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Hi doctor, I have hypothyroidism and Hashimoto's. My doctor currently only tests my TSH and treats me with Levothyroxine. I feel extreme fatigue after a year of this treatment, even with my TSH in the normal range. My doctor says free T4 and reverse T3 are not important labs to run. I am wondering if I should see an endocrinologist or just continue the treatment I am on. My TSH started at 9.8 last year, got down to 0.08. I feel great when it was that low. Mow my TSH is 3.8 and I feel extreme fatigue. I am taking 112 mcg Levothyroxine daily. Thank you.
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Hi. Good day and thanks for your query. Some people treated for hypothyroidism may still experience symptoms even if blood tests show that their thyroid-stimulating hormone (TSH) levels are well within the normal range. The reasons for this are complex, but the bottom line is that having a normal TSH value does not necessarily mean that all of your symptoms will go away. Evidence suggests that situations like this are not as uncommon as one may think. Even when placed on Levothyroxine, the drug considered the gold standard of hypothyroid treatment, many people fail to reap the physical benefits of treatment. So, first, you can lower down your TSH target if you are still having symptoms. For that, we can increase your medication. If still symptomatic, the next choice is to change the brand of Thyroxine, and if still not feeling well, then think to go to T3 supplement rather than T4, that is Thyroxine. Thanks.
| 1,700 |
Q. I have hypothyroidism and Hashimoto's and feel fatigued after a year of treatment. Why?
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Hello doctor, I have been experiencing slight itchiness in my throat for the past one and a half months. I do not feel it at night while sleeping. In the morning, when I wake up and eat something, the itchiness or abrasion starts again. There is a slight redness in the throat and sometimes it pains feebly. When I cough sometimes the throat feels slightly scratched and it feels prickly when I take deep breaths. There is no problem with swallowing food and water. I have had issues with thyroid, and acidity problems as well. I am taking Pantosec and took 1 HCQS pill for Corona before this itching starts.
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Hello. I need a few more details before we can come to a conclusion. Did you travel outside the country? Any contact with COVID positive patient? Did you take HCQS on your own or with a doctor's prescription? Have you completed the course? Do you smoke or drink? Is there throat pain or difficulty in swallowing or lump sensation? Is there chest congestion or difficulty in breathing or wheezing? Can you please take a picture of your throat with open mouth showing details of the back of the throat and send me? I want to see the area which you said is red. Please answer my questions to help you further.
| 1,701 |
Q. I have slight itchiness in throat during mornings with a history of acidity and thyroid. Please help.
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Hello doctor, My mom is a 92 years old with congestive heart failure. CT scan showed extensive atherosclerosis of the aorta. Probable high-grade stenosis of the right common iliac artery and the bilateral common femoral artery. She also has kidney disease in the left kidney and extreme fatigue for two years. Would she be a candidate for a stent or some other procedure to unblock the artery? And could this condition be causing her fatigue? None of her doctors can figure out the reason for fatigue. Please help.
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Hello, Welcome to icliniq.com. This is a non-contrast CT (computed tomography) so it is not accurate in estimating the extent of stenosis. (attachment removed to protect patient identity). She will need a contrast CT angiography of abdominal vessels. However, the common iliac artery and femoral arteries are usually amenable to stenting, unless CT angiography shows diffuse disease (whole of the artery is involved with no normal segment) where stenting would be difficult. However, a disease involving these arteries is unlikely to cause generalized fatigue, but it can cause pain or weakness in the lower limbs while walking. Regarding the cause for fatigue, I guess the common causes like low hemoglobin, BP issues, any medications, deranged kidney function, low Vitamin D, deranged blood sugar are ruled out. One important cause that should be ruled out in her is the cardiac cause, because her CT scan shows mild fluid in bilateral lungs which may be related to heart and also with such extensive aortic disease, cardiac arteries are also expected to be involved. Cardiac disease may cause fatigue, shortness of breath on exertion. So, she should undergo ECG (electrocardiography), echo, and also CT angiography of heart vessels, if possible along with CT angiography of abdominal vessels. Also, some routine tests like hemogram, LFT (liver function test), RFT (renal function test), vitamin D, thyroid profile, sugar, lipid profile, ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) should also be performed if not done recently. I hope this helps.
| 1,702 |
Q. Is stent procedure recommended for severe atherosclerosis in 92-year-old patient?
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Hello doctor, One day while having regular sex just before and during ejaculation, I experienced a sudden severe headache. It was painful and lasted for about 10 minutes. It started as a dull ache from my neck and head and it build up just during ejaculation. Two days later, I tried to have sex again and the same experience but I managed to ejaculate. Yesterday, I tried to have sex again and the same experience and I did not ejaculate due to the pain. I am so stressed that my erection is getting weaker. Now, I just have an erection and I am having mild headaches. I have never experienced a situation like this neither have I ever heard of a situation like this. I am 40 years old. Is there any solution for this? I am very worried and I am already thinking that this is the end of my sex life. Because of this Coronavirus, I am even afraid to go to the hospital. Please help.
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Hello. You might be suffering from a disease termed as benign vascular sexual headache. To make its diagnosis, we need to rule out intracranial bleed first. Get MRI (magnetic resonance imaging) brain done to rule out structural disease. Once structural causes are ruled out, you can be sure of the diagnosis. Preventive medications like Indomethacin can be used 30 minutes to one hour before intercourse once we confirm the diagnosis. Benign vascular sexual headache. MRI brain. Benign vascular sexual headache. Structural brain lesions. Benign vascular sexual headache. Tab Indomethacin 50 mg 30 to 60 minutes before sexual activity (maximum of two tablets per day). Avoid strenuous activity during intercourse. Review with MRI report. Review after 3 days for response to medications
| 1,703 |
Q. Headache during erection and ejaculation is refraining my sexual life. Please help.
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Hello doctor, Can I eat cold foods when suffering from tonsilitis? I think cold is not related to tonsilitis because a virus or bacteria cannot live in cold or hot. Why is there still a misconception in that? Some doctors say you can eat and some say you cannot. What is the illusion?
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Hi. If you are having a susceptibility for throat infections you need to understand why it is happening. Having cold drinks or fluids bring down the body's immunity by shade and that is why it can attract a viral or bacterial infection. It is not about whether the bacteria can survive in cold or not, but it is about whether your body's immune system is able to fight the infection to neutralize it before it spreads. Viral particles and bacteria are all there in the air that we breathe and usually the body fights back to protect from getting invaded by these organisms. Everyone has one particular level of immunity, some have a weak immune system while some have very strong immunity and can still bear eating junk food and drinking cold drinks all day and still not get an infection. It all depends from person to person. If your body is sensitive to cold things or anything for that matter, it is better to avoid such items to prevent you from acquiring an infection and taking unnecessary antibiotics and medications. I hope this helps.
| 1,704 |
Q. Can I consume cold foods with tonsillitis?
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Hello doctor, I have a query related to the use of viagra. I have the problem of erectile dysfunction. Sometimes, though I get an erection, I am unable to sustain the hardness, and do intercourse. I took Viagra 50 mg once and it worked well. Is it safe to use viagra to get my wife pregnant? Will viagra cause any effect on my fertility? Will it affect the sperms? Hope to listen from you soon.
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Hi. I read your query and understand your concerns about the effect of Viagra (Sildenafil) on sperm or its quality. I like to inform you that the formation of sperm is an independent process from erection. You will be surprised to know that the sperms that will be released in the next few sessions may have completed their manufacturing weeks back, if not the months. In other words, sperm formation takes around two and a half months and has no casual relationship with the erection or mechanism of erection, which is affected by Viagra. On the other hand, Viagra acts on certain receptors on the blood vessels and remains effective for a few hours (4-6 hours). I mean to say that as per the available literature, no harm is made to sperms or sperm quality by Viagra even on the frequent use. You can safely go ahead with Viagra to father a child.
| 1,705 |
Q. I took Viagra 50 mg, and it helped with erectile dysfunction. Will Viagra affect my fertility?
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Hello doctor, I had a medical abortion during my 7th week of pregnancy, and bleeding lasted for 10 days. A few days after, the bleeding stopped and I had pain in the right lower abdomen that lasted for 24 hours. Two weeks later bleeding started again which I thought was my first period. It was brown with clots later turned red. It has been three weeks now and it still has not stopped. It has been moderate throughout, and now for the last three days, it is brown and somewhat reduced. I do not have any abdominal pain or tenderness. No foul smelling discharge or fever either. I am worried why the bleeding is so prolonged? Is this normal? Do I need and C?
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Hello, Welcome to icliniq. com. Having prolonged irregular bleeding after medical termination is not a normal phenomenon. It definitely indicates some problem. One of the most common causes for prolonged bleeding could be retained products of conception which need to be evacuated or sometimes a condition called gestational trophoblastic neoplasms can also cause prolonged bleeding. I would like to know two important things, do you had a scan prior to your medical termination? And if that was a normal intrauterine pregnancy or not (to rule out ectopic pregnancy)? Second thing is, did you got a check scan done after the bleeding stopped to check if the expulsion was complete? If retained products are present then evacuation would be required as they are a potential source for infections and can cause post abortal sepsis. Please revert back to me with the details I asked for so that I can guide you further. Ultrasound abdomen and pelvis. Serum beta HCG levels. Depending on the test results.
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Q. Is it normal to get prolonged bleeding after two weeks of medical abortion?
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Hi doctor, I am a male with wavy, thick coarse Asian hair that frizzes, and I wanted to ask you how I could get my hair thick, long, silky, smooth, and frizz-free. I could send pictures of what hair I want. Please help.
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Hello. Given your natural type of hair described and what you would like it to look, there are some things you can consider. Wash your hair with shampoos that are intended to reduce frizz and will say so on the bottle. Also, use a conditioner that is intended to reduce frizz. There are hair styling products for thick wavy hair that also reduce frizz and will say so on the product description. A more permanent solution would involve using either a blow dryer with a stunning attachment that will temporarily straighten your hair and give it a silkier appearance. Be sure you use a product intended to minimize heat damage to the hair that you apply to the hair before you blow-dry. If these measures are not satisfactory to you then you may wish to consider applying a chemical relaxer to your hair that will make it straighter and smoother but you will have to redo the roots about every two to three months to maintain the look. If you decide to chemically straighten your hair, you should only wash it once a week to maintain a smooth frizz-free appearance. Chemically straightened hair requires a little more care and a little more attention to keeping it well-conditioned for maximum results.
