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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 | 600 | 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 | 601 | 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 | 602 | 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. | 603 | 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 | 604 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Constipation, Small Stools or Feces, Hard To Poop. Straining but not too much. | Hi Your symptoms seem to be related to chronic constipation. Some recommendations to help relieve your constipation Drink two to four additional glasses of water a day. Maintain a strategic distance from caffeine-containing beverages and liquor, which can cause drying out. Include natural products, vegetables entire grains and other high-fiber nourishments to your eating routine. Eat less high-fat nourishments, similar to meat, eggs and cheddar. Eat prunes as well as grain oat. Keep a food journal and single out nourishments that constipate you. Get going, work out. Check how you sit on the can. Raising your feet, reclining or crouching may make having a solid discharge simpler. Include an over-the-counter supplemental fiber to your eating regimen. More details you may consult with me. Hope I have answered your query. Let me know if I can assist you further. | 605 | Q. Why do I have to strain too much to pass stools? |
Hi doctor, I am suffering from bloating since February and from March I am also experiencing severe constipation. I have tried all dietary change but none seem to be helping me here. For the past few days, I was also experiencing pain in the abdomen, sudden sensations in legs, and mild pain in testicles. So yesterday I went to see a local doctor and done the CBC test. All the parameters in reports were normal except platelets, which were 90K. Without any further tests to know the underlying cause of low platelets, the doctor wrote me some medication. I am really very worried about my health and want to know the root cause of all these problems. Please help. | Hello. Your previous symptoms are suggestive of irritable bowel syndrome constipation type (IBS-C) provided you have no weight loss, fever, blood in stools, and vomiting. It is not a worrying disease and you just have to follow some lifestyle modifications and simple treatment as given below. Your low platelet count should be investigated. First of all, you should repeat it by manual microscopy as machines can sometimes give false readings. Second, as chronic malaria and dengue are common in your setup so it also needs to be investigated. Please share if you have any history of fever, jaundice, liver disease, spleen enlargement, or weight loss. Peripheral smear. Dengue serology/ NS1. Malarial parasite. HbsAg by ELISA. Anti HCV by ELISA. Ultrasound abdomen. IBS-C/ Thrombocytopenia cause? Movicol sachet in a glass of water every night for two weeks. Spaghol husk 2+2 in glass of water. Continue tablet Levosulpiride 25 mg thrice a day before meals. Drink plenty of water. Exercise. After investigations. | 606 | Q. I suffer from stomach bloating and severe constipation with low platelets. Please help. |
Hello doctor, I am having difficulty in breathing. It is like I always need to take deep breaths. And I think it gets worse after I eat. On top of that, it triggers an anxiety attack most of the time. Another thing is, there is this sensation in my chest, I do not know if is right to call it as tightening or pressure. Usually, when I stand up it somehow alleviates that sensation but the breathing difficulty is still there. Sometimes all of the symptoms go away like for hours but then it comes back. I think I am having these symptoms for three weeks or a month now. I am doing self-diagnosis and I do not really know which of these is it, costochondritis, angina, GERD or COPD. That is why now, I am seeking the help of a professional. I just hope it is nothing serious. | Hello, Welcome to icliniq.com. Do you have any other symptoms like cough and colds, history of trauma, fever, body aches, diarrhea, or throat pain? When did you feel tightening or pressure in the chest area, any numbness or weakness in the left arm? Do you feel any burning sensation at the epigastric region (just below your sternum, part of the upper abdomen)? Will you do frequent throat clearing? You also mentioned it gets worse after eating, what food usually triggers it? Do you experience bloatedness or frequent flatulation? Does it get better when you burp or flatulate? Have you tried any medication? Do you smoke? Did this happen before? Perhaps the anxiety is due to the uncertainty or fear that it might be related to COVID? But based on what you have described so far, it is highly unlikely. I understand the ECQ does not really help and a lot of people are also having the same issue. When we confine ourselves within the premises of our home for this long it takes a lot of things from us. The quarantine has taken our slight sense of freedom, control, and changed it to what we know now as the new normal. But please understand that it might take sometime before the quarantine is lifted but know all of these things are only temporary. So far, your symptom is pointing to dyspepsia (umbrella for Gerd, hyperacidity, etc). But I need answers to some of the questions mentioned above in order to strengthen the diagnosis. | 607 | Q. I am taking deep breaths often and it gets worse after eating. Why? |
Hi doctor, It has been a week now and yet I feel like I do not get enough sleep. I would sleep from 1 AM onwards but tend to wake up every hour and my sleep feels like it is not in deep sleep. I could get a deep sleep only aound morning 5-6 AM and woke up at 10-11 AM. Please help. | Hello. Yes, this pandemic is causing a lot of stress in everybody is mind. We all processing information at the conscious subconscious and unconscious level of our brain. Sometimes that is to this kind of disturbance in biological rhythms. Along with that at times people start having anxiety of not falling asleep. So do not worry just follow some sleep hygiene measures. Try some sleep hygiene measures. 1) Wake up at the same time every day. 2) If after lying down you are not able to sleep for 10 to 15 minutes then get up from bedsit on a table chair and start reading something. 3) Do not take any tea or coffee after 6 PM. 4) Listen to some white noise or light music. Start some exercise on a routine basis that will keep you fit and will release some and will release endorphins in your brain that will relax your mind. Start Pranayama and meditation. | 608 | Q. I am not getting deep sleep during night for the past one week. Why? |
Hi doctor, I keep getting boils on my abdomen once every two to three weeks. They are painful and leave behind scars. I have been having this condition for the past two years. Earlier it was severe with new boils occurring every few days and now it has become less frequent. My local dermatologist diagnosed me with recurrent furunculosis and treated me with topical and oral antibiotics courses repeatedly. But after the course was complete the boils returned back in a few days. I was also made to do a two-week R-Cin course. Can this condition be something else? Also what is your recommendation for preventing recurrence? I am attaching a picture of the latest boil I got yesterday on my abdomen. | Hi. I have gone through your history and checked the pictures attached (attachment removed to protect patient identity). The lesions look classical for furunculosis. This is a common bacterial infection of the body hair. It is usually seen in people who sweat a lot, who prefer tight clothing, in diabetics, in people who visit the hospital frequently, and those who have a higher degree of body hair. There is nothing to worry as it is a common and easily treatable condition. FBS (fasting blood sugar), PLBS (post prandial glucose test), nasal swab for staphylococcal bacterial culture. Tablet Pan 40 mg (Pantoprazole) once daily before breakfast for one week. Capsule Doxt SL 100 mg (Doxycycline and Lactic acid bacillus) twice daily after food for one week, T Bact cream twice daily. Take bath twice daily, prefer loose fitting clothes, avoid nose pricking habit if u have, wash hands regularly, avoid high glycemic index foods. | 609 | Q. I get recurrent painful boils on abdomen that leaves scars. Why? |
Hello doctor, I am suffering from chest tightness and at times turns into pain. I feel like I am breathing into a tight chest with constricted chest wall muscles along with shortness of breath and throat tightness. The doctor said I have mild asthma and nothing he is giving me is working (Albuterol, Dulera, Oral Prednisone). I even tried Gerd therapy to see if it will help and it is not. I am suffering a lot. Please help. I have been tested for Coronavirus three times and it came back negative. My chest x-ray and echocardiogram has been normal as well. | Hello. Since when your suffering from chest tightness? Is it aggravating at night or early morning? Possible causes are like: 1. Episodic asthma in which you may feel repeated episodes of chest tightness and breathing difficulty. 2. GERD (gastroesophageal reflux disease) in which lower esophageal sphincter lead to acid reflux which may enter into to larynx cause asthmatic episode. 3. Diffuse esophageal spasm: This is esophageal motility disorder that lead to painful spasm of esophageal musculature. On barium swallow it appears as a string of beads. 4. Panic attacks lead to chest wall muscle tightness regarding this attack. 5. Postnasal discharge. 6. Neuromuscular disorders, etc. Until examination is done it is difficult to say what it is. So please get it done spirometry, 24-hour pH monitoring, esophageal manometry may useful, serum IgE levels, barium swallow chest x-ray, and absolute eosinophil count. Avoid spicy food at night, elevate the head end of the bed. In case of allergic asthma use tablet Montelukast and Levocetirizine once a day (night) may be useful. Use tablet Deriphylline twice a day for five days. Avoid allergens that trigger the episode. Common allergens like household dust, molds, mites, and pollen. If no improvement please consult with your physician or pulmonologist he will examine and treat you accordingly. | 610 | Q. I have chest tightness with shortness of breath and throat irritation. What is the problem? |
Hello doctor, I am worried about my mother's retinal detachment. She has diabetes and hypertension. I have an x-ray of her eye. She is currently located abroad and I would love to have a second opinion on what process she should be taking. | Hello. Let me first reassure you, your mother case seems to be not urgent. Judging by the information you gave and the attached O.C.T scan (attachment removed to protect patient identity) you have done: -The left eye seems quite normal. -The right eye has some macular edema. Meaning that there is fluid in the retina that is causing retinal stretching. Also, I can see neurosensory detachment in the retina too, this is probably due to long-standing diabetes. Retinal detachment usually manifests with seeing a bright light and floaters in the visual field as well as a drop of vision. (I will need to know if anything new happened to her vision). In this case, my opinion is: Your ophthalmologist will need to 1. Intravitreal injections of Avastin. This will help absorb the fluid leaking in the retina and causing the stretching. 2. If there is detachment he will need to reposition the retina with a vitrectomy procedure and retinal fixation and implanting temporary silicone. Do not worry this procedure can help maintain vision and maybe fix it for the better. It can be a little bit costly and you have to select an experienced vitreoretinal surgeon. 3. Diabetes control, your mom will need to check her diabetes with an internist. I need to know further information as regards to her vision, previous medical history and operation done. When was the last time she has checked with an ophthalmologist so I can help you and tell you more about her management. Retinal degeneration. Macular edema. Neurosensory detachment. | 611 | Q. My mother is diabetic as well as hypertensive. Please give an opinion on her retinal detachment. |
