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Hello doctor, I need an explanatory view for layman understanding in respect of the conclusion drawn in the report attached herewith. I would also need to know the effect on the health of baby and mother (including Down's syndrome) and also other points mentioned in the report. | Hello, Welcome to iclinq.com. Basically report is normal (attachment removed to protect patient identity) and there is no evidence of any heart disease in the baby. However, since it is difficult to completely visualize the baby's heart as it is small and deeply seated, some diseases may be missed especially minors. But at present, there is no evidence of any disease and usually, major diseases are not missed on fetal echo. So nothing to worry at present about the report. Now I do not know why you mentioned Down's syndrome as there is no evidence of it in echo, but routine ultrasound of the baby rather than echo is an investigation of choice for down syndrome. So routine ultrasound of the baby (called as malformation scan) is necessary to rule out down syndrome. Also, in Down syndrome, there are abnormalities in the heart as well, but echo is fine so it is a negative factor for Down syndrome, but still, ultrasound would be more reliable. Down syndrome has severe consequences on the baby rather than mother, firstly because of various structural abnormalities which may be seen in various body parts (requiring surgeries) and baby will have developmental delays, some mental retardation. If it is detected earlier in the pregnancy then abortion may be done. I hope this helps. | 800 | Q. Based on fetal echo, please explain the health condition of baby and mother. |
Hello doctor, I want a good rheumatologist for my wife who has been diagnosed with rheumatoid arthritis. She has got RA factor 150 and no other problem in blood reports. Anti CCP is negative. She has swollen fingers both in hands and legs. She is currently on Shellcal 500 and D jont capsules. | Hi. I have gone through the reports (attachment removed to protect patient identity). There is a high ESR (erythrocyte sedimentation rate), RA factor. 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? Any dry eyes or dry mouth? Any oral ulcers? Any hair fall? Any other medications for diabetes, or thyroid is she taking? | 801 | Q. My wife has rheumatoid arthritis with high ESR, RA factor and swollen fingers. Please suggest a solution. |
Hello doctor, I lost a lot of weight, fat, and a bit of muscle loss with abdominal pain and bluntness. I also am stressed and anxious about it. I had blood work done with ultrasound and chest x-ray. Also, I had urine examined for blood and everything came back great. No problems in those areas. Because of the Coronavirus, colonoscopies and gastroenterology are not available. If I had colon cancer or tumor or something serious, will the blood and ultrasound show that something is not right? I am currently on Cirpaex 10 mg. | Hello, Welcome to icliniq.com. How much weight exactly did you lose? Since when you are having symptoms? If we consider there is significant weight loss, then other specific symptoms are expected with malignancies like constipation or diarrhea, malena or symptoms pertaining to other systems if we consider issues elsewhere in the body. Also, ultrasound would have shown some mass. Although ultrasound may miss the tumor in early stages, since you are having significant weight loss and long duration of symptoms, tumor would be beyond the early stage. And the probability of malignancy is less at this age group. But we are not comfortable unless we find some alternative causes like gastric issues like chronic gastritis, diet changes, frequent indigestions, or any other changes or factors which could explain weight loss if it is significant. If there is any addiction like smoking, alcohol, or drugs it should be reduced. You may have antacids like capsule Cyra D or Pan DSR (Pantoprazole) for a few days, if you have any gastric symptoms like bloating, burping, upper abdominal pain or heartburn. I guess the doctor must have examined you for lymph nodes in the neck and femoral region. I hope this helps. | 802 | Q. Lost weight with some muscle mass, but chest x-ray and USG are normal. Am I having cancer? |
Hello doctor, My daughter is 6.5 years old. Two of her front teeth are shaky but not falling off but I see the new is growing because of space the old one occupying, new one growing is not aligned. It looks like it is growing little inward and cross. | Hello, Welcome to iclinq.com. I went through your query and also seen the image attached (attachment removed to protect patient identity). As a specialist it is quite fine, she is on the safer side as no such visible misalignment once the permanent tooth erupts fully. As you mentioned and also visible from the image upper left centra incisor (baby tooth) looks totally mobile, it is better to pull it out. You can get a numbing gel like Rexidine M Forte (Chlorhexidine, Metronidazole, and Lignocaine) gel. Apply over the gums on the mobile tooth. Hold the mobile tooth with a piece of cotton and pull it out if possible. Hold the area with a new cotton gauze to arrest the bleeding. If not possible let it be as placed it might fall off itself seeing the condition. She will be fine, it was better if the tooth was extracted earlier, then there would not be any chances of malalignment. But it very minute and would not be visible as such. Try feeding hard food, small pieces of hard fruits they might help. I hopethis helps. Palatal eruption of left upper incisor due to delayed shedding of the primary tooth. Seven days or anytime if you need any more help. | 803 | Q. When the milk teeth are shaky, the permanent teeth are erupting slighty inward. Please help. |
Hello doctor, I think I have gum disease. My teeth are starting to move. Will my teeth have to be removed? I have no bleeding gums there, not red. | Hello. I went through your query , I would like to see an image of the area myself, kindly upload. Let me know if there is any history of diabetes. Mostly seems to be a periodontal problem. | 804 | Q. Is it necessary to get mobile teeth removed? |
Hi, I have gradually developed unilateral ptosis, is there any cream or non surgical way to cure it. My eyes were fine till about a year ago, gradually my right eyelid started to droop and is getting worse day by day. | Hello As you have send me images of your both eye I can see there is ptosis in your eyes right eye it is looking more compare to left eye. As you told it started a year ago and not from birth so it can be apponeurotic ptosis but we have to take exact measurements for ptosis and we have to compare both eyes. For your query as you have asked if your eye lid is dropping Day by day and it's getting worst then only way to treat is surgery. There is no medical treatment for any kind of ptosis. LPS weakness Ptosis measurements Ice pack test AchR-Ab Thyroid profile MED Apponeurotic ptosis Myesthenia gravis Ptosis Depending upon ptosis measurements and lab test 5 days | 805 | Q. I have unilateral ptosis. Is there any cream or non-surgical way to cure it? |
Hello I have a couple of questions first can a sinus X-ray show if your Eustachian tube are closed or not. Or do the ent have to go up your nose to find out. I had a sinus infection and nasal drip my ears are clogged I went to my doctor he said I had fluid and an ear infection and sent me to a ent and he said I didn’t have fluid then why is my ears still clogged after a month and have pressure. I have a septal deviations on my right side 1mm can that be the reason | Hi! Before I explain and answer your questions, I will take a little of your time to explain what has probably happend in your case. The eustachian tube basically ventilates the nose and the ear. In a situation where it does not function, a negative pressure develops in the side of the ear leading to feeling of vaccum, ringing sounds, feeling of fluid in the ear and sometimes decreased hearing as well. Most common causes out there would be allergy or underlying sinusitis which can block up the tubes and there by cause its effects. Now getting to your question. 1. A sinus x Ray cannot show if the eustachian tubes are closed or not. A sinus x Ray just gives information about the status of the sinuses, septum and other bony prominence. 2. Yes we do a nasal endoscopy to see what is the status of the nasal mucosa, Sinus drainage pathway, details of the nasopharyngeal area and definitely see if the tubal opening is anatomically patent or not. In most circumstances, we can pick up any functional eustachian tube block by 2 methods You mentioned about the confusion regarding fluid accumulation in the ear If you feel that your ears are still clogged, then you can consider the treatment mentioned below This might take around 15 to 20 days for things to completely come down but chiefly depends on how manage to follow the precautionary advice mentioned above. I hope I have answered your query in detail. Warm regards | 806 | Q. Can a sinus x-ray show if your eustachian tube are closed or not? |
Hi doctor, I am trying to find out a specific function of the diaphragm when it comes to taking a deep breath. There seems to be a deep breath one takes similar to when one is at the doctor and they say take a deep breath and then there is a much more satisfying deep breath one can take which seems to fill the upper lungs with much more air. It looks like the diaphragm (upper belly) moves out a little bit when this deep breath happens. Can anyone explain the mechanics of this? Why can this deep breath happen sometimes and not other times? It is as if I could hold a musical note for 3 minutes because their is so much O2 in my lungs. | Hi. It is an interesting question. Your observation that sometimes you can take a deep breath that is a bit more satisfying than other times makes me a bit more curious as to whether you are in the same posture every time you try it. The diaphragm is a muscle that divides everything in chest from everything in the belly with a few orifices that help get certain things like your food pipe through. It helps to expand the lungs by moving towards the belly while to take a breath in thereby creating more space for the lungs. Since there is a finite potential space, I wonder if you feel the difference based on how much food you have had or what time of day is it. I suggest a more detailed discussion if you can provide some more information. | 807 | Q. What causes deep breath once in a while? |
Hello doctor, I and my friend involved in physical intimacy a few days back and there was no ejeculation and penetration was only for 2 minutes. After that considering precum she took Unwanted 72 within 3 hours. She had bleeding after six days. She has regular cycle of 28 to 30 days and her last period was 30 days back. She did not have period till now. We performed urine pregnancy test at home. All are negative. Is it confirmed that she is not pregnant? If yes, how long ideally she should wait for period after bleeding? Is there any medicine required? | Hello. As she had a withdrawal bleed post Unwanted 72 intake and also the urine pregnancy test has been negative till date, so pregnancy is ruled out. However, the conclusive test for ruling out pregnancy remains serum beta hCG test which is a blood test. if hCG levels are less than 5 mlU, then she is surely not pregnant. Also, now she should be expecting her menses only after 10 more days as she had her bleed marking the start of her fresh cycle. Just get the serum beta hCG test done to get conclusive results. She can wait for her menses. | 808 | Q. After how many days of withdrawal bleeding does periods occur? |