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Q. I am a male with thick, wavy, and frizzy hair. How to make it smooth and frizz-free?
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Hello doctor, I am on fasting for the auspicious month (dry fast), but I also have to take Lithium for my bipolar disorder. I have seen that higher Lithium concentration can cause serious damage to the kidney due to dehydration and also to the metabolism. During fasting and with keto diet the body needs a lot of potassium, but the cells get lithium instead. What is your opinion about that? Is dry fasting, keto diet, and lithium intake at the same time harmful? I take normal Lithium carbonate 650-1250 mg a day.
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Hi. See, Lithium can be harmful if hydration is not well maintained. In such cases, we recommend to increase the amount of fluid. That is to consume a good quantity of fluid in the morning before your fast starts and to drink fluids once you open your fast in the evening, and continue till the next morning. Take Lithium tablets along with two glasses of water each time. Do not go for the Keto diet. You should take a proper balanced diet. Avoid taking a high protein diet. So usually in auspicious month, the fasting duration is for 12 hours. In the remaining 12 hours, keep on taking fluids to compensate. There is no indication to stop or reduce the dosage of Lithium during Ramadan. I hope this helps.
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Q. Is it harmful to take Lithium for bipolar disorder with fasting and paleo diet?
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Hello doctor, For the last weeks, I have a kind of a rash and itchy feeling on my anus. I am a 22-year-old male, without any sexual contact in that area. I have done every STD test and all came negative. I noticed some white spots right above the anus. I cannot really see the shape and because of the Coronavirus I could not get it checked on a clinic yet. Is it possible to have an outbreak of HPV in a place where you have never had any sexual contact? I have a lot of hair in the area and I think it could be folliculitis like I had on the other regions in the past, but I want to be sure.
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Hi. I have seen the picture. (attachment removed to protect patient identity). There is definitely an inflamed swelling in that area. Central area is white. As you are having a lot of hairs, that area can easily get infected. Are you having any fissure problem? Please check your blood sugar. It is not HPV (human papillomavirus). Warts will be presenting as asymptomatic growth, so it is not herpes also. It is furunculosis (bacterial infection of the hair follicle). Please start on antibiotics Doxycycline 100 mg twice a day for one week. Apply Mupirocin ointment in that area. Drink lots of water. See that you are not having constipation. Wash the area with water and soap after defecation. After the Corona crisis meet your doctor. I hope this helps.
| 1,709 |
Q. I got an itchy rash on anus with no anal sex. Could it be HPV?
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
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Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist
| 1,710 |
Q. What does abutment of the nerve root mean?
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.
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Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist
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Q. Will Nano-Leo give permanent solution for erection problem?
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Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
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Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon
| 1,712 |
Q. Every time I eat spicy food, I poop blood. Why?
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
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Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
| 1,713 |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
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Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist
| 1,714 |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
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Hello doctor, My husband has a heart condition that means his arteries build up a plaque at a much higher rate than normal. He had to have a stent put in his heart and will be medicated for the rest of his life. He has been told that it is vital he eats low fat and low cholesterol diet. I cook for him and I am worried whether I feed him the wrong things. I know that meat is not good for the heart, so we limit it and always go for lean cuts, but I am confused about the difference between animal-based saturated fats and plant-based saturated fats. For example, everyone raves about the health benefits of coconut oil and coconut milk, but both are extremely high in saturated fat. I googled this and find reports stating that it is a different kind of saturated fat and does not affect the heart badly, but I do not know if this is true. For someone like my husband, is all saturated fat bad? Also, is chicken really healthier meat than beef? It seems to have a high cholesterol content so I do not know if he should be eating it. Any advice would be much appreciated. He is currently Rosuvastatin, Bystolic, and Aspirin.
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Hi. I understand your concern on the high-fat diet and follow the mentioned points below. Just to make it easy, we need some fat which is good and HDL (high-density lipoprotein) like almonds and walnuts are good as these are rich in omega 3 and 6 fatty acids. Similarly, the fat we have in coconut oil is different. The fat in the chicken can be removed by removing the skin, where as beef has inbuilt fat which cannot be removed easily hence we suggest to include fish and chicken avoiding beef. Considering fat, we miss out on other nutrients too, so it is advised to reduce the oil intake like healthy individuals can take half a liter of oil per month if you are two your cooking should be within 1 liter of oil only. Coconut oil is having saturated fat but it burns easily in high humidity areas. If we live in high humidity area it is better to include coconut oil to protect our joints and skin. If we leave apart from high humidity area it is better to use refined oil.
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Q. Are all saturated fats including coconut oil harmful for heart patients with plaque build up in arteries?
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Hello doctor, I have some symptoms for the past one and a half weeks that mimic the symptoms when I found I was pregnant with my daughter. I was supposed to have my period tomorrow. Last week, I started with light spotting and it happened on and off for a day maybe less. Then within two days, I started bleeding. I thought it just started early but I have been on occasional bleeding (lighter to heavier) for two days. I have had cramping, back pain, headache and today I had a lot of blood clots, and tissue coming out with it along with right groin pain for a couple of days. I have never experienced these symptoms and they are intense. I am scared this is the start of a miscarriage. But any test I have taken has been negative. I am on the patch for almost a year and have not experienced anything like this, and I have a weird feeling now.
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Hello. First, to confirm a pregnancy, you should perform a pregnancy test two weeks after having sexual intercourse. So perform a urinary pregnancy test or b-HCG (human chorionic gonadotropin) test to exclude or to confirm a pregnancy. And after that perform an ultrasound to evaluate the uterine cavity. On the other hand, maybe your menses have come earlier and has a different pattern compared with other menstrual bleeding. As you use the patch for one year there are low chance of pregnancy always, if you have used it correctly.
| 1,716 |
Q. I have early periods with heavy clots, cramping and back pain. Are these signs of miscarriage?
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Hello doctor, My baby is 7 weeks old and she is on exclusive breastfeeding. She prefers the right breast than the left and cries to latch on the left. So I started to pump and bottle feed from left and direct feed from the right. I pump three to four times a day and make around 100 ml from the left. My breasts are lopsided and the right side is full most of the time while the left side feels very soft. This week all of a sudden my little one prefers bottle than my breasts so I wanted to wean of bottle feeding the pumped milk. She now sucks like around 30 minutes a day from the left and rest from the right. I do not want to pump or express again from the left to increase the supply. My question is, how can I balance feeding from both breasts without pumping? My little one does not like spoon feeding the expressed breast milk. Please help.
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Hello. It is normal for a baby that he or she chooses any one side of the breast on its own. But if you feel that your breast lopsided then you need to take some tricks. Start to feed your baby from the small one. Let him suck more and more from the small one. After some days, it will become large and engorge. But do not avoid to breastfed from the larger one too. When the large one fills please feed your baby from this side or express milk by using hand. You can use a breast pump to express milk from the larger breast. But if you do not want to use pump, use your hands. You do not need to feed him with this expressed milk. Do continue breastfeeding a few days from small one more and more. After some days both will become balanced. One thing do not practice your baby bottle feeding. Then he won't breastfeed again.
| 1,717 |
Q. My baby likes to have milk in only one breast. Why?
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Hello doctor, I recently bought a blood glucose meter because diabetes runs heavily in my family. I have not been diagnosed with diabetes, but I checked my blood sugar today 16 hours without eating and it was 103. I know that it should be below 126 after eight hours of eating, but what is it supposed to be for 16 hours after eating? I am 21 years old and I weigh 230 lbs.
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Hi. From the above history, it is noted that you are having a strong family history of diabetes and also you have been noted with prediabetic range blood sugars in the past. Coming to your query, it is ideal to have less than 100mg/dl blood sugars after 12-16 hours post meal. But we cannot label you as prediabetic or diabetic by noting a single value. So I would take it as a prediabetic state, if you have been noted with increased blood sugars in this range on multiple occasions or if three months average blood sugars are between 5.6-6.5%. I would like to stress the point that from the data it is found that you are having class 3 obesity, which must be addressed with due importance because it can lead to early diabetes, any lifestyle disease, and sleep apnea too. HBA1c (glycated hemoglobin). Lifestyle modification. Diabetic diet. Regular aerobic exercises 45 minutes daily.
| 1,718 |
Q. Glucometer reading shows 103 mg/dl after 16 hours of meal. Am I prediabetic?
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My age is 20, one of our relative informed us to contact you as we needed it badly I have eczema and I have been taking medications from 5 years with multiple doctors with no end results... some worked some didn't main problem is I have running nose( from 3 years), skin gets round around mouth with black scars, full black rough skin on the neck and past 6 months I have got allergy in eye's with watery eyes, sometimes redness, itching and full dark circles around the eyes.. I have been consulting with one a doctor from 6 months... I'll Share the prescription which she gave thrice in 2 months and was informed to use only for 15 days not more than that but after 15 days now again I have got severe eye pain in and surrounding on dark circles I have also checked with eye doctor and they gave multiple ointments and drops which didn't worked out requesting you please help with prescribing similar medicines which will help me with issue.
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Hi I went through all pictures and prescription s The problem what you have is ATOPIC DERMATITIS It's a disease that is not infection but your immunity will be working abruptly and uncontrollably Triggers are food, dust, any bite or cosmetic s It's a lifelong problem presenting with different issues at different ages You have PERIORAL DERMATITIS, OCULAR DERMATITIS, ALLERGIC RHINITIS AND CONJUNCTIVITIS... ITs all because of your Atopy Please start on Tab Defcort 6mg twice a day for 1 week 1_0_1 After one week tab Defcort once a day for 1 week 1_0_0 Tab Taxim O 200 twice a day for 5 days (few areas infected) Tab Xyzal M (Levocetrizine +Monteleukast) = 1/2_0_1(half morning night 1 tablet) 3 weeks (for itching) Zensoft Max or Cetaphil lotion .. Morning on spots Momate F cream mix with Calosoft AF lotion.. Night.. On the spots Drink lot of water Review after 3 weeks Stop all triggers Take care
| 1,719 |
Q. My eyes are watery, red, and itchy, with dark circles around. Is it an allergy?
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I have a cough and the mucus is white. Every night i suffer this kind of situation. I have a background medical records and the doctor said that i was allergic to dust and cold beverages. But i dont think that i am allergic to dust because i dont have any symptoms of it. Every night i take cetirizine because it works everytime i take it the cough stop. But im scared that it might be worst. What should i do?
