optimal treatment but given your current situation, this is the option that maybe more feasible. The third option is laser therapy directed to the penile mass. | 1,661 | Q. What are the ways to treat prostate cancer? |
Hello doctor, There is white mucus layer on stool, actually I am suffering since last month. There were two drops of blood after stool had passed and after 5 days at night I had stool with mucus and the next day I went to washroom four times with mild pain in abdominal and I went to the doctor he prescribed me Ciplox TZ, and Vyzilock and one medicine for acidity and after two days because of mild pain I went to meet a specialist, he also prescribed one pro-biotic capsule of dr. ready, one tablet for acidity and shine 10 and after 15 days, I was again suffering with diarrhea, went to washroom 15 times and recovered myself and again after a few days I was again suffering with severe colon infection. I had recovered from infection but not 100% and now there is white layer mucus on my stool and there is very light blood spot, like lace on 1 inch with, blood dot on stool is there. I have no symptoms of anus infection or itching or pain in rectum. | Hello. I can understand how frustrating you are regarding your problem. I have reviewed your complete history and understand that you have ongoing infection within the lower part of your large bowel which is called as rectum. Medically it is termed as proctitis i.e. inflammation of rectum. The blood and mucus - which you describe a whitish layer, is common among patients suffering with proctitis. I have seen you have taken some antibiotics however it seems the durarion of antibiotics was not okay and Ciprofloxacin that you have been prescribed is no more effective in.your case. Other acid suppressant medications would not help you much in problem relating to rectum. So, I want you to start a 3 week course of antibiotic which is very safe and does not have significant side effects except in some patient it could cause mild diarrhea. It is very safe. Tablet Rifxamin 200 mg thrice daily for 3 weeks. Avoid any other medications. You come back to me in next 1 to 2 week. I hope that your symptoms by then would go away. In case, if that does not happen, then I would ask you to get some stool and blood tests done and would further modify your treatment. | 1,662 | Q. There are mucus and blood in stools. Why? |
Hello doctor, Over a year ago I had operation to correct a deviated septum. Things started to get much better after healing. Now I am starting breathing issues when I lay down. Depending on which side my head is turned when I lay down that side of my nose that would be touching my pillow slowly starts to close while the other nostril remains open. This happens on either side depending on which side I am laying on. I was taking AMOX- CLAV 875 and Fluticasone, but neither of those helped. During the day while I am up I have no issues, it is just at night when I lay down. I do not think it is allergies at all. | Hi. Well to begin with, why was septoplasty performed in the first place? Did the similar symptoms exist before you underwent the surgery? If you did, then there is only one possibility left for the problems that you r having right now, that is undercorrection or incomplete surgery. Considering that there is absolutely no allergic issues whatsoever and there are no other associated nasal issues that we could be seeing here. Antibiotics and nasal steroid sprays are not going to bring much benefit either and should be taken for a long term. On the other hand, what you could possibly do is to lay down with your head upwards facing the ceiling rather than taking a posture which can aggravate the obstruction. You should be meeting the operating surgeon to see what could be the reason for the current problem, because he/she is the best person to answer that question. | 1,663 | Q. What causes breathing issues after septoplasty? |