I have symptoms of a high-pitched sound when I move my jaw up and down while eating, yawning and even when I turn my head sideways to the affected side as well as grinding the teeth. I also have fullness/pressure in the ear when the jaw is motionless. I have now had these symptoms for more than 6 months. I went to see the doctor last week who thought it was due to the jaw joint although there is no pain or soreness and recommended that I see a stomatologist but she didn't think it was because the Eustachian tube is blocked. I also had an x-ray performed on the jaw a few months ago and it said that the left mandibular condyle is positioned very slightly in front of the most pronounced point of the temporal condyle. I went to see the stomatologist a couple of days ago who said that I have costen syndrome. He said the two sides of the mouth were uneven when I bite and therefore he chipped at three teeth on the right-hand side to balance it since the sounds were coming from the left ear. I will see him again in 3 weeks' time to see if the mouth is even and the symptoms from the ear have disappeared. He also mentioned that I would need a night guard temporarily. Will the symptoms of the high-pitched sound when I move the jaw up and down and the fullness/pressure in the ear eventually disappear? | Hi, yes your symptoms of TMJ clicking will disappear with a proper treatment plan so don't worry its great that you have seen stomatologist and got advised for night guard, go for it or I will suggest for acrylic repositioning splint. and after this if you don't get relief go for orthodontic treatment. For a precise treatment plan investigation required 1. pictures of the upper arch lower arch; front, Rt. and Lt. view while teeth in occlusion 2. OPG take medicine for 5 days twice a day tab Flexon MR premature occlusal contact investigation required 1. pictures of the upper arch, lower arch; front, Rt. and Lt. view while teeth in occlusion 2. OPG | 809 | Q. Is it normal to have a high-pitched sound when you move the jaw up and down? |
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 | 810 | 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 | 811 | 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 | 812 | 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. | 813 | 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 | 814 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hi doctor, My actual due date of period will be tomorrow. But, I did not see any signs of the period. I did not even have sex. I have to travel in five days and I wish to have period by tomorrow or day after tomorrow. Can you suggest anything to get my period early? | Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist | 815 | Q. Is there a way to get my periods earlier? |
Hi doctor, My mother was diagnosed to have acute cholecystitis. She is 65 years old and is suffering from respiratory and heart problem. One mild stroke also happened around two years back. She had recently failed pulmonary function test. Will it be wise to plan gallbladder operation? Please reply. | Hi. For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician | 816 | Q. With respiratory problem, is it wise to plan gallbladder operation? |
Hi doctor, I am a 54 year old male with complex medical histories, including a current splenic artery aneurysm, an occluded right vertebral artery, historical major spinal cord trauma from intradural schwannomas (removed twice) and multiple liver hemangiomas. I have had occasional erectile dysfunction. My testosterone level is low and I am on TRT. Is it safe for me to use Viagra or similar drugs for ED? | Hi. For further information consult to a sexologist online --> https://www.icliniq.com/ask-a-doctor-online/sexologist | 817 | Q. I have aneurysm, is it safe to take Viagra for erectile dysfunction? |
Hi doctor, I am new to dentures. I am wearing it for approximately two months. When I take my dentures off, the Fixodent makes it difficult to remove and it tears my gums. I wanted to know if there is anything I can use to aid in the removal so that it is not so difficult, time consuming or painful to my gums. | Hi. I can understand your concern regarding your dental health. For further information consult a dentist online --> https://www.icliniq.com/ask-a-doctor-online/dentist | 818 | Q. Why do I have some difficulty in removing the denture? |
Hi doctor, While blinking my eyes, some round shaped image is appearing in my left eyelid. I seek doctor’s advice and he said that I have a retinal detachment. Please help. | Hi. For further information consult an eye care ophthalmologist online --> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist | 819 | Q. What is retinal detachment? |
Hi doctor, I am 30 years old and 20 weeks pregnant. I got an abnormal pap result with ASC-H. I had another pap two years ago and it was normal. My doctor wants to do a colposcopy and biopsy. However, I read that it does result in complication when biopsy is performed on a pregnant woman. Can I do biopsy later? Will colposcopy show how bad the lesions are? Please explain. | Hi. I can understand your situation and concern. For further doubts consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist | 820 | Q. Does biopsy on a pregnant woman result in any complication? |
Hi doctor, When I was opening a powerful glue bottle, two small drops of glue went into my left eye. After two months, I observed black spots on the whitish part of my eye. Please help. | Hi. The cause of black spots may since childhood just like moles on the skin. Most probably they are not related to glue. Need an eye checkup once. Please do safety measure while dealing any such thing or any chemical. Use protective glasses. If any accident happens, then first of all wash your eyes with water as early and as much as u can and go to doctor. Revert back with the photos to an eye care ophthalmologist online.---> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist | 821 | Q. Can glue cause black spots on the whitish part of the eye? |
Hi doctor, I am an 18 year old male. I had liposuction a year before for gynecomastia. I have been in perfect shape for a while. I have gained a bit of weight recently and noticed the development of puffy nipples. This is bothering me very much. I need some guidance. Please help. | Hi. For further doubts consult a plastic surgeon online --> https://www.icliniq.com/ask-a-doctor-online/plastic-surgeon | 822 | Q. What to do for puffy nipples after liposuction? |
Hi doctor, My mother has been suffering from diabetes for three years. She is 61 years old and weighs 40 kg. She was on Gemer-1. Early morning around 5 AM, she often complains of excessive sweating and weakness. Sweating stops after taking tea, biscuit or sugar. She has stopped taking medication for the last 15 days. Due to personal loss, she has been undergoing stress and tension. Please suggest the required medical tests that she should undergo. Thank you. | Hi. Revert back with the reports to a diabetologist online --> https://www.icliniq.com/ask-a-doctor-online/diabetologist | 823 | Q. What are the reasons for hypoglycemia? |
Hi doctor, I have been suffering from jaundice for the past three months. I am feeling fatigued. I have been drinking about 150 mL whisky every day for the past 9 years. But, I did not drink anything in the last three months. I tested for bilirubin, serum, hemoglobin. My liver shrank in size and the spleen is enlarged. My bilirubin 4.20, albumin 2.81, AST 49, ALT 12 and hemoglobin 9.30. Both hepatitis B and C are non-reactive. Kidney and pancreas are normal in size. The doctor suggested for endoscopy. Please suggest the diet and precautions. Is the liver condition reversible? | Hi. Alcoholism. LFT and upper GI endoscopy. Alcohol induced chronic liver disease with portal hypertension. Continue medical treatment as suggested by doctor. For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist | 824 | Q. What is the recommended diet for jaundice? |
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 | 825 | 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 | 826 | 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 | 827 | 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. | 828 | 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 | 829 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hi doctor, My father is 90 years old. He has congestive heart failure and chronic obstructive pulmonary disease. He is generally in good spirits and is well taken care of. He uses oxygen and his doctors have told him that when his oxygen count goes down, to breathe in and exhale through mouth. Since his breathing is generally weak, after every time he walks or climbs stairs, he sits down with this oxygen tank and breathes in slightly and then exhales, usually with more force than he inhaled. I am trying to teach my mother about pranayama and the importance of exhaling through the nose. Her concern is that the doctors have taught them the breath in through nose technique and exhale through the mouth. Given that he is 90 with those conditions, on oxygen, is there a reason that he should use the technique the doctors are recommending? Would it be more beneficial to breath in through the nose and exhales slowing through the nose, even with the tubes in his nose? The latter makes more sense to me but since my mother only trusts her doctors, she asked to get more information about this. Thank you so much for your time. | Hi. Thanks for posing this question. Please find my suggestions below. At age 90, it becomes very important to keep the things simple for the patient. Your effort to teach pranayama is appreciable. I would advise you not to go for any difficult pranayama which is tedious to understand. Nadi suddhi and anuloma viloma or alternate nostril breathing is sometimes confusing for elderly people. If the above option is also found to be difficult, then just ask him to follow breath awareness, where one just needs to focus on breath without any active effort for its manipulation either sitting or lying. Exhaling through the mouth is perfectly fine as far as the patient is comfortable. But, there is nothing wrong in exhaling through the nose also. Let it be decided by the patient whether he wants to exhale through the mouth or through the nose. Both ways of exhaling seems to be equally good with a bit extra priority to exhaling through the mouth. Let us not trouble him by putting any unnecessary rules. I will consider bhramari pranayama (chanting of Nnnn while exhaling) to be best for him. If any religious concerns are there about any of the chanting, then these can be replaced with either only bhramari pranayama or instead of Om some other words like swim can be followed with emphasis on ''Mmmm'' sound and very minimal ''swi'' sound. Any other similar words or chants can be chosen. Treatment proposed here is to be followed under supervision and several modifications or omissions and replacements may be needed for different individuals with same ailment or same individual at different stages of ailment. For further information consult a yoga specialist online --> https://www.icliniq.com/ask-a-doctor-online/yoga-specialist | 830 | Q. Would you recommend pranayama for a 90 year old? |