Hello doctor, Eight months before, I felt a small lump around the right side of my anus area, (before I had itching around the anus for several months). Later that lump became larger and painful in a week. I consulted a homeopathic doctor and he gave me medicines (Paeonia off Q, Acid muraticum, Acidum nitricum), I took that medicines, and the lump wound burst in three days. But that wound skin has not dried yet, and it still watery, it also feels itchy sometimes. Besides this issue, for a week I am feeling another small lump on the left side of my anus area, and I feel like sure it would become big and painful like the previous one. So I need your consultation to cure it forever. And these wounds appear externally around my anus. | Hello. It seems you have a perianal abscess. Perianal means around anus and abscess means collection of pus. It can be secondary to chronic itching and excoriation of the skin resulting in abscess formation. It can occur secondary to poor hygiene in and around the anal area. Since the one abscess is already burst, this will allow pus to drain and would heal itself. But the other evolving abscess would burst and lead to pain as you may be experiencing. There was the simple explanation of your problem, sometimes there is a problem with the small or large bowel, a condition is called Crohn's disease, which causes inflammation of the small, large bowel as well as perianal area resulting in an abscess, anal fissure, and fistula. I can recommend you some antibiotics but urge you to see a gastroenterologist in nearby and let be examined by him thoroughly. Or you can send me pictures of the area which is painful and discharging pus, as I can guide you further on this. For now take the following regimen for seven days, and come back to me to inform about improvement in your symptoms. We can then adjust medicine or add others if this does not work. Perianal abscess. Crohn's disease Stool for fecal calprotectin. Complete blood count. Crohn's disease. Perianal abscess. Tablet Metronidazole 400 mg thrice daily for seven days, capsule Cefixime 400 once daily for seven days. Half tub of warm water, add 5 ml of Dettol antiseptic, sit in the tub for 5 minutes three times daily for seven days. Maintain hygiene innthat area, regular removal of area, avoid long sitting on hard surfaces like table, chair or floor. Follow up in one week with tests and inform me about the improvement of symptoms. | 612 | Q. Lump on my right side of anus healed on medication and now it has recurred on the left. What to do? |
Hello doctor, My periods are late. Even though my home pregnancy test is negative, it is still late. I had bleeding for a couple of days after having intercourse before three weeks. What could possibly have gone wrong? | Hi, Welcome to iclinq.com. I saw your concern. It is unlikely to be a pregnancy. The cause for the delay could most probably be hormonal. The reason for bleeding could be uterine or ovulatory. Nothing to worry about it. Do you have bleeding every time after sex? If yes, then you need to have in-person gynecologist opinion to look at your cervix for the cause (post-coital bleeding). Anemia, weight gain hypothyroidism, stress, change in food and exersise pattern can affect the cycle length and pattern. I hope this helps. Hormonal. TVS (transvaginal scan) if the post-coital bleeding is recurrent. Delayed cycle (probably hormonal). Just wait for a week, if you do not get your cycles repeat UPT (urine pregnancy test) if negative, take tablet Medroxy progesterone acetate 10 mg (Meparate) once daily at bedtime after food for five days. Cycles revert by one week of last dose of progesterone. | 613 | Q. Why am I not getting periods even with negative HPT? |
Hello doctor, I have a cm sized lump on the glans of my penis. It appears to be under the skin. Therefore I ruled out the possibility of it being a Fordyce spot which I appear to have and are usually on the skin. It is slightly raised while flaccid but really shows in definition when aroused. I seem to have a similar definition around the start of the glans and end of the shaft, which I have had for some time. When I move the skin these lumps it do not move at all, unlike Fordyce. I suffered with bad eczema on my penis when I was a young child and used creams to heal. I do have trouble retracting the skin as it is tight and I am not sexually active. However, I do masturbate usually two to three times a week. I wanted to know the possibilities of what it could be? Should I be worried? Can I treat it myself if it needs treatment? And should I stay away from any sexual activity during this time? | Hello. I read your query and gone through the attached images (attachment removed to protect patient identity). First of all, I like to inform you that from the attached images it does not look like something serious. This is applicable for almost all forms of lumps over the penis. The most common possibility for similar looking lumps includes pearly penile papules and sebaceous cysts. The other possibility is scaring from eczema which you experienced during childhood. The possibility of a sexually transmitted infection-induced lump is out as you are sexually inactive and masturbation carries no risk of sexually transmitted infections. Most of these lesions are likely to go without any intervention or will stay without causing any damage which means there is no need to do anything on your part. However, if you see there is a sudden change in size, pain, pain during erection or ejaculation, any form of discharge or fever, unexpected weight loss consider seeing a doctor without delay. I hope this helps. | 614 | Q. I have a lump on my glans penis with no pain. What could it be? |
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 | 615 | 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 | 616 | 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 | 617 | 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. | 618 | 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 | 619 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hi doctor, I am suffering an erection problem for the last three years. I am married for the last 1 year but I never did satisfaction and natural sex with my wife. My problem is I used to do a lot of masturbation heavy masturbation with oil so it is erect for a while and again loose. One more thing my penis would not get erect or discharged if my wife do handjob and sex, it gets erect only when I touch. I am trying a lot to discharge in my wife's vagina but I could not do so because at the end movement it is going to loose. One more thing I cannot masturbate with my dry hand because I need some oily lubricants to erect my penis. After marriage also I am doing masturbation. Due to heavy masturbation, my penis shrinks and sometimes I forgot things. I am not able to remember anything. | Hello. Anejaculation is a condition where a man cannot discharge semen. It can be absolute when he cannot discharge in any situation and situational when he cannot discharge in certain situations but can discharge in other conditions. If he can ejaculate with masturbation but not with sex then it is a psychological issue. If he cannot ejaculate even with masturbation or in dreams then it is a physical issue for which some tests need to be done. Psychological issue is due to inhibition when a man cannot ejaculate in the presence of another person. It can be overcome by gradual desensitization. He can rub his penis on any body part of the female like buttocks, thighs, breasts, belly, etc, and try to ejaculate. The female can also masturbate him. It is a long drawn process and often frustrating but is useful. He can also self masturbate and on the verge of ejaculation put the head of penis into the vagina. Also vibrators can be used. But before doing all these enough foreplay should be done if needed help of pornography can be taken. Also there are medicine to reduce the anxiety related to it and facilitate ejaculation. For physical problems the treatment is decided after doing some blood tests and ultrasound tests. | 620 | Q. I am unable to get erection when touched by my partner and during sex. Please help. |
Hello doctor, I am a 28-year-old female. My T3 is 5.8. I am obese at 76 kg with 153 cm. I take 25 mg Thyronorm tablet every day. Weight loss becomes very difficult as thyroid levels have not decreased in the past five years post-pregnancy. Can I increase my Thyronorm dosage to 100 mg? | Hi. I find you are having hypothyroidism and consulting for Thyronorm dose adjustment. Dose adjustment will be made on free T4 and TSH (thyroid-stimulating hormone) levels and not based on T3 levels. So, I request you to upload the full thyroid profile results then we can decide upon the dosing. Hypothyroidism. | 621 | Q. I am taking 25 mcg Thyronorm and it is difficult to reduce my weight. Shall I increase the dose? |
Hello doctor, I am a 39-year-old female. I am fatigued, sluggish, difficulty concentrating, migraines, and difficulty regulating temperature. I have periodic tightness in the chest and fluttering sensation. My EKG, CT chest, and chest x-ray are normal and the COVID test is negative. My Vitamin B12, folate, and vitamin D were low. I started supplements last month and levels are in normal range now, but I still have symptoms. Borderline low white count, ABS lymphocyte count, and slightly high platelets. I was diagnosed with lupus as a teenager but then in the early 20's I was told that I do not have it. My father died at the age of 59 of a sudden catastrophic event, possibly a heart attack. Also my D-dimer was slightly elevated and so was my sedimentation rate. I have a history of cancer in the family, especially breast cancer. So, I am more concerned about cancer. I am currently on
Lamictal, Lexapro, and birth control pill. | Hi. Your reports are normal nothing seems worrisome (attachment removed to protect patient identity). Since you have a family history of breast cancer, you should get a mammogram done. Also get your BRCA gene (breast cancer gene) tests done. It is a blood test and if it is positive then it means high chances of getting cancer in the future. If it is negative, it is good. Also, you should take supplements and should stop birth control pills, they can also cause cancer sometimes. You should use a mechanical method of contraception like condoms, and should do regular exercises to reduce your weight too. | 622 | Q. I have chest tightness with a history of breast cancer in my family. Am I prone to cancer? |
Hello doctor, I am a 29-year-old male and I am diagnosed with Crohn's Disease before 11 years and was taking Immuran 150 mg/day, and diagnosed with Streptococcus after semen culture at the beginning of this year. My main concern is ED and PE but the testosterone level is within the normal range. I want to know whether my problem is urology or neurology? | Hello. You have mentioned ED (erectile dysfunction) and PE (premature ejaculation). No details of medications tried so far. Can you elaborate on this? Testosterone only indicates sexual drive, which you have not mentioned as a problem. So that being normal rules out nothing. There are no tests for ED and PE specifically. History is key. Better to discuss in person. Immunosuppressive medications do not generally cause ED or PE. You have not mentioned any reason or symptoms for checking semen culture. In the absence of any such factors these semen tests can simply be a contaminant. Even if you have prostatitis, it is not likely to cause ED or PE. No need to treat semen culture unless you are symptomatic or in other words it will not help. Have you checked fasting glucose, lipids, and thyroid function? In the absence of any such symptoms this is likely to be psychogenic especially because of age. Please check the blood tests as above. Reassurance, correct the factors if abnormal in the mentioned tests. Need a face to face/audio conversation to understand the issues in more detail. | 623 | Q. I have Crohn's disease for a long period. Will it cause ED and PE? |
Hello doctor, Every once a month at least I get a flare up of diarrhea where I go at least six times a day and nothing seems to settle my stomach. The stool itself has a weird texture, almost sand-like. Most of it float down but some do float up and there is mucus in it. Other symptoms I am experiencing are lethargy, feeling of being full yet hungry, loss of appetite, and dry mouth. Any idea of what this could be? | Hello. Do you have lost some weight since the start of symptoms? Do you have noticed any triggers (diets, stress, change in lifestyle, or drinking alcohol ) before such episodes? Alcohol has a large amount of fermentable carbohydrates which can cause diarrhea, gas, and bloating, often episodes of binge drinking. The common possibilities are that you have one of the above trigger which causes your gastrointestinal (GI) upsets. They can go unrecognized with episodes of symptoms as in your case. The other possibility is endometriosis. Endometrium is the lining of the uterine cavity of the female internal genital tract. In menstruation, the lining sheds causing bleeding and pain. Endometriosis is a condition where endometrial tissue is implanted into gut, and it behaves similarly as one has menstruation on monthly cycles. It causes pain (at times very severe), diarrhea, and even bleeding from the gut. It is important that you notice yourself the temporal (time) relation between the onset of symptoms and onset of menstruation. I want that you should provide me more information, as I can be able to investigate you properly in a specific direction, providing you target management plan which can fit you best. I hope this helps. Cyclical abdominal symptoms. Endometriosis. Celiac disease. Food allergies. Eosinophilic gastroenteritis. Endometriosis. Environmental triggers. Follow up to provide more information to diagnose and investigate properly. | 624 | Q. I get flare up of diarrhea once in a month with lethargy, loss of appetite and dry mouth. Why? |