Hello doctor, My dad has type 2 diabetes. He is on insulin 14 mg a day and twice on some days. He has been having severe stomach pain for weeks and now he has lost a lot of weight. Since being on insulin his feet have become swollen, and his eyes yellow. Prior to insulin, he was on Metformin but his blood sugar was still high. Now he is suffering more, I really do not know what to do now. Please help. Should he go back to Metformin? | Hi. From your history, it seems your father is suffering from uncontrolled Diabetes mellitus for seven months or more which was not controlled with Metformin. The present complaints you have mentioned after starting insulin, may not be actually related to insulin rather may be due to uncontrolled diabetes or else a systemic disease most probably involving liver in view of jaundice. Or even a renal problem can cause the same because he is on pain killers (Ibuprofen) which may effects negatively to kidneys in such patients. First, stop Ibuprofen at the earliest. Make sure insulin is injected at proper site, rule out insulin site infections. Rule out kidney and liver involvement by doing RFT (renal function test) and LFT (liver function test) along with blood routine. Why insulin was directly started after Metformin is also a doubt? There are many good oral tablets which are stronger than Metformin that may be tried before insulin if no contraindications. Weight loss may be due to uncontrolled sugars which are signified by blood sugars postmeal. Liver function test. Renal function test. Complete blood count with ESR (erythrocyte sedimentation rate). HBA1c (glycated hemoglobin). Proper diabetic diet. Regular aerobic exercises for 30 minutes per day. Insulin maybe continued-special care on storage, site of injection, methods of injecting. May be shifted to anti-diabetic tablets once the patient is stable. | 1,664 | Q. After switching to insulin injection, my dad gets stomach pain and swollen feet. Why? |
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 | 1,665 | 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 | 1,666 | 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 | 1,667 | 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. | 1,668 | 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 | 1,669 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Good day, please i was diagnose with hep b positive 18months ago, my consulting tild me my condition iş inactive and need no medication. some month back i was feeling hurt at my chest i was later diagnose with ulcer. some some weeks now have been having pains around my chest and most especially middle of my check. please what is happening to me? | Hello, Welcome to i cliniq You have been diagnosed with inactive hepatitis B, for that I will request you to send me all your laboratory work so that a decision about the treatment can be taken. you now having central chest pain which looks like to due to esophageal ulcer called esophagitis and you may be also having some retrosternal burning with it. For this I am prescribing some medications it will help out in this pain. You need to take Cap.Esomeprazole 40mg 1 before breakfast and Syp.Sucralfate 10ml TID. Both of these should be taken for 2 weeks and let me know incase you have no improvement. EGD if no improvement with medications. Esophagitis Chronic HBV Esophagitis Cap.Esomeprazole 40mg 1 before breakfast Syp.Sucralfate 10ml TID before meals Avoid spicy foods Needs follow up for HBV | 1,670 | Q. I was diagnosed with an ulcer, and I have chest pain. What is happening to me? |
Hello doctor, I am a 21-year-old male. I am losing like 15-20 hair strands on a daily basis now. For the last nine months, I am facing this problem. I never had this type of hair fall or any hair fall before. Where I stay, there was hard water, so I started using drinking water for bathing. A few months later, I got to see some less hair fall than before which is around 30 hair strands a day. So now I cannot have my previous hairstyle and I can see some small patches in my crown corner. But the thing is that I do not think my new hair is growing vigorously. I got worried when I see four to five strands in my pillow cover every morning and most importantly my hairs are thin which falls and some dandruff problems nowadays. As I got no family history in baldness, I am so anxious about this issue. Please help. | Hi. Hair fall can mainly be divided into two types, you can have increased shedding or thinning of hair. Increased shedding means seeing more than 50-100 hairs falling per day. Less than that is a normal hair fall cycle and usually grows back. Increased shedding can happen because of dietary deficiencies, stress, high fever, water change, harsh shampoos, dandruff. Since you are noticing patches of emptiness most likely it is thinning or male pattern baldness. This can happen due to genetics and male hormone testosterone acting on the roots. Smoking, thyroid issues, and consuming whey protein can accelerate it. By genetics, it need not necessarily mean your father or mother, it could be uncles or grandparents as well. Minoxidil is the treatment of choice for patterned balding. Also, checking up for deficiencies like serum ferritin, vitamin D, and B12 and TSH (thyroid-stimulating hormone) will help. Photographs are needed to exactly identify if you are having patterned balding and accordingly treatment can be started. | 1,671 | Q. I am losing 15-20 strands of hair daily with thinning and dandruff problem. Please help. |