Hi doctor, I got pregnant with an IUD (copper-T). It was confirmed after blood test and the copper-T was removed. My last menstruation was 40 days before. Shall I continue the pregnancy? How will be the growth of the baby? Do I need any precaution? This is my second pregnancy. I delivered my first child before six years through C-section and he is healthy. Please advice. | Hi. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist | 831 | Q. Got pregnant while on copper-T. Shall I continue the pregnancy? |
Hello doctor, My child is 6.5 years old. Recently, a worm came out of her mouth alive of about 5 to 8 cm long without vomit. Doctor gave her Bandy plus and told to repeat the dosage after 14 days. Please suggest whether it is a tapeworm. What are the investigations you would like to suggest for her? Please advice would there be more larvae or eggs of this kind of worms in her intestines? She reports pain in her abdomen and throat often. She has problem of constipation as well and because of that she lacks concentration in work or study. Please suggest what to do? | Hello. For further information consult a child health specialist online --> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist | 832 | Q. Please suggest what to do for worms in stomach. |
Hi doctor, I used to spend a lot of time before laptop and tablet. Now, my vision became blurred when I see a computer. I had a headache in exactly one part or one side of the brain. Then, I had a check up and everything was found normal. The doctor suggested me to take capsule Eyetamin for 20 days. Then, I was fine without any problem for approximately a month. But, again, developed the same problem. Now, they prescribed me with a glass (spherical, ARC and -0.25) along with Oxycool eye drop and some medicines. It was good till now. Some 15 days back, my vision became blurred and I had a headache, though I had my eyeglasses. Both were gone after I had some sleep. I had the problem while I was studying. I used to study continuously for 3 hours to 6 hours approximately a day. I again had a check up and they did not find any problem. Eyeglass specifications did not change. They prescribed me with Zoline plus eye drop. Even after 10 days of use, I do not feel any significant difference. After application of the eye drop, I could not see properly for some time. After some time, it was clear. Now, I could watch television continuously. I am having problems while studying and I could not study continuously even for half an hour either from a textbook or on laptop. I am having eye strain. I fear my vision will become blurred again, so have stopped reading since last 15 days. Please suggest what I should do now. I will be grateful for your advice. Thank you. | Hello. 1. Dry eyes. 2. Blepharitis. Use lubricant eye drops for at least three times a day. Avoid prolonged continuous use of gadgets. Revert back with the investigation reports to an eye care ophthalmologist online.---> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist | 833 | Q. Can you suggest a good lubricant for near vision? |
Hi doctor, Last year, I noticed hair fall. Then, I had a surgery for appendix and post surgery my hair fall increased severely. I have checked vitamin D, B12 and ferritin levels. Everything is normal. Since, I am a vegetarian my doctor put me on some multivitamin tablets. I am also taking biotin tablets for two months. It has been a year, but nothing helped. My hair has reduced to a sleek pony. My family history does not have any hair fall issues. Three weeks back I started taking Minoxidil 2% on a dermatologist recommendation. Till now, I did not observe any change. Also, it has started making my hair dry and brittle. Please tell me what to do further? | Hi. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist | 834 | Q. Is hair fall common after a surgery? |
Hi doctor, I have symptoms of pcod. I have excess facial and body hair along with acne and irregular menstrual cycle. It takes two to three months between a cycle. When menstruation occurs, it will last for up to two weeks. Please suggest me some siddha medicine and diet to cure the pcod problem and hirsutism. Thank you. | Hi. First of all you must take purgation for PCOD (polycystic ovarian disease) and hirsutism after that you should start with medication. All siddha medications are not practically available. Some medicines are mixed in combination and are prepared by ourselves for better efficacy. I suggest tablet Abhyathimotak two tablets for one day only for purgation. Then, continue Kumari legiyam 5 g twice daily. I also suggest Syrup Meryton 10 mL twice daily and tablet Meryton two tablets thrice a day for 15 days. Consult your specialist doctor, discuss with him or her and take the medicine with consent. For further information consult a siddha medicine specialist online --> https://www.icliniq.com/ask-a-doctor-online/siddha-medicine-specialist | 835 | Q. Please suggest some siddha medicine for PCOD and hirsutism. |
Hi doctor, I wake up with pain in the kidney region every morning after approximately three to four hours of lying in the supine position or on my left side. The pain localizes beneath the left and right kidneys, more on the left and down toward the pelvis on the left side. It hurts the most when inhaling. My body wakes me up in a 10/10 pain every morning as a survival necessity. If I elevate my mattress by 15 degrees with my head higher than my feet, I do not wake up with the pain or it is suppressed approximately 90%. When I get up and walk around for several minutes, the pain goes away. I never experience the pain when I am not lying down. There also seems to be hyperintensities in both the cecum region and renal pelvises. I found the intensities in the cecum region to be upwards of 3071 compared to my bone intensity measurements averaging around 1200. I have testicular pain following urination, sometimes cloudy or semen like urine following the pain. I am unable to completely trace both the ureters without their disappearance and they both seem to be compressed in various regions. I can however find them again around the bladder. I understand that dilation is absent on the CT scan, however the pain only arises after hours of laying down so it would seem to make sense that dilation is not visible on the scan. Also, there seems to be an intense, vascular network posterior or underneath the kidneys that I have been unable to identify. The duodenum appears to be compressed by the SMA and the right testicular vein appears to be compressed by the duodenum. I need your help to review these issues. I feel like I am dying. I am 25 years old. This has been occurring for more than two years. I have extremely itchy skin all the time, probably due to urinary leakage or fistula or vascular issue. My identical twin brother does not have any of these issues. I do not think that I can go much longer. I have attached the reports for your reference. Please help. | Hi. I have gone through the reports (attachment removed to protect patient identity). For further doubts consult a radiologist online -->https://www.icliniq.com/ask-a-doctor-online/radiologist | 836 | Q. Why do I get pain in the kidney region? |
Hi doctor, I have had good skin for all my life. People would even compliment me on it at times. This changed a while ago. I have been involved in bodybuilding for the last year and decided to start taking creatine roughly three months ago. Before that, I did not notice any effect of exercise on my skin, except some small pimples on my chin area. After a month of creatine usage, I realized that my skin was getting worse with some breakouts all over my face, forehead and temples and especially chin and low jawline area. I first removed the protein supplement from my diet thinking it was the cause and only 1-2 weeks later realized upon the research that creatine was the real culprit. I instantly stopped taking it and the only supplement I take now is natural, dairy free protein powder. Along with the skin care regimen, I follow this every day. I am using a cleanser along with moisturizer twice a day and it has helped almost to clear my forehead and temples. I assumed my breakouts were due to dehydration in the period I was taking creatine, but only noticed slight progress in my chin area. Although, the bumps on my skin now do not feel as tough and dry as they did and do not itch anymore unless I forget to moisturize. I drink lots of water and have just bought a 97% pure aloe vera gel tube that I am going to apply twice a day. I am afraid whether this condition could last a long time after quitting creatine. I am really worried as it is seriously damaging my confidence and overall wellbeing. Is there anything I need to know or anything I can do on my own to help the healing process? Two weeks ago, I decided to take a break from working out and thought that I noticed some improvement, as in decreased redness but I do not feel too sure about it. But, I would really hate to quit work out. | Hi. For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist | 837 | Q. How to cure the acne breakouts? |
Hi doctor, My granddaughter became obese last year. The doctors detected some thyroid problem. After taking the pills she became normal. Now, she is expected to have early maturity. She is 6 years now. Before three years she had a head injury. But, she was normal and it was ignored. What treatment she should take now? | Hello. 1. Ultrasonography of neck. 2. Anti-TPO antibody (anti-thyroid peroxidase) 3. Check levels of T3, T4 and TSH (thyroid-stimulating hormone). Revert back with the answers to the above questions to a child health specialist online.---> https://www.icliniq.com/ask-a-doctor-online/child-health-specialist | 838 | Q. Are there remedies to stop early maturity? |
Hello doctor, My mom, who is 52 years old, has developed a heel spur on both legs, which was discovered 6 months ago. Sometimes, it pains a lot. She is currently on Proxym 200, Pantosec and Zelac-B. I have attached her x-ray for your reference. Please advise how to get relief and if any treatment needed. | Hi. Revert back with the test reports to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist | 839 | Q. How to get relief from heel spurs? |
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 | 840 | 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 | 841 | 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 | 842 | 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. | 843 | 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 | 844 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hi doctor, I am writing this question on behalf of a friend of mine. She had breast cancer and was operated on for it before four months. She had her tests done again a few weeks ago, but she does not seem to believe the results and wants a second opinion. Could you please interpret the reports of her current situation? Thank you. | Hi. For further information consult a surgical oncologist online -->https://www.icliniq.com/ask-a-doctor-online/surgical-oncologist | 845 | Q. Could you please interpret my friend's breast cancer report? |