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You are probably having what we call as an allergic pharyngitis, avoid spicy oily and junk food altogether for a few days. Yes dust can be one reason why your nose/throat might be creating a lot of phelgm, sometimes even dust at home(as in when u vaccum or mop the floor or look into old stuff having dust ) can lead to such issues. Besides, even the slightest of acidity can be one hidden cause. In allergic pharyngitis you won't have many tel a tale signs except of mucus irritating your throat. Advice 1.Have simple food with least spices 2.Avoid dust at all costs, wear an n95 mask, cuz that's the only thing effective against dust 3. Consider salt water gargles (one glass of boiled warm water with 2 tsps of salt, dissolve and gargle 4. Keep sipping on warm water 5. Long term use of levocetrizine is not recommended 6. Start an antireflux treatment with tab pantaprazole 40 MG once a day in the morning 25mins before bfast.
| 1,720 |
Q. I cough every night, which gets better after taking Cetirizine. What should I do?
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I m doing PhD recent times I m getting panic attack and anxiety sudden and I m fear of being alone in home my mind always think some things bad will happen to me I m trying to concentrate myself on other activities I m not able to concentrate suddenly I feel racing my heart beat and difficult in breathing decreased energy level body pain lot more it all started happening from before one month. Due to this I am not able to sleep and eat correctly please let me know the solution..
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Thank you for using our website, First of all,there are two scenarios for your cases.The first scenario is you could have faced a stressful situation and this situation has triggered the panic attack.The situation may have appeared trivial,but it could pointed to an important events in your childhood.The second scenario is you could drink a lot of tea or coffee or you could have a systemic illnesses.The high consumption of saturated fat and salt can cause hypertension and heart problems.Too much amount of tea and coffee can affect your heart and decrease the level of vitamin B complex in your blood,resulting in increasing heart rate .Moreover,the oral contraceptive pills, the hormonal replacement therapy and irregular menses may cause the similar symptoms. 1-ECG and Echo 1-exclude the systemic illnesses 2-reassurance 3-use Buspirone 10 mg :Half a tablet before meals once per day for three days,then half a tablet twice per day before meals then half a tablet three times per before meals,then the dose should increase by half a tablet every three days to one tablet three times before meals for 90 days then you should withdraw the drug by decreasing the dose by half a tablet every week until you take half a tablet once every other day for two weeks,then you should stop the drug.
| 1,721 |
Q. I am getting panic attacks and anxiety about being home alone. Please help.
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Hello doctor, For over four months, I have been experiencing vaginal discharge that has an offensive smell. I am in the military. I have been to the doctor and they continue to tell me it is just a symptom from my birth control but have not sent me to a gynecologist. The discharge has an offensive smell, white yellowish color with small bubbles in it but not foamy. I have been tested for gonorrhea and chlamydia both came back negative. I think it might be trichomonas or BV. I do not have any other symptoms besides discharge and smell.
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Hello The bad smell and the discoloration of your vaginal discharge could be due to either a candida (fungal ) or bacterial vaginosis (BV) (bacterial infection). Trichomonas usually has a fishy smell which you do not have. Candida infections usually have something like a curdled milk appearance and have itching. (itching which you do not seem to have). If you do not think you have candidal symptoms, then the diagnosis of BV is more fitting. Treatment would be to start antibiotics (both oral and vaginal) for 10 days. Also, if you are sexually active, please do your pap smear test if not already done. Please abstain for a period of two weeks from sexual activity during the treatment to prevent reinfection. Also, repeated infections would also affect your partner. Blood sugar. Pap smear. Candida. Bacterial vaginosis. Antibiotics. Sexual hygiene. After one course of antibiotics.
| 1,722 |
Q. I experience vaginal discharge with offensive smell. What is the suggested treatment?
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Hello doctor, My wife is having headache every day for the past two months. Pain is only mild but it extends up to the neck area. Sometimes if she has severe pain, she vomits.
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Hello. Regarding your concern, I would explain that this kind of headache could be a migraine. I recommend starting Verapamil 40 mg three times daily and Amitriptyline 25 mg half a tablet before sleep. A brain CT (computed tomography) scan would help exclude any other brain lesions, but considering the COVID situation, I would not recommend going to an ER. Besides the situation is not an urgency, considering the fact that she suffered from headaches like this before. For rapid pain relief, I would recommend taking Ibuprofen 400 mg three times daily coupled with Acetaminophen. I hope this helps.
| 1,723 |
Q. My wife has continuous headache and vomiting when the pain is severe. Please help.
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Hello doctor, I have a urinary tract infection again. I had it two times within past two months. It is the second time. I took Sefdin, and megatas but still no improvement. Please assist me.
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Hi. I think there has to be some cause due to which you are having recurrent UTI (urinary tract infection). Do not worry, you will be alright. First I will write a prescription which you have to start. Tablet Levofloxacin 500 mg for five days. Syrup Alkamax /Citraalka 10 ml TDS for two weeks. Tablet Pyridium one tablet TDS for two weeks. Tablet Utwell/Cranpac (cranberry extract) twice a day for two weeks. Do a sitz bath twice a day for 15 minutes. After five days of Levofloxacin, you have to start tablet Niftas (Nitrofurantoin) 100 mg for four weeks. Next is you have to get some tests done. 1.Urine culture. 2. Ultrasound abdomen with PVRU (postvoid residual urine). 3. RFT (renal function test).
| 1,724 |
Q. Why do I get recurrent urinary tract infection within short duration?
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
|
Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist
| 1,725 |
Q. What does abutment of the nerve root mean?
|
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.
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Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist
| 1,726 |
Q. Will Nano-Leo give permanent solution for erection problem?
|
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
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Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon
| 1,727 |
Q. Every time I eat spicy food, I poop blood. Why?
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
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Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
| 1,728 |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
|
Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist
| 1,729 |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
|
Hello doctor, I have shallow and fast breathing, usually bubbling and wheezing at bedtime along with nasal congestion and post nasal drip. My mucus is low and clear with a little cough. I have these symptoms for the past three months. I used Mucinex nasal spray, salt water spray, and Benadryl. I am a smoker for 30 years. I did not get any health problems so far. I have no fever but a little pain in chest with heart palpitations.
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Hi. I can understand your concern. By your history and description, the possibility of bronchitis is more likely. It is commonly seen with smokers. It is the inflammation of airways. This inflammation causes bronchospasm which inturn causes wheezing, breathlessness, mucus production, etc. So please let me know, how many cigarettes you smoke in a day? Have you ever undergone a chest x-ray and PFT (pulmonary function test)?
| 1,730 |
Q. I have shallow breathing and wheezing with a history of smoking. Please help.
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Hello doctor, I have recurrent folliculitis. The most common areas are in my upper legs and skin where my pubic hair lies. I hope you can help me out in explaining why this happens to me. I have this for almost two years now. I was given antibiotics once in the past.
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Hi. Recurrent folliculitis occurs in people who has deficiency to fight staphylococcus aureus bacteria. These are small boils which occur repeatedly at multiple sites of the body. Antibiotic heals them but they again appear after a few weeks or days. It can develop any time during life and may vanish within a short period. Repeated antibiotic courses has to be done but precautions which I am writing down if taken properly mitigate this problem. First thing is you have to take an antibiotic course for the presenting complaint. Take Amoxiclav 625 mg (Amoxicillin and Clavulanic acid) thrice daily for five days and Mupirocin ointment twice daily. This has to be continued for a longer period of up to 1 month. Apply it inside the nostril, in the axilla, in the pubic area, in umbilicus daily twice. Use antibacterial soap like Cetrilak (Cetrimide). Do not touch the parts of the body repeatedly like scratching, as it also transmits this bacteria. In some people, if Amoxiclav does not work we give other antibiotics but you have to try this first. Review after four weeks.
| 1,731 |
Q. I get recurrent folliculitis in my upper leg and pubic hairs. Please help.
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Hi doctor, I would like to ask about my grandpa's coughing situation as it already lasted for almost three weeks. He has been taking his medicines since then. But his cough still remains the same. Are there any suggested medicines or easy home remedies to follow?
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Hi. It seems your grandfather is having a cough for three weeks. Cough in adults are classified as acute, subacute, or chronic based on the duration. Acute cough lasts up to three weeks, subacute cough lasts three to eight weeks, and chronic cough lasts longer than eight weeks. Subacute cough often has a post-infectious origin and will typically resolve without treatment. It is usually secondary to asthma or bacterial sinusitis. Reassurance is a good approach in otherwise healthy patients. Oral or inhaled corticosteroids, Ipratropium, or cough suppressants may be prescribed to help with sleep. The viral infection or bacterial infection mostly produce a fever and cough with expectoration. These symptoms you did not mention, I assume they are absent. Post viral cough can be last up to six weeks. I would like to ask about red flags symptoms such as weight loss, night sweats, and hemoptysis. If they are present you need further evaluation on an urgent basis. Other common causes of chronic cough (usually more than eight weeks) are allergic. Most often, chronic cough is due to postnasal drainage, asthma, and/or gastroesophageal disease. Some drugs such as ACE inhibitor (a type of anti-hypertensive medication) also results in chronic cough. Stopping such medication helps. Other remedies are steam inhalation alone or with menthol. Cough drops or lozenges soothe an irritated throat. Saltwater gargle. Honey is also helpful. Antacid for GERD (gastroesophageal reflux disease), and at night sleep with two pillows so that head remains elevated.