Hello doctor, I am a teenager and I had sex for the first time 2 weeks ago and now I am worried that I might be pregnant. We used a condom but I am not on birth control or anything else. I have had irregular periods for some years now so I do not know if missing my period would be a sign of pregnancy. Also, after a day we did it, my period came but I am not sure if it is related to the fact that I lost my virginity or it was my actual period so now I am really scared to wait another 2 weeks or who knows, maybe a month or two. I cannot talk to any adult and I really need a specialist’s opinion on this. | Hi. How are you doing? For a young lady the only way to check for your chance of pregnancy is blood test. Lady can have a bleeding vaginally, when their hymen memberane rupture. Clinically we see bleeding, which can be mild spotting to heavy bleeding. As you mentioned that you have irregular cycles, exact date of ovulation cannot be guaranteed. Simple way out is 15-20 days after the sexual contact have a serum beta hCG test. Even the earliest of pregnancy can be detected. As you had used condom, chance of pregnancy is low. But blood test is confirmatory. | 1,672 | Q. Can missed period after sexual intercourse mean pregnancy? |
Doctor everything is eat tends to upset my system, it causes me to stool(water) and sometimes when I have bowel movement I feel stomach pains. My stool has been watery for the past three months,went to the hospital did a stool test n the report was worm infection which I was given medications but to no avail. It was serious years back but only occurred if I took something peppery and on the first day of my period. Please what could be wrong with me cause flagyl and tetracycline doesn't work. | 1,673 | Q. Everything I eat makes my stool watery and upsets my stomach. What is wrong with me? |
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My baby is one year old, i dought that he is getting addicted to the smell of "gutka" intaken by one of my relatives and he takes my baby everyday. He is 70 year's old, whenever my baby sees him my baby gets crazy and after going to him baby never wants to come back easily even to his mother. Plz help wheather it is addiction to intoxicating smell or its normsl over attraction to old person. Plz help me snd my baby. | Hi, The very first thing , confirm whether your relative is giving 'Gutka' to your baby also ? What kind of Gutka he is taking ? Baby may get addiction if he has got the taste of it and started taking it orally. Addiction with smell is difficult to comment on. Possibility of a normal preference and attraction with the person where your baby is feeling more confortable, more affection or some interesting action which your relative might be having and your baby is enjoying it. I suggest you just keep a close watch. Take care | 1,674 | Q. How to confirm if my 1-year-old baby is addicted to the smell of Gutka taken by a relative? |
Flatulence and urinary incontinence. Abdominal pain and restlessness, No medicine. Male 30, 5.6 height | Hello. Good day. I appreciate you seeking medical help via icliniq. I have your query. So to answer to your query I want you to understand production of gas and feeling of fullness is more or less a normal phenomenon of human body. One can not completely shut down the gas production since it has its own disadvantages. However having said that gas production can be still be decreaed to help patient to have comfortable life. This gas usually produced by many bacteria within human gut. I want you to start one antibiotic which will help balance good bacteria vs. bad bacteria. Tab Rifxamin 200 mg thrice daily for 3 weeks. ait is very safe antibiotic except in it can cause diarrhea which is usually mild and does not bother a patient much. I want you to avoid gas prodcuing meals particularly avoid rice, cereals and grains in your diet. Sometime Milk can cause bloating, if this is in your case I suggest to better cut down your dairy intake. see me in 2 week time and lets see how it goes. see me after 2 week | 1,675 | Q. Please suggest treatment for flatulence, urinary incontinence, abdominal pain, and restlessness. |