Hi doctor, From when I was 17 years old I have used tanning beds on and off up until I was 22. I was not aware of the risks. Through the internet I learnt about the risks. I got to know that it is inevitable and that will develop melanoma at some point. Do most people who use tanning beds end up with melanoma? My skin looks and feels healthy and I only have about four to five moles on my body and a few freckles. Melanoma does not run in my family. I have green eyes, but tan very easily. I rarely ever burn. Are my risks still very high from my tanning bed use? I did not notice any change in my moles at all and I now use sunscreen every day. | Hi. For further information consult a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist | 846 | Q. Do people using tanning beds end up with melanoma? |
Hi doctor, I am a 30 year old female and planning for a first pregnancy. Thereby across, I came to know about rubella test. I have gone through this test recently and it came out to be non-reactive IgG less than 3 IU/mL and IgM is less than 10 IU/mL. Should I go for its vaccination? If yes, then how long should I avoid conceiving? | Hello. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist | 847 | Q. How long should I avoid pregnancy after rubella vaccination? |
Hi doctor, For the past 10 days, I have been having frequent bowel movements. At first, it started with lots of pain, but the pain got subside after relieving my bowels. The stools were softer and of large quantity. No blood in stool, but a little bit of red color on my toilet paper. I have hemorrhoids, which I know and I have been impacted by all of this. I went to my regular doctor and had an abdominal CT scan last week. I have not received my results yet. I am getting pain to the right of my belly button a few times. After about five or six days when the frequency of going to the bathroom slowed down, I seemed to strain a bit more to go and the stools were coated in white. This would only occur with the harder stools. The other stools seem to be softer and more yellowish in color. After the CT scan, I am of course going to the bathroom frequently, but no white in stool at that time. So, my concern is the mucus which I have never had before. What is causing the diarrhea? Ironically, I had seen my gastro doctor when all of this began. So, I have scheduled another appointment. I had a colonoscopy two years back, all normal except for hemorrhoids and an upper GI at the same time. Gastritis was the only thing found. Since then, I had an abdominal ultrasound and pelvic ultrasound, in which all were fine. Could colon cancer develop quickly? I am a worrying and I am driving everyone around me nuts. My current medication includes Effexor, Allegra, probiotics and Xanax for anxiety. Thanks for your help in advance. | Hi. We are here to help you. Revert back with the answers to the above questions to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist | 848 | Q. Could stomach bug cause frequent bowel movements? |
Hello doctor, I am having itchy and dry eyes for the past one week and recently experiencing some eye pain also for the past two days. My eyes are getting tired fast, and I cannot look at a laptop screen for long periods, there is a constant irritation near both the eye corners. But the itching occurs sometimes, it is not constant. I am taking refresh tears eye drops for 2 times for the past two days and warm compresses, and it is feeling better after that. In the past one month, I had severe tonsillitis for which I took some medications. It had some side effects, that led to a thyroid disorder, which is getting better now. I wanted to know if this condition is serious, and whether I should continue taking the drops. Also, my father has glaucoma, so is my vision in any kind of danger. There is no redness as if now. I am a 20-year-old female. Thank you. | Hello. What you are suffering from is computer vision syndrome. Modify your computer working habits work in a well lit room always even if using laptop try to work on a table nd chair and chair should be good, ergonomic supporting your spine, main light should come from behind your back. Remove your eyes from screen every 20 minutes and look at distant object for 20 seconds. Work on a HD screen or retina display screen. Take 5 minutes break every 45 minutes. Make a rule whenever you press a common key like enter or space or even when touch track pad you will blink your eye because that is essential to blink eyes 15 times a minute. Disconitnue Betonosol eye drop please. Use refresh tears eye drop 6 times a day regularly. If any discharge or redness develops please let me know these are not signs of glaucouma. See in glaucoma there is no pain so early. Then too after situation of lockdown improves then please get IOP checked to rule out glaucoma | 849 | Q. Why am I having itchy and dry eyes with eye pain? |
Hello doctor, Is it possible to get some sort of sinus infection from accidentally aspirating soup when you are eating? I always make the mistake of choking on ramen and it has been happening a lot lately. I noticed in the last two months that every time I have ramen and choke on the soup, I get a sinus infection or something that feels like uncomfortable post nasal drip. Could it be because of choking on the ramen? | Hi. It is very unlikely that you develop a sinus infection following consumption of any food. However, if your prone for a post nasal drip after consuming anything for that matter, it could be related to a food allergy what we categorise as NINAR (non infectious non allergic rhinitis). Post nasal drip occurs due to accumulation of mucus in the nose which has no place to go other than being blown out or pushed into the throat which often causes irritation and frequent throat clearing. I do not really suggest any treatment for this. You take steam, have warm water and do saline gargles to get rid of the irritation temporarily. Ultimately it is always best to avoid consuming anything which can trigger such a response. | 850 | Q. Is it possible to get sinus infection due to aspiration of soup? |
Hello doctor, I vomit after eating and have an upset stomach too. I also have a black stool. What could be the causes of these? | Hello. This seems to be peptic ulcer within stomach. The pain of stomach ulcer worsen after taking meals. Do you have a previous history of peptic ulcers? The black stools are suggestive of ongoing bleeding from peptic ulcer; the bleeding may be small to cause change in the color of stools; however, a large ongoing bleeding can not be ruled unless I know your blood pressure and heart rate. Plus do you have vomiting of similar black color in these days? I suggest you to start capsule Esmoperazole 40 mg twice daily before meals. Take this medication regularly. In case if you are feeling fainting, or dizziness, blurring of vision when you stand from sitting position, or your upper level of the blood pressure (systolic blood presure) is less than 90 or your heart rate above 90 beats per minute; I recommend you to visit near by emergency department for treatment and possible need of endoscopy. Otherwise if you do not have any alarming signs as I mentioned I suggest you can start medications and see if it helps you. This medication will suppress the acid production in the stomach and will help heal the ulcers in stomach. Let me know if I can provide more information about your condition. Take care. Peptic ulcer disease Complete blood count Prothrombin time and INR Gastroscopy Provide more information as I can be able to solve your problem at moment. | 851 | Q. I vomit after eating and passing black stool with upset stomach. Kindly help. |
Hello doctor, My 4 years old daughter has redness around her vaginal wall. It looks as if it is an ulcer type or something. It hurts her a lot and frequent urination was there. We took her to pediatrician. He recommended us UTI course. Zocan and Trofan 2.5 mg was given. And Cadid V gel is given. It has been 10 days. But still she complains of leg pain and pain near urethra. Should we go fo sonography? Please let me know. | Hello. I need more detail history from you, whether there is fever or burning micturation, or itching around vagina or any discharge from it. How is her behavior after these symptoms? As you have mentioned that there is 1 cut on vagina, how did this cut happen? Pain, burning or stinging when passing urine. Suspect pain if a young child starts to cry while passing urine. The feeling of "cannot wait" to pass urine may occur. This is called urgency. Passing small amounts of urine at a time often. This is called frequency. New onset of day or night-time wetting. Pain in the lower tummy may also occur. If the kidney is infected, the pain is in the flank. The flank is the side right below the ribs. UTIs are a common cause of fevers without other symptoms in young children. The urine may be cloudy and have a bad odor. Sometimes, there is some blood in the urine. UTI on top of the list Interstitial Cystitis Vulvovaginitis Trauma Or Injury Child Abuse The vulva is the area outside the vagina. Soaps can cause this area to be red, sore and itchy. This can lead to UTIs. Stool that gets on the vulva is another big factor. This can happen with careless wiping. It can also happen with constipation. A rare cause is if the bladder is not emptied all the way. Reason: Urine that stays in the bladder too long can become infected. Cystitis is more common in girls than boys. This is due to the much shorter length of the urethra in girls. needs urine RE (A clean catch urine sample needs to be tested. A UTI is confirmed by finding white blood cells in the urine. A positive culture for bacteria is also needed.) Repeat Urine c/s USG abdomen UTI on top of the list Interstitial Cystitis Vulvovaginitis Trauma Or Injury Child Abuse UTI on top of the list vascicuuretric reflux or obstraction in urinary tract Interstitial Cystitis Vulvovaginitis Trauma Or Injury R/O Child Abuse ( AFTER PROPER EXAMINATION AND HISTORY ) Education (clean from front to back) after defecation plenty of oral fluids cranberries drinks Education (clean from front to back) after defecation plenty of oral fluids Follow up after reports urine and usg pelvis and abdomen | 852 | Q. There is some redness along with ulceration near vagina in a baby. Kindly advise. |