| 1,732 |
Q. My grandfather has cough for about three weeks. Please suggest medication.
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I took an antibiotic a year and a half ago and I’ve had digestive issues ever cents I crave sugar often and mostly eat carbohydrates like bread and chocolate. I recently started to have a green smoothies that had two big handfuls of spinach in them with protein powder every morning for four or five days plus eating regular meals some being salads and some being more protein-based.It’s been about a week since I started this and I feel like I have not fully gone to the bathroom since I feel somewhat of a pain in my stomach and I wake up feeling like I have a fever and I’m just afraid somethings not right and that I’m very constipated. Constipation was one of my main issues this past year and a half and I’m here is if Make an appointment with my gastroenterologist and if I need to get this removed. Thank you
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Hi there thnx for the query.i can understand ur concern. according to ur statement u had digestive problem and u took antibiotics for one and half year that antibiotic's name isn't mentioned here. now u have been suffering from constipation for one and half year and for the seven dayser it has become very severe.firstly exact causes should be found out and then treat the causes the causes of constipation vary such as dehydration or eating foods with too little fibres. again more serious cases, it can be result of stress,hormonal changes,spinal injuries,muscle problems,carcinoma and other structural problems affecting the digestive tract. u should try the following quick treatment to make ur moves- take fibre supplements like Calcium polycarvophil(Fibercon),Psyllium(Metamucil, konsyl),Methylcellulose etc. eat a serving of high fibre food like oats,whole grain bread or cereal,fibrous veggiess and fruits,rice and beans etc. proper dehydration- typically at least eight(8) ounce glasses of clear liquid per day is necessary for normal bowel movement. take a laxative stimulants r designed to force a bowel movement by squeezing the intestines like Bisacodyl(Dulcolax,Ducodyl),Senna-sennosides(Senokot) etc. take an osmotic laxative is designed to help move fluids through the colon like Magnesium hydroxide(Phillips Milk of Magnesia), Polyethylene glycol(Miralax), Lactulose(Kristalose) etc. try a lubricant laxative such as mineral oil add a slick coat to ur intestine's walls,allowing stool to move through ur colon and out of ur body more easily. Use a stool softener such as Docusate sodium(Colace) or Ducosate calcium (Surfak), can moisten the stool by pulling water from intestine. try an enema include Sodium phosphate (Fleet),Soapsuds,Tape water enemas etc. Rectal suppossitories like Glycerin,bisacodyl etc help encourage bowel movements by softening stool. try to perform light exercise regularly. try colonic massage. u should undergo USG of W/A,MRI of spine, Thyroid test(t3,t4,tsh),CBC etc to find out the causes responsible for ur chronic constipation. please inform me after taking above mentioned measures and undergoing investigations,then i will be able to treat u further.
| 1,733 |
Q. I have digestive issues ever since I took antibiotics a year and a half ago. Please help.
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Hello doctor, I am an 18-year-old male. I have a lump on the inside of my groin. It is about the size of a 5 cent Australian piece, and I can feel it under my skin almost as if the skin moves over the top of it. So, I do not think it is a dermatological thing. I have little spots around my pubic area but I think that is because of the hairs. This feels like something different. It does not look inflamed from the outside, and it is not sore to touch (just a bit tender). It feels like it rolls underneath my skin but stays in the same spot obviously.
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Hi. If I am not wrong 5 cents Australian piece is around 2 cm in size. As you have described, it is a lymph node in your inguinal region. The human body has about 600 lymph nodes. Their role is to clean antigens from the extracellular fluid. It helps in fighting inflammation and infection. Lymphadenopathy (LAP) is the term to describe the conditions in which lymph nodes become abnormal in size, consistency, and number. A normal-sized lymph node is usually less than 1 cm in diameter. An inguinal lymph node size up to 1.5 cm should be considered normal. Lymphadenopathy can be called generalized when it affects two or more parts of the body. Enlarged lymph nodes associated with significant fever, night sweats, and unexplained weight loss (more than 10% in less than six months) are considered as red flags. It required an urgent evaluation for lymphoma. Those are not present in your case. Pain and tenderness on a lymph node is a non-specific finding. It is typically due to minor infection. Other causes of the inguinal lymph node are benign reactive lymphadenopathy, sexually transmitted disease, cellulitis or local infection, etc. Benign reactive inguinal lymphadenopathy is seen in patients who walk barefooted outdoors. If it is tender you can take Paracetamol. Keep watch. Avoid walking barefoot. Keep hygiene of your private parts. If it persists and associated pain or fever or other site engaged lymph nodes, you will need an evaluation. I hope this helps. Regards.
| 1,734 |
Q. I have a lump inside my groin with moving skin. What could it be?
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Hello doctor, I am a diabetic. One month back I used to drink alcohol about 350 ml every night and in the morning I take one tablet of Trajenta. Since I have stopped drinking, I feel to eat some sweet and I do eat some ice cream once a day or a Bournvita milk. When I check my sugar randomly now on On- touch Ultra it is between 200 to 265 mg/dL. So to maintain my sugar level can I have two tablets of Trajenta in the morning and evening?
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Hi. From your history, I could understand that you are suffering from uncontrolled type 2 diabetes for one month. Usually, uncontrolled blood sugars may not initially show symptoms, that does not mean it is safe to have high blood sugars for a long time. We are controlling sugars to prevent complications which are usually manifested 5-10 years later. In your case, the blood sugars might have slightly lowered after stopping drinks that might be causing relative hypoglycemia symptoms, which usually will be over within a couple of weeks. Anyway, still your blood sugars are uncontrolled. I will advise you to follow a better diet pattern with limited calories according to your activities and a low glycemic index food intake. Also, try to spend 30 minutes daily for regular aerobic exercises. Coming to your medication, do not increase Trajenta 5 (Linagliptin). Continue the same dosage. You can add a new tablet for better sugar control. Avoid drinks completely for avoiding sugar fluctuations. HBA1c (glycated hemoglobin),serum creatinine, and urine albumin creatinine ratio. Continue Trajenta 5 mg 0-0-1. Add tablet Amaryl M1 1-0-0 (before food). Fundus examination by an ophthalmologist to rule out diabetic retinopathy. Review after three weeks.
| 1,735 |
Q. My blood sugar level increased with quitting alcohol. Shall I increase Trajenta dose?
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Hello doctor, My gynecologist told me that I had an abnormality in my pap test, and I have HPV. Eventually, she will need to look at my cervix to make sure what strain it is. The information she gave me was very bland. All she told me was that if I have sex just use a condom, which I always do. But I wanted to know, what can I do physically and sexually with what I have?
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Hello. May I know what was the abnormality detected on your pap smear? As per your gynecologist, if you have got HPV (human papillomavirus) infection (high-risk HPV strains), that is responsible for the development of cervical cancer, you need to be further evaluated. So your gynecologist would be having a look at your cervix through a magnified camera that can pick up certain changes on the cervix, and can hint on the development of any precancerous changes. If present it can be tackled at an early stage before actual cancer sets it. So cervical cancer screening methods can detect changes almost five years before the actual development of cancer, so it is advisable you get regular pap smears as advised by your gynecologist and be under her follow. It would have been helpful if you could share the reports of pap smear and HPV testing with me so that I could guide you better. The reason your gynecologist asked to use condoms is that HPV infection is usually acquired through sexual contact. So to prevent repeated infection and also to prevent other sexually transmitted infections, which can further aid in acquiring HPV infection can be prevented by using condoms regularly. Regular pap and HPV testing. Avoid smoking and multiple sexual partners.
| 1,736 |
Q. HPV is revealed from my abnormal pap test. What should I do as a preventive measure?
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Hello doctor, I am experiencing gum pain on a back molar. I am trying to catch it before it becomes an abscess. Please help. I am currently on Levothyroxine.
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Hi. I am sorry for the pain you are bearing. Though I needed more details and a photograph, what type of pain is it? Is it only around the gums or in the tooth also? If it is only in the gums means there is some periodontal problem maybe some food has got stuck up there. Do you remember eating any such thing recently, where you felt a sudden pressure on it or from the sides? Under the prevailing situation you cannot go for a scaling even but kindly go for it as soon as possible. For now, I would suggest you to do a salt warm water rinse four to five times a day and gentle finger massage. You can also apply clove oil if you have. If pain is not bearable you can go for a pain killer Paracetamol or Ibuprofen. As you have not mentioned whether there is a cavity or not I cannot prescribe you antibiotics. Do revert back for more queries.
| 1,737 |
Q. How to prevent a gum pain from becoming an abscess?
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Hello doctor, I had heart palpitations every day and ECG has picked up some downward spikes when I feel a palpitation. Please explain my ECG.
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Hello. I have gone through your query that you frequently have palpitations. But I am sorry to tell you that I am unable to see the ECG image you have attached, it is not getting downloaded probably due to some error or a corrupt file. I kindly request you to please attach a new image of your ECG along with a few more details about your present symptoms. Do you have any known cardiac disease? Whenever you get palpitations do you have any other associated cardiac symptoms like chest pain, shortness of breath, giddiness, or sweating? During palpitations do you feel increased heartbeats or a missing/skipped beats or just a bounding pulse? Do you have anxiety or stress? Kindly get back with the above details and a new ECG image for further discussion and management strategy.
| 1,738 |
Q. ECG report shows down spikes with heart palpitations. Please explain my report.
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Hi doctor, I broke a foot blister with a pin and the skin appeared intact. I disinfected it and put a dressing. But it hurts when I walk. Is this normal?
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Hello. You have broken the blister with the pin and I would recommend you not to do that in the future as it is a non-sterile method of doing so and can cause infections in that area. Having said that, I would like to ask you, is there redness around that area? Is there any discharge coming out from the wound? If yes, then you need to start some antibiotics and also take care of the wound. Make sure you clean it everyday and dress it up well. As foot is the dependent part of the body and all your body weight is on it so even a small blister will be painful during walking, standing, etc., for a few days until the blister heals. Blister. Foot blister- local trauma. Tablet Paracetamol one tablet twice daily, Betadine ointment for local application, tablet Augmentin 625 (Amoxicillin and Clavulanic acid) twice daily for five days. Proper foot hygiene. Regular dressing. You might get a little diarrhea after taking the tablet Augmentin which will subside once you stop the drugs. Usually eating probiotics like yogurt will help with the diarrhea.
| 1,739 |
Q. I broke a blister in my foot and it hurts when I walk. What to do?
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
|
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
| 1,740 |
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
| 1,741 |
Q. Will Nano-Leo give permanent solution for erection problem?
|
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
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Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon
| 1,742 |
Q. Every time I eat spicy food, I poop blood. Why?
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
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Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
| 1,743 |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
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Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist
| 1,744 |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
|
Hello doctor, I have pain in the gums and lower teeth. I also note some redness at the base of the tongue. Please suggest.