Hello doctor, I have a 6-year-old son who complains of shin pain in the left foot once in every month before going to sleep. He is generally hyperactive. The next day when he wakes up he tells me that it does not hurt anymore. We did x-rays and blood tests all are fine. Please help. | Hello, Welcome to iclinq.com. Lower limb pains in growing children are usually benign. Normal blood tests and normal x-ray reports also point towards the benign nature of pain. Most probably your child is having growing pains. Can you please recall anything that is common before the pain starts like excessive physical activity or specific footwear? Please share the x-ray image and blood test reports. Start calcium supplements and regularly massage the legs before bedtime. | 625 | Q. My 6-year-old son complains of shin pain in left foot. Why does he get such pain? |
Hello doctor, I have dry masturbated for years and it created dry, itchy skin on my penis shaft. I read where coconut oil had soothing qualities for sore skin. So I tried it for four to five times for three days. Some of it got into my urethra. I noticed some minor redness five days ago so I stopped. I have no burning when I urinate. No discharge. The only sex I have had in months was oral and that person is STD free per doctor’s tests in March. I have never had an STD. But it is slightly uncomfortable. I have a doctor's appointment scheduled for a week from now but was curious what my treatment options could be? | Hello. Normally, the tip of urethra is slightly more reddish compared to the rest of the penis head, as the mucosa is thin over there compared to the penis head. It is possible that you have not noticed it or paid attention to it before, and now became more aware due to oil application. Now if you are very sure that it has gone more red after the oil has entered it then also in the absence of other symptoms, you do not need any treatment for it. It would settle on its own, however, we would like to get a urine routine examination just to rule out the possibility of urine infection, which appears unlikely to me. So I think it is not a worrisome issue and you may continue to apply oil or Vaseline to penis shaft carefully. The next course of action should be urine routine examination and treating infection if we find it, which appears unlikely. Also, you should have plenty of water for a few days atleast. If possible, avoid masturbation for a few days to avoid mechanical trauma to it. I hope this helps. | 626 | Q. Applying coconut oil for dry skin on penis shaft cause redness and burning in urethra. Is it balanitis? |
Hello doctor, I am allergic to Quinolones, Metronidazole, Ibuprofen, Diclofenac, and Aspirin. Please tell me whether I am allergic to Hydroxychloroquine or not. If yes, then please tell me ways to how to develop my immunity? Food that I should eat and should I drink hot or cold water? What all the special precautions that I have to take to fight Corona? | Hello. It is less likely you would be allergic to Hydroxychloroquine. However, allergy is not the only criteria. A detailed physical examination along with an ECG (electrocardiography) report will have to be done to check if your body can tolerate the medication or no. There is no specific food for immunity. Any home cooked food that is not processed will do. You can drink hot water that is bearable. Important precautions for COVID 19 are: 1. Social distancing. 2. Use of mask whenever outside the house at all times. 3. As soon as you come from outside have a bath and keep clothes for washing without touching anything in the house. 4. Do not touch your face, eyes, ears, or nose when you are outside. 5. Hand hygiene is very very important. Keep your hands clean by rubbing with soap and water whenever you touch anything that is not yours. You can use a hand sanitizer when outside in this regard. 6. If you get any symptoms of fever (100 F or more in the thermometer) with cough or cold, please report to the nearest health facility. | 627 | Q. How to find that I am allergic to Hydroxychloroquine? |
Hello doctor, I have regular pain in the stomach while not having food in 2 hours or so. I have constant reflux, air goes from both ways. While burping, I feel acid taste. Frequently, after defecation I feel itching in the sphincter. I am having a hard time if constipation occurs. I am diagnosed with chronic gastritis and pancreas three years ago and was on medication. I am seeking for a cure or for something that will get my health back in balance. Please help. | Hello, Welcome you to icliniq.com. I can imagine how upset you have been since the start of your symptoms. I will try to provide you the best options for your treatment. So far I understand that you have H.pylori induced gastritis. You have taken medications for it, but it turns positive every time you have an endoscopy, the last which was 1.5 years back. You tend to have stomach pain which is worse on fasting plus you feel burping and acidic taste in the mouth. Anal itching, and constipation worsen your itching. So H.pylori infection is common worldwide, with a prevalence of 50% of the world population is infected with this bacteria. H pylori can cause ulcers in stomach and small intestine which is called duodenum. H pylori responds to combination antibiotics for a duration of 10 to 14 days, however, due to excessive use of antibiotics in community, this bug is getting increasingly resistant to these first line antibiotics, hence, use of second line antibiotics are preferred. I will write down the treatment below in a while. Secondly, due to failure of first line antibiotic therapy, the H pylori will remain in the stomach and can cause ulcers, as well as damage to nerve cells within the wall of the stomach and cause slowing of the movement of the stomach, medically termed as gastroparesis or weakness of stomach in common words. So your symptoms may be partly defined by resistant H pylori infection causing ulcer formations particularly in duodenum plus the nerve damage within wall of stomach leading to gastroparesis causing bloating, belching, early fullness of stomach and abdominal discomfort and constipation. I want you to tell me whether your last test for H pylori was positive or negative? If positive then I recommend you to take the following therapy for 14 days. Capsule Pylera (Bismuth Subcit K-Metronidz-Tcn) three capsules daily with a glass of water three hours after meals and at bedtime, capsule Esomeprazole 40 mg once daily half an hour before meals for two weeks, Digestine 40 mg half an hour before meals daily for two weeks. If the test was negative, then I suggest you to test H pylori stool antigen to confirm if the infection is still present. If still negative then do not take capsule Pylera but continue with Esomeprazole and Digestine. The Digestine tablet will help you to improve your stomach movement. Secondly some precaution for gastroparesis try to avoid large volume meals, instead take small frequent meals. Avoid taking fatty meals such as burger, fried things, and large carbohydrate meals like potato and sweets, and soft drinks, which further slows your stomach. Avoid taking a large volume of water while having meals. Your stomach pain occurring when you are fasting for two hours is due to ulcers in duodenum, once your treatment with H pylori is completed plus acid suppressant medication such as Esomeprazole would help you to reduce your pain. I want you to upload your endoscopic reports and ultrasound reports which can help me to assess the extent of damage H pylori has caused to your stomach and duodenum. I hope this helps. Peptic ulcer disease secondary to resistant H pylori. Gastroparesis H pylori induced or idiopathic. Small intestinal bacterial overgrowth. Functional dyspepsia (post prandial distress syndrome). Stool for H pylori antigen to confirm if H pylori is still present. Gastroparesis H pylori induced or idiopathic. Small intestinal bacterial overgrowth. Functional dyspepsia (post prandial distress syndrome). Peptic ulcer disease secondary to resistant H pylori. Follow up in 2 weeks to update about symptoms, as I can reassess and guide you further treatment plan for long term. | 628 | Q. I get stomach pain if I do not eat for 2 hours. Why? |
I have diabetes type 2. I am a female. My age is 27 and my weight is 43 kgs. I am currently been taking glimepiride and metformin 500. My height is 5'1''. I have read that metformin 500is recalled due to cancer scare. Require alternative medicine. My last sugar check was 395 mg | Hello greetings.. Happy to give consultation to u. With the above given history, u r sugar levels are very much high and u need to control u r sugars as early as possible. The current medications are not at all enough to control u r sugars. I will give u the prescription. Regarding metformin, the cancer risk behind metformin is totally wrong, it's a good drug of choice even we r prescribing this in pregnancy too.. So don't worry abt the cancer risk behind metformin, tats False news. I would like few investigations for u- Kindly do all the above investigations and get back for further evaluation. I am hereby sending the prescription kindly get these tablets and start taking it. Will follow up in a week with the above said investigations.. Medicines- 1) Tab. Glykind-M 80/500 1-0-1(Before food) (Gliclazide+metformin) 2) Tab. Dynalglipt-M 20/500 1-0-0 (Tenegliptin) Kindly take these tablets and get back for follow up with above given investigations..kindly contact me anytime for further queries. Kindly give u r valuable feedback. Thank you. | 629 | Q. Has Metformin 500 been recalled due to cancer scare? |
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 | 630 | 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 | 631 | 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 | 632 | 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. | 633 | 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 | 634 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
I have a grade 3 sprained ankle. Im male, 5"9, 160lbs. I had severe swelling to the size of a softball the first day, aswell as bruising that started to appear overnight. On day 4 I went to the doctor and got xrays. The doctor determined it was a grade 3 sprain but gave me a projected recovery time of 3-6 weeks which is the recovery time for a grade 2 sprain. Currently I am still unable to bear any weight but swelling is down drastically , bruising is the same, and now if my foot is not elevated, i suffer extreme pain that causes me to often collapse to the floor. If anyone knows why this is happening and if it will heal with the rest of my injury it would be much apreciated. | Dear, thank you for your query. As per the information provided by you I would suggest you to follow PRICE protocol that is protection,rest,ice,compression and elevation.Also I would suggest you to wear ankle support/brace or tapping the ankle to provide more stability and thus accelerate healing.Also try to move the foot within the brace gradually without stressing much.Avoid weight bearing on the affected foot.Also I would suggest if you do not feel improvement within week kindly meet orthopedic surgeon or physiotherapist. Hope I was able to suggest few helpful information to accelerate your healing. Regards | 635 | Q. My grade 3 sprained ankle is paining extremely, and I am unable to bear weight. Why? |
Hello doctor, I have a question. On Tuesday I went to go get tested with my fiance for COVID because we thought his dad may have had it since at his job there were so many infected. We showed no symptoms but to be safe we went. After then I have not seen him just in case. Today I got my results and I was negative but he was positive. Does that mean the virus can still get to me? I was supposed to go back to work tomorrow and I have showed no symptoms. Do I need to get tested again? Like I said since that day I have not seen him. | Hi. I understand you are worried about COVID infection. You need to understand that if COVID test result shows positive, then it is sure that the person has the infection, but if the result shows negative that does not prove that the person does not have the infection. The person can still be a asymptomatic carrier of COVID. So, at present scenario with huge number of population affected and you being in close proximity with COVID positive patients, I would suggest you to repeat the test after 7 days if you do not develop any symptoms or earlier itself if you develop any symptoms. And since your boyfriend has tested positive, you satisfy the criteria of COVID close contact. You need to isolate yourself at home for 2 weeks. And you also need to inform your health officials regarding this. COVID close contact | 636 | Q. My fiance is COVID positive. How can I protect myself? |