Hello doctor, I am 50 years old. I have a fibroid problem for the last two years. This month after periods, I have severe abdominal pain and fever also. I am suffering for the past two days and I manage the pain with Combiflam. Please tell me how much doses I want to take a day and how long can I take it? | Hello. You can take Combiflam (Ibuprofen) tablets after food maximum up to three times a day. But however, I would like to point out that the fever and pain may not be because of your fibroid problem because you have been diagnosed with the problem long back. We have to find the cause for the same. Without knowing the cause for fever it is not advisable to take Combiflam, preferably please take Paracetamol or Dolo 650 mg for fever. One possibility is degenerative changes in the fibroids, which can get secondarily infected and cause pain and fever, or sometimes a reproductive tract infection, or most commonly it can be even because of urinary tract infection. So I would like to know if you are experiencing any pain or burning while passing urine or if there is any increased frequency of passing urine. If yes, please get a urine test for routine microscopy and culture sensitivity to look for the infection. We may have to start antibiotics because you are having a fever too. Please revert back to me with the necessary details to look for the cause of the fever. Urine routine and microscopy. Urine culture and sensitivity. Ultrasound abdomen and pelvis. Fever evaluation recommended. Drink plenty of water and fluids (at least three to four liters per day). Syrup Citralka two tablespoons thrice daily in half glass water for three days in case of any burning while passing urine. | 853 | Q. I have uterine fibroid and gets abdominal pain with fever after periods. Can I take Combiflam? |
Good Afternoon, I have few symptoms for a month like sour or metallic tongue usually when I eat some food. I feel like I have something stack in my throat and I don't feel like eating anything. I feel short of breath however, some relief if I burp, i also have to clear phlegm from my throat all the time. Thank you, | Hello dear, I welcome you to icliniq. It seems there is problem within your food pipe. Acid reflux, regurgitation of food, choking and freqenut salivation and sometime vomiting are all symotoms related to food pipe (esophagus). Metallic taste of tongue, food stuck and diffculty in swallowing are just part of armentarium of symotoms of any disease affecting food pipe. There are many disorders which could cause such symptoms namely esophageal diverticulum, motility disorders, eosinohilic esophagitis, or some anatomical variations of food pipe. These all disorders can reasonably be excluded on basis of good history and some common investugation; rarely an endoscopy is required to confirm the diagnosis. Since with limited history I am unable to make any diagnosis at momemt. But I tried to provide you the possibilities. I recommend you some testing, just get it done and come back to discuss. I hope this will be helpful. Good day esophageal diverticulum, motility disorders, eosinohilic esophagitis, or some anatomical variations of food pipe complete blood count Serum Ig E Thyroid function tests ANA profile Cpk Timed barium swallow TBS motility disorders follow up after investigation or can discuss now before getting tested | 854 | Q. I feel like something is stuck in my throat, and I get a metallic taste. What to do? |
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 | 855 | 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 | 856 | 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 | 857 | 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. | 858 | 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 | 859 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hi. A portion of my skin in my right leg feels sensitive or i feel a little pain when it is lightly touch by clothes or hand. I've started to feel the pain i think 3-5days now and it doesn't go away. I searched online to find what it is and i think it is similar to allodynia. Btw, i am not sure if my previous condition was related to my current condition, I have always an issue with my right shoulder and right arm and the doctor said it is a muscle spasm. At first, my right shoulder hurt then the pain expand up to my right arm. I've experiencing this concern for i think 2-3years now. The pain goes on and off. Also, i had an eardrum reconstruction surgery last year in my right ear. I am not sure if it is related. | Hello.... The hypersensitivity is caused by effect on the nerve due to any reason.... it may be from spinal cord to the region in leg ... problem anywhere can cause this kind of an issue... u need to get yourself evaluated clinically by a neurologist.... As the MRI is quite old you can not rely on that... further evaluation with MRI only if required and nerve conduction study might be required... as a symptomatic treatment pregabalin or gabapentin can be used but only after clinical evaluation and if considered by the treating doctor.... thank you... | 860 | Q. I feel slight pain when a part of my leg skin is lightly touched by clothes or hand. Is it allodynia? |
Hello doctor, This is regarding my mother. She is 55 years old. Last year she was diagnosed with chronic liver disease. She had ascites, which was cured. She has taken proper medication since then. But recently, since the last three weeks to be precised, she was having tremors and difficulty in sleeping. We consulted gastroenterologist here who gave medicines but did not help much with these symptoms. She also has hypothyroid and type 2 diabetes. Since the last two days, she suddenly developed nausea and vomiting and we had to hospitalize her. For now, vomiting and nausea have stopped but she is oversleeping and she still has tremors. Her sodium, potassium, and creatinine levels are normal. And looking at her liver function test the doctor said she has swelling on her liver and nothing more. But I read somewhere about the symptoms of hepatic encephalopathy like oversleeping, drowsiness, flapping tremors, etc and she has all those at present. Am I right regarding this? Please help me. | Hello. I can understand you must be very upset about your mother's health. The answer to your query is you are 100% right. It can be hepatic encephalopathy (HE). It often presents as altered sleep patterns which means day time sleeping and nighttime awakening. Tremors are characteristically called flapping tremors and sometimes overt neuropsychiatric manifestations such as elevated mood, hallucinations, and illusions. The treatment of HE is simple i.e. to avoid constipation, and use of lactulose a special laxative agent that help to decrease ammonia gas that causes HE. Plus she should be given tablet Rifxamin 550 mg twice daily to prevent her from recurrent episodes of HE. The recent use of painkillers could have caused kidney damage which got recovered and may be a precipitating factor for the underlying development of hepatic encephalopathy. I hope this will help you in understanding her problem. I want that you should discuss this information with her treating physician. Can follow up to discuss more about the long term management of chronic liver disease. | 861 | Q. My mom has liver disease with nausea, vomiting and oversleeping. Could it be hepatic encephalopathy? |
Hi doctor, I am a 45-year-old female. I have hypertension for four years, and I take Co-Diovan 80/12.5. In the past days, I performed blood sugar tests on Accu-check device and got the following results respectively in four days after eight to ten fasting hours: 283, 364, 420, 483. After the lock-down I will go to a doctor, my question is can I go on fasting and taking the same medicine? What can I do these days to lower the sugar levels? | Hi. You have diabetes mellitus and your weight is high as well. If you do not have symptoms you can go for fasting. You need to do HBA1c (glycated hemoglobin) which will show your average sugar over two to three months previously. Check your eyes for retinopathy. Kidney function test with urine albumin creatinine ratio. Check your feet and blood sugar frequently when fasting. Lifestyle modifications are the best treatment of diabetes. Low carbohydrates diet and no added sugar, no sugary juices, no bread, rice, pasta, and potatoes. If you cannot stop at least take as little as possible. Take more vegetable salads and consume fruits only as a sweet dish. Do not take mango, grapes, and banana. Apple not more than one piece. Strawberries and other berries are fine. Fasting will also help you to control your diabetes. Drink more water at night. Sleep well. Do regular exercise at least walk 30-40 minutes daily. The more you practice these things the better will be your control. You may not need medication even. But if u cannot take Glucophage (Metformin) 500 mg in the morning and evening. Check your sugar frequently. Your fasting target should be 90-130 mg/dL, and two hours after eating should be 150-160 mg/dL. | 862 | Q. I am diabetic and hypertensive and on medication. Can I go for fasting along with medication? |
Hello doctor, I am trying to conceive for the last 2.5 years but not successful. I was on Fertisure F and Ovabless for six months and discontinued because I did not see any results and I am diagonsed with PCOS. I am now on Carbimazole 5 mg for hyperthyroidism. | Hello. PCOS (Polycystic ovary syndrome) and also hyperthyroidism can cause infertility. I saw your examination (attachment removed to protect patient identity). The TSH (thyroid-stimulating hormone) levels is normal. The medication you have taken are only supplements. If you have menstrual irregular bleeding you can correct it with contraception pills for two to three months and then try to conceive again. First, I would recommend you to evaluate the ovulatory process with ultrasound examination at 12 -15 days or measurement of progesterone at 21 days. And after that take some medication that induces your ovulation. But you have to be in a close follow up with a doctor. | 863 | Q. I am trying to conceive with PCOS, but Fertisure F and Ovabless are not helping. Why? |
Hello doctor, I have been experiencing ongoing war popping sensations as if I have gotten off a plane for the last two months. For the last few weeks, I have experienced slight ear pain and symptoms of tinnitus. I have tried an ear wax removal kit but still have underlying symptoms. | Hi. I could not understand what is the point of removing wax here without observing the ear canal. Please get it very clear, your eustachian tube (tube connecting the backside of the nose and middle ear) is blocked and some maneuver (Valsalva maneuver) under supervision will surely help. What you can try at home is take steam inhalation, chew food, or chewing gum in an exaggerated way as it may open the tube. Stretch your ear a bit and you can try putting your little finger inside your ear and move it 10 -15 times. Tinnitus may go away once the tube gets back to its normal position. Avoid caffeinated drinks (tea, coffee, alcohol). If you have it even after that follow up with me. | 864 | Q. I experience slight ear pain and tinnitus for the past one week. Is it due to wax formation? |
Hello doctor, I cannot breathe properly and I burp every few minutes. And I am always dizzy and pale. Please help. | Hello. You might be suffering from low hemoglobin. The causes are many, but to start I want you to get some tests to help diagnose the problem. The possibilities are celiac disease, H pylori infections, food allergies, giardiasis, and autoimmune enteropathy. You also look low for your body weight in this age. I want to know how much blood you lose on monthly cycles? If it is a large amount, then it is one of the possibilities of you having low hemoglobin. Please check yourself. Anemia with anemic symptoms. Complete blood count. Iron profile. Vitamin B12 and folate. Anti TTG, IgA, IgG. Stools for H pylori TSH, FT4, FT3. Excessive menstrual loss. H pylori. Giardiasis. Malnutrition. Follow up to discuss the management plan. | 865 | Q. I have breathing difficulty with constant burping and dizziness. Why? |