Hi doctor, I have 25 months girl who feels discomfort at sleep for a couple of days. For the time she has also lost some of her appetite. I have checked her symptoms and signs. Her body temperature is normal, around 34 but sometimes her hands get hot. She has attended all her vaccines and currently, we are on lockdown. While in the home, during the daytime, she feels bored and sometimes cries for no reason or feel discomfort with her toys. I am asking this, in this pandemic we cannot get outside to see a pediatrician or a consultant. Clinics and hospitals might lead to carrying a virus or infection. Please advice me in this regard. Thank | Hello, thank you for the elaborate history. Hope you are safe. I appreciate your concern regarding your child. This behavior is normal because as the child grows he/she wants more attention becomes more aware of things. | 1,676 | Q. My 25 months old daughter has disturbed sleep and loss of appetite. Please help. |
Hi doctor, I am facing swelling in anus area which is not getting shrunk even after trying some medicine and cream for piles. | Hello, Welcome to ilciniq.com. Good day. I have reviewed your history and picture that you have uploaded (attachment removed to protect patient identity). It seems to me a sentinal pile. They are not actually pile (hemorrhoids/ blood sac) but a anal fissure that has been present for so long and leading to bulging appearance resembling a pile. Well having said that, the treatment you are on is majorily ayervedic but there are avaialble allopathic medicines which can be used instead. I would give you some treatment but I want that you should be examined in person by a local general surgeon, if any need of surgical removal of this. Otherwise at moment take following treatment. 1. Ispagol Husk 2 tsp/ daily with water irrespective of if you have soft stools or hard stools. Fibre has to do with many other things in your gut besides just stool softening effect. 2. Tablet Ciprofloaxcin 500 mg twice daily for 5 days. 3. Tablet Flagyl 400 mg thrice daily for 5 days (can cause some gut upset and mettalic taste in mouth but fairly low side effect profile). 4. Sitz bath. Put approximately 5 ml of dettol or any antiseptic and put in bath tub filled almost half with tapid water and at least try it 3 times a day. 5. Keep your area clean near your bottom. 6. Remove hairs. 7. Reduce weight. Increasing weight would impair your defecation (stooling) mechanism and that would abnormally high presure over your bottom. This worsens anal fissure in long term. Let me know in one week time if symptoms improve. | 1,677 | Q. How can swelling in the anus area be treated? |
Hello doctor, My lymph nodes in the groin region became swollen last night and I am irritated. Please help. | Hello. First of all, please do not freak out. If we have adequate information, it would be easy to figure out the cause for such groin node enlargement. It would have been a little more informative if you could mention the size of the node that you could feel, whether on single or both sides? Whether it is a single node or multiple? If multiple, whether they could be felt discreetly or they are stuck together? Also, if you had any history of fever recently? That could have given some idea about the nature of these groin nodal swelling. The most common causes for the enlargement of the groin nodes is any infection or inflammation in the sites they drain the lymph fluid, which includes the genital area (including the lower third of vagina) and legs. So, I would like to know if there is any genital infection or ulcers, or any infection or wound in your legs. Many times, in sexually active individuals, it could represent a presentation of sexually transmitted infections like chancroids, syphilis, or sometimes in herpes too. Please get back to me with details so that appropriate cause can be identified and treated appropriately. | 1,678 | Q. I have painful swollen lymph nodes in groin. Please help? |
Hello doctor, I am facing acute sore throat for the last one month and now feeling pain also in the left side from centre of the throat. I am doing gargle with salt water and taken TUSQ D also but no good relief. In addition to this I am facing gastic problem and constipation also. | Hi Only this syrup and gargling will not help you completely, it say some kind of throat infection maybe acute pharyngitis or tonsillitis and you need antibiotics for that otherwise this may progress. Are you allergic to any particular medicines, so that I will prescribe you some medication? | 1,679 | Q. I have sore throat along with gastric problem and constipation. What could cause this? |