Hello doctor, As everyone are worrying about corona virus, I have a few doubts relating to it. How corona effects on asthma and thyroid patients? Will corona effect the persons who are suffering with asthma and thyroid even if they have strong immune system? As corona effects especially on lungs, even if the person is having vitamin-C food will the person die after he gets effected by corona? Because I have asthma and thyroid problems and I heard that even the person who is strong with immune system will be effected by corona and will die. Please answer to my question and please suggest me what kind of food I need to take to boost immune system and fight against corona. | Hello. Please note that there are two important things that decide fate of a person suffering from COVID-19. These are immunity and viral load. If your immunity is good but viral load is too much outcome will be poor and if immunity is poor and viral load is less outcome again will be poor. Both immunity and viral load are under our control. Please note that hypothyroidism or asthma will put you at a very low risk for COVID-19. So it is fine. For immunity, general good nutrition will help. There is no specific need of taking vitamin and mineral capsules for it. As regards to viral load, it can be controlled by social distancing and by reducing exposure with anybody and everybody outside your house. This rule applies to each and every member of the house. As soon as you come back home, it is advisable to have a bath with soap and water and to keep the clothes immediately for washing. When outside wear a mask covering both nose and mouth at all times. Also avoid touching your face when outside. Unless you have cleaned your hands with soap and water, do not touch any part of your face. | 637 | Q. Can Coronavirus affect asthmatic and thyroid patients? |
Hello doctor, I have asthma since my childhood, since last 20 days my asthma is not in control. Is that related to COVID? And I do not have any other symptoms. | Hi. According to your statement you have been suffering from childhood asthma and for the last 20 days your asthma is totally uncontrolled. Your present medication is Formost 200 respicaps which is a combination of long acting bronchodilator as Formeterol with corticosteroid as Momentasone.and your query is whether you are COVID-19 positive or not. COVID-19 usually attacks the respiratory tract first then eventually other systems. As you are a diagnosed patient of childhood asthma so you are more vulnerable to develop COVID-19 positive. I do not know whether you are quarantined or not. You had exposure history or not. So you should undergo some investigations like antigen test for active infection and antibody test for previously infected by COVID-19. You can also undergo CXR and Pulse oximetry for monitoring of oxygen saturation rate. You can take nebulization with Salbutamol and Salbutamol inhaler 6 hourly or SOS with Fexofenadine and Montelukast along with steroid orally. | 638 | Q. Is it possible for COVID-19 to worsen asthma? |
Hello doctor, Since about a week and a half ago, I have had tinnitus in my right ear. This was after self irrigating the ear with one of those squeezy syringes that come with the Otex ear drops. Before doing this, I was putting in oil drops for about a week prior. Quite a bit of wax came out, but now I have this hissing noise in my ear which gets worse when listening to podcasts and music at low-medium levels. It also seems to become more pronounced when I chew. I have had a subtle amount of ear pain over the past week but that seems to have gone now, but the hissing sound has not improved at all. I am worried I may have applied too much pressure when squeezing the ear syringe and have damaged my eardrum. I was wondering if this will heal over time and the tinnitus will go away? I cannot go see a GP due to Corona, so an opinion would be much appreciated. | Hi. It is always dangerous to predict and take action in case of their own health. The tinnitus in your case is not due to earwax, it may be due to the blockage of the eustachian tube (tube connecting middle ear and back of the nasal cavity, its primary work is to equalize pressure between environment and middle ear). This is also a prediction. The real cause can be found after an ear examination, as you have already mentioned nowadays it is a little hard to go for treatment. What you can do is practice some no side effect formulas. Steam inhalation, start sipping lukewarm water. For tinnitus, use resound relief app which has so many natural sound combos. Use that in speaker mode, never use earphones. Do not put oil and do not do the treatment on your own unknowingly you are worsening the conditions. | 639 | Q. I get tinnitus in my right ear after self irrigating the ear for wax. Did I damage my ear? |
Hello doctor, Over a year ago, I scheduled an appointment to try to understand why I was rapidly losing weight. My gastroenterologist ran some tests and did an upper endoscopy as well as a HIDA scan. The upper turned out negative for all tests however the HIDA scan reported that my gallbladder was functioning at approximately 40%. My GI then recommended a cholecystectomy as my gallbladder was not functioning properly. He did also suggest that I could try to repair it with my diet but then told me it would likely be fruitless and I should get the procedure right away. I did so promptly and experienced the typical symptoms. I am concerned about this only now because I believe I have postcholecystectomy syndrome due to the surgery. This would not be an issue relatively however I believe that my rapid weightloss was due to extreme stress and was mostly psychological. It seems to me that my practitioner should have advised me that gallstones occur commonly when rapid weight loss occurs. Furthermore, I believe that I could have benefited much more from keeping my gallbladder on a rigorous healthy diet and prescribing a biliary control. The latter that has taken place has resulted in a year long constant struggle to be happy and healthy. | Hello. Well, I understand that a year back you have been diagnosed with gallbladder dyskinesia or dysmotility as reported by HIDA scan. I was wondering whether you have weight loss as the only primary symptom or associated with abdominal pain. Because gallbladder dyskinesia most commonly causes pain and diarrhea rather simply weight loss. Or one should have to have evidence that the weight loss was due to gallbladder dyskinesia and not otherwise, then surgery was probably the right decision. I cannot figure out whether you have other symptoms or not. And now what sort of typical symptoms you feel suggesting you as postcholecystectomy syndrome (PCS). I can understand actually that symptoms of PCS can be at times very distressing and unbearable. The common symptoms are bloating after meal, freqeunt reflux or pain in the upper part of the belly, diarrhea after meals or sometimes otherwise, and this even can cause weight loss. This syndrome basically occurs secondary to an excessive pool of bile stored within a small bowel instead of gallbladder which is otherwise a sole bile reservoir. But PCS usually resolves within some time the maximum it can take is two to three years until the time your small intestine is adapted to it. You can try tablet Cholestyramine 4 gm twice daily 1 hour before meal or 4 hours before meals. This is a bile sequestrant and will bind and remove excessive bile from the gut. To be honest, I still do not understand the reason for your surgery year back but cannot completely argue with physician because I was not and he was the best person to decide while understanding your condition at that time. Postcholecystectomy syndrome. Follow up in two weeks. | 640 | Q. After cholecystectomy for rapid weight loss, I experience postcholecystectomy syndrome. Please help. |
Hi doctor, I am facing some depression issues and not able to sleep during the night. After two or three hours I can sleep. During this time, I not able to control myself and crying like anything. Sometimes it is making me so crazy and angry as well. Please help. | Hello. How long have you been experiencing these symptoms like poor sleep, excessive crying, feeling angry, etc? Did they start after any stressful event? I can understand it can be difficult having these symptoms but with the right support you will get better. It looks like your poor sleep is related to your emotional disturbance. Helping you calm down will improve your sleep and overall emotional wellbeing. Share your feelings and thoughts with trusted family and friends. Talking to a trusted family member or friend can lower stress significantly. Exercise regularly as it is the best mood regulator. Even a brisk walk of 15 -20 minutes daily will restore your spirit and help to sleep better. Try relaxation activities like deep breathing, progressive muscle relaxation daily. Be kind towards yourself. Treat yourself like how you will treat a friend who is going through a difficult time. Avoid watching TV, electronic screens before bed time. It will worsen your sleep. If your depression issues are severe and persistent, consult a doctor for further assessment. Counseling therapy and sometimes medication may be needed. | 641 | Q. Due to depression, I am unable to sleep during night. Please help. |
Hi doctor, My mother is 58 years old. Her periods stopped in 2015. Later she got her periods once in a year. Now from the last year blood like brown fluid came from her vagina when she go to toilet. She do not feel pain or any other symptoms. All test came positive and nothing seen in ultrasound. No infection and no fibroids also. Please guide. | Hello. Blood mixed vaginal fluid in the postmenopausal women need to be evaluated cautiously and carefully. Although the common cause of such bleeding is due to deficiency of hormones once menopause is achieved, the possibility of cervical and endometrial cancer needs to be ruled out. Ultrasound will not detect anything abnormal if the condition is still in an early stage, for which microscopic evaluation of the cells needs to be done to see for any cancerous changes. Rarely, the bleeding can be from the urinary tract or from the rectum which could be mistaken as vaginal bleeding too. You need to get her a pap smear and HPV (human papilloma test) testing done along with endometriosis evaluation to rule out both cervical and endometrial cancer possibility. If possible, please share her ultrasound reports to look for her endometrial thickness value. Please do not ignore these tests, if not done previously. I am assuming by getting her evaluated, you have already gotten her examination done with a gynecologist, if not then please make a visit to your gynecologist for her examination. PAP smear and HPV testing. Endometrial aspiration with endocervical curettage. USG (ultrasound) for endometrial thickness. | 642 | Q. Though my mom's period stopped before 5 years, she gets brown discharge now. What is that? |
Hello doctor, I have soreness in vaginal lips for the past four days and having a fever of 102 F for the past two days. I had a preauricular sinus infection drainage procedure done. I took 45 days of antibiotics Taxim-O for 20 days, Augmentin 625 for 7 days, Cetil 500 for 10 days, and Lizobact 600 for 14 days. I stopped taking them on this Sunday after ear properly healed. | Hello, Welcome to iIcliniq.com. I have gone through the attachment picture (attachment removed to protect patient identity). Based on that it appears like a genital yeast infection or other possibilities can be a developing Bartholin's cyst/abscess (which can be confirmed only by examination, when your gynecologist can feel any cyst or collection of pus there). A check up with gynecologist in person would help you rule this out. But the yeast infection never causes high-grade fever of 102 and less commonly with Bartholin's cyst too unless infected. I would like to know if you are having any increased frequency of urination,r burning while passing urine, if so that could be a cause for your high-grade fever. Also, as you have mentioned about the preauricular sinus infection being treated for a long time, it would be advisable to check with your doctor regarding any recurrence of the infection at the same site. If none of these are a possibility, then it would be advisable to get fever workup investigations to be done to find the cause for your fever. Check with your physician for any other signs which can be the cause for your fever, like cough, cold, gastric upset, vomiting, etc. ? Fever under evaluation. Urine routine and microscopy. Urine culture and sensitivity. Complete hemogram. LFT (liver function test). RFT (renal function test). Serum electrolytes. Peripheral smear for malarial parasites. Dengue NS1, IgG and IgM serology. Widal test. Tablet Dolo (Paracetamol) 650 mg SOS for fever. Candid V6 cream local application at the sore area. Follow up with the blood test. Review with the doctor for ear infection issue check up. | 643 | Q. I have soreness in vaginal lips with fever for the two days. Please suggest solution. |