Hi doctor, I an 28 years old and I have a skin problem on my face such as acne, blackheads, big pores, etc. It is usually not that bad but once my spot is gone, I have a red mark that could stay on my skin very long. As a result, all my skin looks a bit reddish due to spots marks. I would say my skin type is combination since it’s dry after I wash my face and then it gets oily, especially on my T zone. I am currently using La Roche Effaclar Duo to get rid of my acne and especially my spot marks but it does not seem to help a lot. That is why I was just wondering if you could recommend any skin routine that would help me to get rid of my acne and make my skin look better and healthier. Thank you very much. | Hi. Skin in adolescent and young adult are covered with sebum secreting glands mostly over face and trunk. They increase during the summer and varies according to menstrual cycle. Besides oily cosmetics can hamper the acne formation process and aggravte the problems. You can regularly cleanse the skin using facewash containing salicylic acid and or glycolic acid or mandelic acid. To improve the acne and facial skin we frequently use gel containing retinoic acids specially at night. But if you have bigger acne lesions sometimes we need to have some laboratory investigation to start oral retinoic acid. Could you please send me your picture so that I can discuss with you in detail. | 866 | Q. What are the ways to get rid of acne? |
Hello doctor, I am 42 years old. I have heavy periods. I have my regular blood tests as I can feel so unwell with breathlessness and dizzy. I have low blood pressure and doctor never seems concerned as she says my results are around 11.5 but my systems really affect day to day life. Should I have further tests? | Hello. Following is my opinion about your asked question. Your main complaint is breathing difficulty and dizziness. For that, you need to investigate further with complete CBC (Complete Blood Count) to check hemoglobin level. Your hemoglobin report is not attached herewith. If your hemoglobin level is below the normal range then iron tablet can be prescribed. For your dizziness, ear examination also should be done to check the otological cause. For your breathing difficulty problem, chest x-ray, EKG, and spirometry like investigation planned according to the need and after discussion with your doctor. Your attached reports (attachment removed to protect patient identity), show no specific abnormalities and liver, kidney are functioning well. If all comes clear then history about anxiety should be taken to rule out anxiety induced panic attacks. I hope this helps. | 867 | Q. I feel breathless and dizzy with heavy bleeding. Please help. |
Hello doctor, While sleeping at night I having burning sensation on legs and sweating all over the body and having numbness all over the shoulder and head ache. It lasts for 5 to 10 minutes. I have a feeling of pain while passing urine. I am 48 years old and I have removed my uterus eight years back. Please help. I am currently taking Diacardus, Cifran 500, Raceclo, Xykaa and Telvas 20. | Hello. I have read through the description you mentioned. There are multiple issues I will tackle one at a time. I would like to know if your ovaries were preserved when you underwent hysterectomy eight years back, and if yes, probably the symptoms of sweating all over for few minutes could be a sign of hot flushes, which is a post-menopausal symptom. And the numbness and pain could be due to some nutritional deficiencies which need to be evaluated. Your gastric symptoms of burping and pain and the gurgling sounds are suggestive that you may be having gastritis or acidity issues. Try eating small meals at frequent intervals and avoid prolonged gap between meals. Avoid spicy foods totally. Sometimes antibiotics also can cause too much acidity, and also the analgesics (NSAIDs - Aceclofenac), etc., may also precipitate gastritis. Pain while passing urine can be a sign of urinary tract infection. Try to get the urine routine microscopy and culture sensitivity testing to look for the infective agent so that antibiotics could be given accordingly. Please drink plenty of water at least 3-4 liters a day. Urine routine and microscopy. Urine culture and sensitivity. Tablet Pantop (Pantoprazole) 40 mg daily once in empty stomach 30 minutes before breakfast for seven days. Try eating small meals at frequent intervals and avoid prolonged gap between meals. Avoid spicy foods totally. Please drink plenty of water at least 3-4 liters a day. | 868 | Q. I have burning sensation in legs with numbness and sweating while sleeping. Please help. |
Hello doctor, I am a 16-year-old guy. My height is 168 cm. My weight is 65kg. My father's height is 178 cm and my mother's height is 164 cm. I wanted to ask to can I consume Oxandrolone? Is it safe for me? Also, how can I increase my height in this stage? | Hi. Your height is almost the average of your parents. At 15-17 years in males growth plates close and then there is no increase in height possible after that. You are almost in that age. Do you have any other symptoms of impaired secondary sexual characteristics? You can have bone age checked if you want to confirm it. Oxandarolone is an anabolic steroid. It increases weight an not height. You should not use Oxandrolone if you have prostate cancer, advanced kidney disease, high levels of calcium in your blood, breast cancer, or if you are pregnant. Some people using Oxandrolone have developed life-threatening side effects on the liver, spleen, and blood vessels. These conditions can occur without warning or symptoms and can lead to liver failure, internal bleeding, cancer, stroke, heart attack, or death. I do not think it will have more benefits than risks it poses. | 869 | Q. My height is 168 cm. Will Oxandrolone help in increasing my height? |
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 | 870 | 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 | 871 | 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 | 872 | 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. | 873 | 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 | 874 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, My 8 weeks ultrasound showed an irregular gestational sack. It is mostly round but sort of pointed in one location. What does this mean? Fetal pole 158, measuring 8 weeks and 1 day gestational age. Please explain. | Hi. If fetal cardiac activity is present and pregnancy is 8 weeks on ultrasound. If you do not have any pain or bleeding per vaginal than there is more chance that with medicines pregnancy has more chance for growth. Irregular gestational sac sometimes can be due to uterine contraction which can be present throughout pregnancy. If this is the case then there is more chance that pregnancy is good and there is more chance for growth. One more reason of irregular sac is also a sign of early abortion. But we can do only these things. Do take complete bed rest. Do minimum activity. Take small frequent meals. Take micronized Progesterone for 2 to 4 times a day 200 mg, Folic acid tablet, and Thiamine or multivitamin tablet. All these will be helpful for growing pregnancy. And repeat ultrasound after 10 to 15 days. Do drink more water. | 875 | Q. My 8th week ultrasound shows irregular gestational sac. Please explain my condition. |
Hello doctor, I am seeing by my top gumline 6 of my teeth have mild abfractions and are changing color from the gumline down. I do not know what to do and I am freaking out. Are my teeth all dead? My last visits to the dentist's office is in November of last year and I noticed some color change in February but I did not know it was severe. What are my options? | Hello. I went through your query and seen the attached image (attachment removed to protect patient identity). The image is not clear to determine any specific concerns of yours as color was not visible properly. But as an expert, your teeth looked fine. You need scaling. Do Betadine gargle in lukewarm water. Take tablet Metrogyl ER 1 tablet bd for five days. Your left lateral looked short. It might be due to the quality of the image. If it is like that I doubt it to be deciduous can be sure, the image was hazy. Anyways no worry, nothing is dead, so please do not freak out. Stains and calculus. Intraoral x-ray of the upper left lateral incisor. Scaling and medications. Avoid sticky or sweet food. Follow up after 7 days. | 876 | Q. Due to abfraction, my upper front teeth are discolored. Are my teeth dead? |
Hello doctor, I have GERD and gastritis. I eat three times daily and timely but I am not able to meet enough nutrition gain. I want you to help me in the proper management of food. | Hi. For how long have you been suffering from this problem? Are you taking any medications for GERD? Is your weight is too low for your height? Do you smoke? If yes, please stop immediately. What about consumption of coffee/ tea? It should not be more than 3 cups daily (120 ml each) with a half teaspoon sugar. Please get back with all details to give proper diet advice. Small frequent meals are advisable. In between snacks, you can take buttermilk which is not sour. All fruits and vegetables are allowed. If you are sensitive to citrus fruits, avoid it. Do not eat any kind of fermented foods. If idly and dosa are sour, avoid it. Better if the batter is made at home, first day of both are allowed. Avoid all kinds of junk stuff, processed, bakery products, rich sweets, fatty foods, etc. Have light dinner by 8-8:30 PM, so that you have ample time before bed. Whenever you are eating high protein foods, followed by a light meal later. Include ghee two to three tablespoons daily in your diet. I hope this helps. Follow up with all the details for better understanding. | 877 | Q. I have gastritis and GERD. Please advise proper food management. |
Hello doctor, My right shoulder is excruciatingly painful. I play quarterback in football and I am 16 years old. Since I participate in a throwing sport, dead arm syndrome is something that I suspect may be the cause of my pain. I have also noticed that my upper right trapezius if lower than my left one. Please help. | Hello. As mentioned by you that you might be suffering from dead arm syndrome. At present I would suggest you to follow price protocol, that is protection, rest, ice, compression, and elevation. I would suggest you to stop doing any sports activities which aggravate your pain. Once pain subsides you need to strengthen the shoulder muscles as this condition develops due to weak shoulder muscles. I would suggest consulting any physiotherapist to learn how to strengthen your muscles. It is very important before you proceed to play otherwise you might get reinjury. If your condition does not improves within a week consult any physiotherapist. I hope this helps. | 878 | Q. I am getting excruciating pain on right shoulder due to sports activity. Is it dead arm syndrome? |