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 | 1,680 | 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 | 1,681 | 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 | 1,682 | 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. | 1,683 | 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 | 1,684 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Have hypothyroidism last 2 years down to 75mg levothyroxine. The issue now is blood sugar levels. Over last one yr dr has put me on several meds which I reacted to. At that time level under 200. This yr changed dr. He said no medication. Lifestyle change . Has been difficult. Weight up sugar levels 299. Dr put me on januvia last week. Scared cuz of reviews n side effects of the medication I read online. Already feeling like neck swollen n pain in chest sometimes. Cant go to hospital now because of covid. Dont want to get infected. Is Januvia ok. What do you suggest | Hi. Good day. Thanks for your query Ur weight is quite high with uncontrolled diabetes. Definitely u need to change lifestyle and thinking pattern as well. U need to trust a doctor and follow his advice. Every medication has effects otherwise it will not be effective but we always weigh risk and benefits. If ur sugar will not be controlled it can lead to badly effect all ur body especially it can lead to kidney failure stroke heart attack nerve problem and many more. Modification of lifestyle is the main stay of diabetes treatment. U need to reduce carbohydrates especially simple carbohydrates like sugar ice cream sugary juices. If can’t stop u have to 70% reduce bread rice pasta and potatoes. Eat fruits only as a sweet dish. Mango grapes and banana especially can increase sugar quickly. U have tried many medications and I’m not sure which are those medications. I will advise u to take Glyxambi 25/5 one tablet daily Check ur fasting sugars for few days and let me know to modify dose accordingly Ur fasting should be 100-130 Thanks | 1,685 | Q. Is it safe to take tablet Januvia to control blood sugar levels? |
Hi Doctor, Kid age 9 months. weight not sure. Since Yesterday, she is having loose motion problem. Today also she is having frequent loose motion. ORS solution and paracetamol syrup given, but got little bit control again started. | Hello Welcome to icliniq - Loose motion ( diarrhoea) is common problem in young kids. It is very important to make sure that your daughter is well hydrated till she gets better . - It is very good that you are already giving ORS solution which needs to be given frequently. Loose stools can last for some days before getting better. It will help to clear the body of germs & toxins. I need to ask you a few more questions to guide you in the right direction - How many times /day does she have loose stools ? - is there any blood in stool ? - is she is any pain ? does she cry while having stools ? - is there any vomiting ? - is there any fever ? if there is no fever , there is no need to give paracetamol. - any signs of dehydration ( lips & tongue dry, not passing urine as usual) - Is her weight gain good and within normal range ? - is she otherwise her usual self or is she ill looking, crying & confused ? Treatment plan: - Provide your daughter with frequent sips of ORS throughout the day. For every loose stool she needs to be given 10 mls/kg of ORS. Assuming her weight to be 7-8 kgs, you should give 80 mls ORS for every loose stool. ORS needs to be continued till loose stools stop -You can also give tender coconut water if available. - Give bland non-spicy food like plain idli, rice for some days. -If she is still breast feeding, it is good to continue. - If available you can give Enterogermina oral suspension 2 mini ampoules a day for 3 days. You can mix with water and give her. - Zinsy syrup 5 mls once a day for a week - Most common reason for loose stools at this age is viral , so antibiotics are not needed. But if she has fever or bloody mucusy stools she will need to be examined . Otherwise, loose motion will settle in 4-5 days IMPORTANT Due to the Coronavirus lock down, visiting hospital/clinic may be difficult. But if your daughter shows any of the following signs she needs to be taken to the nearest hospital/clinic to be examined by a paediatrician. - looks sick - not drinking ORS - lips and tongue getting dry - not passing urine even once in 6 hrs - looks dull and crying excessively - blood in stoll If you have any further concerns, you can contact us again for further advice Take care | 1,686 | Q. My 9-month-old daughter is having frequent loose motions. How to control it? |