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Hello. I read your query and also saw the image you had sent. (attachment removed to protect patient identity). You have pain in the gums and teeth, also redness at the base of the tongue. Causes for the gum pain are: 1. Improper oral hygiene because of which you have gum problems and also the recession of gums. 2. Badly decayed teeth (in the image), I can see some teeth are decayed. Because of these, you have an infection in gums and the redness. You have to visit the dentist for full mouth rehabilitation, means you have to take 1. Radiograph of all teeth. 2. Detection of caries. 3. Checking mobility. Treatment plan: Visit the dentist for full mouth cleaning. Maintain proper oral hygiene by following: 1. Two times brushing with a soft toothbrush. 2. Use Chlorhexidine mouthwash twice a day after brushing. 3. Use can use Metrogyl gel to massage the gums. For pain, take tablet Ketorol DT (Ketorolac) twice a day for three days, capsule Amoxicillin 500 mg two times a day for three days and antacid before meals tablet PAN D (Pantoprazole) two times a day for three days. After three days.
| 1,745 |
Q. I have pain in gum and lower teeth with redness in tongue. Please help.
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Hello doctor, I have cold three weeks ago and I got a sound in my ear which is similar to a heartbeat, but the rhythm is very irregular. Last week, it got worse with another sensation which is a kind of sound around the neck. In adition to that, I have sounds coming from my jaw on the same side which is accompaonied with physical cracking in the place where the jaw is connected ti the skull. My relatives can hear the sound when I eat. Also, I tried to wash my ears with water and water might have went into my ear. I had a scarf around my neck from yesterday and my lymph nodes suddenly got swollen with slight neck pain. Last, but not least, I have a clearly sensible lymph node behind my ear which is about the size of a small bean and is movable. Generally, I am healthy and do not have any chronic disease. I do not have an oppurtunity to reach my doctor if it is urgent, but I am afraid it can develop to something serious.
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Hi. I understand your concern. Your symptoms suggest a condition called tinnitus. Tinnitus is defined as an auditory perception of internal origins such as a buzzing, ringing, or whistling tone and can be perceived as either pulsatile or non-pulsatile. It can have a significant influence on well-being and performance in daily activities. Your symptoms suggest it is pulsatile in nature. Identification of the underlying cause of pulsatile tinnitus is important for adequate treatment and for prognosis estimation. It can be due to cold and inner ear infection as you also have painful lymph nodes. But you did not mention a fever. If it is infection antibiotics dose will be helpful. Complete and detailed history is essential, which includes possible accompanying complaints like vertigo, hearing loss, ear discharge, and earache. We are worried about an underlying vascular etiology that can be suspected when pulsatile tinnitus is influenced by vascular compression or when a vascular bruit is heard by auscultation. In general, head and neck MRI (magnetic resonance imaging) and CT (computed tomography) provide complementary diagnostic imaging information. I suggest you consult an ENT specialist.
| 1,746 |
Q. Due to cold, I get sound in my ears and jaw. What could it be?
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Hello I'm 18 year old and I want to help my girlfriend who is also 18 years old. He suffers from headache, vomiting, dizziness and sometimes forgetfulness. In 2018 he checked for his head and also had CT-SCAN and the result was that he was negative for brain tumor but in recent days he experienced signs and symptoms of a brain tumor but was unable to check up due to Enhanced Community Quarantine here. Do you have any tips for reducing the pain she is feeling?
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Hi, Welcome to icliniq. I hope you are doing well. I understand your concern. I need to know more about the symptoms. I need to know, how frequently she gets a headache, how long she gets a headache, whether it is continuous or intermittent. Any precipitating factors are present such too much noise or too much light. At this age, the most common headache is migraine headaches. It is intermittent, associated with nausea stomach upset, some times vomiting and dizziness. Aggravated by noisy surroundings and lack of sleep. Some time s there are triggers such as lack of sleep, strong smells, hunger. You also must know about red flags or warning symptoms such as severe unilateral headache, Fever, a new type of headache, blurring of vision or weakness. IIf they are present she may be required evaluation. Again migraine is benign conditions can be managed by avoiding triggers. Have a healthy lifestyle and maintain adequate sleep. For pain, paracetamol 500 mg is useful. Hope this is helpful. regards.
| 1,747 |
Q. My girlfriend is suffering from headaches, vomiting, and dizziness. How to reduce pain?
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Hi doctor, I have scratched by my pet vaccinated dog today few hours ago. Also there was no bleeding in my hand. But there is some redness there. So guide me that it is still necessary to have ARV. Also before 5months ago i was vaccinated with arv when there is scratch of dog then .
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Hello. Welcome to icliniq. Although unvaccinated animals are more likely to transmit rabies, vaccinated animals can also do so if the vaccination of the biting animal was ineffective for any reason. A history of rabies vaccination in an animal is not always a guarantee that the biting animal is not rabid. Animal vaccine failures may occur because of improper administration or poor quality of the vaccine, poor health status of the animal, and the fact that one vaccine dose does not always provide long-lasting protection against rabies infection in dogs/cats. The scratch on your skin comes under category II for post exposure prophylaxis for which anti rabies vaccine is indicated . And although you have taken the vaccine 5 months before and your dog is also vaccinated there are very minimal chances of you or your dog having rabies but there is a very miniscule chance. But according to the guidelines you should get vaccinated again. Make sure to clean the area of scratch properly and thoroughly with soap and water. Observe your pet for the next 10 days and see if it’s health deteriorates which if does would be a strong indication to get vaccinated. Dog bite Anti rabies vaccines Wash the area thoroughly with soap and water Follow up after 10 days
| 1,748 |
Q. My vaccinated pet dog scratched me today. Should I get the rabies vaccination?
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Hello doctor, My MIL is 60 years old. She just had an appendectomy and is having some complications, including a severe headache and vomiting. The first day she ate some food and was fine. Today, she tried to drink some milk and vomited repeatedly several times. We live in a developing country and the doctors are not knowledgeable about these things. What are the potential complications that could cause such vomiting, and what treatments should be given?
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Hi. It would have been nice if you mentioned how many days over after the surgery. There are many causes for your symptoms but this would depend on the indication for which surgery was done and intraoperative findings. Some common causes and management I will explain. Post spinal headache: avoid using pillows, more liquids, and coffee will help. Some antiemetics can be added on. This is commonly seen in the first week after surgery. If you had a bad infected appendix, post-operative infected collections are common and this can cause your symptoms. But this will also cause fever and abdominal pain. Sometimes postoperative medications can cause small stomach ulcers and can cause these symptoms. You need to see your doctor and ask for antacids. Overall, if you are not having fever, loose stools, severe abdominal pain and vomiting and headache is not continuous, then nothing much to worry about. You can see your doctor if the symptoms are troubling you a lot. Simple Paracetamol should help you with headache. US (ultrasound) abdomen. Peptic ulcer.
| 1,749 |
Q. My MIL suffers from severe headache and vomiting post appendectomy surgery. Please suggest medication.
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Hi doctor, I am having pain in my lower tooth whenever I go to sleep. Due to lockdown, I am unable to consult the dentist. Can you please tell me any tablet that I can use in the meantime.
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Hello. Sorry for the pain you are bearing because of the prevailing situation. As you have already mentioned there is a cavity and when it reaches up to the pulp there develops an irreversible stage which generally is more painful during night time as we sleep. I think your tooth has reached the stage of irreversible pulpitis and a root canal treatment is now must in order to save the remaining tooth. So go for it as soon as the situation in your area gets better. For now, take Amoxicillin clavulanate 500 mg (thrice daily) for five days, Paracetamol 500 mg to thrice daily SOS. Do not take Paracetamol when there is no pain but do complete the Amoxicillin course. Additionally, you can take any one for gastritis if you have a tendency to develop gastritis with antibiotics. You can take PAN-D (Pantoprazole) or Omez (Omeprazole). Take them on empty stomach. Do salt water rinse regularly. You can apply clove oil at the site, it is a good anti-inflammatory. Maintain good oral hygiene regularly, but for sure get it treated. Avoid eating from the affected side until it gets treated or even if you eat make sure nothing gets lodged in that tooth. Do mouth rinses with plain water regularly so that there is no food stuck. Drink plenty of water. I hope this helps.
| 1,750 |
Q. I get pain in my lower tooth during sleep. Please suggest medication.
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Hello doctor, I am suffering from extreme hair fall and boils on my scalp. Hair is falling from the root for the last couple of years. These boils come with pus and they settle down, become dry and turn into dandruff. It is quite painful when the boils are in full swing as if someone is pulling your hair. I have had this problem earlier also and I have seen many doctors. They have loaded me with medicines and supplements. Every time I consulted a doctor, I would have their medicines for a month or two and then stop thinking it has not suited me or I find no difference. They use terms which confused me more than giving me confidence. I tried allopathy, unani and yoga for blood circulation. One doctor even suggested mesotherapy, serums, etc. But now the hair fall has been so bad from a normal sized clutch I have started using two sizes smaller and even that pokes. There is hair everywhere when I do shampoo, or comb when I just run my hands through it. There are a lot of gaps. Literally it pulls down my confidence. I am currently on Revital woman once daily, Btn forte once daily, D-rise sachet once a week with milk.