Hello doctor, I went for Doppler scan because I feel a small tiny seed inside my scrotum sack. The scan says everything is normal. Nothing is found, testicles are fine but it says mid-left hydrocoele found. Doctor said, no need to worry and it is no cause for alarm and that I can drain it if it got bigger. I went home. After five days, I notice a swelling that is not round in shape and close to the left testicles. The urologist did another scan for scrotal Doppler. The report is the same as the first one. Only a left mid hydrocoele was found. The doctor said, he is surprised that the scan has not picked up varicoceles. Because he noticed left varicoceles when he feels it. I can feel the right varicocele is small than the left varicocele. He asked me to go to another hospital for a scan and mostly they should check for varicoceles. Surprisingly, the third Doppler scan for scrotal in another hospital seen nothing wrong, and the investigation was normal. The urologist says, since the three reports have picked up nothing and no varicoceles are found, he could not operate on it. That this is because the varicocele is not large enough to cause problem for the Doppler to see. I asked the doctor whether I should go for a semen analysis to see if the semen is normal. He says that is a good suggestion to rule out every suspicious of varicocele and my sperm count is normal. I ask him about the swelling close to the testicles, he said, that is normal and I should relax and it will not affect my testicles. Do you think I should be relaxed about this? Is the doctor right? I have a very loose scrotum sack. Is this normal? The scrotum sack reduces in size only when I feel like using the toilet to pass out stools. Is this normal? | Hi. I went through your detailed medical history and the reports you have mentioned here (attachment removed to protect patient identity). To tell you the fact a small hydrocele is usually harmless but it has the tendency to increase in size gradually over a period of time at which point you might need surgery to help you. If the Doppler scans are not showing the varicocele it might be at an initial stage. It is a good option to get your semen analysis done, this will help you to find out if there is any problem with your sperms but will not rule out the cause that is a varicocele. It is advisable to get follow up Doppler at three months interval but I would not recommend surgery just yet, especially, if you have completed a family and you already have children. Surgery is a necessity if your hydrocele increases in size and causes discomfort or a varicocele is found on the Doppler scan of the scrotum, or immediate surgery is advisable if your sperm count is low after ruling out other causes for a lower sperm count. In the meantime, what you can do at home is to provide scrotal support. You can buy it at any pharmacy or if it is not available then you can wear tight underwear. These are just temporary measures until you can get all the tests done. I hope this helps. | 879 | Q. Doppler scan shows mid left hydrocele with loose scrotum. Is this normal? |
Hello doctor, I have ED and I have taken penile doppler test as per my urologist advice. But he did not confirm any physical problem with me but the doppler test result says there is artery insufficiency. Below is the impression from the doppler test. Hypoplastic right cavernosal artery with penile erectile dysfunction. Please help me understand this report. | Hi. Coming back to your query, I had seen your doppler report (attachment removed to protect patient identity). Your peak systolic velocity on right side is below normal. Have you tried any drugs / medicines before? For how long you are having ED? Diabetic or hypertensive? Morning or nocturnal erections? | 880 | Q. What is my doppler test taken for erectile dysfunction showing? |
Hello doctor, I did not use left side for eating prior to RCT. Little pain was there but not sensitivity. After one corner broke then I went to the doctor and they suggested me for RCT as it happened because of cavity. One of my tooth second last from the end of lower jaw. One day it broke down and I went to doctor then they said you should go for RCT and I took RCT treatment. Prior to this I did not use that side for chewing as sometimes it hurts suddenly. So before RCT one of the corner was broken down already. After RCT, again one corner broke down again and now when I close my jaws it hurts. Also when I rub my finger slightly it hurts sometimes a little pain. No sensitivity is there with cold water but hurts little when I close my jaws or I rub my fingers on it. | Hello, Welcome to iclinq.com. I have gone through your query and understood your concern. When a tooth decays and when the nerve layer of the tooth is affected, it starts to give out pain and it loses its vitality becoming more brittle. Hence it could have fractured. Also, to save such tooth, root canal treatment will be performed. Mild pain/discomfort after RCT is quite normal for the next 3 to 5 days for which you would have been put under pain killers. This period is for tooth healing and it is essential that you do not disturb or bite food on that tooth. Once it completely heals, crown procedure is generally performed. Placing a crown over the root canal treated tooth is mandatory to protect the tooth and to prevent further fracture of the tooth. Do visit your dentist for the crown procedure and till that do not eat hard, chewy foods and avoid chewing food on the involved side. | 881 | Q. Root canal treated tooth has broken. Please advise the treatment. |
Hello doctor, If an individual has genital herpes and performs oral sex on a non-infected person, is it possible for it to still be transmitted? | Hi. I read your query and understand your concerns. First of all, I would like to inform you that there is definite risk of transmission of HSV if there was direct skin to skin contact such as sex, oral sex, passionate kissing among others. However, the risk is low provided there was no active lesions at the area of contact. But practically speaking people with active genital lesions can have active lesions over the oral mucosa which can shed the virus, which can be transmitted to their partner. I also like to make it clear that itching and burning sensation are very rare before appearance of lesions. It is good idea to get tested for herpes antibodies. | 882 | Q. Individual has genital herpes and performed oral sex. Is transmission of infection possible? |
Hello doctor, My baby daughter is 2 years 5 months old. Weight is 12 kg. Her molar teeth is coming on both left and right side. She is have swollen gum. She is suffering from pain. She always show her finger towards teeth. Also her mouth is also giving very bad smell. Please suggest some medicine doctor. | Hi. Kindly answer the following questions for a better understanding. Is she having fever as well, if yes how severe because it may probably be infected and may need an antibiotic course. This usually happens in children during tooth eruption, you can continue with PCM drops every 6 hourly for pain and swelling. If severe pain in gums, you can use a pinch of Mucopain gel for local application. Also start a calcium syrup if giving syrup Calcimax P 5 ml twice a day, it would help in tooth eruption. | 883 | Q. How can painful swollen gums be treated in a baby? |
Hello doctor, My eyes hurt for about a week now. I feel like resting for a long period of time. They are itchy and dry. There is a foreign object sensation. Sometimes, I feel like I am losing my vision or it is getting weaker. Sometimes I do the 20-20-20 rule. Lately, I have been spending a lot of time in front of the screen. What could be the reason my eyes hurt? Currently, I am taking Isotretinoin 20 mg twice a day, and Topical Benzoyl Peroxide 5% and topical Retinoid and Clindamycin for chronic acne. | Hello. You must get your BP, and blood sugar levels done. Monitor if normal or abnormal and consult a physician. Also, get 2D echo done as soon as possible and seek a cardiologist opinion. The condition that you lost vision suddenly for some time is known as amaurosis fugax. I am telling you this first because this is serious. Also, it is a must to get your refraction done and also consult a retina specialist and get the detailed retinal examination done as well. Coming to your eye symptoms, it would have been better if you share a picture of eyes but it seems like you have allergic symptoms. I hope there is no discharge or stickiness of eyes. You can use Bepotastine 1.5% eye drop TDS one drop in both eyes for two weeks. Soft drops 0.5% (Sodium carboxymethylcellulose) eye drop six times a day (one drop in both eyes) for one month. Avoid any rubbing of eyes. Use goggles. | 884 | Q. I get itchy dry eyes after prolonged screentime with occasional vision loss. Why? |
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist | 885 | 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 | 886 | 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 | 887 | 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. | 888 | 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 | 889 | Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? |
Hello doctor, My problem is both my underarms are black in color and has a bad smell when it sweats. I did not use any medicine for underarm before. My Face is in oily type with acne spots marks. I have consulted you and you suggested me to use Yaclin facewash, Benzoyl peroxide, AC-N, for acne and Exazel-N, for spots marks. I am using these for the past six months but not much results and acne spots are not faded. I am 21 years old. Can I use derma roller for face? Can I shave my underarm hair? | Hi. It would be great if you could send pictures of your face and axilla to assess the severity. Anyway, start on tablet Azithral 250 twice a day for three days a week for three weeks. Apply Clindoxyl gel to the acne spots once a day for three hours only for two weeks. For the next two weeks apply Deriva CMS (Adapalene) gel to the acne spots for three hours. For black spots please apply Melaglow rich cream at night. For axilla, apply Candid gold powder in the morning, Zole F cream in the night. Take tablet Alaspan (Loratadine) once a day in the night for itching for 10 days. Drink lots of water, remove your hair. Derma roller cannot be advised for self use. Please do not use it. | 890 | Q. I have dark underarms with bad odor due to sweating. Please help to get rid of it. |
Hi, my dad who’s 61 years old has been experiencing hypertension and I would like to ask what are the best ways to ease/lower the blood pressure at home? Hypertension runs in his family. He has pain in the nape area, and his BP is 150/100. Same issue happened last month, his BP was 160/100 and he felt dizzy and no energy. He is taking Losartan 50mg (half). Thank you so much. | 891 | Q. What are the best ways to lower blood pressure at home? |