Hi doctor, I have a severe toothache that prevents me from sleeping and eating, and there is a big hole in my teeth. I am currently using Tylenol. | Hi. Thanks for describing your dental pain. It clearly indicates that the tooth is visibly decayed and gone deeper to involve the nerves and blood vessels of that particular tooth. Ideally, there will be sensitivity if the first two layers of the tooth are affected (enamel and dentin). If the third layer (pulp) is involved and further the bugs percolate inside the length of the teeth, then the symptoms you feel would be there. Now the situation looks like you must visit a nearby dentist for either root canal treatment or extraction depending on your preference. The steps involved would be an x-ray first to check the shape of the roots of the tooth (two or three roots if it is a molar tooth). You sound like an emergency, please visit the hospital or ring the dental practices who attend patients with an emergency during the COVID-19 times. Also, adding that pain killers will not help you come out of this for not more than three hours. I highly recommend you to visit the dentist closely. | 1,687 | Q. I have severe tooth pain with large tooth cavity. Please suggest solution. |
Hello doctor, I have a gastroenterology issue for over a month. I have a mild to moderate upper and lower abdominal pain on the left side. The pain also extended to my left leg. Also, I pass stool twice a day (diarrhea-like stool) with large white balls in it and I am facing weight loss. I took Trimebutine and Mebeverine for over four weeks (I have IBS), also I am taking probiotics and digestive enzymes. What is concerning me the most are the large white balls in the stool that are not mucus (they are quite firm) and the weight loss. Due to COVID-19, I want to avoid physically seeing a doctor, so please suggest a possible cause and treatment. | Hello. Yes, you might be having IBS (irritable bowel syndrome) and you might have developed small intestinal bacterial overgrowth (SIBO), with IBS which can occur commonly. In SIBO you get fat malabsorption which can lead to white stools. Can you please tell me whether you get greasy stools and bloating or not? Let me tell you that greasy stools are identified by a foul smell and floating on top of commode water. Also, share how much weight have you lost in how much time? I will start you on the treatment of SIBO, but meanwhile, we have to investigate and rule out other diagnoses whenever feasible for you. SIBO. CBC (complete blood count). C-reactive protein. TSH (thyroid-stimulating hormone). Stool routine, examination, and culture. Stool for fat content. Stool for reducing substances. Colonoscopy or Sigmoidoscopy if needed in the future. Pseudomembranous colitis. Tablet Rifaximine 550 mg thrice a day for 14 days, Mebeverine thrice a day. Oral rehydration solution. Exercise. After two weeks. | 1,688 | Q. I have moderate abdominal pain on left side with white balls in stools. What is my problem? |
Hello doctor, I am a 44-year-old male and I weigh about 85 kg. I have neck pain especially at the sides and arm for the last one year. My left arm feels weaker. Sometimes I feel tingling in random fingers. I have morning neck and back stiffness also. Please guide to a set of exercises that I can do regularly to free the nerves and start my earlier workouts. Currently, I am doing neck exercises including chin tucks, abd posture correction. However, nerve pain persists. I did my MRI last year. IMPRESSION: • Generalized posterior bulge of C3-C4 and C4-C5 intervertebral discs, however not causing any significant cervical cord or nerve root compression. • Generalized posterior bulge of C5-C6 intervertebral disc with indentation of bilateral exiting C6 nerve roots. • Generalized posterior bulge of C6-C7 intervertebral disc, however not causing any significant cervical cord or nerve root compression. | Hi. I have gone through your query. As you mentioned, you are suffering from neck pain which shows as nerve pain as per your experience. As your complaints are left arm feels weaker, sometimes tingling in random fingers with morning neck and back stiffness, I feel it is compression at spinal cord root levels as that is even confirmed by MRI scan which you have already undergone. So my provisional diagnosis with view of your age, gender, height, and weight is cervical spondylotic radiculopathy which can best to be treated with physiotherapy and lifestyle modification. I will suggest some exercises and lifestyle modification. Follow it for 15 days. Do not lift heavy weight more than 2 kg. Lessen the use of mobile and computer to only two hours a day. Go for daily walking for about 1 hour, if not jog inside the house. Our primary