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Hi. I went through all your pictures (attachment removed to protect patient identity), investigation, and detailed history. Recurrent boils on the scalp can be a continuous problem for many people. It can also be pre-runner for seborrheic dermatitis. Minoxidil should not be used irregularly. Once started with minoxidil the result will be after six months and you should not stop in the middle. Otherwise, it will be followed by severe hair fall. Your vitamin D is low but you are already on medication. Hemoglobin is also very low. Please start iron supplements along with fresh vegetables, dates, and fruits rich in iron. Keep your dandruff under control. Continue BTN Forte (Biotin forte) and Revital. For iron, take Zincofer tablet daily. Please start on Microdox LBX (Doxycycline and Lactic acid bacillus)100 mg once a day for two weeks. Do not scratch the area. Use Scalpe shampoo. Dilute it with water, and make sure of 10 minutes contact with the scalp. Then wash off. Second-line antibiotics to be changed only step by step.
| 1,751 |
Q. I have extreme hairfall along with painful boils and dandruff. Please suggest solution.
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Hello doctor, I am a 67-year-old female. I have a significant past medical history of TB and a lifetime history of bronchitis. My arthritis is currently being treated with Remicade. Last month, while in a temporary job I developed severe altitude sickness (SOB, fatigue, and confusion) followed by bronchitis (stuffy nose and productive cough). While there I needed to schedule a Remicade infusion and the doctor there said she heard crackles in my lungs and sent me for an immediate chest x-ray, high-resolution CT scan and a multitude of labs. To my surprise, I was diagnosed with RA, not PSA as my rheumatologist had diagnosed me before itself. Anyway, the radiology results state honeycomb lung damage amongst other ominous findings. At my follow up I was told I have RA-ILD. I am now back to my place and have no symptoms to alert me of any lung problems. I followed up with my PCP last week and she did not hear crackles in my lungs. My peak flow rate is 400 and my O2 sat is 100% at rest and 98% with fast walking. I will send my radiology report and lab results. My question is, can the latent TB lung scaring be misdiagnosed as RA-ILD or IPF? I would appreciate your opinion.
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Hello. I can understand your concern. According to your statement, you have been suffering from chronic bronchitis with rheumatoid arthritis with recently diagnosed with RA related interstitial lung disease or idiopathic pulmonary fibrosis. You had a history of PTB and taking anti-tubercular drugs. You are concerned about your recent diagnosis based on HRCT chest whether it is RA-ILD/IPF or latent TB related complications for your past sufferings and now you feel a lot better. Your HRCT of chest reveals (attachment removed to protect patient identity), interstitial fibrosis characterized by peripheral traction bronchiectasis, irregular reticulation in all lobes, microtubules with calcification in mid and lower lungs, lower lobe predominant microcystic changes without significant ground glass opacifications, hilar calcified lymph nodes consistent with chronic granulomatous disease, and bronchial wall thickening bilaterally. Similar type of radiological findings can be found in post TB fibrosis, chronic obstructive pulmonary disease which includes two key components chronic bronchitis and emphysema, RA-ILD or IPF, etc. You may not tell your doctor about your previous history of Latent TB. For that reason his diagnosis was RA-ILD or IPF as you are suffering from RA. So he was not wrong as your radiological reports suggest the above mentioned differential diagnosis. Again, on high altitude, your doctor found crackles as you are suffering from COPD and it may be associated with infections that time and now it not heard as your infection was subsided.
| 1,752 |
Q. Can latent TB scaring be misdiagnosed as interstitial lung disease with RA?
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Hi doctor, There is a sort of pink-colored oval, slightly raised, flat patch on my bikini line, and it is very painful. I do not know what it is, and I am terrified. I get cysts on my bikini line quite often, but they always go away. It does not look like a cyst, and it just appeared like one or two days ago. Sometimes, it hurts to walk. I was on my period last week, so I wear different type of underwear and maybe that was too tighten on my bikini area. Also, I have been lying down on my side for an extended period of time due to social distancing. The lump is not really feeling over the area, just raised and flat. I have not had this issue before. The cyst only started to hurt when the side of my underwear pressed against it hard. Please help me.
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Hello. I have read through your problem thoroughly and seen the pictures too (attachment removed to protect patient identity). To me, it looks like an inflammatory boil with some induration (thickening of the underlying skin) due to some skin infections. It is mostly a folliculitis, hair follicle infection in the skin. It will mostly go away in two to three days. You can take some analgesics for pain relief and use some antibiotic cream for local application to prevent it from getting infected. Just keep the area aerated and change your undergarments frequently. Avoid shaving the bikini like till it heals, or else it may get infected. 1) Tablet Combiflam (Paracetamol + Ibuprofen) SOS after food for pain relief (if too painful). 2) Sitz bath (a small tub of lukewarm water with some Betadine solution or a spoon of salt) three to four times a day for pain relief. 3) Clean the genital area gently after using the restroom and apply the antibiotic cream to the affected area only (Clindamycin gel or Soframycin cream-Framycetin). Change undergarments frequently. If the lesion becomes like a collection of pus, as of now does not seem to have formed pus, you can take oral antibiotics.
| 1,753 |
Q. I have a pink-colored patch on my bikini line which hurts on pressing. Please help.
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Hello doctor, I am suffering from pain while passing stools and there are some blood spots on the stool. The pain is unbearable but there is no swelling as such. I am unable to go out due to the lockdown situation. Please guide me on what to do. Is this normal? I am a diabetic.
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Hello. I understand your condition. You say you are having bloodstained stools and there is no swelling in the anal region which is a good sign. Now based on your history, I suspect you must have had constipation a couple of times. Constipation ultimately will lead to hard stools which can cause a tear at the anal region. I also guess that you are having a fissure in the anal region i.e. a tear at the anal verge. And since it is painful and recent, it is of acute nature. I suggest you consume a high fiber diet. Regarding treatment, you have to sit in a tub filled warm water twice daily for five to ten minutes for ten days. It is advisable to put in 5-10 ml of Betadine solution, but if you are not able to go out due to lockdown you can use it as plain warm water. This process is called as sitz bath. If you can get to a pharmacy get an ointment Lidocaine 5%. Apply it thrice a day at the anal verge better to apply before and after defecation. Avoid straining and avoid constipation by including green leafy veggies in your diet and drink plenty of water. Kindly keep your sugar levels under control.
| 1,754 |
Q. I have blood in stools with pain and suffering. Why?
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
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Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist
| 1,755 |
Q. What does abutment of the nerve root mean?
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.
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Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist
| 1,756 |
Q. Will Nano-Leo give permanent solution for erection problem?
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Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
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Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon
| 1,757 |
Q. Every time I eat spicy food, I poop blood. Why?
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
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Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
| 1,758 |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
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Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist
| 1,759 |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
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Hello doctor, I am suffering from severe constipation for the past 10 days. There is also discharge and itch from the anus. I am also feeling excessive weakness after passing stools.
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Hello. From your history, it looks like severe constipation. But I would like to know a few more details so that I can confirm the diagnosis. Have you had similar episodes in the past? Do you have any abdominal distension or pain? How is your appetite? If you were to describe the stools, is it hard and dry or loose? When you say weakness, do you mean you feel tired or do you have other symptoms also like numbness over feet or hands? Do you have any fever or vomiting? Please get back with the above answers so that I can confirm the diagnosis and prescribe you the right medicine.
| 1,760 |
Q. I have severe constipation with anal discharge for the past 10 days. Please help.
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Helo doctor, My penis is swollen in the front part with itching and irritation from yesterday. I was trying to check online, it says maybe it is balanitis, not sure though. Please guide what needs to be done? I am currently on medications for high BP and uric acid.
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Hi. It is very likely to be balanitis with the background of acute infection and swelling. You can take tablet CISMA DT (Cefpodoxime) 200 mg twice a day, tablet NISE (Nimesulide) 100 mg twice a day, Tube Dermiford (for local application) twice a day. Take all these medicines for seven days. Review in a week if not resolved. Check your HbA1c (glycated hemoglobin) levels and send reports. Are you sexually active? If yes, is your partner having white discharge? If so, your partner also needs treatment to prevent balanitis.
| 1,761 |
Q. My penis is swollen with irritation. Could this be balanitis?
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Hello doctor, I have a headache/migraine for almost five days now and I am feeling dizzy from time to time. I am taking Paracetamol and Mefenamic acid for toothache. I am a 22-year-old, female. My height is 5'5" and weigh around 80 kg.
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Hello. Since you have mentioned migraine, does it come in episodes? How severe is it? Is it limited to a specific region? Is it associated with nausea? Is there any intolerance of light? Is there any neck pain? Do you have a fever? Is there any blurring of vision? How is your balance?
| 1,762 |
Q. I get headache and dizziness for the past 5 days. Could this be migraine?
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i have very thin loose motions , and pain in abdominal area, since 2 days and feeling weakness, taken flaygel medicine today, please recommend any medicine and precautions and diet plz
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Dear, Welcome to.icliniq.com With history of 2 days diarrhea with weakness seems that you are on dehydration side. 1st of all most important step for you is to keep yourself well hydrated and replace electrolytes.Use ORS.Mix in 1 litre water and take as maximum as you can. Avoid spices,fried,outside meals .Take liquid or soft food for 2,3 days At least and eat less. Add yogurt and Ispagul and banana in your diet. continue with flagyl 400mg three times a day.Take ciprofloxacin 250mg after breakfast and dinner for 3 days.Also Take Mebeverine 135mg before breakfast and dinner.Also take antibiotics like Enflor sachet once daily for 5 days. I hope you will be fine soon.In case issue persists after 3 days ,please let me know . Take care !Stay healthy
| 1,763 |
Q. I have loose motions and pain in the abdominal area for two days. Please help.
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Hi Doctor, I gave birth normally to a 3.2 kg baby boy however with a small cut that was stitched and healed. Its now coming to four months ever since I gave birth. My problem is that my vagina let's out air almost like a fart though not smelling. It could happen even during day time when I had just produced. But now only comes at night around 3:00AM. Am stressed, worried, and I don't really what to do. Am asking for help on what can really be done. Am tired of this situation in my life. Thank you doctor.
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dear!! welcome to iclinq! saw your concern!! I can understand you completely... first of all make it clear that gas from vagina is ( queefing / vaginal fart) NOT a pathology!!!! it's because the roomy vagina holds air and during the rigorous act of coitus or ant bit strenuous work or excersises it passes out with a sound just similar to fart ( as it's from a hollow organ) as u had mentioned it's not associated with smell it's unlikely to be a fistula.....( rectovaginal fistula) .So just relax!!! nothing can be done to prevent it!! may be some positional changes.. avoid more of butt up in air positions both during work, excersises n sex... if you just understand that it's normal u would laugh it out!!!! regards & best wishes....hope you find it useful!! physiological, due to roomy vagina vaginal fart reassurance revert back, if any queries..
| 1,764 |
Q. I am stressed and worried because my vagina lets out air almost like a fart. What to do?
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Hello doctor, My oldest son is 3 years old. He understands everything you say to him, but he refuses to talk. He used to say a variety of words and now he only does animal noises and a handful of words. I would like to know what I could do in order to encourage his vocabulary or if I should be worried about it in the first place. I am also wondering if his decreased vocabulary and stubborn behavior are linked to the arrival of his baby brother a year ago. I am currently trying the apps Speech blubs and ABC mouse. He also likes puzzles and games, but he will not sit for the songs or story telling. Any advice would be appreciated.