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Dear Dr., I want some information about the Leprosy disease. When I go out, I often see beggars who are suffering from Leprosy(skin lesions or deformed fingers and toes). I am concerned whether there is any risk of contracting the disease from them. Please give me detailed information about what is the risk of getting this disease. Also, can this disease be contracted by touching object which could have been contaminated like door handles, etc.? Can it be contracted from the ground or soil? | Hello It is very commendable of you to find out more about this disease. A lot of stigma is associated with the disease and its sufferers. Common public just sees those people as untouchables or a taboo. It is a bacterial infection caused by Mycobacterium leprae. The organism is similar to TB bacteria and so their treatments are also similar and run for months together. But the treatment and drugs are not the same. The laprosy bacteria produces lesions in skin, mucous membranes, eyes, nerves and tissues. Gradually untreated lesions spread inside and affect nerves causing their swelling and loss of sensation. Slowly the body resorbs the extremities and thats why you see a lot of untreated patients having loss of digits and toes. You might have found a lot of people with saddle nose deformity also. The transmission of leprosy with what is known occurs after prolonged and close contact with untreated leprosy patients over months. It doesn't spread that easily or fast. You dont contract it from ground or soil. You dont get it if you touch an object touched by a leper. Nor would you get the disease if you hug the patient. There is very minimal to no risk in contracting the disease from patients who are outside. However, avoid prolonged contact with the patients. Wear a mask always when you are outside, considering the current situation. Recently there is some evidence suggesting the disease may be spread by droplets, like sneezes or coughs or bodily fluids. But nothing has been concluded. It is best to avoid close personal contact with a patient and wear a mask to prevent droplet infection. Treatment of the disease involved multidrug therapy for long durations. With adequate therapy the disease is curable. Is there anything else that you would like to know? | 892 | Q. Can you get infected by coming in contact with someone with leprosy? |
I have a sensation of a lump in the throat, occasional nausea and some challenges swallowing. This has gone on for close to 3 months. | 893 | Q. Why do I have a sensation of a lump in the throat with some swallowing problems? |
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Hello doctor, I was diagnosed with epilepsy in late 2016, and have been taking Levetiracetam since then (500 mg twice a day). I have been concerned that it is affecting my mental health. I have been experiencing anxiety, depression, irritability, and anger which is very out of character for me. It has taken some time to pinpoint, but it seems like these behavioral changes may correlate with when I began taking the medication. Prior to starting Levetiracetam, I had two grand mal seizures about 12-15 months apart. I frequently had what were diagnoses as epilepsy-related auras. Since I have been taking Levetiracetam, I have not had any more seizures or auras. I am happy the medication is working, but I am interested in advice about other possible medications or non-prescription treatments. | Hi. Your assumption is right, Levetiracetam causes behavioral disturbance as a side effect. There are two options now, 1. To taper off the Levetiracetam - if you have not experienced any seizure or aura in the last four years then we can go straight away with gradual tapering of the medicine, for that we need to know the last seizure/ aura episode, but with this, there is a risk of recurrence, you need to be cautious and under the watch of someone for few months. 2. Substitute Levetiracetam with Sodium valproate - in this risk of seizure is less, but still, it is there, on the fact the Sodium valproate is a mood stabilizer. Please do not do any of the above by self, you can consult a neurologist locally let him manage or get a telephonic consultation. | 894 | Q. I am on Levetiracetam for epilepsy and experiencing mood changes. Is it the side effect of that drug? |
Hello doctor, I have pain on both of my testicles but the pain is more focused on the left. I did blood and urinary tests, ultrasound and CT scan but all were negative. I do not have the pain in the same way it was but then I feel like it is a little longer than my right and also heavy. What can I do? | Hello. I have gone through your queries. You have bilateral testicular pain, discomfort, and heaviness. And all investigations are within the normal limits. It would have been great if you had uploaded those reports. However, do not worry. If USG testis with Doppler study is within normal limits, then there should not be any major concern. I would like to advise you to wear tight underwear. It will reduce your discomfort. Whenever there is pain or discomfort in the testis you should elevate it. Pain will be reduced. You can take Paracetamol 650 mg SOS also. I would like to undergo the following investigations after one month if symptoms persist. USG (ultrasound) B/L inguinoscrotal region with Doppler study urinalysis, urine culture, USG KUB (kidney, ureter, and bladder) and PVR (postvoid residual urine). | 895 | Q. I have pain in both testes with left testis longer than the other. What should I do now? |
Hello doctor, I am a 16-year-old male. For the past few months, I have been getting sudden electric shocks (a little bit more than calm) in my neck when I move it. These are not at all frequent. I get them once in a while. I am not that fit and I use my tab (for studies) while sleeping a bit relaxing almost 4-5 hours a day. Please help. | Hi. As you described, using the tab for 4-5 hours a day will make your neck bent forward to see the tab continuously for long hours. That might be the reason for your neck pain. As all elders advice, sit straight, keep your books or tab at an elevated location while reading so that you need not bend your neck much. And do some exercises for your neck daily while sitting free. Move your head up and down, sideways, and slow rotatory movements clockwise and anti-clockwise. Neck sprain. Neck exercises as advised. | 896 | Q. I get electric shock like sensation in neck due to prolonged use of tab. Please help. |
Hello doctor, I have had an issue with my anus area for a while now. The area is always red, and there is always an unpleasant smell (fish). I do not notice any drainage. I have a history of Pilonidal sinus and abscess. I was tested for a few STD's but not all. I think it may have something to do with the pilonidal sinus, as the two issues were consecutive. I will attach an image that will hopefully help. | Hi. If possible provide me photographs of affected areas that will help me for a better understanding of your skin problem and proper treatment plan. Photographs required for more accurate diagnosis purpose because treatment given without proper diagnosis can be less helpful. | 897 | Q. My anus is red with unpleasant odor and I have a history of pilonidal sinus and abscess. Please help. |
Hello doctor, I would like to consult for my disturbing allergic flares. I am a 33-year-old female. I am not known hypertensive, diabetic, or asthmatic. Within these three months I have history of morning colds, nasal congestion, pruritic rashes, and eye itchiness. I have no fever, no cough, shortness of breath, headache, and sore throat. I took Monetlukast + Cetirizine once a day and applied Olopatadine optic drops four times a day which did not relieve my symptoms. Therefore, I added Loratadine 10 mg 1 tablet at bedtime. I tried a hypoallergenic diet as well. After two weeks, still, without relief, I added Prednisone 5 mg tablet with a tapering dose for two weeks. There was no significant relief of symptoms. Now, I am still on Montelukast + Cetirizine once tablet once a day, and Loratadine 10 mg one tablet once a day at bedtime. My rashes are getting worse and my sneezing as well. Please help. | Hello. Regarding the treatment, I suggest you continue the medicines as they are. I would like to know how much of Prednisolone did you start with? Nextly, you must start on intranasal steroids to help relieve the nasal symptoms. Use Fluticasone furoate twice daily two puffs in each nostril twice daily. The brands available in the Philippines are Avamys, Flutiair, Nasoflo, Flusort. If you feel the antihistaminics are making you drowsy, then you may keep the Cetirizine for the evening and take Loratidine in the morning. Apply a mild steroid cream like Betamethasone valerate 0.1% topical cream over the affected skin. The brands available in your country are Diprolene, Diprosone, and Betnovate. Long term solution: You must do a skin prick testing to check what you are allergic to. Skin prick testing is better than blood allergy testing. Both the methods check for food and aeroallergens. Remember that before the testing you should stop the antihistaminics for five days. With such a test we will come to know the offending agent and give you the right advice to prevent that particular allergen. Do revert back for more details. Apply mild soap and wear loose-fitting clothes to avoid friction over the affected area on the skin. | 898 | Q. I get cold in the morning with pruritic rashes, nasal congestion and eye itchiness. Please help. |
Hello doctor, I am a 35-year-old male. No episodes of herps except chickenpox in childhood. No Infection of HIV, clinically tested every six months for the last seven years. My partner and I both are not having HIV (clinically tested). I had a bacterial or fungal infection with pus and redness in the genital area. So I have done the blood test. HIV is negative. HSV-1 IgG 4.5 positive. HSV-1 IgM 0.29 negative. HSV-2 IgG 0.45 negative. HSV-2 IgM 0.69 negative. As HSV-1 is mostly non-genital infection. I did not have any episodes of HSV-1 type herps in my life. I never had HSV-1 type herpes anywhere in the body. I am straight and have a relationship only with my spouse. How can blood show HSV-1 IgG positive without any symptoms? Dermatologist says it is due to past infection and not about present infection. Doctor told I should take antiviral dose Acyclovir for 20 days for HSV-1 IgG past infection. Is it useful to take antiviral dose for the past HSV-1 type infection? Will it reduces IgG level in the blood? Is HSV-1 IgG is false positive? | Hi. First understand the situation, IgM indicates recent infection and IgG indicate chronic infection. Since you have both the IgM negative, it means that there is no recent infection. Secondly, about 70- 80% of US population is HSV-1 (herpes simplex virus) positive, it means they are infected once in a life time and antibodies will remain for throughout life. But it does not mean that 80% of US population should start taking Acyclovir. There are no guidelines for taking Acyclovir until you are symptomatic. So do not think too much about this figure. If you had any other problems, you can revert back to me. | 899 | Q. I have infection with pus and redness in the genital area with positive HSV 1. Please help. |
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