goal should be to relieve compression and strengthen the muscles around the neck and shoulder. Chin tuck exercise is good only, in addition, you can do neck and shoulder girdle exercise also. You can lie on the belly and do the neck and shoulder elevation exercise. Pendulum exercise also will give you much relief. You lie flat on the floor or use a very thin pillow. As this lockdown finishes you need to take cervical traction and IFT (interferential therapy) at a physiotherapy center nearby. Take only warm water regularly. Another important thing is change in lifestyle. Join art of living online happiness program where all exercises with yoga can be done online. I hope this helps. | 1,689 | Q. I have weakness in left arm, tingling in fingers with neck and back stiffness. Please suggest exercise. |
Hello doctor, I would like to ask you about treatment recommendations (maybe a few variations) for my condition. I have bipolar disorder type II, social and generalized disorder, and panic disorder. However, I am in constant depression for one year. I do not cycle anymore if I do, my hypomania is very mild and short-lived. Moreover, anxiety is debilitating. I am afraid to go out from home, feeling constant anxiety physical symptoms, such as sweaty palms and feet, chest pain, blood pressure rise, racing heart, and much more. I need something to ease my depression symptoms, but also something that would affect my anxiety in a positive way. My current medications are Lamictal 200 mg, 3x5 mg Tranxene, 5 mg Olanzapine, and 75 mg Venlafaxine. I am unable to take more Venlafaxine because from 150 mg my blood pressure and heart rate were out of control. My previous medications were Lithium, Depakote, Carbamazepine, Anxiolytics, Escitalopram, Zoloft, Quetiapine (which I cannot use because of its negative effects on anxiety and blood pressure, just for me), and Risperidone. I am wondering about Paroxetine, Citalopram and Prozac. If escitalopram 20mg was without any effects for two months, is it reasonable to try out Citalopram? I tried Prozac in past, I could not bear initial side effects but that were different times. Does it affect anxiety disorders from your experience? Paroxetine suits best. Which of these medicines could benefit me the most? | Hello. Thank you for your detailed query and history. With regards to your anxiety symptoms, you have tried out SSRI (selective serotonin reuptake inhibitor) and SNRI (serotonin-norepinephrine reuptake inhibitor) class of medications. So, I would like to suggest you try a TCA (tricyclic antidepressants) class of antidepressants like Amitriptyline 75-100 mg, Dosulepine 100 mg, or Nortriptyline 75-100 mg. They are indicated in people who have had partial results with SSRI or SNRI medications. If you do not wish to try out the TCA and coming back to your query about the three medicines, the best results for anxiety will be with Paroxetine between 12.5 mg to 37.5 mg, and Citalopram will also work fine at 20 mg. In addition to these, you can also consider augmenting the action of these by adding Mirtazapine 7.5 mg at night. I would like to suggest that you should consider reducing Olanzapine to 2.5 mg, since you are not in hypomania, and have depressive symptoms. Reduction to 2.5 mg will make it an augmenting agent again for the antidepressant, and also further help with your anxiety issues. Also just to mention, some people do get benefit from having a few sessions of CBT (cognitive behavioral therapy) from a Clinical Psychologist. | 1,690 | Q. Which medicine, according to you, is best for my psychological disorders? |
Hi doctor, A few days back, I got hit on my finger with a tennis ball. I am unable to fold the finger from that time. I thought it as normal and applied ice. Also, I am using an ointment given by an RMP. It is almost two days now and still, I am unable to fold the finger. If there are three joints in a finger, then I am getting pain in the middle joint whenever my dad or mom does some massage with ice. Kindly help me with the above issue. Thanking you in advance. | Hi. I know how it feels when the finger got hit and unable to fold. First of all, after applying ice for 10-15 minutes ask someone to hold the finger from hand to the first joint. As you know there are three joints in a finger, ask them to slowly move the first joint without disturbing the second joint, and then do the same with the second joint by holding the first and the third joint. Repeat this for at least four times a day. If unable to do movements, then you can visit a surgical shop and ask for a single finger grip. which helps in the immobility of fingers. If available, can take Paraffin wax used in physio treatment. Melt the wax and apply it on the finger for 10 minutes. The wax therapy will be available at any Physiotherapy Centre. I hope these remedies will provide some relief from pain and gives mobility of the finger. Follow up after a week for the further treatment plans. Thank you. | 1,691 | Q. I am unable to fold my finger from the time I hit on it with a tennis ball. Kindly help me. |