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Hi. It seems like a regression of speech is there with normal receptive skills and affected expressive skills. Rather than finding the cause now focus on how to improve the condition. Apps are good but not in the initial stage. Start with some interesting real-life activities to extract some simple utterances first. Do not give anything without his utterances, even if minimal it should be there. Pa ..paa..paa in a musical manner like other phonemes also start extracting. He will surely enjoy. From this go to combining like paa paaa paaa/ taaa taa taaa /tooo toooo tooo. Then potato, then tell see we will cut potato. Cut the real potato and show him. Get a video consultation with me if you want to get the demonstration for a better understanding. Implement these techniques and give feedback on this. Thanks.
| 1,765 |
Q. My 3-year-old son speaks only few words. Is this due to stubborn nature against his younger brother?
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Hello doctor, I am 36 years old. I have a problem on the right side of the large intestine. I have four babies with cesarean surgeries. My youngest baby is 13 years old. My uterus was removed five years ago due to rasoli. After this operation, I felt pain in my anus and a year later I was alright but later on my mother suddenly passed away. Due to sorrowness, I felt pain in my stomach and a pull in my belly. Followed by I had constipation and piles (no bleeding). Now whatever I eat or with empty belly I feel heavier on the right side of the large intestine. After eating something I feel that it has blocked due to any hindrance. I thought it may due to eating beef or meat but now doctors say that my large intestine is infected and even using medicines show no improvement. My hunger is normal but I have constipation and little pain in the right intestine with a large amount of urine with crystals in it. Please suggest medication.
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Hello. I have reviewed your situation. For confirmation, what is going on, you need to visit to a gastroenterologist and get booked for upper and lower GI (gastrointestinal) endoscopy. But reading at your situation, it looks you have both acidity problem and constipation. Till you meet some gastroenterologist, you can take capsule Nexium 40 mg (Esomeprazole) once a day before meal, and Isphagol husk two teaspoons in a glass of water, keep it for four hours and then take it. If you still feel symptoms, you can follow us. So we can upgrade the treatment. I hope this helps.
| 1,766 |
Q. I have large intestine obstruction with constipation and piles. Please suggest medication.
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Hi doctor, My sister is 15 years old. She is having a problem with growth. She is not growing even a single cm from 1 year. I am too scared about her future. She is only 150 cm now. Many advised her to do skipping, swimming, cycling, etc. Though she is doing skipping, it does not help much. I just need some scientific help. Please help me out. I am scared of her growth.
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Hi. Good day. Thanks for your query. I am afraid that I do not have good news for you. In your sister's age, it is not possible to increase height of about 2 or 3 inches with any medications. The growth plates in the bones close after 13 - 15 years of age in females and no increase in height possible. Growth plates are the areas of new bone growth in children and teens. They are made up of cartilage cartilage, a rubbery, and flexible material. For instance, the nose is made of cartilage. As kids grow, the growth plates harden into solid bone. A growth plate that has completely hardened into solid bone is a closed growth plate. After a growth plate closes, the bones are no longer growing. Growth plates usually close near the end of puberty. For girls, this usually is when they are around 13 - 15 years old and for boys, it is when they are about 15 - 17 years old. What is the height of your father and mother? Your sister may have an average height of both of them. Another option is limb lengthening surgery. Thanks.
| 1,767 |
Q. My sister has delayed growth for her 15 years of age. What should be done to improve her growth?
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Hi doctor, I am 20 years old. I am sexually inactive for a year now. I am having some issues with my body parts. I had a film around my clitoris that came back often after washing it. In the past few days, I have been experiencing yeast infection symptoms. So today I got an over-the-counter medication for it. I inserted the tablet and it is being only for 12 hours. When I went to the washroom white fluid came pouring out. I have never got treated for yeast infection before. So, I was just wondering if that was normal. My current medication is only birth control pill. Please explain me.
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Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist
| 1,768 |
Q. What is the treatment for vaginal fungal infection?
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Hello doctor, My wife is 25 weeks pregnant. She is 27 years old. Her weight is 64 kg and height is 5'2". This is our first pregnancy. Now, doctor found one problem in level two ultrasound report. Fetal head mildly dilated lateral ventricle 9.6 mm. I consulted with doctors. They are saying that it will be fine in the next four weeks automatically without any medicine. But, I am not satisfied. Please explain.
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Hi. I read your query and understand your concern. For further doubts consult a fetal medicine physician online -->https://www.icliniq.com/ask-a-doctor-online/fetal-medicine-specialist
| 1,769 |
Q. Is this fetal ultrasound report of my wife a normal one?
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
|
Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist
| 1,770 |
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
| 1,771 |
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
| 1,772 |
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.
| 1,773 |
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
| 1,774 |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
|
Hi doctor, I am a 23 year old male. I am suffering from acute lymphoblastic lymphoma and I am going to finish my last chemotherapy. My WBC count has reduced due to discontinuation of GCSF. After the completion of chemotherapy session, how to recover WBC count? Please suggest me.
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Hi. For further information consult a hematologist online --> https://www.icliniq.com/ask-a-doctor-online/hematologist
| 1,775 |
Q. How to improve WBC count following chemotherapy?
|
Hi doctor, I am 18 years old. This time my period lasted for five days, but it came down lighter than usual. My period is always consistent, but normally during my periods I would just skip one day and my period is always heavy. Yesterday and today I have not been bleeding or even spotting. Is that normal? Please explain me.
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Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist
| 1,776 |
Q. Is scanty period a normal one?
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Hi doctor, My child, who is 9 years old, has bedwetting problem. Please suggest me.
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Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
| 1,777 |
Q. How to correct bedwetting of a 9 year old?
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Hi doctor, My husband had an issue since he was 18 years old. Doctors have brushed him off time and after time. But, I know that his symptoms are very real. He feels hopeless that he will never find an answer. For every four to six months he gets a flare up as we call it. The symptoms are itching (bug crawling sensation), twitching, diarrhea, fatigue, headache, agitation, dry skin, peeling and loss of bladder control. It seems to be inflammation based. We do not believe it as an allergy. He has had Paxil a year before the problem existed. Please suggest me.
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Hi. I am sorry to know that no proper answers were extended by doctors for his condition. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist
| 1,778 |
Q. My husband is getting peculiar symptoms every six months. What is it?
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Hi doctor, I have had braces before two years. During that time, I had a jaw expander for my upper teeth as they were too crowded. I was wondering if my dentist is giving me false information because she is scared as she will ruin my teeth. From my picture the lip piercing side is my left side and the front of my teeth, the tooth that is on the right of my bunny tooth is a few mm behind the rest of my teeth. I recently consulted a specialist because the bunny tooth next to that tooth was losing the root and was hurting. They said we needed to stop my brace pressure as soon as possible. So, I asked my dentist if she could fix the tooth that is slightly behind the bunny tooth and the one beside it. After being persistent, she tweaked it a little to help it. Now the real issue I am having is, in image 2100 which is the image on the side showing my lip piercing, it shows that my teeth are good. However the image 2101, which is the side image without my lip piercing, my upper teeth and lower teeth are touching tip to tip. I also noticed that these particular teeth are slanted inwards towards my tongue rather than being straight like the rest of my teeth. The dentist told me that my teeth have worn from all the grinding that I do. However, when I check face front you can clearly see that the upper teeth are slanting inwards and I do remember when doing elastics, it was pulling them down from a lot of pressure. I believe this is a cross bite. The dentist would not admit it and saying there is nothing to be fixed. I have checked past photos before I had braces and from close inspection the cross bite area was never like that, in fact the upper teeth overlapped the bottom teeth and was fine in that area. I am wondering whether my dentist is correct that my teeth are fine and that it cannot be fixed? I am pretty sure if she put a button behind the tooth and then I did elastics, it not be fixed and brought forward and overlap the bottom teeth. My current medication is Doxycycline. Please help me.
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Hi. For further information consult an orthodontist online --> https://www.icliniq.com/ask-a-doctor-online/orthodontist
| 1,779 |
Q. Got crossbite following ortho treatment, what to do?
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Hi doctor, From last two years we are trying to conceive and recently my wife had SM test. The result of the prolactin blood test is 9.89 ng/mL and TSH is 2.84. The FSH result is 6.83 mlU/mL. Also the luteinizing hormone range is 3.83 mlU/ml and right ovary adnexal is 38 mm x 24 mm. Please explain the result to me.
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Hi. Revert back with the reports to an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist
| 1,780 |
Q. Please suggest some measures to get pregnant?
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Hi doctor,I have developed some brown patches and freckle like spots on my left hand overnight. I went to bed last night with a new light brown freckle on the palm of my hand and woke up this morning to it being darker and there being more freckles and patches. There are a couple of patches on my ring finger and it looks like a stain. The brown spots seem to have become darker over the day and a couple more have appeared. What do you think this could be? As far as I am aware, I have not been exposed to anything. Thank you.
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Hello. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist
| 1,781 |
Q. What to do for freckles that developed overnight?
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Hi doctor, My father abuses me a lot and eats a lot. He is really aggressive. He also has some memory problem due to over consumption of alcohol. Unless we give food he starts destroying things. So, I think he is suffering from bipolar disorder. What should I do?
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Hi. Increase appetite, aggressive behavior and destroying things are symptoms of bipolar mania. But, in bipolar mania there is decrease need for sleep. So, it may be bipolar mania. To make a definite diagnosis, I need to know more details about his behavior. Revert back with the answers to the above questions to a psychologist counsellor online -->https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor
| 1,782 |
Q. Are aggressive and destroying behavior, symptoms of bipolar disorder?
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Hi doctor, I am a 27 year old unmarried male. Approximately six to seven years back, I had a urinary infection. I was told to take an antibiotic course, which I did not complete at that time. The infection was not fully cured and it used to come and go. During urination, I sometimes used to have one or two drops of blood, only during the period of infection. In addition to the above mentioned problems, I have some other issues related to sexual health. They are premature ejaculation, extremely bad timing, sensitivity of the skin (penis area), lower back pain, lack of confidence, etc. When I have to urinate, I cannot hold it at all. Very often on my way to the toilet some urine drops are leaked. During night time, I have to stand up several times to urinate. Approximately once a week, after urination suddenly sperm drops are released. I have not discussed this part with the urologist. I feel joint pain as well. During winter, I freeze a lot, especially over thighs, hands, ears, neck and chest. I have now recently been to a urologist and I was told that the infection became chronic. The doctor recommended antibiotics again and I have now completed the course. The urinary infection should be cured by now. All the new tests were negative. A few years ago, I used to masturbate frequently, which is still The urologist told me that my prostate size is bigger than people in my age. Please suggest me some good solution for the above mentioned problems. I want to get married soon and live a healthy life. Thanks in advance.