Hello doctor, I generally have regular periods and for the first time I had my period 12 days earlier this month and it is continuing for more than 10 days. I am currently on Sepia 200. Kindly help. | Hello. Before we could determine the exact cause for this prolonged bleeding, I would like to know a little more details about your previous cycles. As you said you always had regular cycles, just wanted to know if your previous period was on time and had a normal pattern of bleeding or was it scanty. Also, whether you are a sexually active individual, and if so whether any chances of pregnancy could be there? If there is any such doubt, it would be advisable to take a home pregnancy test. Sometimes the scanty flow of implantation hemorrhage could be confused with a normal period and the actual bleeding could be a sign of threatened miscarriage. If pregnancy is ruled out (by checking urine pregnancy test or if not sexually active), the hormonal disturbances of thyroid or prolactin hormones, and sometimes lifestyle-related problem that is PCOS also can cause such irregularities in periods. Also, stress can be one of the reason for hormonal changes and thus causing disturbances in menstrual patterns. Basically, this is suggestive of anovulatory cycles. So to find out these, you need to take certain blood tests. I would like to know if you had any recent weight loss, or do you face frequent acne and unwanted facial hair growth problems, any headaches or visual problems? These symptoms may provide some clues to the underlying problem which is causing a delay in periods for you. Please revert back to me with the necessary details for discussion, so as to find the appropriate cause for your problem and start the necessary treatment to control the bleeding. Ultrasound abdomen and pelvis. Home pregnancy test (if sexually active). ? Thyroid hormone disturbances, ? PCOS, ? Submucosal fibroids, ? Polyps, ? Incomplete miscarriage. After discussion and evaluation. | 644 | Q. My period has got delayed for 12 days for the first time. Why does it happen? |
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 | 645 | 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 | 646 | 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 | 647 | 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. | 648 | 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 | 649 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I have pain in the bones, joints of hands and feet especially in the morning upon waking up. It has been consistent for the past couple of months. Please help. | Hello. I have gone through the reports (attachment removed to protect patient identity). There is a high RA factor and low vitamin D. I would like to take a few more details on the history part. But it would be better if someone can examine the joints as it is a long treatment which patient will need. So she should be examined properly before commencing the drugs for it. Does she have early morning stiffness? If yes, then for how long? Any dry eyes or dry mouth? Any oral ulcers? Any hair fall? Any recent changes in mood with irritability? Any history of tending to forget things early? | 650 | Q. I have pain in the bones and joints of hand and feet every morning. Why? |
Hello doctor, I have a large nose which I do not really mind. However, I have one nostril bigger than the other, and my nose looks bent at the top. It has been like this since around age 15. What could cause this? I cannot recall any trauma other than having large cysts or spots on my nose which I would squeeze. | Hi. The general appearance of the nose happens to change from the beginning until the age of 18 after which it more or less remains constant unless and until there has been an external source of injury to deform the nose. If you feel that your nose looks way too weird, and it is way bothering you too much, you might require a corrective surgery that we call as a rhinoplasty. Now, depending on whether the area in concern has to be reduced or augmented, it depends on what type of nose job you want to get done and the surgeon will operate accordingly. Rhinoplasty is preserved for patients who know what changes they really have in mind and understand that a near close picture can be attained through surgery. Most nose job surgeons these days do have software wherein you can assess whats the abnormality in the nasal appearance, what changes you want and how would it probably look after the surgery. All the abnormalities mentioned above can be effectively resolved through operative rhinoplasty and conservative techniques do not really fetch long term results. | 651 | Q. My nose looks weird with a bent and one nostril being bigger than the other. How to correct it? |
Hello doctor, I am a 24-year-old female. My weight is 57 kg, height is 163 cm. My complaint is face chubbiness, and I gained about 5 kg for the past 6 months, and the main problem is that I am missing my menses this month. My LMP was on 15th April. As per gynecologist advise I did CBC, fasting sugar, TSH, prolactin, HCG, total testosterone, DHEAS, FSH, LH, USG pelvis for PCOD. Doctor advised to take Primolut N but I have not yet started the tablet. Do I need to start that and what is the line of treatment? All reports were normal except the two TSH -13.740, DHEAS-53.19. Please help. | Hello. Yes, you can take the Primolut N tablet as advised by your gynecologist. As your periods have gotten delayed by almost more than 45 days, it is unlikely that they would come naturally, even if it does, it may not be similar to your natural menstrual pattern, this is because this is an anovulatory cycle (meaning no ovulation must have occurred in this cycle). Usually, when periods come after such a delay, it could range from spotting to scanty flow to excess flow, or sometimes prolonged bleeding which may need hormonal medications to stop the bleeding. I would like to know if you face any acne or unwanted facial hair growth problems, if so, then you must be having PCOS (even if the USG is normal). And yes, you definitely need to start treatment for your hypothyroidism as your TSH (thyroid-stimulating hormone) level is high. Thyroid hormonal disturbance are quite common with PCOS (polycystic ovary syndrome), and also it can disturb the menstrual pattern too. So, definitely you need to start your thyroxine replacement medications. DHEAS (dehydroepiandrosterone) is low, so there is nothing to worry about that. As you complained about weight gain over the recent few months, it would be advisable to reduce your weight, do regular exercises, and eat a proper healthy diet. I hope this helps. | 652 | Q. My period is getting delayed this month with weight gain and increased TSH levels. Why? |
Hello doctor, My mother is 65 years old diabetic. She has hypertension, hypothyroid, and thalassemia minor. She is anemic too. For 10 days, she has been having alternately bloated stomach, diarrhea, constipation, and lower back pain. What could these be symptoms of? | Hello. I can understand you must be very upset about your mother for her troubling symptoms. You know diabetes, hypertension are chronic ailments that can affect every system of the body. Some of these effects, particularly of diabetes, are related to the gastrointestinal tract (GIT). Certain conditions like diabetic gastropathy (involving the stomach), diabetic enteropathy (when involving small bowel) can cause bloating, alternate diarrhea with constipation such as in her case. It is highly likely that she has one of two of above-mentioned conditions, but to be on the safe side I will suggest you some tests, as we can rule out anything other than this. Meanwhile, start her on tablet Digestine (Metoclopramide) 40 mg once daily half an hour before meals. Start her on tablet Rifaximin 200 mg thrice daily for three weeks. This is a safe antibiotic which will correct her abnormal bacteria within the small and large bowel. This will help her control her production in the long term. Use Fibrocol or any other fiber which is available two tablespoons full with water once daily with water. And the most important of all, tight control of her sugars. Since the problem is secondary to diabetes, once diabetes is controlled fairly enough, her symptoms improve itself. I hope this helps. Diabetic gastroparesis. Diabetic enteropathy. Small intestinal bacterial overgrowth. Functional bloating and gas. Complete blood count (CBC). HbA1c (glycated hemoglobin). TSH (thyroid-stimulating hormone), FT4, FT3. Vitamin B12, and RBC folate. Serum albumin, bun , creatinie, electrolytes, calcium, phosphorous, magnesium, serum CRP. Stool for ova and parasites. Stool for fat globules, and reducing substance. Stool for C difficle. Stool for fecal calprotectin. Stool for H pylori antigen. Follow up after 1 week of use of above medication to see how she respond. Meanwhile get above mentioned investigation. Please do not get frightened seeing list of investigations, they are just a through overall assessment of her condition. If she already had some of these tests before, then please do not get those. | 653 | Q. What could have caused stomach bloating and alternative bowel movement in a diabetic? |
Hello doctor, I might be suffering from psoriasis. I have a flaky, reddish, itchy hairline, back of my ears, and almost on my temples. How can I treat that? At first, I thought it was dandruff but as I started to see the flaky skin emerging towards the hairline and gradually towards the back of the ear and the temples. I realized it was something more so I googled it and I fear it is psoriasis that I do not have much knowledge about but I would like to take professional help to deal with this issue. | Hi. Thank you for providing information. Kindly hold on a minute, I am typing detail answer and explanation of your query. | 654 | Q. I have psoriasis with flaky, reddish, and itchy skin at the back of my ears and temples. Please help. |
Hi doctor, I had a total free PSA test done and these were the results. PSA 7.7. PSA free - 1.49. % free PSA - 19.4. What does this mean? | Hello. PSA (prostate-specific antigen) is only a screening test that can be raised in any prostate abnormality. Coming back to your query, as your total PSA levels fall in the grey zone of 4-10, free PSA is done. If free PSA is more than 25% chances of you having CA prostate decreases to less than 9 %. If your free PSA would have been less than 10% biopsy would have been recommended. So when your free PSA is 19.4 so chances of you having CA prostate is relatively less and you can be kept on three months PSA and free PSA follow up. I hope this helps. | 655 | Q. My free PSA % is 19. 4. What does it mean? |
Hello, doctor I am dealing with sciatica in both of my legs. The symptoms I am dealing with are burning, tingling, sharp shooting pain in both legs, aching, and pain in my feet. It is now becoming hard for me to stand or be on my feet a long time . The sciatic flare is from a slip in fall accident I had six years back. I was diagnosed with lumbar facet syndrome. | Dear, Sending Love and Healing vibes! Looking into your problem we need to understand the basic physiology about the facet joint.Facet joints’ helps healthy movement and intervertebral disc—stability for each motion segment.The aging ,osteoporosis , traumatic injury can damage the facet joints and is the leading cause of back pain known as facet joint syndrome. Therapies include medial branch blocks, intraarticular (within a joint) steroid injections, and/or radiofrequency ablation (RFA),Percunateous endoscopic lumbar discectomy. Meanwhile i recommend you to take these drug which helps reduces the swelling of disc and neurogenic problem . Thank you | 656 | Q. It is becoming hard for me to stand or be on my feet for a long time due to sciatica. Please help. |
I had laparoscopic surgery 1 week in a half ago and also hd an ercp done for a stone stuck in the duct. Ok a week goes by I had some stomach pain, bloating, and diarrhea, but most of that is gone now, This morning I wake up and had one of the most excrusiating pain in my shoulder that radiates into my shoulder down to the bottom of the right blade.I also have been suffering from motion sickness as well. My family doctor prescribed me with anti vert medicine and some muscle relaxants and pain killers. Tylenol don't do much, but percocet seems to work a little but the pain is still in my shoulder and neck.Its extremely hard to turn to the right because of my pain in my neck. I also have issues maintaining balance because i get so dizzy as if I have some sort of vertigo. Are these conditions normal after Gallbladder surgery? What exactly am I suffering with? Do I have irritation to one of the nerves like the vagus nerve? | 657 | Q. Why do I have radiating shoulder pain after a week of laparoscopic gallbladder surgery? |