Hi doctor, I am a 37-year-old male. My weight is 77.7 kg. I am facing erectile dysfunction problems. It has been going on for a few months now. I am consulting for the first time regarding my erection issue. | Hi. I hope you are doing well. Kindly let me know a little more information to guide you better. For how long you are having this complaint? Do you have a problem while masturbation or only during intercourse? Are you able to ejaculate and penetrate into the vagina? Are you a diabetic or hypertensive and on any medications? Do you consume alcohol or smoke? | 1,692 | Q. I am facing erectile dysfunction problems for a few months now. What to do? |
Hi doctor, I have low vitamin A and D levels. Are vitamin A and D supplements safe to take with liver disease? What are the highest doses that are safe to take? I have fatty liver but I do not know if it is a simple fatty liver or has progressed to NASH and fibrosis. I am a 33-year-old female. I smoke and have a history of acid reflux, low heart rates, fat indigestion, and fatty liver. Lab tests showed vitamin A 0.9 umol/L and vitamin D 37 nmol/L. Previously, I had an abdominal ultrasound and it showed liver 14.6 cm in length which gives rise to a moderately coarse dense echo pattern consistent with fatty infiltration. ALT level was 58 U/L. I am currently on N-acetyl cysteine (NAC). Thank you. | Hello. Your vitamin A level is marginal rather than low. Less than 0.7 or 0.5 is considered low and up to 1.05 is considered marginal. So, you will probably need supplements at a very low dose. Total intake of up to 10,000 units daily is unlikely to cause any harmful effects. So, supplements of 7500 units or even 10,000 units per day for a month or two would be enough for you. I guess you do not have any symptoms of vitamin D deficiency like xerophthalmia or visual difficulties where one would need higher doses. Also, for vitamin D, supplements like Calcirol sachet are recommended in dosing of 60,000 units once a week for eight weeks with milk, and following which you may have it once a month for the next six months. Both these are unlikely to interfere with liver issues considering fatty liver and high ALT level. You are unlikely to have progressed to the severe liver disease within such a short period and without symptoms. Hope this helps you and get back if you have any doubts. | 1,693 | Q. Are vitamin A and D supplements safe to take with fatty liver? |
Hi doctor, I am a 30-year-old male. I have urination problem. It started a day ago. I observed low output of urine that is only a small amount every time I have urinated. But, when I exercise or do some abdominal massage, the urine output level is more. I also uploaded the lab test report. Kindly check and suggest medicines. Thank you doctor. | Hi. Your reports are grossly normal except for isolated ketonuria. I think you get repeat urine for ketones test done as I do not find a cause for it (it can be lab miscalculation). Mostly ketonuria occurs in uncontrolled diabetes, starvation, prolonged vomiting and diarrhea, glycogen storage diseases, severe sustained exercise, dietary imbalance (high fat or low carbohydrate diet), and high-grade fever. So, repeat the test and we will discuss it if still positive for ketones. I will prescribe medication for your urinary problem and just a few questions. Do you have any urinary complaints like frequency, urgency, poor stream, nocturia, dribbling, or burning micturation? Is there any history of surgery or catheterization in the past? Do you have any history of recurrent UTI? I am looking forward to your answers. Thank you. | 1,694 | Q. My urine output is low, except when I exercise or do abdominal massage. Please help. |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | 1,695 | 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 | 1,696 | 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 | 1,697 | 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. | 1,698 | 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 | 1,699 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
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