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Hi. For further information consult a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist
| 1,783 |
Q. How to reduce frequent urination?
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Hi doctor, I am 36 years old. I am trying to get conceive, but my periods are irregular. In the past, I was never able to conceive with irregular periods. I do have children, but they were conceived when my cycles were normal. I do not feel like I have time to wait it out though. I have been trying for a year now. I need to know if Clomid would be a good option me. Please explain.
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Hi. I have read your problem. For further information consult an infertility specialist online --> https://www.icliniq.com/ask-a-doctor-online/infertility-specialist
| 1,784 |
Q. Will Clomid help in conceiving?
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
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Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist
| 1,785 |
Q. What does abutment of the nerve root mean?
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.
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Hi. For further doubts consult a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist
| 1,786 |
Q. Will Nano-Leo give permanent solution for erection problem?
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Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
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Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> https://icliniq.com./ask-a-doctor-online/general-surgeon
| 1,787 |
Q. Every time I eat spicy food, I poop blood. Why?
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
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Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
| 1,788 |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
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Hi. For further doubts consult a sexologist online -->https://www.icliniq.com/ask-a-doctor-online/sexologist
| 1,789 |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
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Hi doctor, It has been two days that I am feeling some irritation around anus. Today, I noticed some small lumps that are tender to touch and causing mild irritation regularly. Apart from that I have upset stomach and I am getting semi-solid motion. A month back, I had a stone in the urinary tract, which came out of its own and I have been taking Cystone two or one tablet twice a day. In the past, I had balanitis, which happened due to taking Ofloxin and Ornidazole. I am 6 feet height and 86 kg weight.
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Hello. 1. Use 0.2% to 0.4% Nitroglycerin cream twice daily for six weeks. 2. If you are having soft stools then you are good. Since you are having semi solid stools; please add fiber to your diet. 3. You can try Isabgol husk one teaspoon every morning in warm water. 4. You should not be straining for the poop to come out since it will cause further tears. Revert back with the answers to the above questions to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
| 1,790 |
Q. Why am I getting some irritation around anus?
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Hi doctor, I have red bumps, which are non-itchy and keep on spreading. Also, I am attaching the picture for your reference. Please explain me.
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Hi. I have read your query and examined your picture (attachment removed to protect patient identity). With that much of the descriptions I can say it may be allergic contact dermatitis or insect bite hypersensitivity or urticarial vasculitis. I suggest you to use Lacto Calamine lotion local application twice daily and one tablet Levocetirizine once daily for five days. Consult your specialist doctor, discuss with him or her and take the medicine with their consent. Revert back with the answers to the above questions to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist
| 1,791 |
Q. What are these red, non-itchy bumps, which started after a mosquito bite?
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Hi doctor, I have a kidney stone in my right kidney and I have abdominal pain. Is there any medicine to clear out the stone or is the operation the only way? Please help me.
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Hi. Revert back with full detail and test report to a urologist online --> https://www.icliniq.com/ask-a-doctor-online/urologist
| 1,792 |
Q. How to clear kidney stones?
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Hi doctor, I am a 31 year old female. When I met with an accident before six years my left leg below knee got injured and the doctors has done wrong surgery. Please help me.
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Hello. Revert back with reports and more detailed history to an orthopaedician and traumatologist online.---->https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist
| 1,793 |
Q. Please give a second opinion regarding my knee surgery.
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Hi doctor, I have had first larger and dark lesion that is bump behind my left knee, since I do not know when, but it certainly not since birth. I noticed it before two to three year and from that time the lesion is the same and has no pain. Now, there is this another small lesion have appeared on the left leg and thigh. When I lay on my side, It is a kind of makes my left leg ache. Kindly let me know if I should panic.
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Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist
| 1,794 |
Q. What are those dark lesions I have on my thigh?
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Hello doctor, My ear has been blocked for the past three days. There are mild pain and discomfort. This could have been caused because of the earbud. I used Ciplox ear drops and have tried Crocin pain relief, but it does not help. Ear feels extremely uncomfortable, and hearing is muffled. Please suggest some anti-inflammatory antibiotics as I am unable to visit a doctor because of the COVID-19 situation.
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Hello. It does not necessarily have to be due to earbuds causing otitis externa though that could be one possibility. There are others also. Can you tell me if you had a cold recently? Does it feel like there is a fluid inside the ear? Do you feel like you need to pop your ears? Is there any throat irritation? How severe is the earache? It could be secondary to middle ear infection also.
| 1,795 |
Q. My ears are blocked with pain and discomfort and ear drops did not help. Why?
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Hello doctor, I am a 30-year-old female. I weigh about 87 kg. I am a mother of a 2-year-old kid and still breastfeeding. No history of PCOD and my periods are regular with a cycle of 28 days. I conceived after three years of marriage life. I had a natural delivery in 2018 and got my regular periods back in March 2019. My period PMS symptoms include bloating, mood swings, and temperaments. Now my problem is for the past three months my periods are super heavy. I am using 10-11 pads per day for the first three days and normal to less in the next three days. This makes me drained and weak. I am unable to sleep properly and cannot do anything. It also leads to bad stomach cramping. Today is my second day of menses and yesterday, I fainted as well. What to do?
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Hello, Welcome to iclinq.com. I can understand your concern. The reason for your excess flow could be most probably hormonal, yet if the bleeding continues to be more in subsequent cycles then a pelvic ultrasound should be done to rule out any new pathology in the uterus. Check your Hb (hemoglobin) and thyroid levels (sometimes hyperthyroidism can cause excess flow) because of heavy menses in previous cycles your Hb must have come down, causing this severe weakness and giddiness. Moreover, lactation consumes iron for milk production this would have added up to your anemia. Start iron supplements as soon as possible and take iron-rich food. You can take tablet Tranexamic acid 500 mg twice daily during the cycles to reduce the flow and get a gynecologist's opinion in person if your problem continues. Hormonal, anemia. Hb. TSH (thyroid-stimulating hormone). Pelvic scan. Hormonal, anemia. Hematinics, Tablet. Tranexamic acid 500 mg to decrease the flow, and pelvic scan if bleeding continues.
| 1,796 |
Q. I get profuse bleeding during my periods for the past three months. What should I do now?
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Hello doctor, I am having a mild pain at my right shoulder joint or below. I am unable to lift weights and sometimes even cannot lift up my hand also. Kindly suggest.
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Hello. You are having pain in the right shoulder with weakness in the right hand. Please answer my few questions. Can you hold a cup of tea in your right hand or it is dropping from your hand? Can you hold the bathtub while bathing? Is that pain continuous or occasional? Any history of trauma or accident? Are you suffering from diabetes or high blood pressure? Any history of neck pain?
| 1,797 |
Q. I have mild pain in right shoulder joint and unable to lift weights. Please help.
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Hello doctor, I have worn braces for four years and finished my orthodontic treatment before five years. I am 20 years old. Since then my teeth have been healthy but I have been suffering from an eating disorder for three years and I am still in recovery. Two months ago one of my top central incisors started feeling slightly wobbly and after looking at it in the mirror I noticed the gums had receded by 2 mm compared to the pictures I had from last year. I saw my dentist who told me everything was fine but since then my tooth has become even more wobbly and my other top central incisor has started to wobble too. I had a look at all of my teeth today and realized that all of the gums had receded by 2-3 mm. I brush my teeth with a soft toothbrush and floss twice a day, and I use mouthwash every two days. I am very scared that my teeth are going to fall out because I can feel the roots being unstable when I chew food and I cannot bite into a sandwich or any other harder texture without feeling discomfort. Due to COVID-19, I am unable to see a dentist right now unless it is an urgent case causing a lot of pain. What should I do?
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Hi. Nothing to panic as such. Your gums need complete scaling (cleaning) but due to COVID-19, you cannot have now. If the gums are swollen, you will definitely have a wobble feel. Do enforce brushing twice daily with normal paste and medium toothbrush. Use Betadine gargle thrice daily, Take tablet Oflox OZ 10 twice for five days and Becosules capsules once daily for five days. If you have an eating disorder you can try with probiotic sachets for five days preferably in the nights. Visit the dentist once the pandemic is over. Do salt water gargling twice daily.
| 1,798 |
Q. My teeth are wobbling due to gum recession. What to do?
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Hello doctor, Can my EKG be overread, please? My general practitioner read mine and I would feel better if a cardiologist looked at it. I have a lot of fluctuations in heart rate, shortness of breath, chest tightness, fatigue, and dizziness. Labs show a positive D Dimer, elevated SED rate, elevated platelets, Vitamin B 12, folate, and vitamin D deficiency. Ruled out clot in lungs with CT scan, no signs of fluid in lungs, no mono, and negative for COVID-19. Waiting for Holter monitor results. I started treatment for vitamin deficiencies.
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Hello. Your ECG (electrocardiography) is normal. (attachment removed to protect patient identity). I think you are talking about a slight variation in heart rate in this ECG strip. Yes, it is there and it is called sinus arrhythmia. Sinus arrhythmia is a perfectly normal arrhythmia. It is one of the only two rhythm problems which are called good arrhythmias. Do not worry about this. This sinus arrhythmia means your heartbeats are perfect. If you are talking about some other type of heart rate variation, Holter will clarify it. If there is any rhythm problem you feel concerned for, you can ask anytime. Positive D dimer is very nonspecific, and diagnosis cannot be made on it alone. Keep taking Folate, vitamin B12, and D supplements. I hope this helps.
| 1,799 |
Q. I have fluctuations in heart rate with chest tightness and fatigue. Please explain my EKG.
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