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I have had a history for 2 years of abusing co-codamol. Often taking 4x 30/500mg several times a day. I have some mild right upper quadrant pain that’s persevered for a few weeks after stopping all cocodomol use. Over the last year I’ve had abdominal al ultrasounds, many liver function tests and urinalysis which have all come back in n normal ranges or clear. I have been told sometimes the liver can still be damaged but still present normal liver function tests and it can be hard to see on ultrasounds. Is there a chance I have some liver damage? | Hello. I welcome you to icliniq. First of all I give you a vote of appreciation that you were able to stop using co codamol. For chronic users of these opioid medicines, it is merely impossible to stop. Well once you stopped taking these medicines, it is unlikely that the effect will remain within you and can harm you in long term. So I do not think that you should be worried about this. Now the pain you mention which has started nearly at the time of stop of these medicines; suggest Narocotic bowel syndrome (NBS). In NBS the patient became insensitive to the usual doses of opioids and kept on increasing the doses to relieve the same amount of pain intensity with subsequent higher doses. This happen because of chronic use of these medicines would potentially increase the numbers of receptors controlling pain. Once the medicine is reduced in dose or completely stop (In your case), a rebound pain develop and it remain until another painkiller or similar opioid is restarted. So actually it is vicious cycle. Pain and increased dose cycle is sometime inevitable and requires a close monitoring of switching to other safe painkillers while at the same time decreasing the dose of opioids. The treatment is termed as Opioid detoxification therapy. To be honest, I am not an expert in it, but tried my best to explain d to you to help you understand your symptoms. If you want further guidance on how to control your pain which is possibly be secondary to NBS; I suggest you to meet with pain management specialist in near by hospital. Since you already stopped the medicines, I suggest to use Paracetomol which is rather safe medicine for controlling pain. Plus you can use Cap Pregablin 75 mg at nigh time daily to control your symptoms. I hope this will help you Take care and have a good day. Narcotic bowel syndrome Nothing Pain assessment only Functional abdominal pain syndrome Nerve entrapment syndrome NBS Tab Paracetomol which is rather safe medicine for controlling pain. Plus you can use Cap Pregablin 75 mg at nigh time daily to control your symptoms. Follow up if you have any concern or want to discuss NBS in detail and its management. | 658 | Q. I have mild abdominal pain and a history of abusing Co-Codamol. Is it due to liver damage? |
Hello doctor, I have this hard crusty stuff around the perimeter of my ear canal. It itches and if I scratch it will come off but it sometimes causes clear fluid to drain out of my ear. It also dissolves if I get water in my ear. I am currently on Amoxicillin for a tooth infection. | Hi. Probably you have a subclinical otitis externa. In this condition there will be a very subtle infection in the ear canal which leads to an intense amount of itching. With the use of earbuds the raw area gets exposed and flares up the irritation even more. Impacted wax can also be a source of the irritation in the ear. This is often associated with fullness and pain. You can follow the advice mentioned below. 1. Please stop using earbuds henceforth. 2. Tablet Levocetirizine 10 mg one tablet at night for the next 10 days. 3. Wax dissolvent ear drops 3 drops three times a day for the next five days. 4. Keep the ear dry, please wear a shower cap while bathing. 5. The scab will dry and fall off on its own, so there is no need to keep touching it. 6. You can continue Amox antibiotic as it has nothing to do with the current problem. If there is anything more you want to know, please do inform me. | 659 | Q. I have hard crusty stuff around the ear canal with clear discharge. What could it be? |
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 | 660 | 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 | 661 | 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 | 662 | 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. | 663 | 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 | 664 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I had an STD test done five or six days after unprotected sex with a new partner. The tests came back negative, but I have learned that you should wait for different windows of time before getting tested for certain STDs. This was about seven months ago. Today, I went to my gynecologist to get tested again (for chlamydia and gonorrhea) to ease my mind. She said that the original tests were likely accurate given that just barely enough time had passed to be tested, but suggested to get another test for peace of mind. I did not think, until after my appointment, to ask if the Doxycycline I am currently taking for my acne (100 mg, twice daily) would alter the results? I am wondering if the results I get in a week's time will be accurate? And if you think the original test was likely accurate in the first place? | Hello. I have gone through your history and understood your concern. As the incubation period of organism are different in every infection usually first test should be done after 10-15 days of exposure as your is done little early. But as you are not having any other symptoms along with this we can rely on your test results. But Doxycycline may affect the test results. | 665 | Q. How accurate is STD test done within 5-6 days after unprotected sex? |
Hello doctor, I have abdominal pain, fullness, nausea, weight loss, leg edema. I would like a second opinion and another interpretation of my scans, please. In February, I started having bad abdominal fullness, nausea, vomiting, anemia, and weight loss for a few weeks. Then I felt a little better but then I get the same again. I am worried about possible ovarian cancer as three of my aunts had it, my mom and five aunts had breast cancer and my grandma died of peritoneal cancer of ovarian origin. When I looked at the CT scans it seemed of pretty poor quality compared to the images I see online. Please help. | Hi, Welcome to icliniq.com. Thank you very much for providing detailed history and uploading all the blood tests (attachment removed to protect patient identity). Blood tests give us many clues. You definitely have less red blood cells than expected but also you have low white blood cell count. That definitely makes me think about some problems related to the bone marrow where those cells produced. With the production of less red and white blood cells, it is also expected you have a low level of blood proteins. Let me tell you about your abdomen-pelvis scan. Scan quality is good, they started with noncontrast, then got venous-routine phase with also additional delayed phase. Liver, gallbladder, spleen, pancreas, bilateral adrenal glands, and kidneys look normal. Uterus and bilateral ovaries are normal. Bladder is normal. What is abnormal? Intraabdominal fluid, ascites which explains your fullness. Good news is no evidence of ovarian cancer or any other masses. I highly recommend you to see a hematologist and maybe sample bone marrow. I strongly believe you have bone marrow disease regarding to production of blood cells, if you would like to read about it, it might be some mild form of pancytopenia, although your platelet number still looks low normal. Bone marrow diseases. Bone marrow biopsy. Bone marrow diseases. | 666 | Q. How do symptoms like abdominal pain, fullness, nausea, and weight loss related to ovarian cancer? |
Hi doctor, I am having a problem with sinusitis. My doctor ordered me to take Co Altria 10 mg at bedtime. I have taken it at 9 PM and currently, I am experiencing dryness of mouth and headache. What to do? Is this serious? I am also taking Cefixime 200 mg twice daily, Sinupret thrice daily, and Nasoflo spray. | Hello. Dryness of mouth might be due to mild anticholinergic effects. It may sometime cause drowsiness and also depends on person to person. This would take a few days to adjust. You can continue this drug along with steam inhalation twice daily. | 667 | Q. After taking Co Altria for sinusitis, I experience dryness of mouth and headache. Why? |
Hi doctor, I am a 37-year-old unmarried female, with no sexual activity. I have been experiencing problem in periods that I have got the period twice a month in the last month, without any pain, and scanty period. My FSH is 8.29 miu/ml, LH is 7.69 miu/ml, prolactin 7.6 ng/ml, testosterone, total 18.6 ng/dl, TSH ultrasensitive 4.470 uiU/ ml. Usually my cycle is 35 days, with three to five days period, and I experience pain too. I am worried because I am getting married soon and becoming infertile. I want to have my own babies. I have attached my today's blood reports (third day of period). | Hello, Welcome back to icliniq.com. I have seen the reports (attachment removed to protect patient identity). Your hormone levels are normal. I would like to know more about your menstrual cycle. Is it this month or every month you are getting frequent periods? I would like to get you a ultrasound pelvis done. | 668 | Q. I am 37 years old and getting twice a month. Am I facing fertility issue? |
Hi doctor, I have been using Minoxidil 5% topical solution twice a day on my beard for well over three months to fix some patchy spots under the lip and cheek region. After the first month, I had hair fall in my scalp. This hair fall is increasing in numbers and I am losing more than 100 hair follicles now a days. I also want to point out that I use varioius essential oils with carrier oils in my scalp for more than two years. I have many questions, kindly provide me detailed information. Can I apply essential oils on my beard (peppermint, hibiscus, and castor oil) in the meantime of applying Minoxidil? Also recommend me some essential oil that are adrogenic nature. Does all the fallen hair in scalp during this Minoxidil period regrow and is there any natural way to stop this hair fall during this period? How long does this hair loss lasts and what is this cause for this hair loss since I am only using Minoxidil in my beard? Should I bald trim my head after this telogen phase. Since I have a long hair (6.2inch)? Will I lose my hair after stopping the Minoxidil usage? | Hello. Yes, you can apply but according to our science oil does not act on the roots. They will grow automatically nothing more you have to do. It can extend up to 6 months. Hair fall has nothing to do with the hair shaft. Minoxidil increases the blood flow of hair follicles in the scalp, this increase blood flow would persist as long as you are applying Minoxidil. Once stopped you will return to the same stage of hair loss as you would have been without Minoxidil. I hope this helps. | 669 | Q. I experience hairfall in scalp while using Minoxidil for patchy beard. Why? |
Hello doctor, I have severe headaches, neck pain, and sharp pain around the chest. My query is related to brain meningioma and I am on drugs for epilepsy. Please help. | Hello, Welcome to icliniq.com. The patient has a small frontal base lesion that looks like a benign tumor (meningioma). I would suggest an EEG (electroencephalography) in order to investigate if the epileptic seizures are due to the tumor. In that case, I would suggest tumor removal if epileptic seizures persist. If the epileptic seizures are not related to meningioma. I would suggest only MRI every year. I would also like to send me some images. | 670 | Q. I have severe headaches, neck pain, and sharp pain around chest. Is it brain meningioma? |
Hello doctor, I developed intermittent exotropia in late adulthood. I am 29 years old and this started about two years now. Should I concern about it? | Hello, Welcome to icliniq.com. As you have described you have started intermittent exotropia at later age right. See that is called strabismus in medical terminology usually we can treat it if it is by birth. But in your case situation is different. So there can be some neurological issues which is leading to exotropia. So my advice is you should consult strabismologist as well as neurologist also just to rule out the cause of exotropia. First you should consult strabismologist and then neurologist. So we can fine out the reason for it and depending upon that you can plan your treatment. Can be idiopathic. Can be neurological. Complete ophthalmic assessment. Cranial nerve palsy. Squint. As described above. After 1 week. | 671 | Q. I developed intermittent exotropia in late adulthood. Is it a concerning issue? |
Hello doctor, I am fat. My weight was 130 kg and I reduced 15 kg in five months. I was having alcohol and smoking for almost 8-10 years. I had an ultrasound where liver is enlarged more than 20 cm and I had a fibroscan as well 353 and 18.1 median, kpa. Kindly suggest. | Hello. I can imagine how upset you must be about your overweight and liver issues. Well, I assume you now have a thorough idea of how this weight bears an impact on your liver. And with such amount of weight it is not uncommon to have a fatty liver disease with enlargement of liver size. The normal liver size should be no more than 13 cm. Despite the fact you have severe morbid obesity, thankfully you deserve a vote of appreciation for struggling so high to reduce your weight by 15 kg. This is a good sign by the way. I would urge you to continue this in future whatever you were doing for the weight reduction. Since you did not mention whether you still having alcohol and smoking? It is important to know that fatty liver plus alcohol can both damage the liver and the impact is much higher if both risk factors are combined. I should strongly recommend you to reduce the alcohol intake if still taking or completely stop it. Your liver may not be able to tolerate more insult because of alcohol. Now coming to the numbers which you have shared. The Kpa value more than 12 is suggestive of the development of fibrosis which is not a good sign. However, this value is often erratic or falsely high if someone has obesity or fat within the liver as may be in your case. To confirm whether you have that degree of fibrosis, you have to get a liver biopsy which can tell the exact grade of fibrosis and can differentiate whether the insult to your liver is because of alcohol you had in past, or because of fat due to obesity. The CAP value of 353 is suggestive of the amount of fat you have in the liver. This can however, indirectly confirm the damage to your liver is rather secondary to fat and not due to alcohol but again this has to be confirmed on liver biopsy. If you are not inclined to liver biopsy, I suggest you to continue with the weight reduction strategy, completely avoid alcohol intake and keep monitoring your liver function tests and fibroscan every six months. Alcohol-related liver disease plus obesity and fat-induced liver disease. Complete blood count. Liver function test. HbsAg, Anti HCV antibody. Serum ferritin, serum iron, total iron binding capacity, transferrin saturation. TSH, FT3, FT4. Serum carbohydrate deficient transferin (CDT) levels. Serum albumin, total protein and AG ratio. Serum Creatinine, Bun, electrolytes, Alpha fetoprotein (AFP). Weight reduction. Alcohol abstinance. Follow up after investigation to propose plan of action. Follow up to provide more information and after investigations, or earlier if required. | 672 | Q. I weigh around 130 kg with liver enlargement. Kindly suggest solution. |
Hi doctor, I have enlarged lymph node on the neck. FNAC says granulomatous lymphadenitis consistent with Koch's (AFB Stain: negative). In ultrasound it is hypoechoic lesion of approximately 29*34 mm abutting the left submandibular gland but appear separate from it. Simillar lesion of approx. 14*23 mm is seen adjacent to this mass. I have been taking Rifampicin + Isoniazid + Rifampicin + Ethambutol + Pyrazinamide for 22 days and I have also consulted another doctor who says that it needs surgery and asked for digital x-ray of chest. I also gained weight. Please suggest me, should I go for surgery? Currently I am on Forecox 150, Mycobutol 400, Benadon 20 mg, and Neurobion. | Hi. I can understand your concern. According to your statement, you have been suffering from TB lymphadenitis and taking 4FDC (antitubercular drugs) for the last 22 days. Your query is whether surgery is needed for your lymph node or not. Antitubercular medications are enough for curing TB lymphadenitis. Surgery is needed in rare cases. Surgery can be done for diagnostic purposes or therapeutic purposes. Sometimes Fine needle aspiration or biopsy of the lymph node are needed for proper diagnosis of TB lymphadenitis is known as surgery for diagnostic purposes. If TB regimens for 6months or 7months or 9months are failed to subside the lymph node, then surgery is an option. Again during TB treatment if there is any change in size, shape or presence of discharging sinuses or turn into malignancy, then surgical drainage or removal of lymph node may be needed. Otherwise, antitubercular medications are enough to treat TB lymphadenitis. Your physician has advised you to do a CXR (chest x-ray) for the detection of chest involvement. You should undergo CXR. Again Prednisolone 40 mg/day for six weeks followed by gradual tapering over the next four weeks along with your current TB regimens are enough to cure your TB lymphadenitis without any surgery. | 673 | Q. I am on anti-tubercular drugs for TB lymphadenitis. Do I need surgery? |
Hi doctor, I am a female in my mid 20's. I have noticed a weird pattern on the back of my arm today. I do not know how long it has been there. It does not hurt or do anything. Just wondering what it is? And what I need to do about it? | Hi. I have seen your photographs (attachment removed to protect patient identity) and to me it seems like pityriasis versicolor. It usually occur in humid weather or sunny season. Apply the following medications and it will be helpful. Increased humidity or sweating. Pityriasis versicolor. Ketoconazole 1% cream for local application in the evening and morning over the affected area. | 674 | Q. I have weird pattern on the back of my arms with no pain and other notable symptoms. Please help. |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | 675 | 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 | 676 | 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 | 677 | 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. | 678 | 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 | 679 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, I have been having pain around my lower ribs towards the back side (left side) since the past eight days. The pain gets worse while lying down and trying to change sides in the night. It also hurts while sneezing or coughing (feels better if I cough or sneeze by holding the area with my hand). It hurts a little sometimes while deep breathing. While sitting or standing straight, the pain is almost not there and also it does not hurt while bending forward or backward. But it hurts a little while bending sideways. I did a course of Hifenac Max for 5 days and the pain did come down slightly. However, it again got bad last night. I was diagnosed with ankylosing spondylitis in 2009. Since then I have had two episodes of severe pain in my lower back right side (sacroiliac joint). But it has never pain in the area of ribs like what is happening now. I have also had multiple episodes of uveitis over the past eight to nine years. I am HLA-B27 positive. I do not have any other symptoms. My appetite is fine and I do not feel any other discomfort. My motion is regular. Also, I am not on any regular medication. My BP is normal (measured using an electronic commercial machine at home) and my vitals were mostly normal (apart from slightly high cholesterol) when I did my health check up 3 years back. | Hi. In the light of the fact that you are HLA B27 positive, the pain that you are experiencing is due to the same problem. This is called enthesitis, and it occurs due to inflammation at the attachment of muscles to bones. So the treatment also remains similar to that of AS. You need to take a full dose of NSAID (non-steroidal anti-inflammatory drugs) whichever suits you best. For the present, you could take Voveran sr 75 twice daily with an antacid like Pantocid. If things still bad, Sulfasalazine may be added. Calcium and Vitamin D must be continued. Regular physical exercise is a must to control this disease. Please make sure you follow this. I hope this helps. | 680 | Q. I get pain in my lower ribs while coughing and taking deep breath with history of AS. Please help. |
Hello doctor, I am having intense itching on my scrotum and penis and along the sides of thighs and also some hard pimples are there on my scrotum. Please help. | Hi. As per your history, there are two possibilities either you have scabies or fungal infection, and treatment of both are different. Before deciding the treatment I advise you to send me a photograph of the affected area. | 681 | Q. I have intense itching on my scrotum and thighs with hard pimples. Please help. |
Hello doctor, I have numbness, pressure following a nerve path, and tingling in the head while I concentrate more. It has been there for eight years and I have done two MRIs so far and that came back negative. | Hi. I understand your problem but it is difficult to arrive at a conclusion with limited information. Please tell me in detail. Tell me where exactly you have numbness, I mean where in the head, on top on right, or left, or front, or back of the head? Which nerve path do you feel pressure? Is it in the whole head or on the side? Similarly where exactly is the tingling? Do you have nausea or vomiting sensation? Do you have blurring of vision or irritation with light or sound? Did you take any medicines in the past for the same? If yes, what was the result? How is your sleep? What is your profession? | 682 | Q. I have numbness and pressure in nerves with tinglinig in head. Why? |
Hi doctor, This is for my dad, and we found out that he has diabetes. He became very worried which makes him difficult to breathe and cannot get enough sleep and rest at night. He had stomachache and he used to skip meals, and drink coffee and soft drinks. After a blood test, we found that he has diabetes. I cannot get enough sleep, and worried. He always feels tired and anxious with breathing difficulty especially if alone. He is currently taking Metformin and Omeprazole. | Hello. Perhaps your father has misperceptions about the disease and that is causing his anxieties and worries. It is unfortunate he developed but it does not mean it is the end for him. As long as he takes his medications, does his routine laboratory workups and checks with his physician then there is nothing much to worry about. He must be informed that as long as he consults with his physician regularly then there will always be an expert making sure he is doing alright and making sure that no complications will develop because of the disease. If the pandemic is causing more worries, it is normal. He might be aware that his condition puts him at a disadvantage compared to a normal healthy individual. But as long as he adheres to social distancing, proper handwashing techniques, precautionary measures such as wearing masks and PPEs (personal protective equipment), if needed, then there is a low risk he might acquire the disease. Remember, diabetes and COVID-19 both are preventable diseases. He needs to take care of himself properly and to do this is by following his doctor's orders and guidelines during the pandemic. However, I am worried about the declared respiratory rate of 86 (normal is at 18-22). Does he smoke? Any cough or colds? Previous hospitalizations? At this rate, it is best to bring him to the ER for further evaluation. When counting for the respiratory rate it is the one cycle of the rise and fall of the chest. So 1 respiratory rate is equivalent to 1 rise and 1 fall of the chest. | 683 | Q. After getting diagnosed with diabetes, my father feels anxious with breathing difficulty. Why? |
Hello doctor, I am suffering with Psoriasis. Please suggest treatment. | Hello. I saw your photograph (attachment removed to protect patient identity). You are having psoriasis and I would like to tell you about your disease. Psoriasis is a relapsing condition and usually exacerbates in winters. It will not spread to other people by touching. It will not affect your internal organs. It is treatable but not curable. It will get cleared but can reappear. Nothing to worry about it. As it is in limited area only application of topical steroids will suffice but if there is more body involvement then we will start oral medicines. Presently, I am prescribing your treatment and you can review in 20 days. Papulosquamous inflammatory disorder. Liver function test and complete blood count. Chronic plaque psoriasis. Topisal 6% (Clobetasol propionate)ointment for local application in evening, tablet Levocetirizine 5 mg evening. Coconut oil for local application in evening and morning. Use oil or moisturizer. Keep skin supple. Review after 20 days. | 684 | Q. What is the best treatment for psoriasis? |
Hello doctor, I am 17 years old and I usually suffer from chest pain, and burping after eating something or drinking. I do not know what is this, sometimes shortness of breath occurs for a short period of time. I am a little worried about this. When I searched this on google there were things like GERD, acid reflux, heart attack, and all. Can you please help me out with this problem? | Hi. I see you are worried about your chest pain. Do not worry, your symptoms particularly relating to food connects your chest pain to a gastric related problem. And it fits into GERD (gastroesophageal reflux disease) in which there will be acid reflux, which in turn causes pain due to intolerance of food pipe to the acid. GERD. Tablet Pantoprazole + Levosulpiride 1 tablet twice daily half an hour before food for two weeks, syrup Sucralfate + Oxetacaine 10 ml one hour before food three times a day for two weeks. Avoid spicy food. Avoid heavy meals. Do not lie down immediately after taking food. | 685 | Q. I get chest pain and burping after each meal. What could be my problem? |
Hello doctor, I am a 42-year-old female. I have allergic bronchitis since childhood. I take Asthalin and Beclate 200 rotacap and now in this COVID circumstances doctor suggested to take tablet Montek LC. I took those tablets regularly in the first week and now I take on alternate days. But then also I feel heaviness in my throat. I feel uncomfortable with my throat feel. I take inhaler also when needed and not regularly. I have pain in my body from neck to whole body and feel like ants walking from the right side down the body. Please guide me. | Hi. I see you are more disturbed by your throat problem at present. I would advise you to continue Asthalin rotacap and stop Beclate rotacap at present COVID situation because steroids increase the chances of acquiring infection and Montek LC can be continued on a daily basis. Are you suffering from a fever? If any fever present, you need to get checked yourself for COVID 19. Follow the medicines as advised below and review them with investigation reports. CBC (complete blood count). URI (upper respiratory tract infection). Tablet Azithromycin 500 mg once daily for five days before food, Betadine throat gargle twice daily, tablet Aceclofenac and Serratiopeptidase twice daily after food for three days, Mucaine gel 1 tablespoon thrice daily before food. Review with investigations. | 686 | Q. I have uncomfortable feel in throat even after taking Beclate and Montek LC regularly. Why? |
I have been having a bitter taste,upset stomach, dizziness for about a month. A month ago i got labs everything was within normal ranges. My lymphocyte percentage was at 54% a week ago i have the same symptoms and Lymphocyte is at 56%. I am told its anxiety. Is that rise in lymphocyte normal? | Hi, Your lymphocyte percentage is not that significant to worry about. Still, it will be more informative if you can upload the full CBC panel for better analysis.. Your symptoms could be acid reflux induced gastritis or due to a stone in the gall bladder We need to investigate more before labelling it as anxiety.. Kindly do the investigations mentioned below and review acid reflux CBC, RBS LFT USG ABDOMEN GERD CHOLELITHIASIS T. Pantoprazole + Levosulpiride 1tab twice daily before food for 2weeks avoid spicy and heavy meals avoid high fatty meal | 687 | Q. Is a rise in lymphocyte along with a bitter taste, upset stomach, and dizziness, normal? |
Hello doctor, I am a 23-year-old male. I have been feeling a lump in my throat for quite some time now. Upon inspection, I found it is located on the palatoglossal arch on the base of the tongue. It is painless and does not cause any problem while swallowing food or liquid but there is a feeling of irritation sometimes. I quit smoking for four years now and consume alcohol moderately. I have attached the pictures of the lump, I am afraid it is cancerous. | Hello. I have seen the pictures. (attachment removed to protect patient identity). The growth is just a small salivary gland papilla. Your symptoms seem to be due to reflux laryngitis and not due to the growth. I will be give the treatment for reflux laryngitis but if you have any symptoms like postnasal drip, nose block, or headache in the morning, please revert back. Treatment for reflux: 1) Avoid spicy and very hot food items and dairy products. 2) Drink plenty of water. 3) Take dinner at least two hours prior to your sleep. 4) Tablet Pan 40 (Pantoprazole) twice daily on an empty stomach for one week. 5) Do not do gargling. | 688 | Q. I have a painless lump in throat at palatoglossal arch. Could it be cancer? |
Hello doctor, I have had the following symptoms every few months for a long time now. Frequent urination, burning in perineum area, and discomfort after urination. I have been treated for general urethritis three times in the last year. I do not have any STDs as I have been tested. These symptoms come along with no apparent cause. What is this and what should I do? | Hello. It can be prostatitis. Do you have a history of unprotected sex with a new partner before the start of symptoms? Is ultrasound abdomen has been done before? Kindly attach reports. Any report on urine culture? You mentioned that you have been treated thrice, which antibiotic has been given to you? Do you have a burning sensation after ejaculation also? Are you a diabetic or hypertensive? | 689 | Q. I feel burning sensation in perineum with urinary frequency and discomfort. Please help. |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | 690 | 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 | 691 | 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 | 692 | 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. | 693 | 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 | 694 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hi doctor, On my penis I have a small fleshy lump and I have had it for around 12 months. My girlfriend has had an STD check within these 12 months, and the tests have come back clear so I do not think it is warts. I think it may be a skin tag. I have been applying tea tree oil to it the past week, which has dried it up and made it feel a bit looser. The reason I am getting in touch is because I have started to develop black marks on my penis, they are very small but I want to make sure it is not connected to the lump. | Hi. I get to see you ate worried about the lump in your penis. I have gone through your pictures (attachment removed to protect patient identity), not clear though, it looks very small. Considering your statement to be present for the past 12 months with such a small size without any growth or difficulty in skin retraction, it is not a significant problem. Still, I need a bit more information for a better understanding. As I have mentioned, had it been the same size for the past 12 months? Is there any color change over the lump or redness or pain over the lump? Do not mistake me for this, how many sexual contacts you had, only your girlfriend or beyond her? Was there any watery or pus discharge anytime from the lump? Do you have any burning sensation while passing urine or cloudy colored urine? And regarding the black marks, do you have any itching sensation over the black marks? Are the black marks increasing in number and size? Do you have a fever? It will be helpful to guide you better if you can upload the investigations you have done for STD check and more clear picture of your lesions. Review back with the investigations advised below if not previously done and upload your previous investigations. CBC (complete blood sugar), RBS (random blood sugar), Urine routine. Tablet Amoxicillin and Clavulanic acid 625 mg twice daily for five days, Fexofenadine twice daily for five days. | 695 | Q. I have a small fleshy lump on my penis for the past one year with no changes in it. Please help. |
Hello doctor, A few months now, I have been experiencing discomfort and bleeding after being fingered. It does not really happen during sexual intercourse though. I have an urge to urinate even after urinating. And it stings and the urine will sometimes come out at different random times. I have had two UTI’s which I have felt the urine sensation before but the bleeding is what I am most concerned about. Also we always use protection. Why am I experiencing bleeding and discomfort after being fingered? I am currently taking Lamotrigine and Adderall. | Hello. Have you noticed the bleeding while you urinate also? Or else only after fingering? In view of your past episodes of UTI (urinary tract infection) it seems the same has recurred again as suggested by the pain after urinating. On top of that since women's urethral opening and the vagina are very near fingering might spread the infection there also and some injury during the fingering might have caused the bleeding. Please take the following medications, and refrain from fingering and sexual activity until the pain, bleeding and UTI subsides. Meanwhile, do the following test to confirm urinary infection. Also, please attach the previous prescription where Lamotrigine and Adderall were prescribed. Do you have discharge per vagina and pain during intercourse as well? Urine for routine and microscopic examination and culture sensitivity test. Vaginal swab for culture sensitivity. USG (ultrasound) lower abdomen and pelvis with PVRU (postvoid residual urine). Tablet Nitrofurantoin modified release 100 mg 1 tablet twice daily after breakfast and dinner, Tranexamic acid 500 mg 1 tablet twice a day SOS if there is bleeding . Syrup Urinary alkalinizer (Disodium hydrogen Citrate) two teaspoons with one glass water twice a day. Avoid fingering and sexual intercourse until bleeding and pain subsides. If at all sexual intercourse is done do it with a condom. Drink plenty of water and oral fluids. Avoid holding urine. Before urinating sanitize your toilet seats. Maintain hygiene at private parts. With urine RE, ME, and CS reports. | 696 | Q. I get discomfort and bleeding post fingering with an urge to urinate. Is this UTI? |
Hello doctor, I have been to six different rheumatologists. One of those rheumatologists said I have fibromyalgia and I still do not agree with this diagnosis. My labs come back normal. My radiographic test concludes osteoarthritis in both knees and thumbs. I have pain in these joints and have a bone island in my right knee. I am under pain management, but I just feel like we are missing something. My body feels way off and I am almost positive with seronegative RA. I just feel like the physicians are in someway scared to conclude this diagnosis. I have bad flares that are bilateral on my hands, knees, hips, and between my shoulder blades. I have swelling and fever in these joints. I have no idea what to do but I am progressively getting worse. Please help. I am currently taking Nucynta ER 150 mg, Xanax 1 mg, Lyrica 100 mg, HS Tizanidine 2 mg, and Synthroid 25 mcg before meals. | Hi. You seem to have multiple joint arthritis. Since CRP (C-reactive protein), R factor, Anti CCP (cyclic-citrullinated antibody) antibody, and ESR are normal no one is going to conclude this as rheumatoid arthritis or seronegative arthritis. I need the following details: Since how long are you suffering from it? Do you have an increase in pain and stiffness in the morning when you get up or is it the same throughout the day? Within how many minutes to hours of getting up in the morning you start feeling lesser stiffness? Do you have pain and swelling in distal interphalangeal joints of hands? | 697 | Q. I have pain in joints with bad flares in hands, knees, and hips. Please suggest possible diagnosis. |
Hello doctor, I am a teen and I believe I have rumination syndrome as 5-10 minutes after every meal, I regurgitate the food I eat but it is not digested and tastes like the food I recently ate. I often chew the food again and swallow, but it is quite annoying and it happens for about 20 minutes before going away. It started several years ago, but I brushed it off thinking it was nothing. What should I do and is there any treatment? | Hello. I can understand you must be upset about your condition lasting so long. You well described the symptoms and timings which are very important in your case. The symptoms you mention can present for many years harmlessly and at the time this accompanies other eating disorders such as bulimia nervosa (excessive eating) and anorexia nervosa (excessive fasting). I want to hear from you do you have certain symptoms suggestive those disorders as well. Well, rumination is a functional disorder and it can resolve with time on its own but the one recommended therapy is diaphragmatic breathing. You can learn how to perform this at home by watching some videos available on youtube. Secondly, you can start the tablet Ondansetron 8 mg thrice daily. This medication will improve gastric accommodation to prevent the reflux of contents. The diagnosis of rumination can be confirmed with gastroesophageal manometry with impedance which is a test to measure the change in pressure across the stomach and esophagus while you do this rumination. This test is sometimes important because there are certain mimickers which present in the same way but have a completely different approach. I hope this helps. Rumination. Motility disorder of esophagus. Gastroesophageal manometry with impedance. Esophageal motility disorder. Rumination syndrome. Diaphragamtic breathing, tablet Ondansetron 8 mg thrice daily half an hour before meals. Follow up to to provide more information, to decide whether a gastroesophageal manometry is required at the moment. | 698 | Q. I regularly regurgitate for about 10 minutes after each meal. Does it suggest rumination syndrome? |
Hello doctor, I have a painful lump on my perianal area. I shaved on Friday and at first I thought it was only an ingrown hair but I am not sure anymore. For the last two days, I have been working sitting for many hours and it became very painful and swollen. I do not know if it is an abscess. Please help. | Hello. Well, I do not know the particulars of your case, it sounds as if you may have what is called a Bartholin’s cyst. This represents inflammation of the glandular structure in the perianal area in women. It is generally benign but can be very painful and uncomfortable. Try sitting in a warm tub with warm water several times a day or applying warm compresses to the area such as a warm cloth for about 15 minutes and as it may bring down the inflammation. If that does not work then you should probably see a local doctor who has other methods of bringing down the inflammation including the use of antibiotics. | 699 | Q. I have a painful swelling in my perianal area. Could it be an abscess? |
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